1. Protective monotherapy against lethal Ebola virus infection by a potently neutralizing antibody.
- Author
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Corti D, Misasi J, Mulangu S, Stanley DA, Kanekiyo M, Wollen S, Ploquin A, Doria-Rose NA, Staupe RP, Bailey M, Shi W, Choe M, Marcus H, Thompson EA, Cagigi A, Silacci C, Fernandez-Rodriguez B, Perez L, Sallusto F, Vanzetta F, Agatic G, Cameroni E, Kisalu N, Gordon I, Ledgerwood JE, Mascola JR, Graham BS, Muyembe-Tamfun JJ, Trefry JC, Lanzavecchia A, and Sullivan NJ
- Subjects
- Adult, Animals, Antibodies, Monoclonal immunology, Antibodies, Monoclonal isolation & purification, Antibodies, Neutralizing immunology, Antibodies, Neutralizing isolation & purification, Antibodies, Viral immunology, Antibodies, Viral isolation & purification, Clinical Trials as Topic, Disease Outbreaks, Female, Hemorrhagic Fever, Ebola epidemiology, Humans, Macaca, Male, Molecular Sequence Data, Survivors, Antibodies, Monoclonal administration & dosage, Antibodies, Neutralizing administration & dosage, Antibodies, Viral administration & dosage, Ebolavirus immunology, Hemorrhagic Fever, Ebola prevention & control
- Abstract
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., (Copyright © 2016, American Association for the Advancement of Science.)
- Published
- 2016
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