Evidence map›Paper›PMID 38171362›Full record

ArticleImmunity2024

Neutralizing antibodies evolve to exploit vulnerable sites in the HCV envelope glycoprotein E2 and mediate spontaneous clearance of infection.

Nicole Frumento, Ariadne Sinnis-Bourozikas, Harry T Paul, Georgia Stavrakis, Muhammad N Zahid, Shuyi Wang, Stuart C Ray, Andrew I Flyak, George M Shaw, Andrea L Cox and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Immunity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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  8. Viral oncogenesis in cancer: from mechanisms to therapeutics.Signal transduction and targeted therapy · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Nicole FrumentoDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ariadne Sinnis-BourozikasDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Harry T PaulDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Georgia StavrakisDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Muhammad N ZahidUniversity of Bahrain, Department of Biology, College of Science, Sakhir Campus, Sakhir, Bahrain.
Shuyi WangDepartment of Medicine and Department of Microbiology, University of Pennsylvania, Philadelphia, PA, USA.
Stuart C RayDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Andrew I FlyakDepartment of Microbiology and Immunology, Cornell University, Ithaca, NY, USA.
George M ShawDepartment of Medicine and Department of Microbiology, University of Pennsylvania, Philadelphia, PA, USA.
Andrea L CoxDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Justin R BaileyDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: jbailey7@jhmi.edu.
Johns Hopkins University · USJohns Hopkins Medicine · USUniversity of Pennsylvania · USCornell University · USUniversity of Bahrain · BH

Funding

The development and pre-clinical assessment of novel HCV vaccines to generate T and B cell immunityU19AI159822 · NIAID · JOHNS HOPKINS UNIVERSITY · PI COX, ANDREA L · 2021 to 2025
$14.4M
Medical Scientist Training ProgramT32GM136577 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI ANDREA L COX · 2020 to 2026
$13.4M
Scientific CoreU19AI088791 · NIAID · JOHNS HOPKINS UNIVERSITY · PI COX, ANDREA L · 2010 to 2020
$8.2M
Molecular and structural characterization of broadly neutralizing anti-HCV antibodiesR01AI127469 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Justin Richard Bailey · 2017 to 2026
$6.8M
Immunization strategies to elicit broadly neutralizing antibodies against HCVR00AI153465 · NIAID · CORNELL UNIVERSITY · PI FLYAK, ANDREW I · 2022 to 2023
$498k
Immunization strategies to elicit broadly neutralizing antibodies against HCVK99AI153465 · NIAID · CALIFORNIA INSTITUTE OF TECHNOLOGY · PI FLYAK, ANDREW I · 2020 to 2021
$259k
NIAID NIH HHS K99 AI153465NIAID NIH HHS R00 AI153465NIAID NIH HHS R01 AI127469NIAID NIH HHS U19 AI088791NIAID NIH HHS U19 AI159822NIGMS NIH HHS T32 GM136577
6 · The paper itself

Abstract

Individuals who clear primary hepatitis C virus (HCV) infections clear subsequent reinfections more than 80% of the time, but the mechanisms are poorly defined. Here, we used HCV variants and plasma from individuals with repeated clearance to characterize longitudinal changes in envelope glycoprotein E2 sequences, function, and neutralizing antibody (NAb) resistance. Clearance of infection was associated with early selection of viruses with NAb resistance substitutions that also reduced E2 binding to CD81, the primary HCV receptor. Later, peri-clearance plasma samples regained neutralizing capacity against these variants. We identified a subset of broadly NAbs (bNAbs) for which these loss-of-fitness substitutions conferred resistance to unmutated bNAb ancestors but increased sensitivity to mature bNAbs. These data demonstrate a mechanism by which neutralizing antibodies contribute to repeated immune-mediated HCV clearance, identifying specific bNAbs that exploit fundamental vulnerabilities in E2. The induction of bNAbs with these specificities should be a goal of HCV vaccine development.

Indexed as

Antibodies, NeutralizingHepatitis CBroadly Neutralizing AntibodiesHepacivirusHepatitis C AntibodiesHumansViral Envelope ProteinsAntibodies, NeutralizingBroadly Neutralizing AntibodiesHepatitis C AntibodiesViral Envelope Proteinsadaptive immunityantibody evolutionbNAbsHCVmonoclonal antibodiesneutralizing epitopesspontaneous clearancevaccineviral fitness

Identifiers

PMID38171362
PMCPMC10874496
OpenAlexW4390510285

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.