<p>Influenza is a highly contagious respiratory disease. Yearly epidemics and pandemics account for high morbidity and mortality worldwide. Lung immunopathology is a major factor causing death following influenza. In addition, secondary bacterial superinfections that occur after influenza further complicate the lung immunopathology and contribute to higher morbidity and mortality. The research presented in this thesis addressed important, understudied questions in the complicated field of tissue immunopathogenesis and host defense to influenza and pneumococcal infections. Firstly, in a model of acute respiratory influenza infection, we found that the classically proinflammatory cytokine TNF plays a dual and biphasic role at different times post-infection. While it does have pro-immune roles in the beginning stages, TNF acts as a negative type 1 immune regulator at later points of infection. TNF controls the level of immune activation and has a key role in preventing lung immunopathology and aberrant tissue remodeling. Secondly, to further investigate mechanisms of lung pathology, we elucidated the role of bacterial replication and over activated host immune responses during bacterial superinfection following influenza. In our model of pulmonary <em>Streptococcus pneumoniae</em> infection after influenza, we found that dual infected animals experience rapid weight loss and succumb to infection. Bacterial outgrowth, dysregulated cytokine and chemokine expression, and severe lung neutrophilia and immunopathology are linked to the poor clinical outcome. Combined treatment with both an antibiotic azithromycin and corticosteroid dexamethasone best improves clinical outcome, bacterial clearance, cellular and cytokine responses, and immunopathology. Thirdly, in our continuing interest for improved therapies during pulmonary infections, we tested the transgenic expression of type I IFN as a treatment during <em>S. pneumoniae</em> infection. We found that IFN-a controls bacterial outgrowth and improves clinical outcome. Together, our findings provide novel insights into the mechanisms of lung immunopathology and treatment protocols for pulmonary influenza and pneumococcal infections.</p> / Doctor of Philosophy (Medical Science)

Genetic engineering has allowed the design and production of recombinant antibodies (rmAbs) in plants. Nowadays, rmAbs are used in the treatment of a wide range of pathologies such as infectious diseases, inflammatory diseases and cancer, making rmAbs an important group of biomolecules within the pharmaceutical and biotechnology industry. By the time this study was started, the immunoglobulin G (IgG) was the antibody isotype predominantly expressed in plants. In recent years Modular DNA cloning technology has facilitated antibody engineering, with the development and expression of new rmAbs formats. However, there is hardly any study where different antibody formats are produced and compared in terms of yield and neutralizing capacity. Therefore, the starting point of the first chapter of this thesis is a comparative study where five different formats of the same commercial rmAb (Infliximab) against the human cytokine Tumor Necrosis Factor (TNF-¿) were expressed and compared. The results obtained in Chapter 1 demonstrate that both the isotype and the structure of the chosen rmAb influence the yield and the neutralizing capacity of rmAb. The expression of new antibody formats not only refers to the antibody isotype or structure; the format also refers to the combination of antibody idiotypes, leading to the production of oligo or polyclonal antibodies. Therefore, the possibility of co-expressing different monoclonal antibodies simultaneously in plants (creating oligoclonal or polyclonal formats) was raised. In the second chapter of this thesis, the expression of three rmAbs against the Ebola virus glycoprotein was studied. The three rmAbs were transiently expressed in N. benthamiana individually, by establishing separated production lines; in parallel, all three rmAbs were also co-expressed simultaneously in the same production line. The results obtained in this chapter demonstrated that the individual expression of rmAbs is feasible. However, when all three rmAbs are co-expressed, a drastic decrease in the binding of the antibody to the antigen was observed due to chain shuffling, as each heavy chain (HC) can be bound to any light chain (LC) other than its cognate chain, giving rise to an antibody cocktail with lower activity. With the objective of developing a method that allows co-expression of several rmAb in a single production line, we next proposed to exploit the viral interference phenomenon (also known as superinfection exclusion, SE). The results shown in Chapter three demonstrate that the production of an oligoclonal cocktail composed of 36 rmAbs in plants was possible using a viral expression system showing SE. The data obtained in this chapter showed that the resulting oligoclonal cocktail was active and capable of neutralizing toxic activities of the venom of the snake Bothrops asper in vitro and in vivo, wich was used as a model for studying the efficacy of the oligoclonal antibodies produced. The results of this thesis confirm and support the use of plants as platforms for the expression of alternative formats of antibodies. / La ingeniería genética ha permitido el diseño y la producción de anticuerpos recombinantes (rmAbs) en plantas. Hoy en día, los rmAbs se utilizan en el tratamiento de un amplio rango de patologías como enfermedades infecciosas, enfermedades inflamatorias y cáncer, convirtiéndose en un importante grupo de biomoléculas dentro de la industria farmacéutica y biotecnológica. Hasta la fecha de este estudio, en plantas se ha producido mayoritariamente la inmunoglobulina del tipo G (IgG). Gracias al desarrollo de la ingeniería del ADN recombinante y de la ingeniería de anticuerpos, es posible diseñar y producir nuevos formatos de rmAbs. Sin embargo, apenas existen estudios comparativos donde se demuestre si el formato de anticuerpo elegido es el idóneo en términos de rendimiento y capacidad neutralizante. Por tanto, el punto de partida del primer Capítulo de esta tesis consistió en la realización de un estudio comparativo de la expresión en plantas de cinco formatos distintos de un mismo rmAb comercial (Infliximab) frente a la citoquina humana Tumor Necrosis Factor (TNF-¿). Los resultados obtenidos en el Capítulo 1 demuestran que tanto el isotipo como la estructura del rmAb elegido influye en los niveles de rendimiento y en la capacidad neutralizante del rmAb. La expresión de nuevos formatos de anticuerpos no solo afecta al isotipo o a la estructura de las regiones constantes, sino que también se puede incluir en este término la expresión conjunta de distintos idiotipos de anticuerpos recombinantes, dando lugar a anticuerpos policlonales u oligoclonales recombinantes. Por tanto en esta tesis se planteó la posibilidad de co-expresar simultáneamente distintos anticuerpos monoclonales en plantas formando un cóctel oligoclonal. En el segundo Capítulo de esta tesis se diseñaron tres rmAbs frente a la glicoproteína de la cubierta del virus del Ébola. Los tres rmAbs se expresaron transitoriamente en N. benthamiana de manera individual mediante el establecimiento de líneas paralelas de producción y también se co-expresaron los tres rmAbs simultáneamente en una misma línea de producción. Los resultados obtenidos en este Capítulo demostraron que la expresión de los rmAbs de manera individual es factible. Sin embargo, cuando se co-expresan los tres rmAbs se observa una drástica disminución en la unión del anticuerpo al antígeno debido al barajado de cadenas, fenómeno por el cual cada cadena pesada (HC) se puede unir con cualquier cadena ligera (LC) distinta de su acompañante, dando lugar a un anticuerpo con una baja actividad. Finalmente, con el objetivo de desarrollar un método que permita co-expresar en una misma línea de producción varios rmAbs de forma reproducible se propuso explotar el fenómeno de la exclusión viral, un característica propia de los virus de plantas. Los resultados mostrados en el Capítulo 3 demuestran que es posible la producción de un cóctel oligoclonal compuesto por 36 rmAbs en N. benthamiana aprovechando el fenómeno de la exclusión viral. Los datos obtenidos en este capítulo muestran que el cóctel oligoclonal producido de esta forma mantiene intactas las actividades de los anticuerpos individuales y es capaz de neutralizar las actividades tóxicas del veneno de la serpiente Bothrops asper en ensayos in vitro e in vivo. Los resultados de esta tesis confirman y avalan el uso de las plantas como plataformas de expresión de formatos alternativos de anticuerpos. / El desenvolupament de l'enginyeria genètica ha permès el disseny i la producció d'anticossos recombinants (rmAbs) en plantes. Hui en dia, els rmAbs s'utilitzen en el tractament d'un ampli rang de patologies com malalties infeccioses, malalties inflamatòries i càncer convertint-se en un important grup de biomolècules dins de les indústries farmacèutiques i biotecnològiques. Fins a la data, s'han expressat majoritàriament la immunoglobulina del tipus G. Gràcies al desenvolupament de l'enginyeria de l'ADN recombinant i l'enginyeria dels anticossos s'han desenvolupat i expressat formats alternatius de rmAbs. Tanmateix, hi ha molts pocs estudis comparatius on es demostra si el format de l'anticòs elegit influeix en el rendiment i en la capacitat neutralitzant. Per tant, el punt de partida del primer Capítol d'esta Tesi és la realització d'un estudi comparatiu on s'expressen cinc formats diferents d'un mateix anticòs comercial (Infliximab) front a la citocina humana Tumor Necrosis Factor (TNF-¿). Els resultats obtesos demostren que tant l'isotip com l'estructura del rmAb elegit influeix en el rendiment i en la capacitat neutralitzant del rmAb. L'expressió de nous formats d'anticossos no sols afecta a l'isotip o a l'estructura del rmAb sinó que també pot incloure's dins d'aquest concepte l'expressió individual i l'expressió conjunta de diferents rmAbs. Partint d'aquesta hipòtesi, es va plantejar la possibilitat de co-expressar diferents rmAbs (còctel oligoclonal) en plantes. En el segon Capítol d'esta tesi es dissenyaren tres rmAbs front a la glicoproteïna del virus de l'Ébola. Els tres rmAbs s'expressaren transitòriament en N. benthamiana de manera individual mitjançant l'establiment de línies paral·leles de producció i també es co-expressaren els tres rmAbs en la mateixa línia de producció. Els resultats obtesos en este Capítol demostraren que l'expressió dels rmAbs de manera individual és factible. Tanmateix, quan es co-expressaren els tres rmAbs s'observà una dràstica disminució en la unió de l'anticòs a l'antigen com a conseqüència del shuffling chain, pel qual la cadena pesada (HC) s'uneix amb qualsevol cadena lleugera (LC) diferent a la seua acompanyant, formant un anticòs amb una baixa capacitat d'unió a l'antigen. Amb l'objectiu de desenvolupar un mètode que permeta co-expressar, en una mateixa línia de producció, un còctel oligoclonal es proposà explotar el fenomen de l'exclusió viral. Els resultats obtesos en el Capítol 3 demostren que l'expressió d' un còctel oligoclonal format per 36 rmAbs en plantes és possible. Els resultats mostren que el nostre còctel oligoclonal es capaç de neutralitzar activitats tòxiques del verí de la serp Bothrops asper en assaigs in vitro i in vivo. Els resultat obtesos en aquesta Tesi confirmen i avalen l'ús de les plantes com plataformes d'expressió de formats alternatius d'anticossos. / Huet Trujillo, E. (2017). Nuevas metodologías para la producción de anticuerpos recombinantes en plantas [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/90469 / TESIS

Les arbovirus (dont le virus chikungunya, CHIKV) sont responsables de millions d'infections chaque année ; aucun vaccin n'est encore approuvé, et les traitements disponibles restent limités. De part leur circulation constante entre le moustique et l'humain, leur adaptation rapide à différents hôtes est un facteur clé pour leur pathogenèse. Le taux d'erreur particulièrement élevé de leur polymérase ARN permet une rapide diversification génique qui conduit à la génération d'un nuages de mutants, appelée quasi espèce. Les quasi espèces contiennent non seulement des génomes mutés, mais aussi des ARN recombinés à partir de deux génomes d'origine différente, ainsi que des génomes avec de grandes délétions, incapables de se répliquer sans l'aide d'un autre virion qui doit infection la même cellule, nommés génomes viraux défectifs (GVD). Une régulation étroite de la taille du nuage de mutants est clé pour une pathogenèse efficace : si trop petit, le potentiel adaptatif du virus sera impacté ; au contraire, une quasi-espèce trop grande peut mener à l'accumulation rapide de mutations délétères pour le virus. Alors que la régulation du paysage mutationnel est atteinte grâce à un taux d'erreur de la polymérase viral finement contrôlé, la recombinaison et la réplication des génomes défectifs sont influencés par le potentiel de co-infection des cellules cibles. Dans ce contexte, l'exclusion de la surinfection (ESI), un processus par lequel l'infection par un premier virus inhibe l'infection par un second virus, peut influer le dynamique de la quasi-espèce. Bien que décrite dans la plupart des familles virales, les mécanismes à l'origine de l'ESI restent mal caractérisés. Dans ce travail, je montre que CHIKV exclut une infection future par CHIKV, mais aussi par le virus Sindbis et le virus de la grippe A, mais non par le virus du Nil occidental. Je démontre que l'exclusion de CHIKV se situe au niveau de la pénétration du génome viral dans le cytoplasme, puis de sa réplication, mais n'influence ni l'attachement du virion ni la traduction de son génome. Je montre également que l'ESI est indépendant de l'action des interférons de type I, et qu'elle n'est médiée ni par la transcription cellulaire, ni par un facteur soluble. De plus, l'exclusion n'est pas due à une unique protéine virale, suggérant un potentiel rôle de la réponse cellulaire à l'infection.Déterminer l'influence des pressions immunologiques dans l'établissement de la quasi-espèce peut aider à une meilleure compréhension de l'interaction entre évolution virale et réponse immunitaire. Bien que la caractérisation non biaisée des mutations ponctuelles fût le fruit de nombreux travaux, les GVD restent peu caractérisées, en particulier chez les alphavirus. Dans la deuxième partie de ce travail, je développe des outils bio-informatiques pour isoler rapidement les GVD de données de séquençage à haut débit, et analyse les avantages et les inconvénients d'un ajout d'une étape de pré-amplification pour détecter et quantifier les GVD. À l'aide de ces outils, je fournis ensuite la première description complète des GVD produits par des passages séquentiels de CHIKV en culture cellulaire. En particulier, je montre que le type de GVD générés est très dépendants du type cellulaire, avec des motifs de séquences et des cadres de lecture ouverts différents lorsque les cellules hôtes sont des cellules de mammifère ou d'insecte. Ces résultats soulignent le role de l'environnement cellulaire dans le modelage de la quasi-espèce, et des GVD en particulier. Des travaux futurs aideront à dévoiler les mécanismes sous-jacents à cette interaction et pourraient permettre la conception de nouvelles stratégies thérapeutiques ciblant les dynamiques des quasi-espèces. / Arboviruses such as chikungunya virus (CHIKV) are responsible for millions of yearly infections, with no approved vaccines and limited treatments. Because they circulate between mosquitoes and humans, their fast adaptation potential to different hosts is key to pathogenesis. To achieve genome diversification, they rely on the error-prone nature of their self-encoded RNA-dependent RNA polymerase, which quickly generates a cloud of mutants, termed quasispecies. Quasispecies contain not only mutated genomes, but also shuffled genomes of different parental origin (through a process known as recombination), as well as genomes with large deletions, unable to replicate without the co-infection with a full-length helper genome, and thus termed defective viral genomes (DVGs). A tight regulation of the mutant cloud size is key to pathogenesis: if too small, it will limit the adaptation potential of the virus, whilst too big a quasispecies may lead to the fast accumulation of deleterious mutations. While regulation of the mutational landscape is achieved through the finely tuned error rate of the viral polymerase, recombination and DVG replication are influenced by the co-infection potential of the target cells.In this context, superinfection exclusion (SIE), a process by which infection by a first virus prevents infection by a second, closely related virus, can regulate quasispecies dynamics. While described in most viral families, mechanisms underlying SIE remain poorly characterised. Here, I show that CHIKV infection excludes subsequent infection by CHIKV, Sindbis virus and influenza A virus, but not West Nile virus. I demonstrate that CHIKV exclusion occurs at two steps, impacting independently viral penetration and replication, but does not directly influence binding, nor viral protein translation. I further show that SIE is interferon independent, and does not rely on host cell transcription nor on soluble cellular factors. Moreover, exclusion is not mediated by the action of a single CHIKV protein, suggesting that a cellular response may be at play. Assessing how different immunological pressures can shape quasispecies landscape may prove useful to a more thorough understanding of the interplay between viral evolution and the immune response. Although the unbiased study of point mutations has received much attention, less is known about the characteristics of DVGs, especially in alphaviruses. In the second part of this work, I develop bioinformatics tools to quickly isolate DVGs from next-generation sequencing data, and assess the advantages and drawbacks of pre-amplification steps to detect and quantify DVGs. Using these tools, I provide the first unbiased description of the DVG landscape generated through serial passaging of CHIKV in cell culture. In particular, I show that the DVG landscape is highly dependent on the cell type, with sequence patterns and open reading frames differing between DVGs generated in mammalian and insect cells. These results highlight the role of the cellular environment in shaping quasispecies, and DVGs in particular. Future work will help uncover the mechanisms underlying this crosstalk and may prove useful for the design of treatments targeting quasispecies dynamics.

Many virus infections induce a transient state of immune suppression in the infected host. Virus-induced T cell suppression can be caused by T cell activation-induced cell death (AICD), dendritic cell (DC) apoptosis, DC dysfunction, and/or the enhanced expression of immune-suppressive cytokines. It has been previously demonstrated that naïve bystander CD8 T cells derived from hosts experiencing an acute virus-specific T cell response underwent AICD when polyclonally activated by anti-CD3 in vitro (Zarozinski et al., 2000). Susceptibility of naïve bystander T cells to AICD could prevent the development of a new T cell response during an ongoing immune response, and thus render infected hosts immune suppressed. Although immune suppression could result in an enhanced susceptibility to superinfections, virus-infected individuals are more commonly resistant to superinfecting pathogens. Because of these seemingly contradictory conditions, we sought to investigate how acute viral infections impact naïve bystander CD8 T cells in vivo. More specifically, we asked whether bystander CD8 T cells are susceptible to immune suppression or whether they can contribute to the resistance to superinfections. In order to address this, we examined the responses of bystander CD8 T cells activated with cognate antigen during acute viral infections in vivo. We generated several in vivomodels using P14 (LCMV glycoprotein-specific), HY (male antigen-specific), and OT-I (ovalbumin-specific) transgenic CD8 T cells, which we defined as bystander during acute infections with lymphocytic choriomeningitis virus (LCMV), Pichinde virus (PV), vaccinia virus (VV), and murine cytomegalovirus (MCMV). Consistent with the enhanced susceptibility to cell death noted in vitro, we found that bystander CD8 T cells activated with cognate antigen in vivo during acute viral infections underwent markedly reduced proliferation. Virus-induced transient T cell suppression in vivo was not exclusively mediated by Fas-FasL- or TNF-induced AICD or due to an enhanced susceptibility to apoptosis. Instead, immune suppression in vivowas associated with a delayed onset of division, which we found not to be due to a defect in antigen presentation, but rather due to a T cell intrinsic defect. Despite the suppressed proliferation of TCR-stimulated bystander CD8 T cells in vivo, we found an enhancement of the effector functions exerted by bystander CD8 T cells activated during acute viral infections. During acute viral infections or after stimulation with type 1 IFN (IFN-αβ) inducers, some bystander CD8 T cells were sensitized to immediately exert effector functions such as IFN-γ production and degranulation upon stimulation with high affinity cognate antigen. Sensitization of naïve CD8 T cells required self-MHC I and indirect effects of IFN-αβ, while IL-12, IL-18, and IFN-γ were not individually required. IL-15 was not required for the rapid expression of IFN-γ, but was required for up-regulation of granzyme B (GrzB). P14 and OT-I CD8 T cells, which are capable of homeostatic proliferation, could be sensitized by poly(I:C), but HY CD8 T cells, which are poor at homeostatic proliferation, could not, suggesting that the requirement for MHC I may be to present low affinity cryptically cross-reactive self antigens. Sensitized naive CD8 T cells up-regulated the t-box transcription factor Eomesodermin (Eomes), which can regulate these rapid effector functions. In conclusion, we demonstrate in this thesis that acute viral infections impact naïve bystander CD8 T cells such that their response to cognate antigen is altered. Prior to cognate antigen engagement, bystander CD8 T cells up-regulated Eomes, CD122, and GrzB. Following cognate antigen engagement, bystander CD8 T cells rapidly degranulated and expressed the effector cytokine IFN-γ. The ability of bystander CD8 T cells to rapidly exert effector functions may contribute to the resistance of virus-infected individuals to superinfections. Despite these rapid effector functions, the proliferation of TCR-stimulated bystander CD8 T cells was markedly inhibited. This reduced proliferation was found not to be a defect in antigen presentation, but was a T cell intrinsic defect in initiating division. Thus, bystander CD8 T cells were also susceptible to virus-induced immune suppression. It is also likely that virus-specific CD8 T cells that are not activated until later in the response, so-called latecomer CD8 T cells, may also be susceptible to immune enhancement and suppression. Thus, latecomer CD8 T cells would be able to rapidly exert effector functions at the expense of proliferation. Taken together, we propose that during an immune response, due to spatial and temporal gradients of antigen and inflammation, it is likely that a combination of heterogeneous T cells with different signal strengths and sequences of exposure from cytokines and peptide-MHC constitute the total T cell response to pathogens.

<p> Lung disease is the leading threat to human health worldwide. In particular, two threats are responsible for the majority of the pulmonary disease burden: infection and tobacco smoke exposure. Efforts to combat these diseases have been hampered by gaps in our understanding of the complex interactions between environmental threats and the host's own immune defences. Indeed, much of the pulmonary disease burden should be ascribed not to direct smoke-, virus-or bacteria-induced damage, but to maladaptive host defence responses against these threats. This is an understudied topic. Efforts to redress this deficiency have been hampered by the lack of available animal models. Thus, the present studies developed and examined models of Heterologous pulmonary infection, in which hosts must defend against two different infections, and of tobacco smoke exposure. In the first study, a critical role for MIP-2 driven pulmonary neutrophilia was elucidated in the pathology associated with bacterial superinfection of influenza virus infection. This study further demonstrated that the timing and sequence in which pathogens were encountered played important roles in determining the outcome of disease, and that viral and bacterial infections have different but long-lived impacts on alveolar macrophages. In the second study, it was determined that cigarette smoke exposure impacts host defence without exhausting T-or B-cells. Collectively, these studies have advanced our understanding of complex lung pathologies, and suggest an important role for the innate immune system in mediating such diseases. </p> / Thesis / Doctor of Philosophy (PhD)