Monoclonal-Based Antivenomics Reveals Conserved Neutralizing Epitopes in Type I PLA Molecules from Coral Snakes.

For over a century, polyclonal antibodies have been used to treat snakebite envenoming and are still considered by the WHO as the only scientifically validated treatment for snakebites. Nevertheless, moderate innovations have been introduced to this immunotherapy. New strategies and approaches to understanding how antibodies recognize and neutralize snake toxins represent a challenge for next-generation antivenoms. The neurotoxic activity of venom is mainly due to two distinct protein families, three-finger toxins (3FTx) and phospholipases A (PLA). Structural conservation among protein family members may represent an opportunity to generate neutralizing monoclonal antibodies (mAbs) against family-conserved epitopes. In this work, we sought to produce a set of monoclonal antibodies against the most toxic components of venom. To this end, the crude venom was fractionated, and its major toxic proteins were identified and used to generate a panel of five mAbs. The specificity of these mAbs was characterized by ELISA and antivenomics approaches. Two of the generated mAbs recognized PLA epitopes. They inhibited PLA catalytic activity and showed paraspecific neutralization against the myotoxicity from the lethal effect of and venoms' PLA. Epitope conservation among venom PLA molecules suggests the possibility of generating pan-PLA neutralizing antibodies.