[PDF][PDF] Structure and function analysis of an antibody recognizing all influenza A subtypes

NL Kallewaard, D Corti, PJ Collins, U Neu… - Cell, 2016 - cell.com
NL Kallewaard, D Corti, PJ Collins, U Neu, JM McAuliffe, E Benjamin, L Wachter-Rosati…
Cell, 2016cell.com
Influenza virus remains a threat because of its ability to evade vaccine-induced immune
responses due to antigenic drift. Here, we describe the isolation, evolution, and structure of a
broad-spectrum human monoclonal antibody (mAb), MEDI8852, effectively reacting with all
influenza A hemagglutinin (HA) subtypes. MEDI8852 uses the heavy-chain VH6-1 gene and
has higher potency and breadth when compared to other anti-stem antibodies. MEDI8852 is
effective in mice and ferrets with a therapeutic window superior to that of oseltamivir …
Summary
Influenza virus remains a threat because of its ability to evade vaccine-induced immune responses due to antigenic drift. Here, we describe the isolation, evolution, and structure of a broad-spectrum human monoclonal antibody (mAb), MEDI8852, effectively reacting with all influenza A hemagglutinin (HA) subtypes. MEDI8852 uses the heavy-chain VH6-1 gene and has higher potency and breadth when compared to other anti-stem antibodies. MEDI8852 is effective in mice and ferrets with a therapeutic window superior to that of oseltamivir. Crystallographic analysis of Fab alone or in complex with H5 or H7 HA proteins reveals that MEDI8852 binds through a coordinated movement of CDRs to a highly conserved epitope encompassing a hydrophobic groove in the fusion domain and a large portion of the fusion peptide, distinguishing it from other structurally characterized cross-reactive antibodies. The unprecedented breadth and potency of neutralization by MEDI8852 support its development as immunotherapy for influenza virus-infected humans.
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