2013 November 1; 342(6158): 592–598 | Jason S. McLellan, Man Chen, M. Gordon Joyce, Mallika Sastry, Guillaume B. E. Stewart-Jones, Yongping Yang, Baoshan Zhang, Lei Chen, Sanjay Srivatsan, Anqi Zheng, Tongqing Zhou, Kevin W. Graepel, Azad Kumar, Syed Moin, Jeffrey C. Boyington, Gwo-Yu Chuang, Cinque Soto, Ulrich Baxa, Arjen Q. Bakker, Hergen Spits, Tim Beaumont, Zizheng Zheng, Ningshao Xia, Sung-Youl Ko, John-Paul Todd, Srinivas Rao, Barney S. Graham, and Peter D. Kwong
The study aimed to engineer a viral antigen for respiratory syncytial virus (RSV) that provides greater protection than currently available vaccines. The focus was on antigenic site Θ, a metastable site specific to the prefusion state of the RSV fusion (F) glycoprotein, which is targeted by potent RSV-neutralizing antibodies. Structure-based design yielded stabilized versions of RSV F that maintained antigenic site Θ when exposed to extreme pH, osmolality, and temperature. Six RSV F-crystal structures provided atomic-level insights into how introduced cysteine residues and filled hydrophobic cavities improved stability. Immunization with site Θ-stabilized variants of RSV F in mice and macaques elicited levels of RSV-specific neutralizing activity many times the protective threshold. The study highlights the potential of structure-based design to enhance vaccine efficacy and the importance of selecting appropriate target sites for eliciting protective immune responses.The study aimed to engineer a viral antigen for respiratory syncytial virus (RSV) that provides greater protection than currently available vaccines. The focus was on antigenic site Θ, a metastable site specific to the prefusion state of the RSV fusion (F) glycoprotein, which is targeted by potent RSV-neutralizing antibodies. Structure-based design yielded stabilized versions of RSV F that maintained antigenic site Θ when exposed to extreme pH, osmolality, and temperature. Six RSV F-crystal structures provided atomic-level insights into how introduced cysteine residues and filled hydrophobic cavities improved stability. Immunization with site Θ-stabilized variants of RSV F in mice and macaques elicited levels of RSV-specific neutralizing activity many times the protective threshold. The study highlights the potential of structure-based design to enhance vaccine efficacy and the importance of selecting appropriate target sites for eliciting protective immune responses.