Vanderbilt Vaccine Center, Department of Pediatrics, and Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA; email:
Annu Rev Immunol. 2022 Apr 26;40:349-386. doi: 10.1146/annurev-immunol-042718-041309. Epub 2022 Feb 3.
Antibodies have been used to prevent or treat viral infections since the nineteenth century, but the full potential to use passive immunization for infectious diseases has yet to be realized. The advent of efficient methods for isolating broad and potently neutralizing human monoclonal antibodies is enabling us to develop antibodies with unprecedented activities. The discovery of IgG Fc region modifications that extend antibody half-life in humans to three months or more suggests that antibodies could become the principal tool with which we manage future viral epidemics. Antibodies for members of most virus families that cause severe disease in humans have been isolated, and many of them are in clinical development, an area that has accelerated during the effort to prevent or treat COVID-19 (coronavirus disease 2019). Broad and potently neutralizing antibodies are also important research reagents for identification of protective epitopes that can be engineered into active vaccines through structure-based reverse vaccinology.
自 19 世纪以来,人们一直利用抗体来预防或治疗病毒感染,但被动免疫在传染病中的全部潜力尚未得到实现。高效分离广谱且强效中和人源单克隆抗体的方法的出现,使我们能够开发出具有前所未有的活性的抗体。发现 IgG Fc 区域修饰可将抗体在人体内的半衰期延长至三个月或更长时间,这表明抗体可能成为我们应对未来病毒流行的主要工具。已经分离出针对大多数引起人类严重疾病的病毒家族成员的抗体,其中许多正在临床开发中,在预防或治疗 2019 年冠状病毒病(COVID-19)的努力中,这一领域得到了加速。广谱且强效中和的抗体也是鉴定保护性表位的重要研究试剂,这些表位可以通过基于结构的反向疫苗学工程设计到活性疫苗中。