Tufts Cummings School of Veterinary Medicine, North Grafton, MA 01536, USA.
Toxins (Basel). 2012 Dec;4(12):1565-81. doi: 10.3390/toxins4121565.
Botulinum neurotoxin (BoNT) is responsible for causing botulism, a potentially fatal disease characterized by paralysis of skeletal muscle. Existing specific treatments include polyclonal antisera derived from immunized humans or horses. Both preparations have similar drawbacks, including limited supply, risk of adverse effects and batch to batch variation. Here, we describe a panel of six highly protective sheep monoclonal antibodies (SMAbs) derived from sheep immunized with BoNT/A1 toxoid (SMAbs 2G11, 4F7) or BoNT/A1 heavy chain C-terminus (HcC) (SMAbs 1G4, 5E2, 5F7, 16F9) with or without subsequent challenge immunization with BoNT/A1 toxin. Although each SMAb bound BoNT/A1 toxin, differences in specificity for native and recombinant constituents of BoNT/A1 were observed. Structural differences were suggested by pI (5E2 = 8.2; 2G11 = 7.1; 4F7 = 8.8; 1G4 = 7.4; 5F7 = 8.0; 16F9 = 5.1). SMAb protective efficacy vs. 10,000 LD50 BoNT/A1 was evaluated using the mouse lethality assay. Although not protective alone, divalent and trivalent combinations of SMabs, IG4, 5F7 and/or 16F9 were highly protective. Divalent combinations containing 0.5–4 μg/SMAb (1–8 μg total SMAb) were 100% protective against death with only mild signs of botulism observed; relative efficacy of each combination was 1G4 + 5F7 > 1G4 + 16F9 >> 5F7 + 16F9. The trivalent combination of 1G4 + 5F7 + 16F9 at 0.25 μg/SMAb (0.75 μg total SMAb) was 100% protective against clinical signs and death. These results reflect levels of protective potency not reported previously.
肉毒神经毒素(BoNT)是导致肉毒中毒的原因,肉毒中毒是一种潜在致命的疾病,其特征是骨骼肌瘫痪。现有的特定治疗方法包括源自免疫人类或马的多克隆抗血清。这两种制剂都有类似的缺点,包括供应有限、有不良反应风险和批次间差异。在这里,我们描述了一组由 6 种高度保护性的绵羊单克隆抗体(SMAbs)组成,这些抗体来自于用 BoNT/A1 类毒素(SMAbs 2G11、4F7)或 BoNT/A1 重链 C 末端(HcC)(SMAbs 1G4、5E2、5F7、16F9)免疫的绵羊,这些抗体在随后用 BoNT/A1 毒素进行挑战免疫之前或之后进行了免疫。尽管每种 SMAb 都能结合 BoNT/A1 毒素,但观察到对 BoNT/A1 天然和重组成分的特异性存在差异。通过等电点(pI)(5E2=8.2;2G11=7.1;4F7=8.8;1G4=7.4;5F7=8.0;16F9=5.1)表明存在结构差异。使用小鼠致死性测定法评估了 SMAb 对 10,000LD50 BoNT/A1 的保护效力。尽管单独使用时没有保护作用,但二价和三价 SMAb 组合,IG4、5F7 和/或 16F9 具有高度保护作用。包含 0.5-4μg/SMAb(1-8μg 总 SMAb)的二价组合对死亡 100%有保护作用,仅观察到轻微的肉毒中毒症状;每种组合的相对效力为 1G4+5F7>1G4+16F9>>5F7+16F9。包含 1G4+5F7+16F9 的三价组合在 0.25μg/SMAb(0.75μg 总 SMAb)时对临床症状和死亡 100%有保护作用。这些结果反映了以前未报道过的保护效力水平。
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