A Monoclonal Antibody Combination against both Serotypes A and B Botulinum Toxin Prevents Inhalational Botulism in a Guinea Pig Model

Botulinum neurotoxins (BoNT) are extremely potent and can induce respiratory failure, requiring long-term intensive care to prevent death. Recombinant monoclonal antibodies (mAbs) hold considerable promise as BoNT therapeutics and prophylactics. In contrast, equine antitoxin cannot be used prophylac...

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Main Authors: Doris M. Snow, Ronald R. Cobb, Juan Martinez, Isaac Finger-Baker, Laura Collins, Sara Terpening, Emily S. Syar, Nancy Niemuth, Dean Kobs, Roy Barnewall, Shauna Farr-Jones, James D. Marks, Milan T. Tomic
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Toxins
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Online Access:https://www.mdpi.com/2072-6651/13/1/31
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author Doris M. Snow
Ronald R. Cobb
Juan Martinez
Isaac Finger-Baker
Laura Collins
Sara Terpening
Emily S. Syar
Nancy Niemuth
Dean Kobs
Roy Barnewall
Shauna Farr-Jones
James D. Marks
Milan T. Tomic
author_facet Doris M. Snow
Ronald R. Cobb
Juan Martinez
Isaac Finger-Baker
Laura Collins
Sara Terpening
Emily S. Syar
Nancy Niemuth
Dean Kobs
Roy Barnewall
Shauna Farr-Jones
James D. Marks
Milan T. Tomic
author_sort Doris M. Snow
collection DOAJ
description Botulinum neurotoxins (BoNT) are extremely potent and can induce respiratory failure, requiring long-term intensive care to prevent death. Recombinant monoclonal antibodies (mAbs) hold considerable promise as BoNT therapeutics and prophylactics. In contrast, equine antitoxin cannot be used prophylactically and has a short half-life. Two three-mAb combinations are in development that specifically neutralize BoNT serotype A (BoNT/A) and B (BoNT/B). The three-mAb combinations addressing a single serotype provided pre-exposure prophylaxis in the guinea pig inhalation model. A lyophilized co-formulation of six mAbs, designated G03-52-01, that addresses both A and B serotypes is in development. Here, we investigated the efficacy of G03-52-01 to protect guinea pigs against an aerosol exposure challenge of BoNT/A1 or BoNT/B1. Previously, it was found that each antibody demonstrated a dose-dependent exposure and reached maximum circulating concentrations within 48 h after intramuscular (IM) or intravenous (IV) injection. Here we show that G03-52-01, in a single IM injection of G03-52-01 administered 48 h pre-exposure, protected guinea pigs against an aerosol challenge of up to 238 LD<sub>50</sub>s of BoNT/A1 and 191 LD<sub>50</sub>s of BoNT/B1. These data suggest that a single IM administration of G03-52-01 provides pre-exposure prophylaxis against botulism from an aerosol exposure of BoNT/A1 or BoNT/B1.
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spelling doaj.art-f418db8c7f81479aaeacc484f74d01c32023-11-21T08:28:45ZengMDPI AGToxins2072-66512021-01-011313110.3390/toxins13010031A Monoclonal Antibody Combination against both Serotypes A and B Botulinum Toxin Prevents Inhalational Botulism in a Guinea Pig ModelDoris M. Snow0Ronald R. Cobb1Juan Martinez2Isaac Finger-Baker3Laura Collins4Sara Terpening5Emily S. Syar6Nancy Niemuth7Dean Kobs8Roy Barnewall9Shauna Farr-Jones10James D. Marks11Milan T. Tomic12Ology Bioservices, 13200 NW, Nano Ct, Alachua, FL 32615, USAOlogy Bioservices, 13200 NW, Nano Ct, Alachua, FL 32615, USAOlogy Bioservices, 13200 NW, Nano Ct, Alachua, FL 32615, USAOlogy Bioservices, 13200 NW, Nano Ct, Alachua, FL 32615, USAOlogy Bioservices, 13200 NW, Nano Ct, Alachua, FL 32615, USAOlogy Bioservices, 13200 NW, Nano Ct, Alachua, FL 32615, USABattelle Biomedical Research Center, West Jefferson, Columbus, OH 43162, USABattelle Biomedical Research Center, West Jefferson, Columbus, OH 43162, USABattelle Biomedical Research Center, West Jefferson, Columbus, OH 43162, USABattelle Biomedical Research Center, West Jefferson, Columbus, OH 43162, USADepartment of Anesthesia and Perioperative Care, University of California, 1001 Potrero Ave., San Francisco, CA 94110, USADepartment of Anesthesia and Perioperative Care, University of California, 1001 Potrero Ave., San Francisco, CA 94110, USAResearch and Development, Ology Bioservices, Inc., 2061 Challenger Dr., Alameda, CA 94501, USABotulinum neurotoxins (BoNT) are extremely potent and can induce respiratory failure, requiring long-term intensive care to prevent death. Recombinant monoclonal antibodies (mAbs) hold considerable promise as BoNT therapeutics and prophylactics. In contrast, equine antitoxin cannot be used prophylactically and has a short half-life. Two three-mAb combinations are in development that specifically neutralize BoNT serotype A (BoNT/A) and B (BoNT/B). The three-mAb combinations addressing a single serotype provided pre-exposure prophylaxis in the guinea pig inhalation model. A lyophilized co-formulation of six mAbs, designated G03-52-01, that addresses both A and B serotypes is in development. Here, we investigated the efficacy of G03-52-01 to protect guinea pigs against an aerosol exposure challenge of BoNT/A1 or BoNT/B1. Previously, it was found that each antibody demonstrated a dose-dependent exposure and reached maximum circulating concentrations within 48 h after intramuscular (IM) or intravenous (IV) injection. Here we show that G03-52-01, in a single IM injection of G03-52-01 administered 48 h pre-exposure, protected guinea pigs against an aerosol challenge of up to 238 LD<sub>50</sub>s of BoNT/A1 and 191 LD<sub>50</sub>s of BoNT/B1. These data suggest that a single IM administration of G03-52-01 provides pre-exposure prophylaxis against botulism from an aerosol exposure of BoNT/A1 or BoNT/B1.https://www.mdpi.com/2072-6651/13/1/31botulinum neurotoxinaerosolmonoclonal antibodyguinea pig inhalation modeloligoclonal antibodybotulism
spellingShingle Doris M. Snow
Ronald R. Cobb
Juan Martinez
Isaac Finger-Baker
Laura Collins
Sara Terpening
Emily S. Syar
Nancy Niemuth
Dean Kobs
Roy Barnewall
Shauna Farr-Jones
James D. Marks
Milan T. Tomic
A Monoclonal Antibody Combination against both Serotypes A and B Botulinum Toxin Prevents Inhalational Botulism in a Guinea Pig Model
Toxins
botulinum neurotoxin
aerosol
monoclonal antibody
guinea pig inhalation model
oligoclonal antibody
botulism
title A Monoclonal Antibody Combination against both Serotypes A and B Botulinum Toxin Prevents Inhalational Botulism in a Guinea Pig Model
title_full A Monoclonal Antibody Combination against both Serotypes A and B Botulinum Toxin Prevents Inhalational Botulism in a Guinea Pig Model
title_fullStr A Monoclonal Antibody Combination against both Serotypes A and B Botulinum Toxin Prevents Inhalational Botulism in a Guinea Pig Model
title_full_unstemmed A Monoclonal Antibody Combination against both Serotypes A and B Botulinum Toxin Prevents Inhalational Botulism in a Guinea Pig Model
title_short A Monoclonal Antibody Combination against both Serotypes A and B Botulinum Toxin Prevents Inhalational Botulism in a Guinea Pig Model
title_sort monoclonal antibody combination against both serotypes a and b botulinum toxin prevents inhalational botulism in a guinea pig model
topic botulinum neurotoxin
aerosol
monoclonal antibody
guinea pig inhalation model
oligoclonal antibody
botulism
url https://www.mdpi.com/2072-6651/13/1/31
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