Immunotherapeutics for Ebola Virus Disease: Hope on the Horizon

Kyle L O’Donnell, Andrea Marzi Laboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, MT, USACorrespondence: Andrea Marzi Email marzia@niaid.nih.govAbstract: Ebola virus disease (EVD) remains...

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Main Authors: O'Donnell KL, Marzi A
Format: Article
Language:English
Published: Dove Medical Press 2021-03-01
Series:Biologics: Targets & Therapy
Subjects:
Online Access:https://www.dovepress.com/immunotherapeutics-for-ebola-virus-disease-hope-on-the-horizon-peer-reviewed-article-BTT
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author O'Donnell KL
Marzi A
author_facet O'Donnell KL
Marzi A
author_sort O'Donnell KL
collection DOAJ
description Kyle L O’Donnell, Andrea Marzi Laboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, MT, USACorrespondence: Andrea Marzi Email marzia@niaid.nih.govAbstract: Ebola virus disease (EVD) remains among the biggest public health threats in Africa, even though recently a vaccine was approved for human use. However, in outbreak situations treatment strategies are needed in combination with vaccination campaigns to impact and stop the spread of the disease. Here, we discuss the development of the immunotherapeutics against EDV both targeting the virus itself and bolstering the immunological environment of the host at both the pre-clinical and clinical level. The early development of antibody therapy in preclinical settings and the early pitfalls in the implementation of this therapeutic strategy are discussed. We also consider the advancement of the production, modulation, and specificity of the antibody treatment that garnered increased success in preclinical studies to the point that it was warranted to test them in a clinical setting. Initial clinical trials in an outbreak scenario proved difficult to definitively confirm the efficacy of the implemented treatment. Upon further modification and with the experiences from the challenging outbreak conditions in mind, the PALM clinical trial demonstrated efficacy of an antibody cocktail which recently received approval for human use.Keywords: Ebolaviruses, filovirus, immune response, monoclonal antibodies, interferon
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spelling doaj.art-be1614737e824619a0a6e0158cf185272022-12-21T22:55:00ZengDove Medical PressBiologics: Targets & Therapy1177-54912021-03-01Volume 15798663201Immunotherapeutics for Ebola Virus Disease: Hope on the HorizonO'Donnell KLMarzi AKyle L O’Donnell, Andrea Marzi Laboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, MT, USACorrespondence: Andrea Marzi Email marzia@niaid.nih.govAbstract: Ebola virus disease (EVD) remains among the biggest public health threats in Africa, even though recently a vaccine was approved for human use. However, in outbreak situations treatment strategies are needed in combination with vaccination campaigns to impact and stop the spread of the disease. Here, we discuss the development of the immunotherapeutics against EDV both targeting the virus itself and bolstering the immunological environment of the host at both the pre-clinical and clinical level. The early development of antibody therapy in preclinical settings and the early pitfalls in the implementation of this therapeutic strategy are discussed. We also consider the advancement of the production, modulation, and specificity of the antibody treatment that garnered increased success in preclinical studies to the point that it was warranted to test them in a clinical setting. Initial clinical trials in an outbreak scenario proved difficult to definitively confirm the efficacy of the implemented treatment. Upon further modification and with the experiences from the challenging outbreak conditions in mind, the PALM clinical trial demonstrated efficacy of an antibody cocktail which recently received approval for human use.Keywords: Ebolaviruses, filovirus, immune response, monoclonal antibodies, interferonhttps://www.dovepress.com/immunotherapeutics-for-ebola-virus-disease-hope-on-the-horizon-peer-reviewed-article-BTTebolavirusfilovirusimmune responsemonoclonal antibodiesinterferon
spellingShingle O'Donnell KL
Marzi A
Immunotherapeutics for Ebola Virus Disease: Hope on the Horizon
Biologics: Targets & Therapy
ebolavirus
filovirus
immune response
monoclonal antibodies
interferon
title Immunotherapeutics for Ebola Virus Disease: Hope on the Horizon
title_full Immunotherapeutics for Ebola Virus Disease: Hope on the Horizon
title_fullStr Immunotherapeutics for Ebola Virus Disease: Hope on the Horizon
title_full_unstemmed Immunotherapeutics for Ebola Virus Disease: Hope on the Horizon
title_short Immunotherapeutics for Ebola Virus Disease: Hope on the Horizon
title_sort immunotherapeutics for ebola virus disease hope on the horizon
topic ebolavirus
filovirus
immune response
monoclonal antibodies
interferon
url https://www.dovepress.com/immunotherapeutics-for-ebola-virus-disease-hope-on-the-horizon-peer-reviewed-article-BTT
work_keys_str_mv AT odonnellkl immunotherapeuticsforebolavirusdiseasehopeonthehorizon
AT marzia immunotherapeuticsforebolavirusdiseasehopeonthehorizon