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       The Scripps Research Institute News




      No More Annual Flu                                 system to generate                                repertoire.” Importantly, these antibodies appear to be fairly
                                                                                                           common in people, and belong to a class of antibodies that
                                                         antibodies that
      Shot? Scripps Research                             recognize the head                                any person’s body can produce – an important consideration in
      And Collaborators Find                             of hemagglutinin                                  designing a vaccine to spur their development.
                                                                                                             “The human immune system already has the ability to make

                                                         (HA), a protein that
      New Target For Universal                           extends outward                                   antibodies to this epitope, so it’s just a matter of applying modern
                                                                                                           protein engineering methods to make a vaccine that can induce
                                                         from the surface of
      Influenza Vaccine                                  the flu virus. The head is the most accessible region of HA,   those antibodies in sufficient numbers,” adds Guthmiller.

                                                                                                             The researchers say that future, improved iterations of a
                                                         making it a good target for the immune system; unfortunately,
         A new antibody discovered in the blood of some people   it is also one of the most variable. From year to year, the head   universal vaccine could more purposefully aim to generate
      vaccinated against or infected with influenza can recognize   of HA often mutates, necessitating new vaccines.  anchor antibodies. Until now, scientists designing universal
      a broad variety of flu viruses.                       Researchers have designed experimental influenza vaccines   vaccines hadn’t paid attention to whether the anchor region of
         Scientists at Scripps Research, University of Chicago and   to be more universal, spurring the body to create antibodies   the stem was included as a target. Ideally, a universal influenza
      Icahn School of Medicine at Mount Sinai have identified a new   against the less-variable stalk region of HA, which extends like   vaccine will lead to antibodies against multiple sections of the
      Achilles’ heel of influenza virus, making progress in the quest   a stem between the influenza virion and the HA head. Some of   virus – such as both the HA anchor and the stalk – to increase
      for a universal flu vaccine. Antibodies against a long-ignored   these universal flu vaccines are currently in early clinical trials.  protection to evolving viruses.
      section of the virus, which the team dubbed the anchor, have the      In the new study, a collaborative team of scientists      The researchers are planning future studies on how to design
      potential to recognize a broad variety of flu strains, even as the   characterized 358 different antibodies present in the blood of   a vaccine that most directly targets the HA anchor of different
      virus mutates from year to year, they reported Dec. 23, 2021 in   people who had either been given a seasonal influenza vaccine,   influenza strains.
      the journal Nature.                                were in a Phase I trial for an experimental, universal influenza      In addition to Han and Ward, authors of the study, “Broadly
         “It’s always very exciting to discover a new site of   vaccine, or had been naturally infected with influenza.  neutralizing antibodies target a hemagglutinin anchor epitope,”
      vulnerability on a virus because it paves the way for rational      Many of the antibodies present in the blood of participants   include Sara Richey and Alba Torrents de la Pena of Scripps;
      vaccine design,” says co-senior author Andrew Ward, Ph.D.,   were antibodies already known to recognize either the HA   Jenna Guthmiller, Henry Utset, Lei Li, Linda Yu-Ling Lan,
      professor of integrative structural and computational biology at   head or stalk. But a collection of new antibodies stood out; the   Carole Henry, Christopher Stamper, Olivia Stovicek, Haley
      Scripps Research. “It also demonstrates that despite all the years   antibodies bound to the very bottom of the stalk, near where each   Dugan, Nai-Ying Zheng, Micah Tepora, Dalia Bitar, Siriruk
      and effort of influenza vaccine research there are still new things   HA molecule is attached to the membrane of the flu virion.  Changrob, Min Huang and Patrick Wilson of University of
      to discover.”                                         The co-first authors of the manuscript – Julianna Han, a staff   Chicago; Meagan McMahon, George O’Dell, Alec Freyn,
         “By identifying sites of vulnerability to antibodies that are   scientist in the Ward lab, and Jenna Guthmiller, a postdoctoral   Fatima Amanat, Victoria Rosado, Shirin Strohmeier, Adolfo
      shared by large numbers of variant influenza strains we can   fellow at the University of Chicago – named this section of HA   Garcia-Sastre, Raffael Nachbagauer, Peter Palese and Florian
      design vaccines that are less affected by viral mutations,” says   the anchor, and began studying it further. In all, the scientists   Krammer of Icahn School of Medicine at Mount Sinai; Monica
      study co-senior author Patrick Wilson, M.D., who was previously   identified 50 different antibodies to the HA anchor, from a total   Fernandez-Quintero and Klaus Liedl of University of Innsbruck;
      at the University of Chicago and recently recruited to Weill   of 21 individuals. The antibodies, they discovered, recognized a   Lauren Gentles and Jesse Bloom of Fred Hutchinson Cancer
      Cornell Medicine as a professor of pediatrics and a scientist in   variety of H1 influenza viruses, which account for many seasonal   Research Center; and Lynda Coughlan of University of Maryland
      the institution’s Gale and Ira Drukier Institute for Children’s   flu strains. Some of the antibodies were also able to recognize   School of Medicine.
      Health. “The anchor antibodies we describe bind to such a site.   pandemic H2 and H5 strains of influenza in lab tests. And in      This work was supported by funding from the National
      The antibodies themselves can also be developed as drugs with   mice, the antibodies successfully protected against infection by   Institute of Allergy and Infectious Diseases (K99AI159136,
      broad therapeutic applications.”                   three different H1 influenza viruses.             U19AI082724, U19AI109946, U19AI057266, P01AI097092,
         In a typical year, influenza affects more than 20 million      “In order to increase our protection to these highly mutating   R01AI145870-01, R21AI146529, and T32AI007244-36),
      people in the United States and leads to more than 20,000   viruses, we need to have as many tools as we can,” says Han.
      deaths. Vaccines against influenza typically coax the immune   “This discovery adds one more highly potent target to our   The Scripps Research Institute News on page 21

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