Protective monotherapy against lethal Ebola virus infection by a potently neutralizing antibody

被引:318
作者
Corti, Davide [1 ,2 ]
Misasi, John [3 ]
Mulangu, Sabue [3 ]
Stanley, Daphne A. [3 ]
Kanekiyo, Masaru [3 ]
Wollen, Suzanne [4 ]
Ploquin, Aurelie [3 ]
Doria-Rose, Nicole A. [3 ]
Staupe, Ryan P. [3 ]
Bailey, Michael [3 ]
Shi, Wei [3 ]
Choe, Misook [3 ]
Marcus, Hadar [3 ]
Thompson, Emily A. [3 ]
Cagigi, Alberto [3 ]
Silacci, Chiara [1 ]
Fernandez-Rodriguez, Blanca [1 ]
Perez, Laurent [1 ]
Sallusto, Federica [1 ]
Vanzetta, Fabrizia [2 ]
Agatic, Gloria [2 ]
Cameroni, Elisabetta [2 ]
Kisalu, Neville [3 ,5 ]
Gordon, Ingelise [3 ]
Ledgerwood, Julie E. [3 ]
Mascola, John R. [3 ]
Graham, Barney S. [3 ]
Muyembe-Tamfun, Jean-Jacques [5 ]
Trefry, John C. [4 ]
Lanzavecchia, Antonio [1 ,6 ]
Sullivan, Nancy J. [3 ]
机构
[1] Univ Svizzera Italiana, Inst Res Biomed, CH-6500 Bellinzona, Switzerland
[2] Humabs BioMed SA, CH-6500 Bellinzona, Switzerland
[3] NIAID, Vaccine Res Ctr, 9000 Rockville Pike, Bethesda, MD 20892 USA
[4] US Army, Med Res Inst Infect Dis, Ft Detrick, MD 21702 USA
[5] Natl Lab Publ Hlth, Natl Inst Biomed Res, BP 1197, Kinshasa, DEM REP CONGO
[6] ETH, Inst Microbiol, CH-8093 Zurich, Switzerland
关键词
MONOCLONAL-ANTIBODIES; OUTBREAK; MONKEYS; DISEASE; ZAIRE;
D O I
10.1126/science.aad5224
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Ebola virus disease in humans is highly lethal, with case fatality rates ranging from 25 to 90%. There is no licensed treatment or vaccine against the virus, underscoring the need for efficacious countermeasures. We ascertained that a human survivor of the 1995 Kikwit Ebola virus disease outbreak maintained circulating antibodies against the Ebola virus surface glycoprotein for more than a decade after infection. From this survivor we isolated monoclonal antibodies (mAbs) that neutralize recent and previous outbreak variants of Ebola virus and mediate antibody-dependent cell-mediated cytotoxicity in vitro. Strikingly, monotherapy with mAb114 protected macaques when given as late as 5 days after challenge. Treatment with a single human mAb suggests that a simplified therapeutic strategy for human Ebola infection may be possible.
引用
收藏
页码:1339 / 1342
页数:4
相关论文
共 19 条
[1]   Ebola Virus Disease in West Africa - The First 9 Months of the Epidemic and Forward Projections [J].
Aylward, Bruce ;
Barboza, Philippe ;
Bawo, Luke ;
Bertherat, Eric ;
Bilivogui, Pepe ;
Blake, Isobel ;
Brennan, Rick ;
Briand, Sylvie ;
Chakauya, Jethro Magwati ;
Chitala, Kennedy ;
Conteh, Roland M. ;
Cori, Anne ;
Croisier, Alice ;
Dangou, Jean-Marie ;
Diallo, Boubacar ;
Donnelly, Christl A. ;
Dye, Christopher ;
Eckmanns, Tim ;
Ferguson, Neil M. ;
Formenty, Pierre ;
Fuhrer, Caroline ;
Fukuda, Keiji ;
Garske, Tini ;
Gasasira, Alex ;
Gbanyan, Stephen ;
Graaff, Peter ;
Heleze, Emmanuel ;
Jambai, Amara ;
Jombart, Thibaut ;
Kasolo, Francis ;
Kadiobo, Albert Mbule ;
Keita, Sakoba ;
Kertesz, Daniel ;
Kone, Moussa ;
Lane, Chris ;
Markoff, Jered ;
Massaquoi, Moses ;
Mills, Harriet ;
Mulba, John Mike ;
Musa, Emmanuel ;
Myhre, Joel ;
Nasidi, Abdusalam ;
Nilles, Eric ;
Nouvellet, Pierre ;
Nshimirimana, Deo ;
Nuttall, Isabelle ;
Nyenswah, Tolbert ;
Olu, Olushayo ;
Pendergast, Scott ;
Perea, William .
NEW ENGLAND JOURNAL OF MEDICINE, 2014, 371 (16) :1481-1495
[2]   Therapeutic efficacy of potent neutralizing HIV-1-specific monoclonal antibodies in SHIV-infected rhesus monkeys [J].
Barouch, Dan H. ;
Whitney, James B. ;
Moldt, Brian ;
Klein, Florian ;
Oliveira, Thiago Y. ;
Liu, Jinyan ;
Stephenson, Kathryn E. ;
Chang, Hui-Wen ;
Shekhar, Karthik ;
Gupta, Sanjana ;
Nkolola, Joseph P. ;
Seaman, Michael S. ;
Smith, Kaitlin M. ;
Borducchi, Erica N. ;
Cabral, Crystal ;
Smith, Jeffrey Y. ;
Blackmore, Stephen ;
Sanisetty, Srisowmya ;
Perry, James R. ;
Beck, Matthew ;
Lewis, Mark G. ;
Rinaldi, William ;
Chakraborty, Arup K. ;
Poignard, Pascal ;
Nussenzweig, Michel C. ;
Burton, Dennis R. .
NATURE, 2013, 503 (7475) :224-+
[3]  
Burke J, 1978, B WORLD HEALTH ORGAN, V56, P271
[4]   Small molecule inhibitors reveal Niemann-Pick C1 is essential for Ebola virus infection [J].
Cote, Marceline ;
Misasi, John ;
Ren, Tao ;
Bruchez, Anna ;
Lee, Kyungae ;
Filone, Claire Marie ;
Hensley, Lisa ;
Li, Qi ;
Ory, Daniel ;
Chandran, Kartik ;
Cunningham, James .
NATURE, 2011, 477 (7364) :344-U122
[5]   Institutional failure led to Ebola outbreak "spiralling out of control," says MSF [J].
Gulland, Anne .
BMJ-BRITISH MEDICAL JOURNAL, 2015, 350
[6]   Effector function activities of a panel of mutants of a broadly neutralizing antibody against human immunodeficiency virus type 1 [J].
Hezareh, M ;
Hessell, AJ ;
Jensen, RC ;
van de Winkel, JGJ ;
Parren, PWHI .
JOURNAL OF VIROLOGY, 2001, 75 (24) :12161-12168
[7]   Structure of the Ebola virus glycoprotein bound to an antibody from a human survivor [J].
Lee, Jeffrey E. ;
Fusco, Marnie L. ;
Hessell, Ann J. ;
Oswald, Wendelien B. ;
Burton, Dennis R. ;
Saphire, Erica Ollmann .
NATURE, 2008, 454 (7201) :177-U27
[8]   Ebola virus can be effectively neutralized by antibody produced in natural human infection [J].
Maruyama, T ;
Rodriguez, LL ;
Jahrling, PB ;
Sanchez, A ;
Khan, AS ;
Nichol, ST ;
Peters, CJ ;
Parren, PWHI ;
Burton, DR .
JOURNAL OF VIROLOGY, 1999, 73 (07) :6024-6030
[9]   Structural and molecular basis for Ebola virus neutralization by protective human antibodies [J].
Misasi, John ;
Gilman, Morgan S. A. ;
Kanekiyo, Masaru ;
Gui, Miao ;
Cagigi, Alberto ;
Mulangu, Sabue ;
Corti, Davide ;
Ledgerwood, Julie E. ;
Lanzavecchia, Antonio ;
Cunningham, James ;
Muyembe-Tamfun, Jean Jacques ;
Baxa, Ulrich ;
Graham, Barney S. ;
Xiang, Ye ;
Sullivan, Nancy J. ;
McLellan, Jason S. .
SCIENCE, 2016, 351 (6279) :1343-1346
[10]   Structures of protective antibodies reveal sites of vulnerability on Ebola virus [J].
Murin, Charles D. ;
Fusco, Marnie L. ;
Bornholdt, Zachary A. ;
Qiu, Xiangguo ;
Olinger, Gene G. ;
Zeitlin, Larry ;
Kobinger, Gary P. ;
Ward, Andrew B. ;
Saphire, Erica Ollmann .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2014, 111 (48) :17182-17187