Impact of flavivirus vaccine-induced immunity on primary Zika virus antibody response in humans

Zika virus has recently spread to South- and Central America, causing congenital birth defects and neurological complications. Many people at risk are flavivirus pre-immune due to prior infections with other flaviviruses (e.g. dengue virus) or flavivirus vaccinations. Since pre-existing cross-reacti...

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Veröffentlicht in:PLoS neglected tropical diseases 2020-02, Vol.14 (2), p.e0008034-e0008034
Hauptverfasser: Malafa, Stefan, Medits, Iris, Aberle, Judith H, Aberle, Stephan W, Haslwanter, Denise, Tsouchnikas, Georgios, Wölfel, Silke, Huber, Kristina L, Percivalle, Elena, Cherpillod, Pascal, Thaler, Melissa, Roßbacher, Lena, Kundi, Michael, Heinz, Franz X, Stiasny, Karin
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container_issue 2
container_start_page e0008034
container_title PLoS neglected tropical diseases
container_volume 14
creator Malafa, Stefan
Medits, Iris
Aberle, Judith H
Aberle, Stephan W
Haslwanter, Denise
Tsouchnikas, Georgios
Wölfel, Silke
Huber, Kristina L
Percivalle, Elena
Cherpillod, Pascal
Thaler, Melissa
Roßbacher, Lena
Kundi, Michael
Heinz, Franz X
Stiasny, Karin
description Zika virus has recently spread to South- and Central America, causing congenital birth defects and neurological complications. Many people at risk are flavivirus pre-immune due to prior infections with other flaviviruses (e.g. dengue virus) or flavivirus vaccinations. Since pre-existing cross-reactive immunity can potentially modulate antibody responses to Zika virus infection and may affect the outcome of disease, we analyzed fine-specificity as well as virus-neutralizing and infection-enhancing activities of antibodies induced by a primary Zika virus infection in flavivirus-naïve as well as yellow fever- and/or tick-borne encephalitis-vaccinated individuals. Antibodies in sera from convalescent Zika patients with and without vaccine-induced immunity were assessed by ELISA with respect to Zika virus-specificity and flavivirus cross-reactivity. Functional analyses included virus neutralization and infection-enhancement. The contribution of IgM and cross-reactive antibodies to these properties was determined by depletion experiments. Pre-existing flavivirus immunity had a strong influence on the antibody response in primary Zika virus infections, resulting in higher titers of broadly flavivirus cross-reactive antibodies and slightly lower levels of Zika virus-specific IgM. Antibody-dependent enhancement (ADE) of Zika virus was mediated by sub-neutralizing concentrations of specific IgG but not by cross-reactive antibodies. This effect was potently counteracted by the presence of neutralizing IgM. Broadly cross-reactive antibodies were able to both neutralize and enhance infection of dengue virus but not Zika virus, indicating a different exposure of conserved sequence elements in the two viruses. Our data point to an important role of flavivirus-specific IgM during the transient early stages of infection, by contributing substantially to neutralization and by counteracting ADE. In addition, our results highlight structural differences between strains of Zika and dengue viruses that are used for analyzing infection-enhancement by cross-reactive antibodies. These findings underscore the possible impact of specific antibody patterns on flavivirus disease and vaccination efficacy.
doi_str_mv 10.1371/journal.pntd.0008034
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Many people at risk are flavivirus pre-immune due to prior infections with other flaviviruses (e.g. dengue virus) or flavivirus vaccinations. Since pre-existing cross-reactive immunity can potentially modulate antibody responses to Zika virus infection and may affect the outcome of disease, we analyzed fine-specificity as well as virus-neutralizing and infection-enhancing activities of antibodies induced by a primary Zika virus infection in flavivirus-naïve as well as yellow fever- and/or tick-borne encephalitis-vaccinated individuals. Antibodies in sera from convalescent Zika patients with and without vaccine-induced immunity were assessed by ELISA with respect to Zika virus-specificity and flavivirus cross-reactivity. Functional analyses included virus neutralization and infection-enhancement. The contribution of IgM and cross-reactive antibodies to these properties was determined by depletion experiments. Pre-existing flavivirus immunity had a strong influence on the antibody response in primary Zika virus infections, resulting in higher titers of broadly flavivirus cross-reactive antibodies and slightly lower levels of Zika virus-specific IgM. Antibody-dependent enhancement (ADE) of Zika virus was mediated by sub-neutralizing concentrations of specific IgG but not by cross-reactive antibodies. This effect was potently counteracted by the presence of neutralizing IgM. Broadly cross-reactive antibodies were able to both neutralize and enhance infection of dengue virus but not Zika virus, indicating a different exposure of conserved sequence elements in the two viruses. Our data point to an important role of flavivirus-specific IgM during the transient early stages of infection, by contributing substantially to neutralization and by counteracting ADE. In addition, our results highlight structural differences between strains of Zika and dengue viruses that are used for analyzing infection-enhancement by cross-reactive antibodies. These findings underscore the possible impact of specific antibody patterns on flavivirus disease and vaccination efficacy.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0008034</identifier><identifier>PMID: 32017766</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analysis ; Antibodies ; Antibodies, Viral - blood ; Antibody Affinity ; Antibody response ; Antigens, Viral - immunology ; Biology and life sciences ; Birth defects ; Complications ; Complications and side effects ; Congenital defects ; Conserved sequence ; Cross-reactivity ; Data points ; Defects ; Dengue ; Dengue fever ; Dengue virus ; Depletion ; Disease control ; Diseases ; ELISA ; Encephalitis ; Enzyme-Linked Immunosorbent Assay ; Epidemics ; Epidemiology ; Genetic disorders ; Guillain-Barre syndrome ; Human diseases ; Humans ; Immunity ; Immunoglobulin G ; Immunoglobulin G - blood ; Immunoglobulin M ; Immunoglobulins ; Infection ; Infections ; Laboratories ; Medical research ; Medicine ; Medicine and Health Sciences ; Microbiological strains ; Neurological complications ; Neutralization ; Neutralization Tests ; Neutralizing ; Polyethylene Glycols ; Research and Analysis Methods ; Scientific equipment industry ; Specificity ; Strains ; Tick-borne diseases ; Tick-borne encephalitis ; Tropical diseases ; Vaccination ; Vaccines ; Vector-borne diseases ; Viral Envelope Proteins - immunology ; Viral Vaccines - immunology ; Virology ; Virus diseases ; Viruses ; West Nile virus ; Yellow fever ; Zika virus ; Zika Virus - genetics ; Zika Virus - immunology ; Zika Virus Infection - prevention &amp; control</subject><ispartof>PLoS neglected tropical diseases, 2020-02, Vol.14 (2), p.e0008034-e0008034</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Malafa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Many people at risk are flavivirus pre-immune due to prior infections with other flaviviruses (e.g. dengue virus) or flavivirus vaccinations. Since pre-existing cross-reactive immunity can potentially modulate antibody responses to Zika virus infection and may affect the outcome of disease, we analyzed fine-specificity as well as virus-neutralizing and infection-enhancing activities of antibodies induced by a primary Zika virus infection in flavivirus-naïve as well as yellow fever- and/or tick-borne encephalitis-vaccinated individuals. Antibodies in sera from convalescent Zika patients with and without vaccine-induced immunity were assessed by ELISA with respect to Zika virus-specificity and flavivirus cross-reactivity. Functional analyses included virus neutralization and infection-enhancement. The contribution of IgM and cross-reactive antibodies to these properties was determined by depletion experiments. Pre-existing flavivirus immunity had a strong influence on the antibody response in primary Zika virus infections, resulting in higher titers of broadly flavivirus cross-reactive antibodies and slightly lower levels of Zika virus-specific IgM. Antibody-dependent enhancement (ADE) of Zika virus was mediated by sub-neutralizing concentrations of specific IgG but not by cross-reactive antibodies. This effect was potently counteracted by the presence of neutralizing IgM. Broadly cross-reactive antibodies were able to both neutralize and enhance infection of dengue virus but not Zika virus, indicating a different exposure of conserved sequence elements in the two viruses. Our data point to an important role of flavivirus-specific IgM during the transient early stages of infection, by contributing substantially to neutralization and by counteracting ADE. In addition, our results highlight structural differences between strains of Zika and dengue viruses that are used for analyzing infection-enhancement by cross-reactive antibodies. These findings underscore the possible impact of specific antibody patterns on flavivirus disease and vaccination efficacy.</description><subject>Analysis</subject><subject>Antibodies</subject><subject>Antibodies, Viral - blood</subject><subject>Antibody Affinity</subject><subject>Antibody response</subject><subject>Antigens, Viral - immunology</subject><subject>Biology and life sciences</subject><subject>Birth defects</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Congenital defects</subject><subject>Conserved sequence</subject><subject>Cross-reactivity</subject><subject>Data points</subject><subject>Defects</subject><subject>Dengue</subject><subject>Dengue fever</subject><subject>Dengue virus</subject><subject>Depletion</subject><subject>Disease control</subject><subject>Diseases</subject><subject>ELISA</subject><subject>Encephalitis</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Genetic disorders</subject><subject>Guillain-Barre syndrome</subject><subject>Human diseases</subject><subject>Humans</subject><subject>Immunity</subject><subject>Immunoglobulin G</subject><subject>Immunoglobulin G - blood</subject><subject>Immunoglobulin M</subject><subject>Immunoglobulins</subject><subject>Infection</subject><subject>Infections</subject><subject>Laboratories</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Microbiological strains</subject><subject>Neurological complications</subject><subject>Neutralization</subject><subject>Neutralization Tests</subject><subject>Neutralizing</subject><subject>Polyethylene Glycols</subject><subject>Research and Analysis Methods</subject><subject>Scientific equipment industry</subject><subject>Specificity</subject><subject>Strains</subject><subject>Tick-borne diseases</subject><subject>Tick-borne encephalitis</subject><subject>Tropical diseases</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>Vector-borne diseases</subject><subject>Viral Envelope Proteins - immunology</subject><subject>Viral Vaccines - immunology</subject><subject>Virology</subject><subject>Virus diseases</subject><subject>Viruses</subject><subject>West Nile virus</subject><subject>Yellow fever</subject><subject>Zika virus</subject><subject>Zika Virus - genetics</subject><subject>Zika Virus - immunology</subject><subject>Zika Virus Infection - prevention &amp; 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Medits, Iris ; Aberle, Judith H ; Aberle, Stephan W ; Haslwanter, Denise ; Tsouchnikas, Georgios ; Wölfel, Silke ; Huber, Kristina L ; Percivalle, Elena ; Cherpillod, Pascal ; Thaler, Melissa ; Roßbacher, Lena ; Kundi, Michael ; Heinz, Franz X ; Stiasny, Karin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c624t-633f71ed0f286da7cc87f2acd79e3c9d72463875831e9cc984cb8f5e5ec8b7f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Analysis</topic><topic>Antibodies</topic><topic>Antibodies, Viral - blood</topic><topic>Antibody Affinity</topic><topic>Antibody response</topic><topic>Antigens, Viral - immunology</topic><topic>Biology and life sciences</topic><topic>Birth defects</topic><topic>Complications</topic><topic>Complications and side effects</topic><topic>Congenital defects</topic><topic>Conserved sequence</topic><topic>Cross-reactivity</topic><topic>Data points</topic><topic>Defects</topic><topic>Dengue</topic><topic>Dengue fever</topic><topic>Dengue virus</topic><topic>Depletion</topic><topic>Disease control</topic><topic>Diseases</topic><topic>ELISA</topic><topic>Encephalitis</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Epidemics</topic><topic>Epidemiology</topic><topic>Genetic disorders</topic><topic>Guillain-Barre syndrome</topic><topic>Human diseases</topic><topic>Humans</topic><topic>Immunity</topic><topic>Immunoglobulin G</topic><topic>Immunoglobulin G - blood</topic><topic>Immunoglobulin M</topic><topic>Immunoglobulins</topic><topic>Infection</topic><topic>Infections</topic><topic>Laboratories</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Microbiological strains</topic><topic>Neurological complications</topic><topic>Neutralization</topic><topic>Neutralization Tests</topic><topic>Neutralizing</topic><topic>Polyethylene Glycols</topic><topic>Research and Analysis Methods</topic><topic>Scientific equipment industry</topic><topic>Specificity</topic><topic>Strains</topic><topic>Tick-borne diseases</topic><topic>Tick-borne encephalitis</topic><topic>Tropical diseases</topic><topic>Vaccination</topic><topic>Vaccines</topic><topic>Vector-borne diseases</topic><topic>Viral Envelope Proteins - immunology</topic><topic>Viral Vaccines - immunology</topic><topic>Virology</topic><topic>Virus diseases</topic><topic>Viruses</topic><topic>West Nile virus</topic><topic>Yellow fever</topic><topic>Zika virus</topic><topic>Zika Virus - genetics</topic><topic>Zika Virus - immunology</topic><topic>Zika Virus Infection - prevention &amp; 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Fisheries Abstracts (ASFA) 1: Biological Sciences &amp; Living Resources</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) 3: Aquatic Pollution &amp; Environmental Quality</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) Professional</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals (DOAJ)</collection><jtitle>PLoS neglected tropical diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Malafa, Stefan</au><au>Medits, Iris</au><au>Aberle, Judith H</au><au>Aberle, Stephan W</au><au>Haslwanter, Denise</au><au>Tsouchnikas, Georgios</au><au>Wölfel, Silke</au><au>Huber, Kristina L</au><au>Percivalle, Elena</au><au>Cherpillod, Pascal</au><au>Thaler, Melissa</au><au>Roßbacher, Lena</au><au>Kundi, Michael</au><au>Heinz, Franz X</au><au>Stiasny, Karin</au><au>Gubler, Duane J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of flavivirus vaccine-induced immunity on primary Zika virus antibody response in humans</atitle><jtitle>PLoS neglected tropical diseases</jtitle><addtitle>PLoS Negl Trop Dis</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>14</volume><issue>2</issue><spage>e0008034</spage><epage>e0008034</epage><pages>e0008034-e0008034</pages><issn>1935-2735</issn><issn>1935-2727</issn><eissn>1935-2735</eissn><abstract>Zika virus has recently spread to South- and Central America, causing congenital birth defects and neurological complications. Many people at risk are flavivirus pre-immune due to prior infections with other flaviviruses (e.g. dengue virus) or flavivirus vaccinations. Since pre-existing cross-reactive immunity can potentially modulate antibody responses to Zika virus infection and may affect the outcome of disease, we analyzed fine-specificity as well as virus-neutralizing and infection-enhancing activities of antibodies induced by a primary Zika virus infection in flavivirus-naïve as well as yellow fever- and/or tick-borne encephalitis-vaccinated individuals. Antibodies in sera from convalescent Zika patients with and without vaccine-induced immunity were assessed by ELISA with respect to Zika virus-specificity and flavivirus cross-reactivity. Functional analyses included virus neutralization and infection-enhancement. The contribution of IgM and cross-reactive antibodies to these properties was determined by depletion experiments. Pre-existing flavivirus immunity had a strong influence on the antibody response in primary Zika virus infections, resulting in higher titers of broadly flavivirus cross-reactive antibodies and slightly lower levels of Zika virus-specific IgM. Antibody-dependent enhancement (ADE) of Zika virus was mediated by sub-neutralizing concentrations of specific IgG but not by cross-reactive antibodies. This effect was potently counteracted by the presence of neutralizing IgM. Broadly cross-reactive antibodies were able to both neutralize and enhance infection of dengue virus but not Zika virus, indicating a different exposure of conserved sequence elements in the two viruses. Our data point to an important role of flavivirus-specific IgM during the transient early stages of infection, by contributing substantially to neutralization and by counteracting ADE. In addition, our results highlight structural differences between strains of Zika and dengue viruses that are used for analyzing infection-enhancement by cross-reactive antibodies. These findings underscore the possible impact of specific antibody patterns on flavivirus disease and vaccination efficacy.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32017766</pmid><doi>10.1371/journal.pntd.0008034</doi><orcidid>https://orcid.org/0000-0002-1902-8674</orcidid><orcidid>https://orcid.org/0000-0002-7191-4331</orcidid><orcidid>https://orcid.org/0000-0002-0222-9832</orcidid><orcidid>https://orcid.org/0000-0002-2707-3213</orcidid><orcidid>https://orcid.org/0000-0003-2727-0468</orcidid><orcidid>https://orcid.org/0000-0003-3595-3074</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1935-2735
ispartof PLoS neglected tropical diseases, 2020-02, Vol.14 (2), p.e0008034-e0008034
issn 1935-2735
1935-2727
1935-2735
language eng
recordid cdi_plos_journals_2377704975
source Directory of Open Access Journals (DOAJ); MEDLINE; Public Library of Science; PubMed Central; EZB Electronic Journals Library; PubMed Central Open Access
subjects Analysis
Antibodies
Antibodies, Viral - blood
Antibody Affinity
Antibody response
Antigens, Viral - immunology
Biology and life sciences
Birth defects
Complications
Complications and side effects
Congenital defects
Conserved sequence
Cross-reactivity
Data points
Defects
Dengue
Dengue fever
Dengue virus
Depletion
Disease control
Diseases
ELISA
Encephalitis
Enzyme-Linked Immunosorbent Assay
Epidemics
Epidemiology
Genetic disorders
Guillain-Barre syndrome
Human diseases
Humans
Immunity
Immunoglobulin G
Immunoglobulin G - blood
Immunoglobulin M
Immunoglobulins
Infection
Infections
Laboratories
Medical research
Medicine
Medicine and Health Sciences
Microbiological strains
Neurological complications
Neutralization
Neutralization Tests
Neutralizing
Polyethylene Glycols
Research and Analysis Methods
Scientific equipment industry
Specificity
Strains
Tick-borne diseases
Tick-borne encephalitis
Tropical diseases
Vaccination
Vaccines
Vector-borne diseases
Viral Envelope Proteins - immunology
Viral Vaccines - immunology
Virology
Virus diseases
Viruses
West Nile virus
Yellow fever
Zika virus
Zika Virus - genetics
Zika Virus - immunology
Zika Virus Infection - prevention & control
title Impact of flavivirus vaccine-induced immunity on primary Zika virus antibody response in humans
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