Glycan variants of a respiratory syncytial virus antibody with enhanced effector function and in vivo efficacy

Proc Natl Acad Sci U S A. 2014 Apr 22;111(16):5992-7. doi: 10.1073/pnas.1402458111. Epub 2014 Apr 7.


Respiratory syncytial virus (RSV) can cause devastating lower respiratory tract infections in preterm infants or when other serious health problems are present. Immunoprophylaxis with palivizumab (Synagis), a humanized IgG1 mAb, is the current standard of care for preventing RSV infection in at-risk neonates. We have explored the contribution of effector function to palivizumab efficacy using a plant-based expression system to produce palivizumab N-glycan structure variants with high homogeneity on different antibody isotypes. We compared these isotype and N-glycoform variants with commercially available palivizumab with respect to both in vitro receptor and C1q binding and in vivo efficacy. Whereas the affinity for antigen and neutralization activity of each variant were indistinguishable from those of palivizumab, their Fcγ receptor binding profiles were very different, which was reflected in either a reduced or enhanced ability to influence the RSV lung titer in challenged cotton rats. Enhanced Fcγ receptor binding was associated with reduced viral lung titers compared with palivizumab, whereas abrogation of receptor binding led to a drastic reduction in efficacy. The results support the hypotheses that classic antibody neutralization is a minor component of efficacy by palivizumab in the cotton rat and that antibody-dependent cell-mediated cytotoxicity activity can significantly enhance the efficacy of this antiviral mAb.

Keywords: ADCC; afucosylated; glycoengineering; immunotherapy.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Antibodies, Monoclonal / therapeutic use
  • Antibodies, Neutralizing / pharmacology
  • Antibodies, Viral / chemistry*
  • Antibodies, Viral / therapeutic use*
  • Complement C1q / metabolism
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Lung / drug effects
  • Lung / immunology
  • Lung / pathology
  • Lung / virology
  • Male
  • Neutralization Tests
  • Polysaccharides / metabolism*
  • Protein Binding / drug effects
  • Receptors, Fc / metabolism
  • Respiratory Syncytial Virus Infections / drug therapy*
  • Respiratory Syncytial Virus Infections / immunology*
  • Respiratory Syncytial Viruses / drug effects
  • Respiratory Syncytial Viruses / immunology*
  • Sigmodontinae / immunology
  • Sigmodontinae / virology*
  • Treatment Outcome


  • Antibodies, Monoclonal
  • Antibodies, Neutralizing
  • Antibodies, Viral
  • Polysaccharides
  • Receptors, Fc
  • Complement C1q