Cross-protective antibodies against common endemic respiratory viruses

Abstract Respiratory syncytial virus (RSV), human metapneumovirus (HMPV), and human parainfluenza virus types one (HPIV1) and three (HPIV3) can cause severe disease and death in immunocompromised patients, the elderly, and those with underlying lung disease. A protective monoclonal antibody exists f...

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Main Authors: Madelyn Cabán, Justas V. Rodarte, Madeleine Bibby, Matthew D. Gray, Justin J. Taylor, Marie Pancera, Jim Boonyaratanakornkit
Format: Article
Language:English
Published: Nature Portfolio 2023-02-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-36459-3
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author Madelyn Cabán
Justas V. Rodarte
Madeleine Bibby
Matthew D. Gray
Justin J. Taylor
Marie Pancera
Jim Boonyaratanakornkit
author_facet Madelyn Cabán
Justas V. Rodarte
Madeleine Bibby
Matthew D. Gray
Justin J. Taylor
Marie Pancera
Jim Boonyaratanakornkit
author_sort Madelyn Cabán
collection DOAJ
description Abstract Respiratory syncytial virus (RSV), human metapneumovirus (HMPV), and human parainfluenza virus types one (HPIV1) and three (HPIV3) can cause severe disease and death in immunocompromised patients, the elderly, and those with underlying lung disease. A protective monoclonal antibody exists for RSV, but clinical use is limited to high-risk infant populations. Hence, therapeutic options for these viruses in vulnerable patient populations are currently limited. Here, we present the discovery, in vitro characterization, and in vivo efficacy testing of two cross-neutralizing monoclonal antibodies, one targeting both HPIV3 and HPIV1 and the other targeting both RSV and HMPV. The 3 × 1 antibody is capable of targeting multiple parainfluenza viruses; the MxR antibody shares features with other previously reported monoclonal antibodies that are capable of neutralizing both RSV and HMPV. We obtained structures using cryo-electron microscopy of these antibodies in complex with their antigens at 3.62 Å resolution for 3 × 1 bound to HPIV3 and at 2.24 Å for MxR bound to RSV, providing a structural basis for in vitro binding and neutralization. Together, a cocktail of 3 × 1 and MxR could have clinical utility in providing broad protection against four of the respiratory viruses that cause significant morbidity and mortality in at-risk individuals.
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spelling doaj.art-aecd1fc02f0340dea67b159c63ebb60a2024-01-21T12:25:48ZengNature PortfolioNature Communications2041-17232023-02-0114111510.1038/s41467-023-36459-3Cross-protective antibodies against common endemic respiratory virusesMadelyn Cabán0Justas V. Rodarte1Madeleine Bibby2Matthew D. Gray3Justin J. Taylor4Marie Pancera5Jim Boonyaratanakornkit6Vaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterVaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterVaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterVaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterVaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterVaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterVaccine and Infectious Disease Division, Fred Hutchinson Cancer CenterAbstract Respiratory syncytial virus (RSV), human metapneumovirus (HMPV), and human parainfluenza virus types one (HPIV1) and three (HPIV3) can cause severe disease and death in immunocompromised patients, the elderly, and those with underlying lung disease. A protective monoclonal antibody exists for RSV, but clinical use is limited to high-risk infant populations. Hence, therapeutic options for these viruses in vulnerable patient populations are currently limited. Here, we present the discovery, in vitro characterization, and in vivo efficacy testing of two cross-neutralizing monoclonal antibodies, one targeting both HPIV3 and HPIV1 and the other targeting both RSV and HMPV. The 3 × 1 antibody is capable of targeting multiple parainfluenza viruses; the MxR antibody shares features with other previously reported monoclonal antibodies that are capable of neutralizing both RSV and HMPV. We obtained structures using cryo-electron microscopy of these antibodies in complex with their antigens at 3.62 Å resolution for 3 × 1 bound to HPIV3 and at 2.24 Å for MxR bound to RSV, providing a structural basis for in vitro binding and neutralization. Together, a cocktail of 3 × 1 and MxR could have clinical utility in providing broad protection against four of the respiratory viruses that cause significant morbidity and mortality in at-risk individuals.https://doi.org/10.1038/s41467-023-36459-3
spellingShingle Madelyn Cabán
Justas V. Rodarte
Madeleine Bibby
Matthew D. Gray
Justin J. Taylor
Marie Pancera
Jim Boonyaratanakornkit
Cross-protective antibodies against common endemic respiratory viruses
Nature Communications
title Cross-protective antibodies against common endemic respiratory viruses
title_full Cross-protective antibodies against common endemic respiratory viruses
title_fullStr Cross-protective antibodies against common endemic respiratory viruses
title_full_unstemmed Cross-protective antibodies against common endemic respiratory viruses
title_short Cross-protective antibodies against common endemic respiratory viruses
title_sort cross protective antibodies against common endemic respiratory viruses
url https://doi.org/10.1038/s41467-023-36459-3
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