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0022-538X/08/$08.00⫹0 doi:10.1128/JVI.00187-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
Although the human transmission of avian H5N1 virus remains low, the prevalence of this highly pathogenic
infection in avian species underscores the need for a preventive vaccine that can be made without eggs. Here,
we systematically analyze various forms of recombinant hemagglutinin (HA) protein for their potential efficacy
as vaccines. Monomeric, trimeric, and oligomeric H5N1 HA proteins were expressed and purified from either
Since 1889, at least five influenza virus pandemics have oc- of H5N1 avian influenza virus are strongly associated with
curred, the most catastrophic of which was the Spanish influ- exposure to infected domestic fowl (21).
enza of 1918, which resulted in 20 to 50 million deaths world- Effective vaccination is a critical tool that supports public
wide (4, 8). Today, an average of about 200,000 influenza health efforts to reduce influenza virus morbidity and mortal-
virus-related hospitalizations and about 36,000 influenza virus- ity. Each year, the World Health Organization selects three
related deaths occur in a typical winter-seasonal epidemic in influenza virus strains as targets for inactivated vaccine devel-
the United States (14). First appearing in 1997, the highly opment. While the trivalent inactivated influenza virus vac-
pathogenic avian influenza H5N1 virus continues to spread cines currently used in the United States are manufactured
globally (19). The current global outbreak of H5N1 avian in- using embryonated eggs, it will be difficult to rapidly scale up
fluenza virus among domestic and wild birds, and its potential this technology for the mass production of vaccine in the event
adaptation to humans, has accelerated influenza H5N1 virus of a potential pandemic (18). Recently, a new cell culture-
research and pandemic preparedness. More than 300 cases of based approach for influenza virus vaccine development, in-
human H5N1 influenza virus infection had been confirmed. Of volving the production of influenza virus in cell culture fol-
these cases, nearly 200 individuals have died as a consequence lowed by virus inactivation and purification, has been proposed
of infection (22). Although a few instances of human-to-human and tested (1). While offering advantages over egg-based ap-
H5N1 influenza virus transmission have been documented, the proaches, e.g., cell culture technology can be scaled up in
current H5N1 virus has not yet acquired the ability to spread shorter periods of time, cell culture-based approaches for
efficiently within the human population, and most human cases H5N1 manufacture still require the production of a potentially
hazardous virus (1).
It has been demonstrated that protection provided by the
trivalent influenza virus vaccine is mediated primarily by anti-
* Corresponding author. Mailing address: Vaccine Research Center,
NIAID, National Institutes of Health, Bldg. 40, Room 4502, MSC- hemagglutinin (HA) neutralizing antibodies. Thus, a recombi-
3005, 40 Convent Drive, Bethesda, MD 20892-3005. Phone: (301) nant protein-based approach utilizing purified HA proteins
496-1852. Fax: (301) 480-0274. E-mail: gnabel@nih.gov. expressed in different mammalian systems offers another alter-
† These authors contributed equally to this work. native for influenza virus vaccine development. This platform
‡ Present address: Molecular Virology and Vaccines Branch, Influ-
enza Division, NCIRD, CCID, Centers for Disease Control and Pre-
provides advantages over current approaches, including well-
vention, 1600 Clifton Rd., Mail stop G-16, Atlanta, GA 30333. described technologies for mass production and reduced bio-
䌤
Published ahead of print on 16 April 2008. hazards during manufacturing. Various prototypes produced
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VOL. 82, 2008 INFLUENZA VACCINATION WITH RECOMBINANT HA PROTEINS 6201
in a baculovirus-insect cell expression system have proven safe reader (Wyatt Technology, Santa Barbara, CA). Additionally, mammalian cell-
and effective in clinical studies for both H1N1 and H3N2 expressed HAs were produced by the cotransfection of a 1/10 ratio (wt/wt) of
NA(KAN-1) or NA(New Caledonia/99) expression vector for the glycan array
influenza viruses (7, 10, 11, 15–17). In this study, we systemat- analysis, the mass spectrometry (MS) analysis of HA N-glycan composition, or
ically tested various recombinant HA proteins as alternatives the NA-coexpressed HA proteins that also were used for immunization. The
to egg-based vaccine candidates against influenza virus infec- molecular weights of the HA oligomer, trimer, or monomer proteins were de-
tion. H5N1 HA proteins were expressed and purified from termined by density gradient sedimentation as previously described (9).
Vaccination. Female BALB/c mice (6 to 8 weeks old; Jackson Laboratories)
either insect or mammalian cells. The immunogenicity of dif-
were immunized intramuscularly with 20 g of inactivated influenza virus sub-
ferent recombinant HA proteins was evaluated by antibody virion vaccine [rgA/Vietnam/1203/2004 (H5N1); Biodefense and Emerging In-
neutralization. The data suggest that stable, trimeric viral fections Research Resources Repository, NIAID, NIH) or 20 g of purified
spikes serve as the optimal protein immunogens to elicit neu- protein in 50 l of phosphate-buffered saline (PBS) (pH 7.4) and mixed with 50
tralizing antibodies against H5N1 isolates, an approach that l of Ribi adjuvant (Sigma, St. Louis, MO) in PBS, pH 7.4, as recommended, at
weeks 0 and 3. Blood was collected 14 days after each immunization, and serum
may be applicable to seasonal influenza and other viruses. was isolated. Animal experiments were conducted in full compliance with all
relevant federal regulations and NIH guidelines.
ELISA and isotyping of anti-HA antibodies. The mouse anti-HA immuno-
MATERIALS AND METHODS globulin G (IgG) and IgM enzyme-linked immunosorbent assay (ELISA) titers
Genes and expression vectors. Based on H3 numbering (20), a cDNA corre- were measured by a previously described method (23). Purified trimeric HA was
sponding to residues 11 to 500 of the HA from A/Thailand/KAN-1/2004 (KAN-1; used to coat the plate, and anti-HA antibodies were detected by peroxidase-
GenBank accession no. AAS65615) was synthesized using human-preferred conjugated goat anti-mouse IgG and IgM antibody (Jackson ImmunoResearch,
codons as described previously (6) by using GeneArt (Regensburg, Germany). West Grove, PA). The subclasses of anti-HA antibodies also were determined by
This construct terminates at the bromelain cleavage site (12). Alternatively, the ELISA using antibodies to IgA, IgG1, IgG2a, IgG2b, IgG3, and IgM (Calbio-
14 amino acids (EISGVKLESIGIYQ) between the bromelain cleavage site and chem, Gibbstown, NJ).
the transmembrane domain of HA were inserted to produce the ⌬TM construct. Production of pseudotyped lentiviral vectors and measurement of neutralizing
The original viral protease cleavage site PQRERRRKKRG was changed to antibodies. The recombinant lentiviral vectors expressing a luciferase reporter
proteins was first confirmed by Western blotting using anti- pressed HA also was confirmed by SDS-PAGE (Fig. 1C) and
His tag or anti-HA antibodies. The secreted HA proteins by Western blot analysis using an antibody against HA, and
then were purified using a nickel affinity and MonoQ anion- this revealed a slightly lower molecular size after the cleav-
exchange column, followed by using a Superdex200 gel fil- age of the trimerization motif and His tag (Fig. 1C). Its
tration column to separate HA oligomer, trimer, and mono- removal was confirmed by Western blotting using an anti-
mer. In Hi5 cells, HA was expressed as two major species, a His tag antibody (Fig. 1C). The mammalian cell-expressed
high-molecular-weight oligomer and an uncleaved trimer HA also appeared as a high-molecular-mass oligomer and
(Fig. 1B). The molecular sizes of insect-expressed HA oligo- trimer (Fig. 1B) with molecular masses of 1,394 and 222
mer and trimer were estimated to be 1,321 and 214 kDa, kDa, respectively, as determined by density gradient sedi-
respectively, as determined by density gradient sedimenta- mentation. In contrast to the insect-produced protein, the
tion. When the foldon sequence was removed by thrombin peak size of the trimer showed a higher molecular mass due
digestion, the majority of the HA proteins appeared as a to the more extensive glycosylation in mammalian cells. In
cleaved trimer, and a small fraction of cleaved monomer addition, unlike its insect-expressed counterpart, the high-
also was present (Fig. 1B). The expression of insect-ex- molecular-mass oligomer remained intact after thrombin
VOL. 82, 2008 INFLUENZA VACCINATION WITH RECOMBINANT HA PROTEINS 6203
cleavage, although trimeric and monomeric species were pseudotyped, lentiviral vector assay (24). To analyze the ability
detected (Fig. 1B). The expression of HA proteins of the of insect-expressed HA to induce neutralizing antibodies, HA/
expected size also was confirmed by SDS-PAGE and West- NA-pseudotyped reporters were incubated with antisera from
ern blot analysis (Fig. 1C). For subsequent immunogenicity immunized mice, and the neutralizing antibody activity was
studies, only the peak fractions of each species were col- measured using a luciferase assay. Sera from animals immu-
lected in 2-ml aliquots. An analysis of these fractions by nized with insect-expressed oligomer and uncleaved trimer in-
dynamic light scattering confirmed that each immunogen hibited pseudovirus entry effectively, indicating the presence of
was of ⬎97% homogeneity (data not shown). neutralizing antibodies to H5 HA (Fig. 2A). The thrombin-
Humoral immune responses elicited by insect-expressed re- digested trimer elicited only a modest level of neutralizing
combinant HAs. Humoral immunity in mice was evaluated by antibody against KAN-1 HA (Fig. 2A), although a cleaved
vaccination with different forms of HA expressed in insect trimer from a closely related strain (VN1203) elicited levels
cells. Mice were immunized with 20 g of oligomers, trimers, comparable to those observed with uncleaved trimer (Fig. 2A).
or monomers in Ribi adjuvant twice at an interval of 3 weeks. These differences likely were related to the relative stability of
Antisera from the immunized animals were collected 14 days the cleaved HA trimer of these two strains when mixed with
after the second immunization and analyzed for neutralization adjuvant. The total HA antibodies were measured by ELISA
activity using a previously described HA/neuraminidase (NA)- (Fig. 2D) and used to determine the ratio of neutralizing to
6204 WEI ET AL. J. VIROL.
total binding antibodies. Among the insect cell-expressed pro- nary core fucosylated structures. The sialylation of the complex
teins, uncleaved trimer elicited the highest percentage of neu- glycans is a predominant feature, with fully sialylated bi-, tri-,
tralizing antibodies, followed by oligomer and cleaved trimer. and tetra-antennary structures being observed at m/z 2966,
Isotypes of antibodies elicited by insect-expressed oligomer 3776, and 4586, respectively. The spectra derived from the
and trimer were mostly IgG1 and IgG2a and were similar N-glycans of HA coexpressed with NA(KAN-1)(H5N1) again
whether the immunogen was generated in mammalian or showed compositions consistent with those of bi-, tri-, and
insect cells (Fig. 2E). tetra-antennary core fucosylated structures (m/z 1835 to 3503;
Comparison of the immunogenicity of mammalian cell-ex- Hex3HexNAc4Fuc-NeuAc1Hex7HexNAc6Fuc) (Fig. 4). How-
pressed oligomers, trimers, and monomers. Mammalian cell- ever, the sialylation of these glycans has been greatly reduced,
expressed HA oligomers, trimers, and monomers were ana- as clearly observed by a comparison of the core fucosylated
lyzed for their ability to elicit neutralizing antibody against H5 tetra-antennary glycans. Without the coexpression of NA, core
HA. Vaccination in mice was performed similarly, and antisera fucosylated tetra-antennary glycans with 1, 2, 3, and 4 sialic
were collected and analyzed for their neutralizing activities. acid residues were observed in abundance at m/z 3503, 3864,
Neutralizing antibody titers were significantly higher for ani- 4225, and 4586, respectively (Fig. 4A, Table 1). The coexpres-
mals immunized with oligomers (Fig. 2B). Cleaved trimers also sion of NA caused a loss of the signals at m/z 3864, 4225, and
elicited a neutralizing antibody response, although the titer 4586 and a concurrent increase in the abundance of the non-
was lower than that of the oligomers in this lentiviral neutral- sialylated core fucosylated tetra-antennary glycans at m/z 3142
ization assay (Fig. 2B). While uncleaved trimers also induced (Fig. 4A, Table 1). Similarly, a dramatic reduction in HA
neutralizing antibody, no detectable antibody responses were N-glycan sialylation was observed by the coexpression of NA
found in the animals immunized with cleaved monomers (Fig. (New Caledonia/99)(H1N1) (Fig. 4C, Table 1).
2B). When the ratio of neutralizing to total HA binding anti- Given that the mammalian cell-expressed oligomers elic-
since it uses HA proteins as antigens and does not require the a nickel affinity column followed by anion-exchange and gel
production of potentially dangerous live virus. Also, with this filtration chromatography. The entire purification process can
approach, vaccine production is not limited by the supply of be completed in 2 to 3 days, and protein production can easily
eggs and can be easily scaled up in a good-manufacturing- be scaled up. In both Hi5 insect cells and 293F mammalian
practices facility. cells, HA proteins were expressed as high-molecular-weight
Recently, a recombinant HA vaccine against avian H5N1 oligomers and stabilized trimers, demonstrating that the tri-
influenza virus has demonstrated tolerability in humans (16). merizing foldon sequence indeed prevented the HA from dis-
However, this vaccine only induced protective neutralizing an- sociating into monomers. Upon the removal of the foldon
tibody titers in 50% of the subjects receiving the highest dose sequence by thrombin digestion, only trimers and monomers
(two doses of 90 g vaccine). Since it has been previously were present in the insect-expressed proteins, whereas in the
reported that recombinant HA proteins expressed in insect mammalian cell-expressed proteins only a small portion of
cells tend to form monomers (13), the suboptimal immunoge- monomer was observed after the removal of the foldon se-
nicity of this H5 HA vaccine may be due in part to recombinant quence. The discrepancy may be due to the different glyco-
HA protein not being presented in its native trimeric confor- sylation states of proteins derived from insect cells versus pro-
mation. In this study, we cloned the ectodomain of HA from an teins produced in mammalian cells, although it is certainly not
H5N1 virus (KAN-1) and expressed the HA proteins in mam- conclusive.
malian or insect cells. HA proteins initially were purified using We then evaluated the immunogenicity of these different
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VOL. 82, 2008 INFLUENZA VACCINATION WITH RECOMBINANT HA PROTEINS 6207
FIG. 4. MALDI-TOF mass spectra of permethylated N-glycans from HA trimers expressed with or without NA. Shown are profiles of N-glycans
from HA (A), HA coexpressed with NA isolated from the KAN-1 strain (B), or HA coexpressed with NA isolated from the New Caledonia (NC)
strain (C) from the 50% (vol/vol) acetonitrile fraction from C18 Sep-Paks. All molecular ions are [M ⫹ Na]⫹. Structural assignments are based on
monosaccharide composition, MALDI-TOF/TOF (MS/MS) analysis, and knowledge of N-glycan biosynthetic pathways.
6208 WEI ET AL. J. VIROL.
whether other adjuvants, such as alum, QS-21, or MF-59, can 8. Morens, D. M., and A. S. Fauci. 2007. The 1918 influenza pandemic: insights
for the 21st century. J. Infect. Dis. 195:1018–1028.
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only could the potency of these adjuvants differ but also their Roux, J. Sodroski, and R. Wyatt. 2005. Soluble mimetics of human immu-
effects on the stability of the trimer may vary. These results nodeficiency virus type 1 viral spikes produced by replacement of the native
trimerization domain with a heterologous trimerization motif: characteriza-
eventually will require validation with the most active and tion and ligand binding analysis. J. Virol. 79:9954–9969.
manufacturable forms in human clinical trials. Nonetheless, 10. Powers, D. C., J. E. McElhaney, O. A. Florendo, Jr., M. C. Manning, C. M.
our data demonstrate that recombinant mammalian cell- or Upshaw, D. W. Bentley, and B. E. Wilkinson. 1997. Humoral and cellular
immune responses following vaccination with purified recombinant hemag-
insect-expressed trimeric HA proteins represent a promising glutinin from influenza A (H3N2) virus. J. Infect. Dis. 175:342–351.
approach to the development of vaccines relevant to seasonal 11. Powers, D. C., G. E. Smith, E. L. Anderson, D. J. Kennedy, C. S. Hackett,
and pandemic influenza virus. B. E. Wilkinson, F. Volvovitz, R. B. Belshe, and J. J. Treanor. 1995. Influenza
A virus vaccines containing purified recombinant H3 hemagglutinin are well
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ACKNOWLEDGMENTS fect. Dis. 171:1595–1599.
12. Stevens, J., O. Blixt, T. M. Tumpey, J. K. Taubenberger, J. C. Paulson, and
We thank Ati Tislerics and Hamani Henderson for manuscript prep-
I. A. Wilson. 2006. Structure and receptor specificity of the hemagglutinin
aration, Brenda Hartman and Michael Cichanowski for the prepara- from an H5N1 influenza virus. Science 312:404–410.
tion of figures, and members of the G.J.N. laboratory for helpful advice 13. Stevens, J., A. L. Corper, C. F. Basler, J. K. Taubenberger, P. Palese, and
and discussions. We acknowledge The Consortium for Functional Gly- I. A. Wilson. 2004. Structure of the uncleaved human H1 hemagglutinin from
comics, funded by the NIGMS GM62116, and David F. Smith, Emory the extinct 1918 influenza virus. Science 303:1866–1870.
University School of Medicine, Atlanta, GA, for the glycan array 14. Thompson, W. W., D. K. Shay, E. Weintraub, L. Brammer, N. Cox, L. J.
analysis. We thank Jacob Lebowitz for performing the sedimentation Anderson, and K. Fukuda. 2003. Mortality associated with influenza and
equilibrium measurements. Monovalent influenza virus subvirion vac- respiratory syncytial virus in the United States. JAMA 289:179–186.
cine, rgA/Vietnam/1203/2004 (H5N1), NR-4143, was obtained through 15. Treanor, J. J., R. F. Betts, G. E. Smith, E. L. Anderson, C. S. Hackett, B. E.
Wilkinson, R. B. Belshe, and D. C. Powers. 1996. Evaluation of a recombi-
the NIH Biodefense and Emerging Infections Research Resources
nant hemagglutinin expressed in insect cells as an influenza vaccine in young
Repository, NIAID, NIH. and elderly adults. J. Infect. Dis. 173:1467–1470.