Protective efficacy of passive immunization with monoclonal antibodies in animal models of H5N1 highly pathogenic avian influenza virus infection.

Highly pathogenic avian influenza (HPAI) viruses of the H5N1 subtype often cause severe pneumonia and multiple organ failure in humans, with reported case fatality rates of more than 60%. To develop a clinical antibody therapy, we generated a human-mouse chimeric monoclonal antibody (MAb) ch61 that...

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Autores principales: Yasushi Itoh, Reiko Yoshida, Shintaro Shichinohe, Megumi Higuchi, Hirohito Ishigaki, Misako Nakayama, Van Loi Pham, Hideaki Ishida, Mitsutaka Kitano, Masahiko Arikata, Naoko Kitagawa, Yachiyo Mitsuishi, Kazumasa Ogasawara, Hideaki Tsuchiya, Takahiro Hiono, Masatoshi Okamatsu, Yoshihiro Sakoda, Hiroshi Kida, Mutsumi Ito, Le Quynh Mai, Yoshihiro Kawaoka, Hiroko Miyamoto, Mari Ishijima, Manabu Igarashi, Yasuhiko Suzuki, Ayato Takada
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Publicado: Public Library of Science (PLoS) 2014
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spelling oai:doaj.org-article:85e68b6456eb4b0ebb63a532351603e32021-11-11T06:06:11ZProtective efficacy of passive immunization with monoclonal antibodies in animal models of H5N1 highly pathogenic avian influenza virus infection.1553-73661553-737410.1371/journal.ppat.1004192https://doaj.org/article/85e68b6456eb4b0ebb63a532351603e32014-06-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24945244/pdf/?tool=EBIhttps://doaj.org/toc/1553-7366https://doaj.org/toc/1553-7374Highly pathogenic avian influenza (HPAI) viruses of the H5N1 subtype often cause severe pneumonia and multiple organ failure in humans, with reported case fatality rates of more than 60%. To develop a clinical antibody therapy, we generated a human-mouse chimeric monoclonal antibody (MAb) ch61 that showed strong neutralizing activity against H5N1 HPAI viruses isolated from humans and evaluated its protective potential in mouse and nonhuman primate models of H5N1 HPAI virus infections. Passive immunization with MAb ch61 one day before or after challenge with a lethal dose of the virus completely protected mice, and partial protection was achieved when mice were treated 3 days after the challenge. In a cynomolgus macaque model, reduced viral loads and partial protection against lethal infection were observed in macaques treated with MAb ch61 intravenously one and three days after challenge. Protective effects were also noted in macaques under immunosuppression. Though mutant viruses escaping from neutralization by MAb ch61 were recovered from macaques treated with this MAb alone, combined treatment with MAb ch61 and peramivir reduced the emergence of escape mutants. Our results indicate that antibody therapy might be beneficial in reducing viral loads and delaying disease progression during H5N1 HPAI virus infection in clinical cases and combined treatment with other antiviral compounds should improve the protective effects of antibody therapy against H5N1 HPAI virus infection.Yasushi ItohReiko YoshidaShintaro ShichinoheMegumi HiguchiHirohito IshigakiMisako NakayamaVan Loi PhamHideaki IshidaMitsutaka KitanoMasahiko ArikataNaoko KitagawaYachiyo MitsuishiKazumasa OgasawaraHideaki TsuchiyaTakahiro HionoMasatoshi OkamatsuYoshihiro SakodaHiroshi KidaMutsumi ItoLe Quynh MaiYoshihiro KawaokaHiroko MiyamotoMari IshijimaManabu IgarashiYasuhiko SuzukiAyato TakadaPublic Library of Science (PLoS)articleImmunologic diseases. AllergyRC581-607Biology (General)QH301-705.5ENPLoS Pathogens, Vol 10, Iss 6, p e1004192 (2014)
institution DOAJ
collection DOAJ
language EN
topic Immunologic diseases. Allergy
RC581-607
Biology (General)
QH301-705.5
spellingShingle Immunologic diseases. Allergy
RC581-607
Biology (General)
QH301-705.5
Yasushi Itoh
Reiko Yoshida
Shintaro Shichinohe
Megumi Higuchi
Hirohito Ishigaki
Misako Nakayama
Van Loi Pham
Hideaki Ishida
Mitsutaka Kitano
Masahiko Arikata
Naoko Kitagawa
Yachiyo Mitsuishi
Kazumasa Ogasawara
Hideaki Tsuchiya
Takahiro Hiono
Masatoshi Okamatsu
Yoshihiro Sakoda
Hiroshi Kida
Mutsumi Ito
Le Quynh Mai
Yoshihiro Kawaoka
Hiroko Miyamoto
Mari Ishijima
Manabu Igarashi
Yasuhiko Suzuki
Ayato Takada
Protective efficacy of passive immunization with monoclonal antibodies in animal models of H5N1 highly pathogenic avian influenza virus infection.
description Highly pathogenic avian influenza (HPAI) viruses of the H5N1 subtype often cause severe pneumonia and multiple organ failure in humans, with reported case fatality rates of more than 60%. To develop a clinical antibody therapy, we generated a human-mouse chimeric monoclonal antibody (MAb) ch61 that showed strong neutralizing activity against H5N1 HPAI viruses isolated from humans and evaluated its protective potential in mouse and nonhuman primate models of H5N1 HPAI virus infections. Passive immunization with MAb ch61 one day before or after challenge with a lethal dose of the virus completely protected mice, and partial protection was achieved when mice were treated 3 days after the challenge. In a cynomolgus macaque model, reduced viral loads and partial protection against lethal infection were observed in macaques treated with MAb ch61 intravenously one and three days after challenge. Protective effects were also noted in macaques under immunosuppression. Though mutant viruses escaping from neutralization by MAb ch61 were recovered from macaques treated with this MAb alone, combined treatment with MAb ch61 and peramivir reduced the emergence of escape mutants. Our results indicate that antibody therapy might be beneficial in reducing viral loads and delaying disease progression during H5N1 HPAI virus infection in clinical cases and combined treatment with other antiviral compounds should improve the protective effects of antibody therapy against H5N1 HPAI virus infection.
format article
author Yasushi Itoh
Reiko Yoshida
Shintaro Shichinohe
Megumi Higuchi
Hirohito Ishigaki
Misako Nakayama
Van Loi Pham
Hideaki Ishida
Mitsutaka Kitano
Masahiko Arikata
Naoko Kitagawa
Yachiyo Mitsuishi
Kazumasa Ogasawara
Hideaki Tsuchiya
Takahiro Hiono
Masatoshi Okamatsu
Yoshihiro Sakoda
Hiroshi Kida
Mutsumi Ito
Le Quynh Mai
Yoshihiro Kawaoka
Hiroko Miyamoto
Mari Ishijima
Manabu Igarashi
Yasuhiko Suzuki
Ayato Takada
author_facet Yasushi Itoh
Reiko Yoshida
Shintaro Shichinohe
Megumi Higuchi
Hirohito Ishigaki
Misako Nakayama
Van Loi Pham
Hideaki Ishida
Mitsutaka Kitano
Masahiko Arikata
Naoko Kitagawa
Yachiyo Mitsuishi
Kazumasa Ogasawara
Hideaki Tsuchiya
Takahiro Hiono
Masatoshi Okamatsu
Yoshihiro Sakoda
Hiroshi Kida
Mutsumi Ito
Le Quynh Mai
Yoshihiro Kawaoka
Hiroko Miyamoto
Mari Ishijima
Manabu Igarashi
Yasuhiko Suzuki
Ayato Takada
author_sort Yasushi Itoh
title Protective efficacy of passive immunization with monoclonal antibodies in animal models of H5N1 highly pathogenic avian influenza virus infection.
title_short Protective efficacy of passive immunization with monoclonal antibodies in animal models of H5N1 highly pathogenic avian influenza virus infection.
title_full Protective efficacy of passive immunization with monoclonal antibodies in animal models of H5N1 highly pathogenic avian influenza virus infection.
title_fullStr Protective efficacy of passive immunization with monoclonal antibodies in animal models of H5N1 highly pathogenic avian influenza virus infection.
title_full_unstemmed Protective efficacy of passive immunization with monoclonal antibodies in animal models of H5N1 highly pathogenic avian influenza virus infection.
title_sort protective efficacy of passive immunization with monoclonal antibodies in animal models of h5n1 highly pathogenic avian influenza virus infection.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/85e68b6456eb4b0ebb63a532351603e3
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