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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2021.737973</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Altering the Immunogenicity of Hemagglutinin Immunogens by Hyperglycosylation and Disulfide Stabilization</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Thornlow</surname>
<given-names>Dana N.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1332434"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Macintyre</surname>
<given-names>Andrew N.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1482466"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Oguin</surname>
<given-names>Thomas H.</given-names> <suffix>3rd</suffix>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1421598"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Karlsson</surname>
<given-names>Amelia B.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stover</surname>
<given-names>Erica L.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lynch</surname>
<given-names>Heather E.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sempowski</surname>
<given-names>Gregory D.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Schmidt</surname>
<given-names>Aaron G.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1421644"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Ragon Institute of MGH, MIT and Harvard</institution>, <addr-line>Cambridge, MA</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Microbiology, Harvard Medical School</institution>, <addr-line>Boston, MA</addr-line>, <country>United States</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Duke Human Vaccine Institute, Duke University School of Medicine</institution>, <addr-line>Durham, NC</addr-line>, <country>United States</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Departments of Medicine and Pathology, Duke University School of Medicine</institution>, <addr-line>Durham, NC</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Goran Bajic, Icahn School of Medicine at Mount Sinai, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Raffael Nachbagauer, Moderna Inc., United States; Jeffrey Boyington, National Institute of Allergy and Infectious Diseases (NIH), United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Aaron G. Schmidt, <email xlink:href="mailto:aaron.schmidt@mgh.harvard.edu">aaron.schmidt@mgh.harvard.edu</email> </p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Vaccines and Molecular Therapeutics, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>07</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>737973</elocation-id>
<history>
<date date-type="received">
<day>08</day>
<month>07</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>09</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Thornlow, Macintyre, Oguin, Karlsson, Stover, Lynch, Sempowski and Schmidt</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Thornlow, Macintyre, Oguin, Karlsson, Stover, Lynch, Sempowski and Schmidt</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Influenza virus alters glycosylation patterns on its surface exposed glycoproteins to evade host adaptive immune responses. The viral hemagglutinin (HA), in particular the H3 subtype, has increased its overall surface glycosylation since its introduction in 1968. We previously showed that modulating predicted N-linked glycosylation sites on H3 A/Hong Kong/1/1968 HA identified a conserved epitope at the HA interface. This epitope is occluded on the native HA trimer but is likely exposed during HA &#x201c;breathing&#x201d; on the virion surface. Antibodies directed to this site are protective <italic>via</italic> an ADCC-mediated mechanism. This glycan engineering strategy made an otherwise subdominant epitope dominant in the murine model. Here, we asked whether cysteine stabilization of the hyperglycosylated HA trimer could reverse this immunodominance by preventing access to the interface epitope and focus responses to the HA receptor binding site (RBS). While analysis of serum responses from immunized mice did not show a redirection to the RBS, cysteine stabilization did result in an overall reduction in immunogenicity of the interface epitope. Thus, glycan engineering and cysteine stabilization are two strategies that can be used together to alter immunodominance patterns to HA. These results add to rational immunogen design approaches used to manipulate immune responses for the development of next-generation influenza vaccines.</p>
</abstract>
<kwd-group>
<kwd>influenza</kwd>
<kwd>hemagglutinin</kwd>
<kwd>glycans</kwd>
<kwd>immunogen design</kwd>
<kwd>adaptive immunity</kwd>
<kwd>B cells</kwd>
</kwd-group>
<counts>
<fig-count count="5"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="51"/>
<page-count count="10"/>
<word-count count="4430"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Viruses use antigenic evolution to introduce glycans on their surface glycoproteins to evade immune surveillance by the host adaptive response; HIV and its envelope (Env) glycoprotein is one notable example (<xref ref-type="bibr" rid="B1">1</xref>). Indeed, for HIV Env, glycans account for approximately half the mass of the protein, and glycan density and heterogeneity can affect induction of broadly neutralizing antibodies (bnAbs) (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B3">3</xref>). Influenza (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>), ebola (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>), hepatitis C (<xref ref-type="bibr" rid="B8">8</xref>), Lassa (<xref ref-type="bibr" rid="B9">9</xref>&#x2013;<xref ref-type="bibr" rid="B11">11</xref>), and coronavirus (<xref ref-type="bibr" rid="B12">12</xref>) are other examples of viruses that vary their glycosylation to &#x201c;shield&#x201d; conserved epitopes. Influenza has varied its hemagglutinin (HA) glycosylation profiles across subtypes since its introduction into the human population. Circulating H1 HAs have maintained approximately 8 glycans since their re-introduction in 1977 until the introduction of the pandemic H1N1 in 2009 which lost 4 glycans relative to previous historical H1s. H3 HAs, however, have increased overall glycans since the 1968 pandemic from 7 to 13.</p>
<p>Conserved epitopes on influenza HA are targets for broadly protective humoral immunity. These epitopes include the receptor binding site (RBS), stem, and &#x201c;interface&#x201d; regions (<xref ref-type="bibr" rid="B13">13</xref>). Antibodies that engage the RBS neutralize by impeding viral entry through sterically blocking attachment to its receptor, sialic acid. However, cross-reactive RBS-directed antibodies are subdominant, and their breadth is often dependent on having conserved features in their complementary determining region 3 (HCDR3) to present sialic acid-like contacts (<xref ref-type="bibr" rid="B14">14</xref>&#x2013;<xref ref-type="bibr" rid="B20">20</xref>). The stem region of HA is similarly conserved, likely due to functional constraints necessary for undergoing conformational changes required for membrane fusion (<xref ref-type="bibr" rid="B21">21</xref>). Antibodies targeting the stem show breadth across nearly all HA subtypes (<xref ref-type="bibr" rid="B22">22</xref>&#x2013;<xref ref-type="bibr" rid="B25">25</xref>). However, these antibodies targeting the stem are encoded by a relatively restricted set of variable genes and are difficult to elicit (<xref ref-type="bibr" rid="B21">21</xref>). More recently, we and others identified an additional conserved epitope at the HA trimer interface (<xref ref-type="bibr" rid="B26">26</xref>&#x2013;<xref ref-type="bibr" rid="B30">30</xref>). This epitope lies at an otherwise occluded site between HA protomers in the native trimeric structure present on the virion surface. Nonetheless, antibodies targeting this epitope have been isolated from both human and murine sources and confer protection <italic>via</italic> an Fc-dependent mechanism (<xref ref-type="bibr" rid="B26">26</xref>&#x2013;<xref ref-type="bibr" rid="B28">28</xref>). This implies that this occluded epitope is transiently exposed enough on the virion surface or the infected cell to be targeted by such antibodies (<xref ref-type="bibr" rid="B31">31</xref>).</p>
<p>Current immunogen design efforts for next generation influenza vaccines are focused on eliciting protective antibodies targeting these conserved epitopes (<xref ref-type="bibr" rid="B32">32</xref>). Here, we analyzed whether glycan engineering along with cysteine stabilizing mutations could modulate elicited humoral immune responses. We used the H3 A/Hong Kong/1/1968 HA as a model antigen to develop glycan shielded HA immunogens that block variable surface-exposed epitopes; we selectively exposed or concealed the RBS epitope with glycans and further stabilized the trimeric HA by introducing cysteine residues at both the head and stem interfaces. We immunized mice with stabilized or non-stabilized, glycan-modified immunogens and characterized elicited immune responses. We observed a reduction in serum responses to the stabilized immunogens, indicating that blocking surface epitopes with glycans or disulfide stabilization can significantly alter their overall immunogenicity. These data show how different protein engineering strategies can be combined to influence humoral responses to conserved epitopes on the influenza HA.</p>
</sec>
<sec id="s2" sec-type="results">
<title>Results</title>
<p>Based on our previous work, we designed second-generation glycan-modified hemagglutinin (gHA) immunogens based on the historical H3A/Hong Kong/1/1968 HA (HK-68). Our first-generation gHAs included three immunogens with varying degrees of glycosylation: (1) an &#x201c;RBS-exposed&#x201d; immunogen (gHA<sup>RBS</sup>), in which the entire surface is hyperglycosylated but leaves the RBS exposed, (2) an &#x201c;RBS-concealed&#x201d; (gHA<sup>cRBS</sup>) immunogen with a single glycan at position 133 to abrogate binding of RBS-directed antibodies, and (3) a &#x201c;full-shield&#x201d; immunogen (gHA<sup>shield</sup>) which obscures all surface-exposed epitopes. For this study, we modified our initial gHA<sup>RBS</sup> immunogen to include two additional predicted N-linked glycans (PNGs) at residues 122 and 126 to create gHA<sup>RBSv2.0</sup>; this construct differs from gHA<sup>shield</sup> by two PNGs at residues 133 and 158, both in the RBS pocket (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>). We used these two immunogens, gHA<sup>RBSv2.0</sup> and gHA<sup>shield</sup>, to discern RBS- from non-RBS directed responses and as templates for further modifications.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Design of second-generation hyperglycosylated hemagglutinin (gHA) immunogens with interface disulfide stabilization mutations. <bold>(A)</bold> Structural representation of H3A/Hong Kong/1/1968 (H3 HK-68) HA (PDB: 4FNK) with trimer-stabilizing interface cysteine mutations at residues 30, 212, 216, and 376, and additional surface glycans. <bold>(B)</bold> Linear representation of wild-type (WT) H3 HK-68 with native glycosylation sites marked. <bold>(C)</bold> Linear representation of gHA<sup>RBSv2.0</sup> and gHA<sub>cys</sub>
<sup>RBSv2.0</sup> with additional glycans relative to WT marked in red, and cysteine stabilizing mutations marked in green. <bold>(D)</bold> Linear representation of gHA<sup>Shield</sup> and gHA<sub>cys</sub>
<sup>shield</sup> with additional glycans relative to WT marked in blue, and cysteine stabilizing mutations marked in purple. <bold>(E)</bold> SDS-PAGE biochemical analysis of gHA immunogens under non-reducing and reducing conditions. Cysteine stabilized mutants show predominantly trimeric bands under non-reducing conditions (left) that collapse back to monomeric bands under reducing conditions (right).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-737973-g001.tif"/>
</fig>
<p>Antibodies elicited by our previous immunization with first-generation gHAs focused predominantly to the trimer interface; therefore, we hypothesized that occluding the interface epitope, could re-focus the immune response to the RBS. This may have been a consequence of the engineered glycans destabilizing the HA trimer resulting in mixed trimer and monomeric HAs; the latter readily exposing the interface epitope (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplemental Figure&#xa0;1</bold>
</xref>). To that end, we stabilized the HA trimer by engineering cysteines at residues 212 and 216 (<xref ref-type="bibr" rid="B33">33</xref>) (H3 numbering) on the HA head and at residues 30 and 376 (<xref ref-type="bibr" rid="B34">34</xref>) on the HA stem, in order to occlude immune responses directed to the HA interface (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). These stabilizing mutations were engineered onto both gHA<sup>RBSv2.0</sup> and gHA<sup>shield</sup>, to yield their cysteine-stabilized counterparts, referred to as gHA<sub>cys</sub>
<sup>RBSv2.0</sup> and gHA<sub>cys</sub>
<sup>shield</sup> (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1B</bold>
</xref>&#x2013;<xref ref-type="fig" rid="f1">
<bold>D</bold>
</xref>). We confirmed disulfide presence using SDS-PAGE under reducing and non-reducing conditions (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>). The cysteine modified hyperglycosylated HA proteins showed predominantly trimeric bands that collapsed into a monomeric species upon reduction. They also are stable trimers under native conditions, as confirmed by size-exclusion chromatography (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplemental Figure&#xa0;1</bold>
</xref>).</p>
<p>We next characterized all four gHA immunogens by ELISA using an assembled panel of structurally characterized, conformation-specific antibodies binding unique antigenic sites on HA, including HC19 (<xref ref-type="bibr" rid="B35">35</xref>), HC45 (<xref ref-type="bibr" rid="B36">36</xref>), FI6 (<xref ref-type="bibr" rid="B22">22</xref>), and 8H10 (<xref ref-type="bibr" rid="B27">27</xref>), which bind the RBS, vestigial esterase, stem, and interface epitopes, respectively (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). All four gHA immunogens abrogated binding of HC45 and FI6. Both gHA<sup>RBSv2.0</sup> immunogens engaged HC19 (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2C, D</bold>
</xref>), whereas gHA<sup>shield</sup> immunogens abrogated binding by HC19 (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2E, F</bold>
</xref>), indicating that these immunogens selectively conceal or expose the RBS epitope, respectively. Additionally, both cysteine-stabilized immunogens, gHA<sub>cys</sub>
<sup>RBSv2.0</sup> and gHA<sub>cys</sub>
<sup>shield</sup>, selectively abrogated binding of the interface-directed antibody, 8H10, characterized in our previous study (<xref ref-type="bibr" rid="B27">27</xref>); this confirms that the stabilized trimers effectively mask the interface epitope (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2D, F</bold>
</xref>). All immunogens engage the conformation-specific MEDI8852 antibody (<xref ref-type="bibr" rid="B37">37</xref>), that binds the stem in a different orientation relative to FI6, and confirms structural integrity of the stem epitope (<xref ref-type="supplementary-material" rid="SF2">
<bold>Supplemental Figure&#xa0;2</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Characterization of gHA immunogens with structurally characterized antibody panel. <bold>(A)</bold> Antibody panel epitopes mapped onto WT H3 HK-68 monomer (PDB: 4WE4). Antibodies are representative of four major antigenic sites on HA: HC19 (pink; PDB: 2VIR; receptor binding site (RBS)), HC45 (orange; PDB: 1QFU; vestigial esterase domain), FI6 (maroon; PDB: 3ZTJ; stem), and 8H10 (teal; PDB: 6N5B; interface). <bold>(B&#x2013;F)</bold> Selective placement of glycans and interface cysteines on gHA immunogens abrogate binding of epitope-specific antibodies as shown by ELISA. Binding curves of the antibody panel are shown against WT H3 HK-68 <bold>(B)</bold>, gHA<sup>RBSv2.0</sup> <bold>(C)</bold>, gHA<sub>cys</sub>
<sup>RBSv2.0</sup> <bold>(D)</bold>, gHA<sup>Shield</sup> <bold>(E)</bold>, gHA<sub>cys</sub>
<sup>shield</sup> <bold>(F)</bold>. Average absorbance at 410nm &#xb1; SD is reported for technical duplicates.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-737973-g002.tif"/>
</fig>
<p>We then assessed the immunogenicity and antigenicity of gHA<sup>RBSv2.0</sup>, gHA<sub>cys</sub>
<sup>RBSv2.0</sup>, gHA<sup>shield</sup>, and gHA<sub>cys</sub>
<sup>shield</sup>. We immunized mice and collected serum at day 0, 7, 14, 21, and 28. Serum IgG responses were assessed <italic>via</italic> multiplex bead array (Luminex platform) for binding to each of the four immunogens (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref> and <xref ref-type="supplementary-material" rid="SF3">
<bold>Supplemental Figure&#xa0;3</bold>
</xref>). While the gHA<sup>RBSv2.0</sup> and gHA<sup>shield</sup> immunogens elicited a robust self-directed serum response, there was a comparatively weak reactivity to the cysteine modified counterparts indicating a predominantly interface-directed response (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A, B</bold>
</xref>). This pattern persisted throughout the course of the experiment (<xref ref-type="supplementary-material" rid="SF3">
<bold>Supplemental Figure 3</bold>
</xref>). These data are consistent with our previous observations of the role of glycan shielding and immunodominance of the interface epitope (<xref ref-type="bibr" rid="B27">27</xref>). While immunizations with cysteine gHA<sub>cys</sub>
<sup>RBSv2.0</sup> and gHA<sub>cys</sub>
<sup>shield</sup> elicited a nearly undetectable response at day 7, by day 28 we observe a similar overall magnitude of response comparable to the non-cysteine stabilized immunogens (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3C, D</bold>
</xref> and <xref ref-type="supplementary-material" rid="SF3">
<bold>Supplemental Figure&#xa0;3</bold>
</xref>). However, unlike gHA<sup>RBSv2.0</sup> and gHA<sup>Shield</sup>, this response was comparable across all four immunogens for both gHA<sub>cys</sub>
<sup>RBSv2.0</sup> and gHA<sub>cys</sub>
<sup>shield</sup>. This potentially indicates that serum responses elicited by disulfide-stabilized gHAs were directed towards a common epitope exposed across all four immunogens. Notably, we did not observe differential reactivity to our &#x201c;RBS-exposed&#x201d; and &#x201c;shield&#x201d; immunogens at any timepoint, indicating that there was likely not a robust RBS-directed humoral response elicited by our exposed RBS immunogens. Overall, these data indicate that the combination of hyperglycosylation and disulfide stabilization alters the immunogenicity kinetics of gHA immunogens but cannot significantly redirect humoral responses to the exposed RBS epitope.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>gHA immunogens elicit cross-immunogen reactivity. Plot titles indicate immunogen and x-axis indicates Luminex antigen. At day 7 (d7), gHA<sup>RBSv2.0</sup> (n=6) <bold>(A)</bold> and gHA<sup>Shield</sup> (n=5) <bold>(B)</bold> immunogens elicit interface-directed serum responses, while the cysteine-stabilized counterpart immunogens <bold>(C, D)</bold> elicit a nearly undetectable serum response. By day 28 (d28, right), cysteine-stabilized gHA<sub>cys</sub>
<sup>RBSv2.0</sup> (n=5) <bold>(C)</bold> and gHA<sub>cys</sub>
<sup>shield</sup> (n=5) <bold>(D)</bold> immunogens elicit a weak, but present serum response to all immunogens. All serum responses are normalized to a control antibody, FL-1086, that binds all four immunogens, and reported as ng/mL FL-1086 msIgG1 equivalents &#xb1; SD; n = number of mice used. Statistical significance was determined by a student&#x2019;s t-test with Welch&#x2019;s correction. (*P &lt; 0.05; **P &lt; 0.01; ***P &lt; 0.001; ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-737973-g003.tif"/>
</fig>
<p>Next, we performed competition ELISAs with a panel of conformational specific antibodies with d28 serum to epitope map the elicited responses to our immunogens (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>). Our antibody panel included the FI6 (stem), HC45 (vestigial esterase), HC19 (RBS), and 8H10 (interface) epitopes (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). The H1 RBS-directed 5J8 (<xref ref-type="bibr" rid="B38">38</xref>), which does not bind to H3 HK-68, was included as a negative control. Serum from gHA<sup>RBSv2.0</sup>, gHA<sub>cys</sub>
<sup>RBSv2.0</sup>, and gHA<sub>cys</sub>
<sup>shield</sup> showed significant competition with HC45 (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A</bold>
</xref>&#x2013;<xref ref-type="fig" rid="f4">
<bold>C</bold>
</xref>), that was not present in gHA<sub>cys</sub>
<sup>shield</sup> (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>). While not as significant as the HC45-like response, both gHA<sub>cys</sub>
<sup>RBSv2.0</sup>, and gHA<sub>cys</sub>
<sup>shield</sup> immunogens apparently elicited a HC19-like and 8H10-like response, despite the presence of glycans and inter-protomer disulfides. There was no FI6-like response detected in sera from any of the immunogens; this potentially indicates that despite fewer glycans present to obscure responses targeting the stem, this region remains subdominant.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Epitope mapping gHA elicited serum response. A serum competition ELISA with structurally characterized antibodies was used to epitope map elicited serum responses by gHA immunogens: gHA<sup>RBSv2.0</sup> <bold>(A)</bold>, gHA<sup>shield</sup> <bold>(B)</bold>, gHA<sub>cys</sub>
<sup>RBSv2.0</sup> <bold>(C)</bold> and gHA<sub>cys</sub>
<sup>shield</sup> <bold>(D)</bold>. Day 28 serum from gHA<sup>RBSv2.0</sup> <bold>(A)</bold>, gHA<sup>shield</sup> <bold>(B)</bold>, and gHA<sub>cys</sub>
<sup>RBSv2.0</sup> <bold>(C)</bold> elicited a significant HC45-like response. None of the gHA immunogens elicited a significant FI6-like response. Statistical significance was determined by a student&#x2019;s t-test with Welch&#x2019;s correction relative to negative control (5J8). (*P &lt; 0.05; **P &lt; 0.01; ***P &lt; 0.001; ****P &lt; 0.0001).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-737973-g004.tif"/>
</fig>
<p>Finally, we analyzed day 28 serum for breadth and influenza virus neutralization activity. We assessed H3 breadth using a panel of antigenically distinct, historical H3s spanning 1968-2012 (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5</bold>
</xref> and <xref ref-type="supplementary-material" rid="SF4">
<bold>Supplemental Figure&#xa0;4</bold>
</xref>. Serum IgG from all four immunogens bound to H3 from A/Hong Kong/1/1968, A/Victoria/3/1975, A/Bangkok/1/1979, and A/Leningrad/360/1986, with little to no binding beyond that point (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>). Additionally, serum elicited by all four immunogens had weak neutralization activity, with no appreciable difference between &#x201c;RBS-exposed&#x201d; and &#x201c;shield&#x201d; immunogens (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). This is consistent with the above data that these immunogens do not elicit robust RBS-directed serum responses that would contribute to neutralization. Furthermore, the lack of neutralization by serum from gHA<sup>RBSv2.0</sup> and gHA<sup>shield</sup> immunogens is likely a consequence of a focused response to HC45-like or interface epitopes that do not contribute to neutralization.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>gHA immunogens elicit serum responses with limited breadth and neutralization. <bold>(A)</bold> Day 28 serum binding against a Luminex panel of antigenically distinct, historical H3 HAs spanning 1975-2012. Serum responses show limited breadth beyond H3Leningrad/360/1986 (x-91) (Len 86). Serum binding is reported as the average mean fluorescence intensity (MFI) minus background for all mice in a specific cohort. <bold>(B)</bold> Microneutralization of day 28 serum against matched A/Aichi/2/1968 X-31 (H3N2) virus. Endpoint titers are reported as the greatest dilution observed to exhibit &#x2265;50% virus neutralization and are reported as geometric mean of duplicate dilution series. Day 28 serum from each immunogen show weak microneutralization of matched virus.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-737973-g005.tif"/>
</fig>
</sec>
<sec id="s3" sec-type="discussion">
<title>Discussion</title>
<p>In this work, we determined whether modifying HA using hyperglycosylation and disulfide stabilization could focus antibody responses to the subdominant RBS epitope. We hypothesized that by both shielding surface-exposed epitopes and by restricting access to the immunodominant interface epitope by glycans, theoretically the only accessible epitope is the RBS, and thus should become immunodominant, or at minimum, be able to elicit a detectable RBS-directed response. This epitope masking approach has been effective in focusing responses to the CD4 binding site on HIV-1 Env (<xref ref-type="bibr" rid="B39">39</xref>). Additionally, inter-protomer disulfide stabilization has been an effective method for improving or focusing immune responses to RSV (<xref ref-type="bibr" rid="B40">40</xref>, <xref ref-type="bibr" rid="B41">41</xref>), norovirus (<xref ref-type="bibr" rid="B42">42</xref>), parainfluenza virus (<xref ref-type="bibr" rid="B43">43</xref>), and HIV (<xref ref-type="bibr" rid="B44">44</xref>). To our knowledge, however, this is the first example to study the effect of inter-protomer disulfide stabilization of full-length influenza A HA in combination with hyperglycosylation on immunogenicity. However, in this study we showed that obscuring all surface-exposed epitopes except the RBS did not robustly direct responses to the RBS.</p>
<p>The observed lack of an RBS-directed serum response could be due to a variety of factors. Human-derived bnAbs that engage the RBS of group 1 and group 2 HAs have been isolated and appear to be relatively abundant (<xref ref-type="bibr" rid="B14">14</xref>&#x2013;<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B20">20</xref>). These RBS-directed antibodies require long HCDR3s (~19 amino acid in length) to engage the recessed RBS. Because the C57BL/6 mice used in this study tend to have shorter HCDR3s, it is likely that this restricts humoral responses targeting the RBS epitope. Additionally, these antibodies could be rare in the mouse antibody repertoire, and thus may not be readily detected in serum. Alternative murine models with human variable heavy genes knocked-in [<italic>e.g.</italic>, JH6 (<xref ref-type="bibr" rid="B45">45</xref>)] may be better suited for characterizing immunogens designed to elicit RBS-directed responses.</p>
<p>Despite being nearly &#x201c;immune silent&#x201d; at early time points, the disulfide-stabilized immunogens eventually elicited a weak, but detectable, antibody response at days 21 and 28. This may indicate that the engineered glycans do not completely shield surface-exposed epitopes. In other words, it is possible that antibodies target &#x201c;holes&#x201d; in the engineered glycan shield that may ultimately contribute to the humoral response. From competition ELISA data, this could be an epitope that partially overlaps with HC45 within the vestigial interface region but is not obscured by glycans on gHA constructs, or another epitope(s) not covered by our antibody panel. A similar phenomenon has been observed in HIV-1, where antibodies targeting the CD4 binding site on gp120 such as VRC01-like antibody, VRC08 (<xref ref-type="bibr" rid="B46">46</xref>), as well as N6 (<xref ref-type="bibr" rid="B47">47</xref>), could evolve around a glycan at position N276, present on ~95% of circulating HIV-1 strains. Future immunogen design iterations may vary the pattern of engineered glycans to optimize placement and shielding.</p>
<p>Overall, these data show how hyperglycosylation and disulfide stabilization can effectively modulate humoral responses. There appears to be a &#x201c;limit&#x201d; on available surface-exposed epitopes on our immunogens that can be effectively shielded by glycans to dampen overall humoral response. This parallels how viruses use glycosylation of their envelope proteins to evade host adaptive immune responses [e.g., HIV (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B3">3</xref>), ebola (<xref ref-type="bibr" rid="B6">6</xref>), hepatitis C (<xref ref-type="bibr" rid="B8">8</xref>), influenza (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>)]. It remains to be seen whether hyperglycosylation alone or in combination with disulfide stabilization can be leveraged to elevate a subdominant epitope to dominance, in particular the RBS. While in wildtype mice this was not achieved, the immunogens designed and characterized here may indeed immune focus to the RBS in humans who can more readily elicit RBS-directed responses.</p>
</sec>
<sec id="s4" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="s4_1">
<title>Hyperglycosylated HA Immunogen Expression and Purification</title>
<p>Hyperglycosylated hemagglutinin (gHA) protein immunogens were cloned into pVRC vectors for mammalian cell (HEK/Expi 293F) production in HEK293F or Expi 293F suspension cells. DNA constructs were confirmed by sequencing at Genewiz. HA constructs were expressed with a C-terminal 3C HRV-cleavable T4-fibritin (foldon) tag (for trimerization) and Streptavidin binding protein (SBP)-His<sub>8X</sub> affinity tag (for purification). Proteins were purified from supernatants on a Cobalt-TALON resin, followed by gel filtration chromatography on a Superdex 200 column (GE Healthcare) in Dulbecco&#x2019;s Phosphate-Buffered Saline (D-PBS) (pH 7.5). Foldon and affinity tags were removed with His-tagged HRV 3C protease at 4&#xb0;C overnight, then passed over a Cobalt-TALON resin to remove protease, cleaved tags, and non-cleaved protein. Purified, cleaved proteins were concentrated using Amicon<sup>&#xae;</sup> ultra centrifugal filters, then quantified using 280 nm absorbance.</p>
</sec>
<sec id="s4_2">
<title>Recombinant HA Expression and Purification</title>
<p>Recombinant full-length, soluble ectodomains of H3 A/Moscow/10/1999, A/Victoria/3/1975, A/Johannesburg/33/1994, A/Bangkok/1/1979, A/Perth/16/2009 and A/Leningrad/360/1986. H3 HAs were cloned into pFastBac vectors. Expression constructs contained a C-terminal His<sub>6x</sub> tag, for purification, and T4-fibritin foldon tag, for trimerization. Baculoviruses were collected from Sf9-transfected cells and used to infect Sf9-cultured cells grown in Sf-900II SFM medium (Life Technologies). rHAs were then purified <italic>via</italic> Ni-NTA column three days post-infection and used in Luminex assays.</p>
<p>Recombinant full-length, soluble ectodomains of H3 A/Hong Kong/1/1968, A/Wisconsin/67/2005 and A/Texas/50/2012 were cloned into pVRC vectors containing a C-terminal 3C HRV-cleavable T4-fibritin (foldon) tag (for trimerization) and Streptavidin binding protein (SBP)-His<sub>8X</sub> affinity tag (for purification). Proteins were purified from supernatants 5 days post-transfection on a Cobalt-TALON resin, followed by gel filtration chromatography on a Superdex 200 column (GE Healthcare) in Dulbecco&#x2019;s Phosphate-Buffered Saline (D-PBS) (pH 7.5). Purified rHAs were then used in Luminex and ELISA assays.</p>
</sec>
<sec id="s4_3">
<title>Fab and IgG Expression and Purification</title>
<p>Variable domain genes for IgG production were codon optimized and synthesized by Integrated DNA Technologies (IDT) and subcloned into pVRC vectors containing humanized heavy and light constant domains for expression in mammalian cells (HEK/Expi 293F cells). DNA constructs were sequenced confirmed using Genewiz. Humanized HC19 (<xref ref-type="bibr" rid="B35">35</xref>), HC45 (<xref ref-type="bibr" rid="B36">36</xref>), FI6 (<xref ref-type="bibr" rid="B22">22</xref>) and 8H10 (<xref ref-type="bibr" rid="B27">27</xref>) IgGs were expressed transiently in suspension 293F cells using polyethyleneamine (PEI) or ExpiFectamine 293 for 5 days. After 5 days, IgGs were purified from clarified supernatants on a Protein G resin, and eluted into Tris-Glycine buffer with 150mM NaCl.</p>
</sec>
<sec id="s4_4">
<title>Size Exclusion Chromatography</title>
<p>To assess the oligomeric state(s) of wild-type H3 X31 HA and gHAs, ~200&#xb5;g of purified protein with foldon trimerization tag was passed over a Superdex 200 10/300 increase column (GE Healthcare) in Dulbecco&#x2019;s Phosphate-Buffered Saline (D-PBS) (pH 7.5). The foldon tag was then removed using His-tagged HRV 3C protease overnight at 4&#xb0;C overnight. The cleavage reaction was then re-purified over a cobalt-TALON resin to remove non-cleaved HA, cleaved foldon tag, and protease. The cleaved HA was passed over the same Superdex 200 10/300 increase column. All traces were normalized to their respective peak absorbance value and plotted using Prism 9 (Graphpad).</p>
</sec>
<sec id="s4_5">
<title>ELISA</title>
<p>100 ng of hyperglycosylated or wild-type recombinant hemagglutinin proteins were adhered to high-capacity binding, clear bottom, 96-well plates (Corning) in PBS overnight at 4&#xb0;C. Plates were blocked with 1% BSA in PBS containing 0.1% Tween-20 (PBS-T) for 1 hour at room temperature (RT), shaking. Blocking solution was removed, and plates were incubated with 10-fold dilutions of structurally characterized IgGs in PBS for 1 hour at RT, shaking. After 1 hour, plates were washed three times with PBS-T, then incubated with 1:20,000 diluted HRP-conjugated anti-human IgG (Abcam) for 1 hour at RT. Plates were washed three times with PBS-T. 1-Step ABTS substrate (ThermoFisher) was added to plates for 20-30 mins at RT, then stopped with 100 &#xb5;L of 1% SDS. Absorbance measurements from each well at 410 nm were recorded using a plate reader. Data were plotted using Prism 9 (Graphpad) and relative binding was determined.</p>
</sec>
<sec id="s4_6">
<title>Mouse Immunizations</title>
<p>C57BL/6 (female, 8-10wk) mice, obtained from Jackson Labs, were immunized with 10 &#xb5;g of low to endotoxin-free gHA<sup>RBSv2.0</sup> (n=6), gHA<sub>cys</sub>
<sup>RBSv2.0</sup> (n=5), gHA<sup>shield</sup> (n=5), and gHA<sub>cys</sub>
<sup>shield</sup> (n=5) mixed 1:1 with Addavax (Invivogen) adjuvant, or adjuvant only control, <italic>via</italic> the IM route. Serum samples were prepared at day 0 (pre-bleed), 7, 14, 21, and 28 for Luminex bead-based multiplex binding analysis.</p>
</sec>
<sec id="s4_7">
<title>Luminex Multiplex Assays</title>
<p>Hyperglycosylated HA (gHA), recombinant WT HA (rHA) or bovine serum albumen (BSA; Sigma &#x2013; negative control) were conjugated to magnetic microspheres (Luminex Corp.) by carbodiimide coupling according to the manufacturer&#x2019;s protocol. For relative quantitation of rHA-binding IgG, rHA- and BSA-coated microspheres (1500 of each) were mixed in 96-well plates with samples diluted in PBS, 1% BSA pH7.4 (assay buffer; Life Technologies), incubated for 1 hour at room temperature on an orbital shaker and then washed in assay buffer. Microspheres were then incubated with 4 &#x3bc;g/mL phycoerythrin (PE)-conjugated goat anti-mouse IgG (BioLegend) for 30 minutes, washed, and the PE median fluorescence intensity (MFI) of each microsphere population measured using a Bio-Plex 200 analyzer (BioRad). For relative quantitation of hyperglycosylated antigen-binding IgG, samples were incubated with antigen- and BSA-coated microspheres as above. Washed microspheres were then incubated with 4 &#x3bc;g/mL biotinylated goat anti-mouse IgG (BioLegend) in assay buffer for 30 minutes, washed, and incubated with 8 &#x3bc;g/mL Streptavidin-PE (Invitrogen) for 30 minutes. Microspheres were then washed and the PE MFI of each microsphere population measured using a Bio-Plex 200 analyzer. Serially diluted IgG1 isoform of a control monoclonal antibody (mAb) FL-1086 (<xref ref-type="bibr" rid="B25">25</xref>), which binds all gHA immunogens, were assayed alongside the samples and then Bio-Plex Manager v6.2 software (BioRad) was used to generate standard curves of MFI <italic>versus</italic> monoclonal concentration. These curves were used to convert sample MFIs to FL-1086-equivelants.</p>
</sec>
<sec id="s4_8">
<title>Competition Serum ELISA</title>
<p>100 ng per well of wild-type (WT) recombinant hemagglutinin (rHA) proteins were adsorbed to high-capacity binding, clear bottom, 96-well plates (Corning) in PBS overnight at 4&#xb0;C, as described above. Plates were blocked with 1% BSA in PBS containing 0.1% Tween-20 (PBS-T) for 1 hour at room temperature (RT), shaking. Blocking solution was removed, and 150ng/&#xb5;L of humanized individual competing antibodies or antibody cocktail was added to each well and allowed to incubate for 1hr at RT, shaking. Next, a 1:250 dilution of day 28 serum in PBS was added on top of the competing antibody, for a final dilution of 1:500, then incubated for 1hr at RT, shaking. Plates were then washed three times with PBS-T, followed by incubation for 1hr at RT with HRP-conjugated, human/bovine/horse adsorbed anti-mouse secondary antibody (Southern Biotech) at a concentration of 1:4000. Plates were again washed three times with PBS-T, then developed, as above with ABTS substrate.</p>
</sec>
<sec id="s4_9">
<title>Microneutralization</title>
<p>Microneutralization (MN) assays were used, as described (<xref ref-type="bibr" rid="B48">48</xref>&#x2013;<xref ref-type="bibr" rid="B51">51</xref>), to determine serum endpoint titers against H3 A/Aichi/2/1968 (X-31) virus. All samples were assayed as duplicate dilution series. Endpoint titers are reported as the greatest dilution observed to exhibit &#x2265; 50% virus neutralization.</p>
</sec>
<sec id="s4_10">
<title>Statistical Analyses</title>
<p>Statistical analyses described in the manuscript were performed using GraphPad Prism (v9.2.0). All comparisons were made using a parametric, unpaired student&#x2019;s t-test with Welch&#x2019;s correction with statistical significance denoted with the following asterisk key: * = P&lt;0.05; ** = P&lt;0.01; *** = P&lt;0.001; **** = P&lt;0.0001; ns = not significant.</p>
</sec>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by Duke University Institutional Animal Care and Use Committee.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author Contributions</title>
<p>DT, AS, GS, and AK designed research. DT, AM, ES performed research. DT and AS analyzed data. DT and AS wrote the paper. DT, AS, GS, AM, and AK edited and commented on the paper. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>We acknowledge support from R01 AI146779 and P01 AI089618 (to AS). This research has been funded in whole or part with federal funds under a contract from the National Institute of Allergy and Infectious Diseases, NIH contract 75N93019C00050. Multiplex binding and microneutralization assays were performed in the Immunology and Virology Units, respectively, of the Duke Regional Biocontainment Laboratory, which received partial support for construction from the NIH/NIAID (UC6 AI058607; to GS).</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
<p>The handling Editor declared a past co-authorship with one of the authors AS.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>We thank the Schmidt Lab for helpful discussions.</p>
</ack>
<sec id="s11" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2021.737973/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2021.737973/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Image_1.tif" id="SF1" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;1</label>
<caption>
<p>Hyperglycosylation increases tendency to present &#x201c;exposed&#x201d; HA trimer interface epitope- Wild-type (WT) H3 HK-68 and gHAs were analyzed <italic>via</italic> size-exclusion FPLC for conformational changes pre- and post-Foldon (Fd) trimerization tag cleavage. WT <bold>(A)</bold> and cysteine-stabilized gHA <bold>(B)</bold> showed a small shift in elution volume (&lt;0.5mL) due to the small change in molecular weight following Fd tag cleavage. gHA<sup>RBS</sup> <bold>(C)</bold> and gHA<sup>shield</sup> <bold>(D)</bold> showed an additional elution volume shift of ~1.5mL, indicating the presence of dimer or monomeric HA and an &#x201c;exposed&#x201d; interface epitope.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.tif" id="SF2" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;2</label>
<caption>
<p>MEDI8852 antibody engages gHA<sub>cys</sub>
<sup>shield</sup> immunogen, <bold>(A)</bold> Antibody panel epitopes mapped onto WT H3 HK-68 monomer (PDB: 4WE4). Antibodies are representative of epitopes on HA: HC19 [pink; PDB: 2VIR; receptor binding site (RBS)], HC45 (orange; PDB: 1QFU; vestigial esterase domain), FI6 (maroon; PDB: 3ZTJ; stem), MEDI8852 (sky blue; PDB: 5JW4; stem), and 8H10 (teal; PDB: 6N5B; interface). <bold>(B)</bold> WT H3 HK-68 engages all major epitope-directed antibodies in an ELISA format. <bold>(C)</bold> gHA<sup>RBS</sup> engages interface (8H10), RBS (HC19) and stem directed MEDI8852. <bold>(D)</bold> ELISA show abrogated binding of all major epitope-directed antibodies to gHA<sub>cys</sub>
<sup>shield</sup>, with the exception of MEDI8852.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_3.tif" id="SF3" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;3</label>
<caption>
<p>Time course of serum responses elicited by gHA immunogens - Plot titles indicate immunogen and x-axis indicates Luminex antigen.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_4.tif" id="SF4" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;4</label>
<caption>
<p>Day 28 serum elicited by gHA immunogens have limited breadth against a panel of antigenically distinct, historical H3 HAs. Day 0 (open circle) and day 28 (closed circle) serum from each individual mouse are plotted as background-subtracted MFI for each immunogen. Titles indicate Luminex antigen and X-axis titles indicate immunogens gHA<sup>RBSv2.0</sup> (n=6), gHA<sub>cys</sub>
<sup>RBSv2.0</sup> (n=5), gHA<sup>shield</sup> (n=5), and gHA<sub>cys</sub>
<sup>shield</sup> (n=5). Mean fluorescence intensity (MFI) signal minus background &#xb1; SD is reported; n = number of mice used.</p>
</caption>
</supplementary-material>
</sec>
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