Abstract
Despite the worldwide success of vaccination, newborns remain vulnerable to infections. While neonatal vaccination has been hampered by maternal antibody-mediated dampening of immune responses, enhanced regulatory and tolerogenic mechanisms, and immune system immaturity, maternal pre-natal immunization aims to boost neonatal immunity via antibody transfer to the fetus. However, emerging data suggest that antibodies are not transferred equally across the placenta. To understand this, we used systems serology to define Fc features associated with antibody transfer. The Fc-profile of neonatal and maternal antibodies differed, skewed toward natural killer (NK) cell-activating antibodies. This selective transfer was linked to digalactosylated Fc-glycans that selectively bind FcRn and FCGR3A, resulting in transfer of antibodies able to efficiently leverage innate immune cells present at birth. Given emerging data that vaccination may direct antibody glycosylation, our study provides insights for the development of next-generation maternal vaccines designed to elicit antibodies that will most effectively aid neonates. Antibodies with a specific glycan modification and with the ability to activate NK cells are selectively transferred across the placenta to the neonate.
Original language | English (US) |
---|---|
Pages (from-to) | 202-215.e14 |
Journal | Cell |
Volume | 178 |
Issue number | 1 |
DOIs | |
State | Published - Jun 27 2019 |
Funding
We would like to thank Adam Barb for his insightful thoughts. This work was supported by the Ragon Institute , the Samana Cay MGH scholar program , and NIH grants AI080289 ( 5R37AI080289-09 ), AI102660-01 ( 5R01AI102660-04 ), and AI129797-01 ( 1R01A1129797-01 ). We would also like to acknowledge Harvard CFAR for ongoing support ( P30 AI060354-02 ). We would like to thank Adam Barb for his insightful thoughts. This work was supported by the Ragon Institute, the Samana Cay MGH scholar program, and NIH grants AI080289 (5R37AI080289-09), AI102660-01 (5R01AI102660-04), and AI129797-01 (1R01A1129797-01). We would also like to acknowledge Harvard CFAR for ongoing support (P30 AI060354-02). Conceptualization, M.F.J. I.G. A.K. L.E.R. and G.A.; Methodology, M.F.J. and G.A.; Formal Analysis, S.D. and J.D.; Investigation, M.F.J. I.G. C.C. F.J.N. M.K. A.S. M.G. S.F. C.B. J.B. J.H.C. and J.A.; Resources, I.G. B.G. G.M.L. T.G. A.M. A.Y.K. and L.E.R.; Writing, M.F.J. T.J.S. and G.A. Supervision, D.L. A.Y.K. L.E.R. and G.A.; Funding Acquisition, G.A. The authors declare no competing interests
Keywords
- ADCC
- antibody functionality
- antibody glycosylation
- maternal vaccination
- neonatal immunology
- trans-placental transfer
ASJC Scopus subject areas
- General Biochemistry, Genetics and Molecular Biology