LCTG-002(一种混合纯化的人乳分泌型IgA产品)在新冠病毒病小鼠模型中对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的体内抗病毒疗效
In Vivo Antiviral Efficacy of LCTG-002, a Pooled, Purified Human Milk Secretory IgA product, Against SARS-CoV-2 in a Murine Model of COVID-19.
作者信息
Mane Viraj, Mehta Rikin, Alvarez Nadine, Sharma Vijeta, Park Steven, Fox Alisa, DeCarlo Claire, Yang Xiaoqi, Perlin David S, Powell Rebecca L R
出版信息
bioRxiv. 2023 Aug 28:2023.08.25.554813. doi: 10.1101/2023.08.25.554813.
Immunoglobulin A (IgA) is the most abundant antibody (Ab) in human mucosal compartments including the respiratory tract, with the secretory form of IgA (sIgA) being dominant and uniquely stable in these environments. sIgA is naturally found in human milk, which could be considered a global resource for this biologic, justifying the development of human milk sIgA as a dedicated airway therapeutic for respiratory infections such as SARS-CoV-2. In the present study, methods were therefore developed to efficiently extract human milk sIgA from donors who were either immunologically naïve to SARS-CoV-2 (pooled as a control IgA) or had recovered from a PCR-confirmed SARS-CoV-2 infection that elicited high-titer anti-SARS-CoV-2 Spike sIgA Abs in their milk (pooled together to make LCTG-002). Mass spectrometry determined that proteins with a relative abundance of 1.0% or greater were all associated with sIgA. None of the proteins exhibited statistically significant differences between batches. Western blot demonstrated all batches consisted predominantly of sIgA. Compared to control IgA, LCTG-002 demonstrated significantly higher binding to Spike, and was also capable of blocking the Spike - ACE2 interaction in vitro with 6.3x greater potency compared to control IgA (58% inhibition at ∼240ug/mL). LCTG-002 was then tested in vivo for its capacity to reduce viral burden in the lungs of K18+hACE2 transgenic mice inoculated with SARS-CoV-2. LCTG-002 was demonstrated to significantly reduce SARS-CoV-2 titers in the lungs compared to control IgA when administered at either 250ug/day or 1 mg/day, as measured by TCID50, plaque forming units (PFU), and qRT-PCR, with a maximum reduction of 4.9 logs. This innovative study demonstrates that LCTG-002 is highly pure, efficacious, and well tolerated in vivo, supporting further development of milk-derived, polyclonal sIgA therapeutics against SARS-CoV-2 and other mucosal infections.
免疫球蛋白A(IgA)是人体黏膜腔室(包括呼吸道)中含量最丰富的抗体(Ab),分泌型IgA(sIgA)在这些环境中占主导地位且具有独特的稳定性。sIgA天然存在于人乳中,人乳可被视为这种生物制剂的全球资源,这为将人乳sIgA开发为针对SARS-CoV-2等呼吸道感染的专用气道治疗药物提供了依据。因此,在本研究中,开发了一些方法,以从对SARS-CoV-2免疫未接触过的供体(合并为对照IgA)或从PCR确诊的SARS-CoV-2感染中康复且其乳汁中产生高滴度抗SARS-CoV-2刺突sIgA抗体的供体(合并在一起制成LCTG-002)中有效提取人乳sIgA。质谱分析确定相对丰度为1.0%或更高的蛋白质均与sIgA相关。各批次之间的蛋白质均未表现出统计学上的显著差异。蛋白质印迹法表明所有批次主要由sIgA组成。与对照IgA相比,LCTG-002对刺突的结合力显著更高,并且在体外还能够阻断刺突与ACE2的相互作用,其效力比对照IgA高6.3倍(在约240μg/mL时抑制率为58%)。然后在体内测试LCTG-002降低接种SARS-CoV-2的K18+hACE2转基因小鼠肺部病毒载量的能力。通过TCID50、空斑形成单位(PFU)和qRT-PCR测量,当以250μg/天或1mg/天给药时,与对照IgA相比,LCTG-002被证明可显著降低肺部的SARS-CoV-2滴度,最大降低4.9个对数。这项创新性研究表明,LCTG-002高度纯净、有效且在体内耐受性良好,支持进一步开发针对SARS-CoV-2和其他黏膜感染的乳源多克隆sIgA治疗药物。