Epstein-Barr virus gp42 antibodies reveal sites of vulnerability for receptor binding and fusion to B cells

Immunity. 2024 Mar 12;57(3):559-573.e6. doi: 10.1016/j.immuni.2024.02.008.

Abstract

Epstein-Barr virus (EBV) causes infectious mononucleosis and is associated with B cell lymphomas. EBV glycoprotein 42 (gp42) binds HLA class II and activates membrane fusion with B cells. We isolated gp42-specific monoclonal antibodies (mAbs), A10 and 4C12, which use distinct mechanisms to neutralize virus infection. mAb A10 was more potent than the only known neutralizing gp42 mAb, F-2-1, in neutralizing EBV infection and blocking binding to HLA class II. mAb 4C12 was similar to mAb A10 in inhibiting glycoprotein-mediated B cell fusion but did not block receptor binding, and it was less effective in neutralizing infection. Crystallographic structures of gH/gL/gp42/A10 and gp42/4C12 complexes revealed two distinct sites of vulnerability on gp42 for receptor binding and B cell fusion. Passive transfer of mAb A10 into humanized mice conferred nearly 100% protection from viremia and EBV lymphomas after EBV challenge. These findings identify vulnerable sites on EBV that may facilitate therapeutics and vaccines.

Keywords: Epstein-Barr virus; HLA class II; fusion machinery; glycoprotein 42; herpesvirus; monoclonal antibody therapy.

MeSH terms

  • Animals
  • Antibodies, Viral
  • Benzeneacetamides*
  • Epstein-Barr Virus Infections*
  • Glycoproteins / metabolism
  • Herpesvirus 4, Human*
  • Mice
  • Piperidones*
  • Viral Proteins / metabolism

Substances

  • Viral Proteins
  • antineoplaston A10
  • Glycoproteins
  • Antibodies, Viral
  • Piperidones
  • Benzeneacetamides