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The role of scavenger receptor BI in hepatitis - eTheses Repository ...

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160<br />

<strong>The</strong>re are various models <strong>of</strong> how antibody b<strong>in</strong>d<strong>in</strong>g prevents virus attachment,<br />

entry and penetration, the most simplistic view is <strong>of</strong> a particle coated with<br />

antibodies unable to function due to stearic h<strong>in</strong>drance exerted by the antibody<br />

shell (54). However, neutralisation efficiency does not necessarily directly<br />

correlate with the degree <strong>of</strong> antibody coat<strong>in</strong>g, <strong>in</strong>deed <strong>in</strong> some cases particles<br />

saturated with mAb rema<strong>in</strong> <strong>in</strong>fectious (97). <strong>The</strong>refore more sophisticated<br />

models have been developed to accommodate such experimental data.<br />

Multiple hit and occupancy models <strong>of</strong> neutralisation draw upon the concept<br />

that virions carry numerous copies <strong>of</strong> glycoprote<strong>in</strong>(s) required for virus entry,<br />

however particle entry may only require a fraction <strong>of</strong> the total number to be<br />

functional (151). <strong>The</strong>refore, a particle can tolerate antibody mediated<br />

<strong>in</strong>activation <strong>of</strong> multiple envelope prote<strong>in</strong>s without any appreciable reduction <strong>in</strong><br />

<strong>in</strong>fectious potential. Experimentally, this phenomena manifests itself as a lag<br />

<strong>in</strong> neutralisation, whereby at lower antibody concentrations there is no<br />

detectable <strong>in</strong>hibition (105, 152).<br />

<strong>The</strong> importance <strong>of</strong> epitopes targeted by humoral responses cannot be<br />

overlooked. Ligation <strong>of</strong> some epitopes may exert moderate to weak<br />

neutralisation by partial <strong>in</strong>hibition <strong>of</strong> envelope prote<strong>in</strong> function. Other, so called<br />

critical epitopes, contribute directly to events such as <strong>receptor</strong> engagement;<br />

block<strong>in</strong>g <strong>of</strong> these will render an envelope prote<strong>in</strong> completely <strong>in</strong>active (152).<br />

Consequently, antibodies that target critical epitopes can exhibit strong<br />

neutralisation at low occupancy; that is to say relatively few epitopes are<br />

‘occupied’ per particle (228). It has been reported that for some viruses the<br />

b<strong>in</strong>d<strong>in</strong>g <strong>of</strong> a s<strong>in</strong>gle antibody is sufficient to <strong>in</strong>activate a particle, <strong>in</strong> these cases

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