Vaccines and molecular tools for the control of the emerging bunyavirus, severe fever with thrombocytopenia syndrome phlebovirus (SFTSV)

Lead Research Organisation: University of Glasgow
Department Name: MRC Centre for Virus Research

Abstract

Viruses in the newly formed order Bunyavirales are frequently arthropod-transmitted with many members capable of causing substantial human, animal and disease. The WHO has identified several bunyaviruses as key emerging pathogens, and this call entitled "One health approaches to accelerate vaccine development" also emphasizes interest in this group of viruses. This project focuses on severe fever with thrombocytopenia syndrome phlebovirus (SFTS phlebovirus; SFTSV) of the Phenuiviridae family of bunyaviruses which also includes significant emerging pathogens in both Asia and the USA (Heartland virus, HRTV). To date, over 2500 SFTSV cases have been reported in China, 172 cases in South Korea and 96 cases in Japan, with case fatality rates ranging from 8.2% to 32.6%. The annual incidence of reporting is increasing in all endemic countries, e.g. in China where 53 cases were reported in 2010, compared to 676 in 2013. To address the threat posed by novel, emerging bunyaviruses, scientists at the MRC-University of Glasgow Centre for Virus Research (CVR) have developed a "reverse genetics" system with which SFTSV can be manipulated, and which permit the rational design of rationally attenuated virus vaccine candidates. Such reverse genetics systems enable the rapid recovery of replication competent bunyaviruses from plasmids encoding cDNA copies of the viral genomic RNA. This technology facilitates the mapping of epitopes targeted by the humoral and cellular immune response as well as the identification and manipulation of virally-encoded virulence factors. The NSs proteins of many bunyaviruses are recognised as virulence factors due to their ability to counteract the mammalian innate immune responses. Hence, these reverse genetics-based strategies offer a realistic means to develop rational vaccine candidates for emerging bunyaviral diseases, as well as the development of viruses that help to further elucidate the immune responses mounted to infection and viral pathogenesis. We have now generated a recombinant NSs-deletant SFTSV (called SFTSVdelNSs) which is unable to antagonise type I interferon responses mounted in response to infection. This facilitates the studies into the role of innate immune responses in controlling SFTSV, as well as in vivo tissue tropism and pathogenesis in absence of the virulence factor NSs, leading to the evaluation of such potentially attenuated viruses as vaccine candidates. The strengths of reverse genetics-based approaches to producing recombinant bunyaviruses extends beyond the production of attenuated virus vaccine candidates. The system also allows the development and production of virus-like particles (VLPs). Both recombinant viruses and VLPs can be tested for their ability to induce immune responses in immunised animals as well as protective vaccine candidates. This proposal will bring together CVR and Beijing Institutes of Life Science (BIOLS) researchers to elucidate host immune responses to SFTSV infection and pathogenesis, the development of recombinant virus vaccine candidates and tools to further study SFTSV.

Aim 1. To elucidate the contribution of SFTSV NSs to in vivo tissue tropism and pathogenesis. We will also assess a recombinant SFTSV (lacking NSs; SFTSVdelNSs) as vaccine candidate in comparison to VLPs.

Aim 2. To produce novel neutralising antibodies against SFTSV for basic research and as potential therapeutic agents. We will investigate antibody responses using a novel SFTS viruses expressing reporter genes to study immune responses in both patient sera and infected animals. This will allow us to define the breadth of the neutralising antibody responses and to map antigenic determinants on the virion. Antigenic variation and escape from neutralisation of the SFTSV Gn structural protein (known target for antibody responses) will be investigated through mutational analysis.

The project will also include training in reverse genetics technology for the partner BIOLS.

Technical Summary

The global incidence of tick-borne disease is increasing annually, yet there is a fundamental lack of research into developing vaccine candidates for this emerging group of pathogens.

This proposal will focus on severe fever with thrombocytopenia syndrome phlebovirus (SFTSV), a member of the Phenuiviridae family of bunyaviruses. This tick-borne virus was first identified in China, and since then in other parts of Asia where it causes human disease. Our overarching ambition is to characterise interactions with the host as well as humoral and innate immune responses to this virus and a recently developed recombinant SFTSV engineered to lack expression of the virally-encoded virulence factor, NSs (SFTSVdelNSs).

To achieve our goals, we will conduct in vitro and in vivo studies that can be divided into two specific aims, with the first aim to (i) characterise the pathogenesis and tissue tropism of recombinant viruses and assess the efficacy of replication competent live-virus (specifically SFTSVdelNSs) versus virus-like particles as immunogens and (ii) assess the neutralisation capabilities of antibody responses mounted to infection in both vaccinated animals and infected patient sera.

The second aim will also lead to the production of a new panel of neutralising monoclonal antibodies for research and potentually therapeutic purposes. Such tools will allow us to map antigenic determinants on the viral particle. We will also analyse how viruses can escape neutralisation through mutagenic analysis of the viral Gn glycoprotein (a known antibody target) by using our unique reverse genetics system and structural analysis; this information will be useful for design of vaccines.

CVR will also use this opportunity to train scientists from the project partner BIOLS in China in the development and applications of bunyavirus/SFTSV reverse genetics technologies.

Planned Impact

SFTS phlebovirus (SFTSV) is an emerging tick-borne bunyavirus and public health problem in China, the key partner country for this project between the Beijing Institutes of Life Science at the Chinese Academy of Sciences (BIOLS) and the MRC-University of Glasgow Centre for Virus Research (CVR).
SFTSV infections of humans are frequently lethal and can lead to haemorrhagic fever as well as neural complications such as encephalitis. As this pathogenic human virus was relatively recently identified in China (and subsequently in other parts of Asia), there are important gaps in our knowledge of the biology of SFTSV infections, including virus-host interactions and immune responses. This has dramatically hindered the development of vaccines and therapeutics to treat SFTS disease.

In this project, we propose to (a) study the comparative pathogenesis and immune response of wild type and recombinant SFTS viruses (e.g. viruses lacking the interferon antagonist NSs; SFTSVdelNSs) and its potential as an attenuated virus vaccine (in comparison to virus-like particles); (b) assess antibody responses to SFTSV and identify neutralising epitopes and characterise potential virus escape mutants using novel reporter virus systems as well as reverse genetics/structural biology and (c) develop antibodies to SFTSV that can be useful for basic research and as potential therapeutics. This will be combined with training of staff from our partner BIOLS to transfer knowledge, reagents and skills between the UK and China. The most relevant areas of impact are summarised below:

(1) A key impact is on fundamental virology as we study areas of virus-host interactions and immune responses that are novel and poorly understood for SFTSV (and similar bunyaviruses). We will also develop tools that are relevant for this project, but also other scientists who aim to study this and related viruses. Our data will be published and reagents made available to institutions qualified to obtain material.

(2) We believe that knowledge generated throughout the proposed scientific investigations will allow us to assess whether SFTSVdelNSs (and virus-like particles) can potentially be used as vaccine candidate. If a positive outcome is achieved, further development of attenuated viruses in clinical trials could benefit the people in affected areas in China, and possibly beyond. Moreover, experimental tools to determine and measure antibody responses to SFTSV (including mutations that may prevent virus escape mutants that can then be included in vaccine compositions) have applications beyond what we propose here, from vaccine design to diagnostics in human patients to investigations of SFTSV reservoir(s). The novel antibodies which we aim to produce in the context of this project also have the potential to support basic research/diagnostics and may lead towards therapeutics. Thus, in the long term there is the potential for a broad societal impact of this research.

(3) The third impact area is transfer knowledge and staff training. CVR has unique experience in SFTSV studies through the reverse genetics system we have developed, allowing the engineering of this virus (for example through the creation of virulence factor deficient viruses, as proposed here). CVR will train the BIOLS-based postdoctoral fellow in bunyavirus/SFTSV reverse genetics and transfer expertise and reagents so that such experiments can be carried out by the Chinese partner in the future. Given the strong interest in SFTSV research in China and elsewhere in Asia, this has the potential to transform studies on SFTSV in a positive manner and allow future projects to be entirely designed in affected countries.

Overall, we believe that we have designed a logical flow of work that combines scientific studies while remaining mindful of the societal impact of our work, all of which this group of collaborators is very well set up to do.
 
Description Early data using reverse genetics studies carried out by Dr X. Qu (BIOLS) on a glycoprotein region targeted by a specific neutralising monoclonal antibody while receiving training at CVR, suggested a degree of flexibility in this region; neutralising potential of the antibody for mutant SFTSVs (that may escape antibody binding) was assessed, in combination with structural studies but ultimately remained inconclusive despite work with mutant SFSTV also at CVR to support these studies. A novel reporter virus expressing luciferase was also obtained, however assays to use this is a tool in neutralisation assays with patient sera were not conclusive.
Work at CVR has focused on the development of virus-like particles and NSs-deficient virus (SFTSVdelNSs) as vaccine candidates. Protective properties are being assessed and early suggestions are that SFTSVdelNSs is heavily attenuated, and further studies on tropism and pathogenesis have identified target cells and tissues. We can conclude from our work that the delNSs virus is a suitable vaccine candidate. Importantly we managed to show the the cytokine IL6 is a critical mediator of pathogenesis, and inhibition of IL6 dramatically increased survival of infected mice. This may have critical implications for translational work in patients. Further work at CVR also aimed at developing neutralising monoclonal antibodies, and this required optimisation of virus-like particle production. We further characterised the antibody tool set, and while no neutralising antibodies were obtained, some of the antibodies generated may be useful for research purposes.

Our key partner is the ODA recipient country China. Given the severe disease associated with SFTSV, specifically among the elderly, vaccine development and pathogenesis studies such as those in progress here are crucial for better understanding of disease processes and development of preventive measures, thus directly impacing UN Sustainable Development Goal 3 (Good Health and Well-Being), through assessment of vaccine candidates and antibodies that may have therapeutic uses. As this project progresses, impact(s) and potential impact(s) will become clearer.
An ODA statement is provided under the section "Other Outputs & Knowledge/Future Steps", in "Further information on ODA compliance".
Exploitation Route Data generated here are relevant to understand 1) pathogenesis of SFTSV and properties of an attenuated vaccine candidate (SFTSVdelNSs), 2) suitability of SFTSVdelNSs as vaccine candidate, 3) pathogenesis of SFTSV and cytokines that can be targeted to weaken the effects of cytokine storm. Such information is relevant to the field, and reagents generated by the project will be made available to others (subject to MTA where deemed necessary) and can be used for further pathogenesis and virology studies as well as vaccine development.
Importantly, our finding that IL6 is key mediator of pathogenesis in mice has was cited in a recent publication where a patient was treated with anti IL6 receptor antibody tocilizumab and survived infection.
Sectors Healthcare,Pharmaceuticals and Medical Biotechnology,Other

 
Description No societal or economic impact yet. Statement on impact on gender equality/diversity: this was not requested for the application process of the project. To comply with recent requests to outline impact on this topic, the Chinese lead on the project, Professor Y. Wu, is female and this project will directly benefit her career. On the UK side, Dr M. Pingen is female and again this project is relevant to her career. The project as such has no other specific related gender related issues or points that need noted. Importantly, one academic visitor who helped on parts of the project, Dr C. Setthapramote (Thailand), is also female and the placement will support her progression.
 
Title STSFV luciferase reporter virus 
Description Luciferase expressing SFTSV reporter virus, generated by partner BIOLS. 
Type Of Material Technology assay or reagent 
Year Produced 2019 
Provided To Others? No  
Impact Demonstrates successful transfer of SFTSV reverse genetics to partner BIOLS, based in ODA recipient China, following training at MRC-University of Glasgow Centre for Virus Research. This novel tool -the reporter virus- has no specific impact yet and is currently further assessed; however in general the transfer of the technology will support research efforts in China. 
 
Title Elucidation of the immunological responses underpinning severe fever with thrombocytopenia syndrome reveals IL-6 as novel therapeutic target 
Description Data underlying figures. 
Type Of Material Database/Collection of data 
Year Produced 2022 
Provided To Others? Yes  
Impact Not known. 
URL http://researchdata.gla.ac.uk/id/eprint/1179
 
Description SFTSV vaccinology 
Organisation University of Pittsburgh
Country United States 
Sector Academic/University 
PI Contribution Expertise in SFSTV-host interactions and reverse genetics.
Collaborator Contribution Design of novel infectious clones for pathogenesis studies and new vaccination targets and tools. With Professor P. Duprex. Additional partner in award "Vaccines and molecular tools for the control of the emerging bunyavirus, severe fever with thrombocytopenia syndrome phlebovirus (SFTSV)".
Impact None yet.
Start Year 2019
 
Description Vaccines and molecular tools for the control of the emerging bunyavirus, severe fever with thrombocytopenia syndrome virus (SFTSV) 
Organisation Chinese Academy of Sciences
Department Beijing Institutes of Life Science Chinese Academy of Sciences
Country China 
Sector Academic/University 
PI Contribution SFSTV virological tools and reverse genetics (including generation of recombinant viruses); study design; in vivo studies on pathogenesis and vaccination. This interaction is based on the award "Vaccines and molecular tools for the control of the emerging bunyavirus, severe fever with thrombocytopenia syndrome virus (SFTSV)". Led by Professor A. Kohl, with Professors A. Patel and Willett, and Dr B. Brennan (MRC-University of Glasgow Centre for Virus Research) as well as Dr M. Pingen (University of Glasgow) supporting the project.
Collaborator Contribution Patient sera, antibodies and reagents, assays, generation of recombinant viruses. With Professors Y. Wu and G. F. Gao ; BIOLS is based in the ODA recipient partner country China. Original partner in award "Vaccines and molecular tools for the control of the emerging bunyavirus, severe fever with thrombocytopenia syndrome phlebovirus (SFTSV)".
Impact Training in SFTSV reverse genetics and transfer of material to partner BIOLS in China (ODA recipient country); generation of SFTSV expressing reporter gene for facilitation of neutralisation assay read out and other recombinant SFSTV at BIOLS; generation of monoclonal antibody escape mutant at BIOLS (with the mutant virus engineered at MRC-University of Glasgow Centre for Virus Research -CVR- for testing); pathogenesis studies and work on suitability of SFTSVdelNSs or virus-like particles as vaccine candidates at CVR; generation of antibodies at CVR; identification of IL-6 as potential therapeutic target.
Start Year 2018
 
Description Vaccines and molecular tools for the control of the emerging bunyavirus, severe fever with thrombocytopenia syndrome virus (SFTSV) 
Organisation University of Glasgow
Department Institute of Infection, Immunity and Inflammation
Country United Kingdom 
Sector Academic/University 
PI Contribution SFSTV virological tools and reverse genetics (including generation of recombinant viruses); study design; in vivo studies on pathogenesis and vaccination. This interaction is based on the award "Vaccines and molecular tools for the control of the emerging bunyavirus, severe fever with thrombocytopenia syndrome virus (SFTSV)". Led by Professor A. Kohl, with Professors A. Patel and Willett, and Dr B. Brennan (MRC-University of Glasgow Centre for Virus Research) as well as Dr M. Pingen (University of Glasgow) supporting the project.
Collaborator Contribution Patient sera, antibodies and reagents, assays, generation of recombinant viruses. With Professors Y. Wu and G. F. Gao ; BIOLS is based in the ODA recipient partner country China. Original partner in award "Vaccines and molecular tools for the control of the emerging bunyavirus, severe fever with thrombocytopenia syndrome phlebovirus (SFTSV)".
Impact Training in SFTSV reverse genetics and transfer of material to partner BIOLS in China (ODA recipient country); generation of SFTSV expressing reporter gene for facilitation of neutralisation assay read out and other recombinant SFSTV at BIOLS; generation of monoclonal antibody escape mutant at BIOLS (with the mutant virus engineered at MRC-University of Glasgow Centre for Virus Research -CVR- for testing); pathogenesis studies and work on suitability of SFTSVdelNSs or virus-like particles as vaccine candidates at CVR; generation of antibodies at CVR; identification of IL-6 as potential therapeutic target.
Start Year 2018
 
Title IL6 as therapeutic target for intervention in a patient with SFTSV 
Description Bryden et al. (see Publications) described following comparative pathogenesis studies in SFTSV infected mice, IL6 as a potential target for intervention. 
Type Management of Diseases and Conditions
Year Development Stage Completed 2022
Development Status Closed
Impact In Bryden et al. we proposed a treatment option for SFTSV infection by targeting ILl6, which is upregulated in severe/fatal cases. Our study was cited as supporting the treatment of a presumed not non-fatal case by targeting IL6 with already available medication, to reduce IL6 levels, here https://www.ijidonline.com/article/S1201-9712(22)00389-7/fulltext. The patient was eventually discharged without complications. 
 
Description BBC reporter Ken MacDonald special report - October 2018 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact In October 2018 the MRC press office arranged a visit and interview with BBC reporter Ken MacDonald. Alain Kohl, Claire Donald, Ben Brennan and Emilie Pondeville have been interviewed for a special feature about the mosquitoes and ticks that play a vital role in their research here in Glasgow. the story received coverage on BBC radio Scotland and aired on BBC Scotland television on 31 October - https://www.bbc.co.uk/news/uk-scotland-46032486?fbclid=IwAR3c0mhoBS1EA3XF5pxcDtO9pQOl4VYvCaJz85MYUeMDCEvqh2swzP-Y9ZI

This was an important opportunity to allow the CVR to share information about our centre out with a virus outbreak.
Year(s) Of Engagement Activity 2018
URL https://www.facebook.com/centreforvirusresearch/
 
Description MRC Parliamentary Event 6 February 2019 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact The CVR participated in the MRC parliamentary event on 6 February 2019. This event was coordinated by the MRC Executive and was hosted by Lewis MacDonald MSP. Invitations were extended to all MSPs by the MRC. Richard Lochhead, Minister for Further Education, Higher Education and Science attended and gave a short speech. Cabinet Secretary for Health and Sport, Jeane Freeman also attended. From the CVR Alain Kohl, Claire Donald and Ben Brennan displayed at a stand with a poster, film clip of mosquitoes and augmented reality viruses with tablets. Massimo Palmarini and John McLauchlan attended as guests in the room. The CVR also extended the invitation to Vice Principal for Research Prof Miles Padgett, Dean for Research Prof Graeme Milligan and Head of Institute Prof Iain McInnes. In the run up to the event, the CVR followed up with 9 MSPs informing of our presence at the event. We received positive responses from Miles Briggs and Patrick Grady.
Year(s) Of Engagement Activity 2019
URL https://www.facebook.com/centreforvirusresearch/