Zehner, Matthias - B 11

Investigation of HCMV Resistance and Immune Escape Pathways – HCMV-RISE

Dr. Matthias Zehner
Dr. Matthias Zehner

Institute for Virology

CMMC - PI - CAP 41
CMMC - PI - B 11

Institute for Virology

Fürst-Pückler-Str. 65

50935 Köln

Introduction

Human Cytomegalovirus (HCMV) poses significant health risks for immune-compromised individuals and fetuses. Despite advances, it remains a leading infectious complication e.g., after transplantations, with associated morbidity and mortality. Harnessing antibodies presents a promising avenue against infectious diseases, yet understanding the role of humoral immunity in HCMV is strongly limited, including associated HCMV escape mechanisms. HCMV-RISE aims to dissect HCMV antibody escape dynamics by analyzing polyclonal IgGs and monoclonal antibodies (mAb) from HCMV patients. Native HCMV isolates from reactivation will be tested for their infectivity in presence of patient-de rived antibodies. Furthermore, the development of resistance under mAb pressure will be studied through long-term viral passaging and genomic analysis. Both genetic mutations and non-genetic escape mechanisms - such as in corporation of antibodies into virions, altered glycoprotein expression, and viral protease activity - will be systematically explored. Binding studies will help define how mutations impact antibody-virus interaction and viral tropism. To counteract escape, the project will evaluate synergistic antibody combinations, identify resistant epitopes, and assess cross-neutralization profiles. This work will provide mechanistic insights and translational strategies for improving HCMV-targeted therapies, with potential application to other viral infections. By bridging mechanistic understanding with therapeutic approaches, HCMV-RISE aims to close critical gaps in current antiviral strategies.

Figure

Fig. |Conceptual framework of HCMV-RISE (HCMV Resistance and Immune Escape). Patient-derived virus and IgG pairs as well as defined monoclonal antibodies are used to quantify neutralization and to select antibody escape phenotypes. Escape variants are analyzed to resolve the relative contribution of genetic changes versus non-genetic mechanisms (e.g., altered antigen accessibility or virion composition) to resistance. These mechanistic insights will be translated into resistance-aware intervention principles, including optimized antibody combinations, aiming to improve effective treatment and prevention of HCMV.

Clinical Relevance

HCMV poses a serious threat to immunocompromised patients and developing fetuses. Although antibodies are a promising therapeutic option, efficacy remains limited. Critically, insufficient knowledge about HCMV-specific antibody responses and viral resistance mechanisms has strongly contributed to failure of clinical mAbs in vivo. To overcome this obstacle, HCMV-RISE will help to better understand HCMV infections and identify conserved targets and escape strategies to guide effective therapies.

Approach

  • Profile paired virus and IgG from defined patient cohorts to quantify autologous vs. heterologous neutralization and identify patterns of humoral control.
  • Select and characterize HCMV escape phenotypes under defined monoclonal and polyclonal antibody pressure, using sequencing as a mechanistic readout to map resistance-associated viral changes.
  • Integrate functional neutralization with multiplex antibody-binding and orthogonal assays to distinguish genetic vs. non-genetic mechanisms of antibody escape (including altered antigen accessibility, virion composition and Fc-dependent effects).
  • Evaluate antibody combinations across strains and relevant cell types to increase potency and raise barriers to escape, as well as derive conserved targets and general resistance-aware principles for antibody-based interventions.

Lab Website

For more information, please visit the following page: Zehner Lab.

2026

Content will be made available as soon as possible.