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605
Figures 606
Figure 1 – Antibody binding panel to CLEARFLU versions 1 & 2 expressed in stably 607
transduced MDCK-SIAT1 cells. 608
MDCK-SIAT1 cells were transduced to express H1 A/England/195/2009 and H3 A/Hong 609
Kong/5738/2014 CLEARFLU and wildtype hemagglutinins and sorted for high expression with 610
antibodies T3 -3C (28) (H1) or AM3C (H3) (produced in -house, manuscript in preparation). 611
.CC-BY-ND 4.0 International licenseavailable under a
(which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
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Hemagglutinins were bound with head or stem -targeted human primary antibodies, and binding 612
was detected with a FIT-C labelled goat anti-human IgG secondary antibody. 613
A. Bar graph showing median fluorescence. The average median fluorescence for three 614
populations of unstained cells which were not transduced to express hemagglutinin is shown as 615
the no-HA control. 616
B. Histogram plots showing the relative frequency of cells detected with a given fluorescence 617
intensity. Grey plots show unstained cells which were not transduced to express hemagglutinin. 618
.CC-BY-ND 4.0 International licenseavailable under a
(which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
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619
620
621
Figure 2 – Replication of S-FLU virus in cell lines expressing hemagglutinin with a single 622
CLEARFLU candidate mutation 623
MDCK-SIAT1 cells were transduced to express the selected mutant H7 A/Hong Kong/125/2017 624
hemagglutinin and sorted for high expression with H7 antibody 4A14 (Huang 2019). Cells were 625
.CC-BY-ND 4.0 International licenseavailable under a
(which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
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infected with a n eGFP-expressing S -FLU virus pseudotyped with functional hemagglutinin in 626
half-log dilutions, starting at 1000 TCID50 per well. Eight replicates were used at each dilution. 627
Bars show the fluorescence of each well in a 96 -well plate after 48 hours. Fluorescence 628
microscopy images show cells in dilution 1 expressing eGFP after S-FLU infection, with clusters 629
of infected cells indicating virus replication. The experiment was split into three sets, each of 630
which was repeated with the same results. Virus used for infection : H7N1 S-FLU ([S-631
eGFP/N1(A/Puerto Rico/8/1934)] coated in H7(A/Netherlands/219/2003)) 632
.CC-BY-ND 4.0 International licenseavailable under a
(which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprintthis version posted March 4, 2024. ; https://doi.org/10.1101/2024.03.01.582898doi: bioRxiv preprint
633
634
635
636
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(which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprintthis version posted March 4, 2024. ; https://doi.org/10.1101/2024.03.01.582898doi: bioRxiv preprint
Figure 3 – Antibody binding to CLEARFLU version 3 expressed in stably transduced 637
MDCK-SIAT1 cells 638
MDCK-SIAT1 cells were stably transduced to express H7 A/Hong Kong/125/2017 CLEARFLU 639
version 3 hemagglutinin and sorted for high expression with H7 antibody 4A14. Hemagglutinins 640
were bound with head or stem -targeted human primary antibodies, and binding was detected 641
with an Alexa Fluor 647 labelled secondary antibody. 642
A. Bar graph showing median fluorescence. 643
B. Histogram plots showing the relative frequency of cells detected with a given fluorescence 644
intensity. 645
646
647
648
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Figure 4 – Titration and hemagglutinin expression of CLEARFLU version 3 viruses 649
A, B & C. Two aliquots of CLEARFLU version 3 virus reference stock were titrated by CID50 650
and TCID50 using antibody 2 -8C (Powell et al., 2012) specific to nucleoprotein and an Alexa 651
Fluor 647 labelled secondary antibody. Error bars show the standard deviation around the mean 652
from duplicates. Plot B is representative of two titrations for each aliquot, the results of which 653
are presented in C. 654
D. Fluorescence microscopy images show the expansion of CLEARFLU version 3 virus clones 655
in MDCK -SIAT1 cells transduced to express PR8 hemagglutinin. Cells were infected as per 656
TCID50 protocol but were stained after 24 hours with primary antibodies 2 -8C (biotin -657
conjugated) and 4A14 and then with secondary layers Alexa Fluor 647 streptavidin and goat 658
anti-human Alexa Fluor 488. Clones were defined as clusters of nucleoprotein -stained cells, 659
often with comet-like trails. 660
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661
662
663
664
665
.CC-BY-ND 4.0 International licenseavailable under a
(which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprintthis version posted March 4, 2024. ; https://doi.org/10.1101/2024.03.01.582898doi: bioRxiv preprint
Figure 5 – Plaque morphology of CLEARFLU version 3 viruses grown in cells expressing 666
Ebola glycoprotein (GP). 667
Cells were infected with S-FLU or CLEARFLU version 3 virus as per TCID50 protocol and 668
stained after 48 hours with anti-nucleoprotein mouse antibody AA5H and an Alexa Fluor 647 669
secondary antibody (red). Cells infected with CLEARFLU version 3 virus were also stained with 670
H7 hemagglutinin human antibody 4A14 and an Alexa Fluor 488 secondary antibody (green). 671
Fluorescence microscopy images were taken of plaques indicative of clonal expansion. 672
CLEARFLU virus plaques which did not stain with 4A14 are indicated with a white dash. 673
Viruses: H7N1 S-FLU ([S-eGFP/N1(A/Puerto Rico/8/1934)] coated in H7 A/Hong 674
Kong/125/2014) & H7 A/Hong Kong 125/2014 CLEARFLU version 3 reference stock. 675
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676
677
678
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Figure 6 – Proportion of clones expressing CLEARFLU version 3 hemagglutinin after 679
passage at low MOI in MDCK-SIAT1 cells expressing Ebola glycoprotein 680
CLEARFLU version 3 reference stock was used to infect a large flask of MDCK -SIAT1 cells 681
expressing Ebola GP at a multiplicity of infection of around 0.01 by TCID50, and then passaged 682
at a 1 in 1000 dilution every 48 hours six times. Aliquots from each round were used to infect 683
MDCK-SIAT1 cells expressing GP in limiting dilution, and viral clones were identified by 684
nucleoprotein staining with AA5H (Alexa Fluor 647 secondary). Clones were scored as positive 685
for CLEARFLU expression if they also stained with 4A14 (Alexa Fluor 488 secondary). Each 686
bar shows an independent count. Error bars show 95% confidence intervals calculated using the 687
Wilson/Brown method for proportions. 688
689
690
691
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Figure 7 – Design of the CLEARFLU version 3 viral expression cassette and truncation 692
after repeated passage in MDCK-SIAT1 cells expressing Ebola glycoprotein. 693
The CLEARFLU expression cassette contains intact packaging signals from the S-FLU 694
expression cassette, which in this design differs from that described in Powell et al. 2012 by the 695
alteration of two additional interfering ATG codons upstream of the NotI site. After six rounds of 696
passage at low multiplicity of infection in MDCK-SIAT1 cells expressing Ebola glycoprotein, 697
two viral clones expressed a truncated CLEARFLU construct containing only 63 base pairs of 698
coding sequence flanked by intact PR8 untranslated regions (UTRs). 699
700
701
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Figure 8 – Murine serum antibody response following immunisation with CLEARFLU 702
version 2 703
Serum antibody response in mice immunised with H1 or H3 CLEARFLU version 2 viruses 704
pseudotyped with H5 or H7 coats. Mice were immunised with 2E6 CID50 virus intranasally 705
(IN), or 1E6 CID50 intranasally and 1E7 CID50 intraperi toneally (IP) twice 28 days apart. Sera 706
were harvested 14 days after the second dose for characterisation by microneutralisation (A) and 707
enzyme linked lectin assay (B). Sera from 5 mice were pooled for each group, except the viral 708
growth medium (VGM) only control group, for which 4 mice were used. Error bars show the 709
standard deviation from within -assay duplicates, with results from two independent assays 710
shown. 711
A. Neutralising antibody response to H1, H3, H5 and H7 S-FLU by immune mouse sera or 712
control antibody MEDI8852 713
B. Inhibition of N1 neuraminidase activity by mouse immune sera or control antibody Z2B3. 714
715
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Figure 9 – Murine serum and bronchoalveolar lavage (BAL) antibody response following 716
immunisation with CLEARFLU version 3 717
Serum and BAL antibody response in mice immunised with H7 CLEARFLU version 3 718
pseudotyped with an H1 (PR8) coat or a strain -matched H7 S-FLU. Mice a-d in each group were 719
immunised twice 14 days apart with 1E5 TCID50 virus intranasally (IN), 1E6 TCID50 720
intraperitoneally (IP) or 1E5 TCID50 IN and 1E6 TCID50 IP. Sera and BAL were harvested 68 721
days after the second dose for characterisation by enzyme -linked lectin assay (A) and 722
microneutralisation (B). Error bars show the standard deviation from within -assay duplicates 723
when both duplicates fell above the detection threshold. 724
A. Inhibition of N1 neuraminidase activity by mouse immune sera, BAL or control antibody 725
Z2B3. Sera from the four mice were pooled for each group. BAL could not be collected from 726
mouse b in the CLEARFLU IN+IP group, mouse a in the S-FLU IN+IP group or mouse a in the 727
VGM group. 728
B. Neutralising antibody response to H7 S-FLU by immune mouse sera, BAL or control 729
antibody MEDI8852. The top two plots show neutralisation of strain -matched A/Hong 730
Kong/225/2017 S-FLU by individual mouse sera or BAL. BAL could not be collected from 731
mouse a in the S-FLU IN+IP group or mouse a in the VGM control group. The bottom plot 732
shows neutralisation of unmatched H7 A/Netherlands/219/2003 and A/Taiwan/1/2017 S-FLU by 733
pooled immune sera. 734
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735
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(which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprintthis version posted March 4, 2024. ; https://doi.org/10.1101/2024.03.01.582898doi: bioRxiv preprint
Figure 10 – Murine T-cell response to CLEARFLU version 3 736
Mice were immunised as described in Figure 9. Circles indicate the percentage of CD8+ T -cells 737
positive for MHC tetramer in the lungs and spleen of each mouse a-d in each group. Bars show 738
the mean and standard deviation for each group. For spleens, data could not be collected for 1 739
individual in the CLEARFLU IN, CEARFLU IP, CLEARFLU IN+IP and S-FLU IP groups and 740
for 2 individuals in the S -FLU IN+IP and VGM control groups. Multiple t tests were used to 741
compare CLEARFLU and S-FLU groups for each administration method. The Holm -Sidak 742