Using human immune globulins made from antihepatitis C virus (HCV)-positive plasma, we recently identified two antibody epitopes in the E2 protein at residues 412-426 (epitope I) and 434 -446 (epitope II). Whereas epitope I is highly conserved among genotypes, epitope II varies. We discovered that epitope I was implicated in HCV neutralization whereas the binding of nonneutralizing antibody to epitope II disrupted virus neutralization mediated by antibody binding at epitope I. These findings suggested that, if this interfering mechanism operates in vivo during HCV infection, a neutralizing antibody against epitope I can be restrained by an interfering antibody, which may account for the persistence of HCV even in the presence of an abundance of neutralizing antibodies. We tested this hypothesis by affinity depletion and peptide-blocking of epitope-II-specific antibodies in plasma of a chronically HCV-infected patient and recombinant E1E2 vaccinated chimpanzees. We demonstrate that, by removing the restraints imposed by the interfering antibodies to epitope-II, neutralizing activity can be revealed in plasma that previously failed to neutralize viral stock in cell culture. Further, cross-genotype neutralization could be generated from monospecific plasma. Our studies contribute to understanding the mechanisms of antibody-mediated neutralization and interference and provide a practical approach to the development of more potent and broadly reactive hepatitis C immune globulins. M ost hepatitis C virus (HCV)-infected patients fail to clear the virus and, despite the presence of neutralizing antibodies (NAbs), develop chronic infections. These chronically HCV-infected patients are at risk of developing cirrhosis and liver cancer (1, 2). Although current standard treatment with pegylated IFN and ribavirin results in cures in as many as 50% of patients, neither antibody-based prophylaxis nor an effective vaccine is available.The mechanism by which HCV persists in the presence of NAbs is unknown. Heterogeneity, a prominent feature of HCV, has been considered important in immune escape. Previously we identified an antigenic region in the E2 envelope glycoprotein of hepatitis C virus that contains two important epitopes, i.e., epitope I and epitope II. Epitope I has been recognized by us and others as an important neutralization site (3, 4). We showed that antibody to epitope II interfered with antibody to epitope I, inhibiting neutralization of the virus (4). In this study, we have further characterized these epitopes and identified the amino acid residues in epitope I important for antibody binding. By absorbing out antibody to epitope II in plasma from a chronically infected HCV patient, we show that neutralizing activity is not only enhanced but also broadened to include additional genotypes of the virus. Furthermore, by using plasma from 2 chimpanzees that had been vaccinated with recombinant E1 and E2 envelope glycoproteins of a genotype 1a HCV, we demonstrate that a monotypic immune response contained cross-neutra...

The X-ray crystal structure of epitope II on the E2 protein of hepatitis C virus, in complex with nonneutralizing antibody mAb#12, has been solved at 2.90-Å resolution. The spatial arrangement of the essential components of epitope II (ie, the C-terminal α-helix and the N-terminal loop) was found to deviate significantly from that observed in those corresponding complexes with neutralizing antibodies. The distinct conformations are mediated largely by the flexibility of a highly conserved glycine residue that connects these components. Thus, it is the particular tertiary structure of epitope II, which is presented in a spatial and temporal manner, that determines the specificity of antibody recognition and, consequently, the outcome of neutralization or nonneutralization.H epatitis C is a major public health problem worldwide. More than 170 million people are infected by the hepatitis C virus (HCV) (1). Approximately 70% of infected people fail to clear the virus during the acute phase of the disease and become chronic carriers (2). Liver cirrhosis, which develops in about 10-20% of chronically infected patients, is linked with a high risk for hepatocellular carcinoma in later life (2, 3). To date, there is neither an effective immune globulin for prophylaxis nor a vaccine for the prevention of hepatitis C. The development of a safe and effective HCV vaccine remains a top priority for the global control of HCV infections.The HCV envelope glycoprotein E2 has long been considered an important immunogenic target in efforts to develop an HCV vaccine candidate. This consideration is largely based on the role of the E2 protein in facilitating the entry of HCV into hepatocytes via interaction with the host entry factors (4-10). Recently, the crystal structure of the E2 core, in complex with a neutralizing antibody, was solved (11). The E2 core study described the interface crucial for host entry factor CD81-mediated entry, thus providing a site of vulnerability that can be exploited in immunogen design. The crystal structure also revealed that nearly 62% of the E2 core amino acid residues are either disordered or in loop structures, the overall effect of which indicates a striking flexibility in the E2 protein structures. Whether the intrinsic structural heterogeneity of the E2 protein is linked to the viral entry process or not is currently unknown.Epitope II resides on the E2 protein between residues 427 and 446, a location that places it in the vicinity of the described E2-CD81 interface in the flexible area of the E2 protein (11-13). Paradoxically, different antibodies are able to bind to a similar set of residues on epitope II; however, their interactions with these residues can lead to either HCV neutralization or nonneutralization, as defined in an in vitro HCV cell culture system (12, 13). In addition, some epitope II-specific nonneutralizing antibodies were shown to interfere with the neutralization by antibodies at epitope I, another epitope on the E2 protein between residues 412 and 426 (12). Furthermore, de...

Antibodies to epitopes in the E2 protein of hepatitis C virus (HCV) reduce the viral infectivity in vivo and in vitro. However, the virus can persist in patients in the presence of neutralizing antibodies. In this study, we generated a panel of monoclonal antibodies that bound specifically to the region between residues 427 and 446 of the E2 protein of HCV genotype 1a, and we examined their capacity to neutralize HCV in a cell culture system. Of the four monoclonal antibodies described here, two were able to neutralize the virus in a genotype 1a-specific manner. The other two failed to neutralize the virus. Moreover, one of the nonneutralizing antibodies could interfere with the neutralizing activity of a chimpanzee polyclonal antibody at E2 residues 412 to 426, as it did with an HCV-specific immune globulin preparation, which was derived from the pooled plasma of chronic hepatitis C patients. Mapping the epitope-paratope contact interfaces revealed that these functionally distinct antibodies shared binding specificity for key amino acid residues, including W 437 , L 438 , L 441 , and F 442 , within the same epitope of the E2 protein. These data suggest that the effectiveness of antibody-mediated neutralization of HCV could be deduced from the interplay between an antibody and a specific set of amino acid residues. Further understanding of the molecular mechanisms of antibody-mediated neutralization and nonneutralization should provide insights for designing a vaccine to control HCV infection in vivo.

Background: Low density lipoprotein receptor (LDLR) mediates clearance of blood coagulation factor VIII (FVIII). Results:The region of complement-type repeats 2-5 in LDLR was identified as the binding site for FVIII and for ␣-2-macroglobulin receptor-associated protein (RAP). Conclusion: Binding sites of LDLR for FVIII, and also for RAP, were characterized. Significance: This provides new data on LDLR structure and function and on FVIII catabolism.