Antihomotypic affinity maturation improves human B cell responses against a repetitive epitope

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Science  07 Jun 2018:
DOI: 10.1126/science.aar5304


Affinity maturation selects B cells expressing somatically mutated antibody variants with improved antigen-binding properties to protect from invading pathogens. We determined the molecular mechanism underlying the clonal selection and affinity maturation of human B cells expressing protective antibodies against the circumsporozoite protein of the malaria parasite Plasmodium falciparum (PfCSP). We show in molecular detail that the repetitive nature of PfCSP facilitates direct homotypic interactions between two PfCSP repeat-bound monoclonal antibodies, thereby improving antigen affinity and B cell activation. These data provide a mechanistic explanation for the strong selection of somatic mutations that mediate homotypic antibody interactions after repeated parasite exposure in humans. Our findings demonstrate a different mode of antigen-mediated affinity maturation to improve antibody responses to PfCSP and presumably other repetitive antigens.

Sporozoites of the human malaria parasite Plasmodium falciparum (Pf) express a surface protein, circumsporozoite protein (PfCSP), with an immunodominant central NANP repeat region (13). Antibodies against the repeat can mediate protection from Pf infection in animal models (46). However, anti-NANP antibody-mediated protection is not readily achieved through vaccination. Thus, the induction of protective PfCSP NANP antibodies is a major goal in pre-erythrocytic vaccine development (7). We recently showed that the anti-NANP PfCSP memory B cell response in Pf-naïve volunteers after repeated exposure to live Pf sporozoites under chloroquine prophylaxis matured predominantly through the clonal selection and expansion of potent Pf inhibitory IGHV3-33 and IGKV1-5-encoded germline antibodies with 8-amino-acid (aa)-long immunoglobulin (Ig) κ complementarity determining region (CDR)3 (KCDR3:8) (8, 9).

Here, we analyzed five representative germline or low-mutated antibodies with reported affinities to a NANP 5-mer peptide (NANP5) between 10−6 and 10−9 M (Fig. 1A and table S1) (9). Antigen binding was abrogated when the original Ig Vκ1-5 was replaced by Vκ2-28, or when the native Ig heavy (IgH) chains were paired with a Vκ1-5 light chain with 9-aa-long KCDR3 (Fig. 1B), demonstrating the importance of these specific Ig gene features in antigen recognition.

Fig. 1 Affinity maturation of high-affinity human PfCSP NANP antibodies.

(A) Surface plasmon resonance (SPR) affinity and SHM of selected (labeled) VH3-33/Vκ1-5/KCDR3:8 (green) and non-VH3-33/Vκ1-5/KCDR3:8 anti-PfCSP antibodies (gray) (9). (B to D) Original and mutated antibodies. [(B) and (C)] PfCSP ELISA reactivity. (D) Mean (bars) Pf liver-cell traversal inhibition from two-to-four independent experiments (symbols). ** significant (α = 0.01) for two-tailed Student’s t test. (E) Silent (gray) and replacement (red) SHM (bars) in VH3-33/Vκ1-5 antibodies (n = 63). (F) Observed (obs) aa usage compared to baseline (base) model (22, 23). (G and H) Independent NANP3 SPR affinity measurements (dots) and mean (line). ** significant (α = 0.01) and not significant (ns) for Bonferroni multiple comparisons test. (A), (B), and (C), one representative of at least two independent experiments.

All VH3-33/Vk1-5/KCDR3:8 antibodies were encoded by the IGHV3-33*01 allele (9). IGHV3-33*01 differs from three otherwise highly similar gene segments (IGHV3-30, IGHV3-30-3, and IGHV3-30-5) at position 52 of the IgH CDR (HCDR) 2, which strictly encodes for a tryptophan and not serine or arginine (Table 1 and table S2). H.W52_S and H.W52_R mutants of the selected antibodies, including a H.W52_A mutant in antibody 2140, and a double mutant (H.W52_R, H.V50_F) to mimic the IGHV3-30*02 and IGHV3-30-5*02 alleles, all showed reduced PfCSP repeat reactivity associated with reduced in vitro parasite inhibitory activity (Fig. 1, C and D).

Table 1 HCDR2 residues encoded by different IGHV3-33, IGHV3-30, IGHV3-30-3, and IGHV3-30-5 alleles.
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The majority of NANP-reactive VH3-33/Vκ1-5/KCDR3:8 B cells belonged to clonally expanded and somatic hypermutation (SHM)-diversified cell clusters with strong selection for replacement mutations in HCDR1 (H.S31) and HCDR2 (H.V50, H.N56), as well as KCDR3 (K.S93), likely as a result of affinity maturation (Fig. 1, E and F) (9). The introduction of missing mutations (mut) or reversions (rev) at positions H.V50 and, to a lesser extent, H.S31 revealed a role in binding to a minimal NANP3 peptide (10, 11) as demonstrated for the germline antibody 2163 and the low-mutated antibody 1210 (Fig. 1, G and H, and table S3). In contrast, exchanges at positions H.N56 and K.S93, either alone (1210_H.K56_Nrev, 1210_K.N93_Srev, 2163_H.N56_Kmut) or in combination (1210_NS, 2163_KN), showed no significant effect (Fig. 1, G and H, and table S3). Thus, affinity maturation to the repeat explained the strong selection for only two of the four characteristic replacement mutations in VH3-33/VK1-5/KCDR3:8 anti-NANP antibodies.

We next determined the co-crystal structure of the 1210 antigen-binding fragment (Fab) with NANP5 (Fig. 2, fig. S1A, and tables S4 to S6). The NANP core epitope contained a Type I β-turn and an elongated conformation (Fig. 2, A and C, and fig. S1B), similar to NANP bound to a chimeric IgH 2140/Igκ 1210 antibody and in line with previous observations (fig. S1C and tables S4 and S7) (1014). Main-chain atoms in KCDR3 were optimally positioned to mediate H-bonds with the repeat, likely contributing to the strong selection of 8-aa-long KCDR3s (Fig. 2, B and C, and tables S2, S5, and S10). VH3-33 germline residues mediated the majority of antigen contacts, notably H.V50 and H.W52 (the residue uniquely encoded by IGHV3-33 alleles), as well as H.Y52A and H.Y58 in HCDR2 (table S5 and fig. S2) (15). Affinity maturation at H.V50 and H.S31 may be explained by strengthened van der Waals interactions with the repeat (Fig. 2C).

Fig. 2 Affinity maturation drives homotypic repeat binding.

(A to H) 1210 Fab/NANP5 co-crystal structure. (A) Superposition of the four NANP-bound Fabs. (B) Surface representation of the antigen–antibody interaction. (C) Details of core epitope recognition by 1210. Black dashes indicate H-bonds. (D) Two 1210 Fabs in complex with NANP5. [(E) and (F)] Surface representation of Fab-B (E) and Fab-A (F). Residues involved in homotypic interactions are dark gray. [(G) and (H)] Details of homotypic interactions. Affinity matured residues are labeled in red. (I) Mean ± SEM KD determined by isothermal titration calorimetry (ITC). Dots represent measurements from at least three independent experiments. One-tailed Mann–Whitney test: *P < 0.05, **P < 0.01. (J) Size-exclusion chromatography coupled with multi-angle light scattering (SEC/MALS) for the 1210 Fab-PfCSP complex. Red line indicates mean ± SD molar mass from two measurements. (K) 2D class averages for the 1210 Fab-PfCSP complex. Red arrows indicate individual Fabs, red lines indicate the binding angle observed in the crystal structure (D). Scale bar, 10 nm.

Notably, our crystal structure also revealed that two 1210 Fabs (designated 1210 Fab-A and Fab-B) bound to one NANP5 peptide in a head-to-head configuration at a 133° angle (Fig. 2D and fig. S3). This unique binding mode led to six homotypic antibody–antibody H-bonds providing 263 Å2 of buried surface area (BSA) between the two Fabs and an additional ~120 Å2 of BSA between the Fabs and the repeat (Fig. 2, E and F, and tables S5, S6, and S10). Two highly selected mutations, H.N56_K and K.S93_N (Fig. 1, E and F), formed H-bonds with H.Y52A and H.S99 in the opposing Fab, thereby stabilizing the head-to-head configuration (Fig. 2, G and H). The 8-aa-long KCDR3 optimally contacted the HCDR3 of the opposite 1210 molecule, providing another explanation for the length restriction in KCDR3.

To investigate homotypic interactions, we next measured the Fab affinity to NANP5 and NANP3 for 1210, 1210_NS (which lacks the selected mutations involved in homotypic binding), a 1210 H.D100_Ymut/K.N92_Ymut mutant (1210_YY, designed to disrupt head-to-head binding through steric clashes), and 1210 germline (1210_GL) (Fig. 2I and fig. S4). Compared to 1210, 1210_YY and 1210_NS showed significantly weaker affinity to NANP5, but not to NANP3, whereas 1210_GL was significantly worse at binding both peptides (Fig. 2I and fig. S4) (16). These data suggest that only 1210 efficiently recognized the repeat in a high-affinity homotypic head-to-head binding configuration. An analysis of full-length PfCSP with 38 NANP repeats confirmed this hypothesis. Approximately twelve 1210 Fabs bound PfCSP and recognized the NANP repeat in a head-to-head binding configuration similar to the 1210 Fab-NANP5 crystal structure (Fig. 2, J and K, and fig. S3D) (11, 17). Furthermore, 1210_YY, with its restricted ability to engage in homotypic antibody interactions, showed a lower binding avidity to full-length PfCSP than 1210 (fig. S5). Thus, affinity maturation selects for mutations that improve homotypic antibody interactions, thereby indirectly increasing PfCSP NANP binding.

To better understand the selection of SHM at the cellular level, we measured the degree of B cell activation in response to NANP5 of transgenic B cell lines expressing 1210 or variant B cell receptors (BCRs) (Fig. 3, A to D). BCR signaling was delayed in cells expressing 1210_GL compared to 1210. This effect was even more pronounced in 1210_YY mutant cells. As expected, 1210_V50Imut with high repeat affinity mediated stronger signals than 1210, especially with low antigen concentrations, whereas 1210_NS showed no significant differences (Fig. 3D). Thus, B cell activation is promoted by both direct NANP binding and homotypic antibody interactions. Despite a two-log difference in NANP3 affinities (Fig. 1, G and H) and the varied potential of these antibodies to engage in homotypic interactions, all showed similar capacities to inhibit Pf sporozoites in vitro (Fig. 3E and fig. S6). Likewise, all antibodies conferred similar levels of dose-dependent protection from the development of blood-stage parasites after passive immunization in mice, presumably due to strong avidity effects (Fig. 3F). These data provide a mechanistic explanation for the strong in vivo selection of anti-homotypic antibody mutants by affinity maturation, independently of their protective efficacy as soluble antibodies.

Fig. 3 B cell activation and parasite inhibition.

(A to D) NANP5-induced calcium signaling of 1210 and variants. [(A) and (B)] Reaction kinetic and percent activated cells (A), and overlay of median signal intensities (B) to 1 μg/mL NANP5 for one of at least six representative experiments. [(C) and (D)] Percent activated cells and median activation time after 1 μg/mL (C) (n = 6 or 7) and 0.1 μg/ml (D) (n = 3) NANP5. Symbols indicate independent experiments, lines and error bars indicate mean ± SD. ** significant (α = 0.01) and not significant (ns) for Bonferroni multiple comparisons test. (E and F) Parasite inhibition. (E) Mean ± SD IC50 values from at least three independent experiments for 1210 (black) and 2163 (brown) antibodies with indicated NANP3 affinities. No significant differences between IC50 values due to extensively overlapping confidence intervals. (F) Parasite-free mice after passive immunization with 30 μg or 100 μg of 1210 or variants 24 hours before subcutaneous injection with PbPfCSP sporozoites. Data show one (100 μg) or two (30 μg) independent experiments with five mice per group. No significant differences in survival for 1210 variants (Mantel-Cox test).

VH3 antibodies dominate the anti-PfCSP memory response (9, 11, 14). In addition to VH3-33/Vκ1-5/KCDR3:8, we observed a cluster of highly mutated, affinity-matured VH3-23/Vκ1-5 NANP-reactive memory B cell antibodies in our selection (Fig. 4, A and B) (9). Although the NANP5 binding mode of a representative VH3-23/Vκ1-5 antibody, 1450, was different from 1210, it also recognized NANP5 in a head-to-head configuration, with HCDR3s in direct juxtaposition and the affinity-matured K.N30 residues forming an H-bond between Fab-A and Fab-B (Fig. 4, C to E; fig. S7, A and B; and tables S4, S8, and S9). Sequence analysis of the VH3-23/Vk1-5 antibody cluster confirmed enrichment for aa exchanges that participate directly in antibody–antigen interactions, antibody–antibody contacts, or favor a 1450 paratope conformation optimal for NANP epitope recognition (Fig. 4B).

Fig. 4 Antihomotypic affinity maturation in IGHV3-23-encoded PfCSP NANP antibodies.

(A) SPR affinity and SHM of 1450 out of all VH3-23/Vκ1-5 (green) and non-VH3-23/Vκ1-5 anti-PfCSP antibodies (gray) (9). (B) Silent (gray) and replacement (red) SHM (bars) in VH3-23/Vκ1-5 antibodies (n = 100). (C to E) Fab 1450–NANP5 co-crystal structure. Head-to-head binding mode (C), Fab–Fab (D), and Fab–NANP5 (E) interactions. Black dashes indicate H-bonds. Affinity-matured residues are colored according to SHM aa usage scheme and labeled in red. Observed (obs) aa usage compared to baseline (base) model (22, 23). (F) VH3-33/Vκ1-5/KCDR3:8 or VH3-23/Vκ1-5 antibodies in total memory B cells (18) and CD19+CD27hiCD38hi plasmablasts (PB) and CD19+CD27+ PfCSP-reactive memory B cells (CSPmem) (8, 9). Dots represent subsamples of n = 1500 sequences. Boxplots show median, standard deviation, max and min of the distribution. *** significant (α = 0.001) for two-tailed Student’s t test. (G) Frequency of VH3-33/Vκ1-5/KCDR3:8 and VH3-23/Vκ1-5 antibodies among clonally expanded vs. singlet pooled PB and CSPmem (9).

After PfSPZ-CVac immunization of malaria-naïve individuals, ~15% of PfCSP-reactive memory B cells showed VH3-33/Vκ1-5/KCDR3:8 or VH3-23/Vκ1-5 sequence characteristics (Fig. 4F) (18). Furthermore these cells were strongly enriched in the expanded anti-PfCSP memory B cell pool compared to the non-expanded population (Fig. 4G). Thus, anti-homotypic affinity maturation is observed after repeated Pf sporozoite exposure (9) in both low-mutated high-affinity VH3-33 antibodies, as well as in lower-affinity antibodies utilizing other gene combinations. This phenomenon also likely takes place in B cell responses elicited by RTS,S malaria vaccination (fig. S8) (11).

Thus, anti-homotypic affinity maturation, in addition to traditional antibody–antigen affinity maturation, promotes the strong clonal expansion and competitive selection of PfCSP-reactive B cells in humans. Even in the absence of affinity maturation, VH3-33/Vκ1-5/KCDR3:8 antibodies are moderate-to-strong NANP binders and potent Pf inhibitors. This critically depends on H.W52 in HCDR2. Because IGHV3-33 is located in a region of structural polymorphism of the IGH locus, haplotype frequencies, especially in Pf-endemic areas, may determine the efficient induction of protective humoral anti-PfCSP repeat responses upon vaccination (19). Indeed, one donor in our study was IGHV3-33-negative (fig. S9). We propose that anti-homotypic affinity maturation may be a generalizable property of B cell responses if a repetitive antigen (malarial or other) brings two antibodies into close proximity to optimize binding and promote clustering of surface immunoglobulin molecules through homotypic interactions (20, 21).

Supplementary Materials

Materials and Methods

Figs. S1 to S9

Tables S1 to S10

References (2435)

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References and Notes

  1. The importance of H.Y52A and H.Y58 for repeat reactivity was confirmed by alanine mutations in antibodies 1210, 2140, and 2219 (fig. S3).
  2. All antibodies recognized NANP5 and NANP3 with binding stoichiometries of ~2 and ~1, respectively, demonstrating that NANP5 but not the shorter NANP3 enables binding of two Fabs.
Acknowledgments: We thank C. Busse (German Cancer Research Center) for general discussions; R. Übelhart (NCT, Heidelberg) for experimental advice; and D. Foster and C. Winter (German Cancer Research Center) and C. Kreschel, H. Krüger, D. Tschierske, L. Spohr, D. Eyermann, and M. Andres (Max Planck Institute for Infection Biology) for technical assistance. We acknowledge S. M. Khan and C. J. Janse (Leiden University Medical Center, Leiden, The Netherlands) for providing transgenic Pb-PfCSP parasites. HC-04 human hepatocytes (MRA-975), contributed by J. S. Prachumsri, were obtained from BEI Resources. We are grateful to the Genomics & Proteomics and Chemical Biology Core Facilities (German Cancer Research Center) for gene sequencing services and assistance with SPR measurements, respectively, and to the Structural & Biophysical Core Facility (The Hospital for Sick Children) for access to the ITC, BLI, and SEC/MALS instruments. This work is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit This license does not apply to figures/photos/artwork or other content included in the article that is credited to a third party; obtain authorization from the rights holder before using such material. Funding: This work was funded by the Bill & Melinda Gates Foundation (OPP1179906; J.-P.J. and H.W.), as well as the German Research Foundation (CRC 1279, B03; IRTG-TRR130, P01; H.J.). This research was undertaken, in part, thanks to funding from the Canada Research Chairs program (J.-P.J.). S.W.S. was supported by a Hospital for Sick Children Lap-Chee Tsui postdoctoral fellowship and a Canadian Institutes of Health Research (CIHR) fellowship (FRN-396691). X-ray diffraction experiments were performed by using beamline 08ID-1 at the Canadian Light Source, which is supported by the Canada Foundation for Innovation, the Natural Sciences and Engineering Research Council of Canada, the University of Saskatchewan, the Government of Saskatchewan, Western Economic Diversification Canada, the National Research Council Canada, and the CIHR. X-ray diffraction experiments were also performed at GM/CA@APS, which has been funded in whole or in part with federal funds from the National Cancer Institute (ACB-12002) and the National Institute of General Medical Sciences (AGM-12006). The Eiger 16M detector was funded by an NIH–Office of Research Infrastructure Programs High-End Instrumentation grant (1S10OD012289-01A1). This research used resources of the Advanced Photon Source, a U.S. Department of Energy (DOE) Office of Science User Facility operated for the DOE Office of Science by Argonne National Laboratory under contract DE-AC02-06CH11357. Author contributions: K.I., S.W.S., H.J., E.L., J.-P.J., and H.W. designed experiments; P.G.K., B.K.L.S., S.L.H., and B.M. provided clinical samples; K.I., S.W.S., G.C., and G.P.M. performed experiments; A.B., G.T., R.M., and V.R. provided experimental assistance; K.I., S.W.S., G.C., G.P.M., E.L., J.-P.J., and H.W. analyzed the data; K.I., S.W.S., J.-P.J., and H.W. wrote the manuscript; and J.-P.J. and H.W. conceived the study. Competing interests: B.K.L.S. and S.L.H. are salaried employees of Sanaria, the owner of the PfSPZ Challenge vaccine and the sponsor of the clinical trial. B.K.L.S. and S.L.H. have financial interest in Sanaria. All other authors declare no conflicts of interest. Data and materials availability: Structural data are deposited under Protein Data Bank (PDB) IDs 6D01, 6D0X, and 6D11. All other data needed to evaluate the conclusions in this paper are present either in the main text or in the supplementary materials. Materials from the German Cancer Research Center and the Max Planck Institute for Infection Biology will be available upon reasonable request under material transfer agreements (MTAs). Sharing of the NF54 P. falciparum parasite is limited by an MTA with the Radboud University Medical Center; sharing of the P. berghei strain Pb-PfCSP is limited by an MTA with the Leiden University Medical Center.
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