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使用基于羊抗体的治疗药物EBOTAb对豚鼠进行埃博拉病毒病暴露后治疗。

Post-exposure treatment of Ebola virus disease in guinea pigs using EBOTAb, an ovine antibody-based therapeutic.

作者信息

Dowall Stuart D, Bosworth Andrew, Rayner Emma, Taylor Irene, Landon John, Cameron Ian, Coxon Ruth, Al Abdulla Ibrahim, Graham Victoria A, Hall Graham, Kobinger Gary, Hewson Roger, Carroll Miles W

机构信息

Public Health England, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK.

MicroPharm Ltd, Station Road, Newcastle Emlyn, Dyfed, SA38 9BY, UK.

出版信息

Sci Rep. 2016 Jul 28;6:30497. doi: 10.1038/srep30497.

Abstract

Ebola virus (EBOV) is highly pathogenic, with a predisposition to cause outbreaks in human populations accompanied by significant mortality. An ovine polyclonal antibody therapy has been developed against EBOV, named EBOTAb. When tested in the stringent guinea pig model of EBOV disease, EBOTAb has been shown to confer protection at levels of 83.3%, 50% and 33.3% when treatment was first started on days 3, 4 and 5 post-challenge, respectively. These timepoints of when EBOTAb treatment was initiated correspond to when levels of EBOV are detectable in the circulation and thus mimic when treatment would likely be initiated in human infection. The effects of EBOTAb were compared with those of a monoclonal antibody cocktail, ZMapp, when delivered on day 3 post-challenge. Results showed ZMapp to confer complete protection against lethal EBOV challenge in the guinea pig model at this timepoint. The data reported demonstrate that EBOTAb is an effective treatment against EBOV disease, even when delivered late after infection.

摘要

埃博拉病毒(EBOV)具有高度致病性,易于在人群中引发疫情并伴有高死亡率。一种针对EBOV的绵羊多克隆抗体疗法已被开发出来,名为EBOTAb。在严格的埃博拉病毒病豚鼠模型中进行测试时,当分别在攻毒后第3天、第4天和第5天首次开始治疗时,EBOTAb已显示出分别能提供83.3%、50%和33.3%的保护水平。这些开始使用EBOTAb治疗的时间点与循环中可检测到EBOV水平的时间相对应,因此模拟了人类感染时可能开始治疗的时间。将攻毒后第3天给予EBOTAb的效果与单克隆抗体鸡尾酒疗法ZMapp的效果进行了比较。结果显示,在这个时间点,ZMapp在豚鼠模型中对致死性EBOV攻毒能提供完全保护。报告的数据表明,即使在感染后较晚给予,EBOTAb也是一种有效的埃博拉病毒病治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8fe/4964638/4efef02ff517/srep30497-f1.jpg

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