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A monoclonal anti-hemagglutinin stem antibody modified with zanamivir protects against both influenza A and B viruses.

作者信息

Liu Xin, Balligand Thomas, Le Gall Camille, Ploegh Hidde L

机构信息

Program in Cellular and Molecular Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115.

出版信息

Proc Natl Acad Sci U S A. 2025 Apr 15;122(15):e2424889122. doi: 10.1073/pnas.2424889122. Epub 2025 Apr 7.


DOI:10.1073/pnas.2424889122
PMID:40193611
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12012527/
Abstract

Influenza remains a significant public health threat. Both monoclonal antibodies and small-molecule inhibitors can target the influenza surface glycoproteins hemagglutinin (HA) or neuraminidase (NA) for prevention and treatment of influenza. Here, we combine the strengths of anti-influenza antibodies and small molecules by site-specific conjugation of the NA inhibitor zanamivir to MEDI8852, an HA-specific fully human monoclonal antibody. MEDI8852 targets the conserved stem region of HA and inhibits HA-mediated fusion of the viral and host cell membranes. Elimination of virus-infected cells involves Fcγ receptor-mediated effector functions. The efficacy of MEDI8852 is limited to influenza A viruses. Zanamivir, on the other hand, binds to the active site of NA in both influenza A and B viruses to inhibit NA activity and virus release. However, because of its small size, zanamivir has a short half-life and requires repeated dosing at high concentrations. We produced a MEDI8852-zanamivir antibody-drug conjugate (ADC) that engages Fc-mediated effector functions and benefits from neonatal Fc receptor (FcRn)-mediated recycling. The MEDI8852-zanamivir conjugate extends the circulatory half-life of zanamivir, targets both influenza HA and NA, and shows enhanced antibody-dependent cellular cytotoxicity (ADCC) compared to MEDI8852 alone. The MEDI8852-zanamivir conjugate protected mice from a lethal (10 × LD) challenge with influenza A and B viruses at a dose similar to that required for broadly neutralizing anti-NA antibodies, with the added advantage of simultaneously targeting NA (influenza A and B) and HA (influenza A).

摘要

相似文献

[1]
A monoclonal anti-hemagglutinin stem antibody modified with zanamivir protects against both influenza A and B viruses.

Proc Natl Acad Sci U S A. 2025-4-15

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Avian influenza A (H5N1) virus in dairy cattle: origin, evolution, and cross-species transmission.

mBio. 2024-12-11

[2]
An armed anti-immunoglobulin light chain nanobody protects mice against influenza A and B infections.

Sci Immunol. 2023-6-23

[3]
A pan-influenza antibody inhibiting neuraminidase via receptor mimicry.

Nature. 2023-6

[4]
A broadly protective human monoclonal antibody targeting the sialidase activity of influenza A and B virus neuraminidases.

Nat Commun. 2022-11-3

[5]
Antibodies to combat viral infections: development strategies and progress.

Nat Rev Drug Discov. 2022-9

[6]
Global update on the susceptibilities of human influenza viruses to neuraminidase inhibitors and the cap-dependent endonuclease inhibitor baloxavir, 2018-2020.

Antiviral Res. 2022-4

[7]
Recent Achievements and Challenges in Prolonging the Serum Half-Lives of Therapeutic IgG Antibodies Through Fc Engineering.

BioDrugs. 2021-3

[8]
A universal dual mechanism immunotherapy for the treatment of influenza virus infections.

Nat Commun. 2020-11-5

[9]
Next-generation influenza vaccines: opportunities and challenges.

Nat Rev Drug Discov. 2020-2-14

[10]
Broadly protective human antibodies that target the active site of influenza virus neuraminidase.

Science. 2019-10-25

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