Genetically restricted human antibodies recognize a conserved β-hairpin in postfusion influenza hemagglutinin

Abstract

A public class of broadly protective, human antibodies (Abs) binds a conserved {beta}-hairpin exposed in the postfusion conformation of influenza virus hemagglutinin (HA). We here describe use of in vitro immunoassays and high-resolution cryogenic electron microscopy analysis of Ab:HA complexes to explain the apparent genetic restriction of these Abs and the wide range of influenza A and B subtypes they recognize. We show that recognition of the {beta}-hairpin epitope requires 1) germline-encoded residues unique to certain alleles of the human immunoglobulin heavy chain gene IGHV1-2, 2) a short (75% of people have the necessary IGHV1-2 alleles to make these Abs. We conclude that an immunogen that displays the {beta}-hairpin epitope might reliably elicit broadly protective influenza antibodies in most humans.