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Production of monoclonal antibodies against equine influenza : application to a comparative study of various

strains of the virus

C. Cruci` ere, M.C. Guillemin, A. Roseto, A. Wirbel, E. PLATEAU

To cite this version:

C. Cruci` ere, M.C. Guillemin, A. Roseto, A. Wirbel, E. PLATEAU. Production of monoclonal antibodies against equine influenza : application to a comparative study of various strains of the virus. Annales de Recherches V´ et´ erinaires, 1989, 20 (3), pp.243-250. <hal-00901886>

HAL Id: hal-00901886

https://hal.archives-ouvertes.fr/hal-00901886

Submitted on 1 Jan 1989

HAL is a multi-disciplinary open access archive for the deposit and dissemination of sci- entific research documents, whether they are pub- lished or not. The documents may come from teaching and research institutions in France or abroad, or from public or private research centers.

L’archive ouverte pluridisciplinaire HAL, est destin´ ee au d´ epˆ ot et ` a la diffusion de documents scientifiques de niveau recherche, publi´ es ou non,

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publics ou priv´ es.

(2)

Original article

Production of monoclonal antibodies against

equine influenza : application to a comparative study

of various strains of the virus

C. Crucière M.C. Guillemin A. Roseto A. Wirbel E. Plateau

1

Ministère de

I Agriculture,

Direction

générale

de

l’alimentation,

services vétérinaires de la santé et de la

protection animale,

laboratoire central de recherches

vétérinaires, 22,

rue

Pierre-Curie,

B.P.

67,

94703 Maisons-Alfort

Cedex;

and

2

Hôpital Saint-Louis,

Institut de recherches sur les maladies du sang, Unité 197 INSERM-LOI 101

CNRS,

2 Place du Docteur

Fournier,

75470 Paris

Cedex,

France

(accepted

13

September 1988)

Summary &horbar;

Monoclonal antibodies

(Mo Abs)

were

prepared against influenza/A/equine/Prague/1/

l

56

(H7N7)

and

influenza/A/equine/Miami/l/63 (H3N8)

reference strains of

equine

influenza virus.

These monoclonals were tested

against

the 2 reference

strains,

8 field strains of

equine

influenza

virus,

3 human influenza viruses

possessing

the H3

hemagglutinin,

and one virus of human

origin possessing

the H1

hemagglutinin.

Two antibodies were obtained in one fusion

against

the

Prague/1/56

strain and reacted

only

with this strain. Four

anti/A/equine/Miami/1/63

Mo Abs were

obtained in one fusion.

They

differentiated 8 strains of

equine origin

from all 3 strains of human

origin

and from one strain of

equine origin (Joinville/l/78)

isolated in 1978. The

specificity

of this

difference was confirmed

by

cross-seroneutralization between

A/equine/Miami/1/63

strain and

A/equine/Joinville/1/78

strain.

monoclonal antibodees-

equine

influenza - virus&horbar;

production

-test

Résumé &horbar; Production

d’anticorps

monoclonaux

antigrippe équine : application

à une étude

comparative

de diverses souches de virus. Des

anticorps

monoclonaux ont été

préparés

contre

les souches de référence de la

grippe équine Influenzal!4/equinelPraguelll56 (H7N7)

et

lnfluenzalAlequinelMiamilll63 (H3N8).

Ces

anticorps

ont été testés contre les deux souches de

référence,

contre huit souches du terrain de virus de la

grippe équine,

trois souches de virus

grippal

humain

possédant l’hémagglutinine

H3 et une souche

d’origine

humaine

possédant l’hémagglutinine

H1. Deux

anticorps

ont été obtenus contre la souche

AlequinelPraguelll56

au

cours d’une fusion et se sont montrés totalement

spécifiques

de cette souche. Quatre

anticorps

anti

AlequinelMiamilll63

obtenus en une fusion ont pu différencier huit souches

d’origine équine

des

trois souches

d’origine

humaine

possédant l’hémagglutinine

H3 et d’une souche

d’origine équine (Joinvillelll78)

isolée en 1978. La

spécificité

de cette différence a été confirmée par neutralisation croisée entre la souche

AlequinelMiamilll63

et la souche

AlequinelJoinvillelll78.

anticorps

monoclonaux &horbar;

grippe équipe

- virus -

production

- test

(3)

Introduction

The differentiation of

subtypes and

va-

riants

among human and animal strains

of

influenza virus

is a

continuing

preoc-

cupation of diagnostic

laboratories and

vaccine producers. Studies

are

usually

carried

out

by

means of different serolo-

gical

tests :

hemagglutination

inhibition

(HAI); complement fixation (CF);

inhibition

of neuraminidase activity (INA); agar gel

immunodiffusion

(AGID); and

seroneutra-

lization (SN). Monospecific antibodies

are

traditionally prepared

on

laboratory

ani-

mals (ferrets

or

guinea pigs); the strains

are

compared by titrations in parallel against homologous

and

heterologous antigens (Archetti

and

Horsfall, 1950).

In

the

horse, the serological

response

is low, and the poor efficiency of vaccination led

to

investigations

into the

antigenicity

and

immunogenicity

of the virus.

In recent

years, the monoclonal antibodies (Mo Abs) technique has pro-

vided

highly specific reagents and serological reactions

have

changed,

from

quantitative

to

qualitative, with each strain

of virus

being tested against

a

panel of

Mo Abs with which the reaction is either

positive

or

negative.

With influenza virus

the

most

widely used reaction

for

such

studies is HAI. This reaction can diffe-

rentiate

numerous variants in each

subtype,

and it has been

proved

that a

correlation

exists between the HAI titers

of the

sera

of

animals

and their

resistance to

infection (Lucam et al., 1974). Thus it is

possible simultaneously

to measure

the antigenic

drifts

(Kendal

et

al., 1981;

Underwood, 1982), the relations between the strains, and

to

have indications

on

the level of protection

that can

be expected.

In

this study

we

prepared Mo

Abs

against

2

reference strains of equine

Influenza/A/virus : Prague/1/56 (H7N7) strain, and Miami/1/63 (H3N8) strain.

These Mo Abs

were

tested against

various strains

of

equine influenza virus,

against

4

strains

of human

origin also possessing

the H3

hemagglutinin,

and

against

one strain of human

origin possessing the H1 hemagglutinin.

Materials

and Methods

Virus

Fourteen strains of virus were used in this

study.

Reference strain

Influenza/A/equine/Miami/

1/63

(H3N8)

obtained from the American

Type

Culture Collection

(ATCC, VR-317).

Eight

other strains of

equine

Influenza/A/

possessing

the H3

hemagglutinin :

Russe/1/65, Roubaix/1/67,

Alfort/1/67 and Fontainebleau/1/79 isolated at the National

Veterinary

School of Alfort

(Department

of

Medicine); 595/l/73,

2409/1/80, 81229/1/81 isolated at the

Laboratory

of

Equine Virology,

Pasteur

Institute,

Paris. Strain Joinville/l/78 was isolated in 1978 at the

Department

of

Equine Pathology,

Central

Veterinary

Research

Laboratory (Plateau et al., 1983).

Three human influenza/A/viruses posses-

sing

the H3

hemagglutinin : Texas/1/77;

Bangkok/1/79;

and Port Chalmers/l/73.

One human influenza/A/virus

possessing

the H1

hemagglutinin :

USSR/2161/80.

Reference strain

Influenza/A/equine/Pra- gue/1/56 (H7N7) possessing

the H7

hemag- glutinin

and obtained from the ATCC

(VR, 297).

All strains were grown on 11-d

embryonated

eggs inoculated via the allantoic route. After 2d of incubation at 35 °C the allantoic fluids were

harvested and tested

by hemagglutination (HA).

Each strain was

pooled

and stock viruses

were

kept

in

aliquots

at -80 °C.

Immunization of animals

BALB/c mice were inoculated

intraperitoneally (I.P.)

with 1 200

hemagglutinating

units

(HAU)

of virus emulsified in Freund’s

complete adjuvant (200 !i/200 jll).

Three weeks after

inoculation,

animals were tested

by hemagglutination

inhibition

(HAI)

for

(4)

the detection of anti-influenza

antibodies;

positive

animals received a booster

injection

of

antigen (I.P.)

without

adjuvant

3d before fusion.

Guinea

pigs weighing

= 200 g were inoculated with 4 000 HAU of virus mixed with

complete

Freund’s

adjuvant.

After a booster

injection

at

d30,

the animals were sacrificed and bled.

Hemagglutination inhibition

reaction

This test was

performed according

to the

recommendations of the U.S.

Department

of

Health Education and Welfare

(1975).

Before

titration,

the sera were treated

by

different

procedures

in order to eliminate the

non

specific hemagglutinins

and the non-

specific

inhibitors of

hemagglutination (Belyavin

and

Cohen, 1962;

Terzin

et al., 1979).

Mo Abs

were not treated.

Treatment of

sera

Sera were heated at 56 °C for 30

min,

and

placed

in contact

(vol/vol)

with a 20% chick red

blood cell

(CRBC) suspension

in

phosphate

buffer solution

(PBS)

for 30 min. After

centrifugation

for 10 min at 2 000 g, the

supernatant

was collected and mixed with a

suspension

of kaolin

(1

vol of

supernatant

for 4 vol of

kaolin).

After 30 min of contact, the

suspension

was

centrifuged (10 min,

1 500

g),

and the

supernatant

collected and titrated. After treatment the initial dilution of the sera was 1:10.

Titration of antigen

Twofold serial dilutions of

antigen

were

performed

in 96-well

microplates (Becton Dickinson, Grenoble)

in

50-pl

vol of a 0.5%

CRBC

suspension.

After 30 min at

laboratory temperature,

the

antigen

titer was

given by

the

highest

dilution where

hemagglutination

was

complete (HAU

in 50

!I).

Titration

of

antibodies

Twofold serial dilutions of sera were

performed

in 96-well

microplates

in a 25

jll

vol. To each dilution was added

25 pl

of a

suspension

of

antigen containing

4 HAU. After 30 min of contact at

laboratory temperature,

50

pl

of a

0.5%

suspension

of CRBC was added. The

hemagglutination

titer was recorded after 30 min at

laboratory temperature.

The titer of antibodies is

given by

the

reciprocal

of dilution

inhibiting

100% of the

hemagglutination

reaction.

Seroneutralization

reaction

The seroneutralization reaction was

performed

as described

by

Rouse and Ditchfield

(1970) :

a

given quantity

of

antigen

was

placed

in contact

with different dilutions of antibodies and the mixture was inoculated into

embryonated

eggs.

The virus was titrated

by

inoculation of serial 10-fold dilutions of virus into 4

embryonated

eggs. After 48 h allantoic fluids were harvested and tested

by

HA. The infectious dose 50

(ID 50

)

was calculated

by

the method of Reed and Muench

(1938).

One hundred

ID 50

of virus

was incubated with 2-fold serial dilutions of antibodies. After 1 h of contact at

laboratory temperature,

0.2 ml of each of the different dilutions was inoculated into 4

embryonated

eggs. After 48 h of

incubation,

the allantoic fluids were harvested and the presence of virus

was tested

by

HA. The titer of the antibodies

was

given by

the

highest

dilution

completely inhibiting

viral

development.

Preparation of monoclonal

antibodies

Monoclonal antibodies were

prepared

accor-

ding

to the

procedure

described

by

Wictor et

al. (1980).

Cell

fusion

The

spleen

of a

hyperimmunized

BALB/c

mouse was

aseptically

removed and

ground

in

3 ml of RPMI 1640 medium. The cellular

suspension

was

centrifuged

at 1

500 g

for 10 0

min and washed twice in RPMI.

Lymphocytes

were

resuspended

in 10 ml of RPMI without

serum and counted. SP2/0 AG14

myeloma

cells were

prepared by

cultivation in RPMI 1640

supplemented

with

glucose

2 x

10- 3 M, pyruvate

1

M, glutamine

2

M,

10% fetal calf

serum

(FCS),

and 8

azaguanine

2 x

10- 5

M.

Before

fusion,

several flasks of SP2/0 cells

were

collected, centrifuged

for 10 min at 1 500 g, and washed twice. The cells were

resuspended

in 10 ml of RPMI without FCS.

The 2 cell

populations

were mixed in the

(5)

proportion

of 5

splenocytes

to 1 SP2/0

myeloma

cell.

The mixture was

centrifuged

for 10 min at 2 000 g and the

supernatant

discarded. Fusion

was

performed

with

polyethylene-glycol (PEG)

4 000 diluted 1:2 in RPMI. One ml of PEG was added

dropwise

to the cell

pellet.

After 1 min of

contact,

the PEG was diluted with 5 ml of RPMI under

gentle agitation.

The cells were

resuspended

in RPMI with 20% FCS at the final concentration of

10 6

cells per 1.5 ml.

Each well of a 24-well

microplate

was filled

with 1.5 ml of cell

suspension.

After 24 h at 37

°C,

the culture medium was

replaced

with a

RPMI selective medium

containing

20% of

FCS, hvpoxanthine

5 x

10- 5 M,

and asazerine

2 x

10 !

M. Cells were incubated for 2

wk,

and the medium was

replaced

every 5 d

by

an asazerine-free medium.

Cloning

The presence of antibodies in the wells was

checked

by

HAI when the

hybrid

cells covered 50% of the bottom of the well.

Producing

cells

were cloned

by limiting

dilution on 96-well

microplates

with

Mv 1

Lu

(NBL-7)

irradiated cells

(American Type

Culture Collection

CCL64;

Mink

Lung)

at 2 500 rads as feeder

layer.

Hybridoma

cells were further

multiplied

in

large

volume flasks in order to obtain sufficient amounts of cells to be

kept by freezing

in

liquid nitrogen.

Results

Two clones of

hybridomas secreting

monoclonal antibodies

were

selected after

mouse

immunization with

the

Prague/1/56 strain and

4 clones after

immunization

with

the Miami/1/63 strain.

After

testing by

agar

gel immunodiffusion

against IgG (IgGi, IgG2a, IgG2ab), IgA, IgM

it was

concluded that

all the Mo Abs

were of

the IgGl subclass.

The

Mo

Abs

were

tested by HAI against different strains of

virus

(Tables

I

and 111). Control polyclonal antibodies

were

tested

in

parallel against

the same

strains (Table 1).

Discussion

Four Mo

Abs

were

obtained against

the

A/equine/Miami/1/63 virus and

2

against

the A/equine/Prague/1/56

virus. These Mo Abs were

specific

for

each subtype

as no

cross-reaction

was

observed by HAI. One anti-A/equine/Miami/l/63

Mo Ab and one

anti-A/equine/Prague/1/56

Mo

Ab

were

also

tested by SN against

2

strains of virus possessing the

H3

hemagglutinin.

The

anti-A/equine/Prague/1/56 Mo

Ab

did

not react

with either of the

2

viruses, and

the

anti-A/equine/Miami/1/63

Mo Ab reac-

ted only

with

the homologous strain and

not

with

the

other.

Although

the

monoclonal antibodies

were

obtained

from

different clones, it

was

not

established

if

each

of the 4

anti-

A/equine/ Miami/1/63

Mo

Abs and each of the

2

anti-A/equine/Prague/1/56 Mo

Abs

were

different,

as

they all belonged

to

the IgG1

1

subtype and

no

reaction of identification against

viral

proteins

was

performed. Meanwhile each monoclonal

antibody

was

denominated separately M1, M2, M3, M4, and P1,

P2.

The 4

anti-A/equine/Miami/1/63 Mo

Abs

reacted with

all

the isolates of equine origin excepted the A/equine/Joinville/l/78 virus, and

did not react with any

of

the

isolates of

human

origin possessing

the

H3 hemagglutinin,

from

which

the

Join-

ville/1/78 virus

could

not

be distinguished.

The

epitope recognized by these

Mo Abs

is

therefore specific

for most

of the

influenza viruses

of equine origin posses- sing

the H3

hemagglutinin.

As

expected,

the

USSR/2161/80

virus

possessing the

H1

hemagglutinin did

not react

with any of

the

monoclonal

or

polyclonal antibodies

tested.

The biological significance of the

difference between A/equine/Joinville/l/78

and

the

other isolates of equine origin

was

confirmed by seroneutralization.

The Mo

(6)

Abs reacted

only

with

the homologous A/equine/Miami/l/63

virus and not with

the A/equine/Joinville/l/78

virus.

This

difference between A/equine/Joinville/l/78

and the other

viruses may

be of some

importance in

the

protection of the horse, when

one

considers that the antigenic

sites of the

A/equine/Joinville/l/78 virus

are not

completely covered by the

antibodies induced by the A/equine/

Miami/l/63

strain

present

in most of

the

vaccines.

This

risk is

confirmed by the

observation

that HAI titers

of guinea pig

sera

after immunization with

the

A/equine/

Miami/1/63 virus

were much lower

against

the

A/equine/Joinville/l/78

strain

than against all

the

other

strains tested.

In

fact the epidemiological

conse-

quences

of the difference between

A/equine/Joinville/l/78 isolate and the reference A/equine/Miami/l/63 virus

must

be minimized because this difference did

not

persist

and the 3 strains

isolated

after 1978

tested in this study

were

recognized by all

of

the anti-A/equine/Miami/1/63

monoclonals. Either the epitope missing

in

the

A/equine/Joinville/l/78

virus was

recovered very

quickly

or, more

probably,

the circulation

of

viruses possessing this

epitope

was never

interrupted.

(7)

The

conservation of

the

epitope

indicates

great stability

of

the overall

antigenic

structure of

the equine

influenza

viruses and sustains the

possibility

of

natural

or

vaccinal immunization.

Mean-

while, polyclonal antibodies obtained by

immunization of guinea pigs with the A/equine/Joinville/l/78

virus confirm a

partial difference between the strains isolated before

1978

and those isolated

later.

There

is a

4-fold dilution difference

between

the

titers

against

the 5

strains

isolated before

1978

and the

4

strains isolated post-1978.

Even if the

A/equine/

Miami/1/63 virus induces

cross-protection against

recent

isolated (Burrows

et

al., 1981; Burrows and Denyer, 1982), the

introduction of these isolates into the vaccinal strains, such

as

A/equine/Fontai-

nebleau/1/79

or

A/equine/ Joinville/1/78, contributes

to

reinforce the potency of the vaccines.

In

1983,

Hinshaw et

al., established that

Mo

Abs against A/equine/Fontaine-

bleau/1/79 do

not react

by HAI against

any of the strains isolated before 1971. In

parallel,

one

of

the

anti-A/equine/Miami/

1/63

Mo Abs does

not react

with any of the strains isolated after

1979.

Moreover, Daniels

et al.

(1985) demonstrated, by comparison of

the

amino acid sequences, the existence of

a

modification

between the

A/equine/Miami/1/63

strain and

the

A/equine/Fontainebleau/1/79

strain. Some modifications concern

residues

which are

recognized by Mo Abs against the human X,

31

(H3N2) variant. These residues

are

located

on the

external part of the

(8)

molecule and could play a part in

the

antigen-antibody

reaction and the anti-

genic drift.

Recently,

a

modification of the anti-

genic pattern

in the strains isolated after 1976 was demonstrated

by Appleton

e t

al. (1987). When analyzed by

HI

and

ELISA

the viruses

fell

into one

of the

2

groups :

6

A/equine isolates

-

Miami/

1/63, Kentucky/1/63, Milwaukee/2/63, Sao Paolo/2/69, Sachiyama/1/71, and Algiers/

1/72 -

reacted with

4

Mo Abs, whereas

8

A/equine

strains - California/

1/76,

New-

market/76, Newmarket/79, California/1/80, Kentucky/1/81, Finger Lakes/1/83, Finger Lakes/2/83, Syracuse/

1/85 -

did

not

react with these monoclonals. In

contrast,

4

other monoclonals reacted

with

almost all the strains.

Continuing evolution of the antigenic

characters of the

equine

influenza virus

has

now

been demonstrated,

but

in practice

the appearance of new or unmasked

epitopes

seems to be balanced

by the persistence of stable epitopes.

The

number and

immunogenicity of these epitopes

have been sufficient until now to ensure a

minimal natural

or vaccinial

protection

of

the

overall

population,

even

though frequent individual failures still

occur.

References

U.S.

Department

of

Health,

Education and Welfare

(1975)

Advanced

Laboratory

Tech-

niques

for Influenza

Diagnosis. Immunology

series no. 6

procedural guide.

Center for Disease

Control,

Atlanta GA.

Appleton J.A.,

Antczak D.E. &

Lopes

A.D.

(1987)

Characterisation of

equine

influenza

virus H3 with monoclonal antibodies. Arch.

Virol. 94, 339-346

Archetti I. & Horsfall F.L.

(1950)

Persistent

antigenic

variation of influenza virus after

incomplete

neutralisation in ovo. J.

Exp.

Med.

92, 441-446

Belyavin

G. & Cohen A.

(1962)

Chromato-

graphy

of influenza virus

hemagglutination

inhibitors.

Virology 18,

11-145

Burrows R. &

Denyer

M.

(1982) Antigenic properties

of some

equine

influenza viruses.

Arch.

Virol. 73, 15-24

Burrows

R., Denyer M., Goodridge

D. &

Hamilton F.

(1981)

Field and

laboratory

studies

of

equine

influenza viruses isolated in 1979.

Vet Rec.

109,

353-356

Daniels

R.S.,

Skehel

J.J.

&

Willey

D.C.

(1985)

Aminoacid sequences of

hemagglutinins

of

(9)

influenza viruses of the H3

subtype

isolated

from horses. J. Gen. Virol.

66, 457-464

Hinshaw

V.S.,

Naeve

C.W.,

Webster

R.G., Douglas A.,

Skehel J.J. &

Bryans

J.

(1983) Analysis

of

antigenic

variation of

equine

2 influenza A viruses. Bull. WHO

61, 153-158

Kendal

A.P., Philipps D.J.,

Webster

R.G.,

Galland G.G. & Reimer C.B.

(1981)

Effect of

test

system

on the

ability

of monoclonal antibodies to detect

antigenic

drift in influ-

enza A

(HiN1)

virus

haemagglutinins.

J. Gen.

Virol.

54,

253-261

Lucam

F.,

Fedida

M.,

Dannacher

G.,

Coudert M. & Peillon M.

(1974)

La

grippe 6quine :

caractbres de la maladie

exp6rimentale

et de

l’immunitd

post

vaccinale. Rev. Med. Vet. 125, 1273-1293

Plateau

E.,

Cruci6re C. &

Gayot

G.

(1983)

Derive

antig6nique

d’une souche de virus influenza

equine

isol6e en France au cours de

I’hiver 1978-1979. Ann. Rech. V6L

14, 71-77

Reed L. & Muench H.

(1938)

A

simple

method

of

estimating fifty

per cent end

points.

Am. J.

Hyg. 27,

493-497

Rouse B.T. & Ditchfield W.J.B.

(1970)

The

response of

ponies

to

myxovirus

influenza A

equi

2 1. Serum and nasal

antibody

titres

following

exposure. Can. J.

Comp.

Med.

34, 1-6

Terzin

A.L., Djurisuic

S. &

Vujkov

V.

(1979)

Detection of

«alpha-type»

inhibitors in the presence of low levels of

specific

influenza

antibodies. Acta Virol.

(Prague) 23, 120-127

Underwood P.A.

(1982) Mapping

of

antigenic changes

in the

haemagglutinatinin

of

Hong- Kong

influenza

(H3N2)

strain

using

a

large panel

of monoclonal antibodies. J. Gen. Virol.

62, 153-169

Wiktor

T.J.,

Flamand A. &

Koprowski

H.

(1980)

Use of monoclonal antibodies in

diagnosis

of

rabies virus infection and differentiation of rabies-related viruses. J. ViroL Meth.

1,

33-46

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