COVA1-18 neutralizing antibody protects against SARS-CoV-2 in three preclinical models.

COVA1-18 neutralizing antibody protects against SARS-CoV-2 in three preclinical models.
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DOI:
10.1038/s41467-021-26354-0
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发表时间:
2021-10-20
影响因子:
16.6
通讯作者:
Le Grand R
Le Grand R
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Maisonnasse P;Aldon Y;Marc A;Marlin R;Dereuddre-Bosquet N;Kuzmina NA;Freyn AW;Snitselaar JL;Gonçalves A;Caniels TG;Burger JA;Poniman M;Bontjer I;Chesnais V;Diry S;Iershov A;Ronk AJ;Jangra S;Rathnasinghe R;Brouwer PJM;Bijl TPL;van Schooten J;Brinkkemper M;Liu H;Yuan M;Mire CE;van Breemen MJ;Contreras V;Naninck T;Lemaître J;Kahlaoui N;Relouzat F;Chapon C;Ho Tsong Fang R;McDanal C;Osei-Twum M;St-Amant N;Gagnon L;Montefiori DC;Wilson IA;Ginoux E;de Bree GJ;García-Sastre A;Schotsaert M;Coughlan L;Bukreyev A;van der Werf S;Guedj J;Sanders RW;van Gils MJ;Le Grand R

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迫切需要针对严重急性呼吸系统综合症冠状病毒 2 (SARS-CoV-2) 的有效治疗。单克隆抗体在患者身上显示出有希望的结果。在这里,我们评估了 COVA1-18(一种针对 B.1.1.7 分离株的高效中和抗体)的体内预防和治疗效果。在预防和治疗环境中,在接受治疗的 hACE2 小鼠的肺部中仍然检测不到 SARS-CoV-2。治疗还会导致叙利亚仓鼠肺部病毒载量减少。在对食蟹猴进行高剂量 SARS-CoV-2 攻击前一天以 10 mg kg-1 给药时,COVA1-18 在上呼吸道区室中表现出非常强的抗病毒活性。使用数学模型,我们估计 COVA1-18 可将这些隔室中的病毒感染性降低 95% 以上,从而预防淋巴细胞减少和广泛的肺部病变。我们的研究结果表明,COVA1-18 在三个临床前模型中具有很强的抗病毒活性,可能是进一步临床评估的有价值的候选者。单克隆抗体在治疗 Covid-19 患者方面显示出巨大的前景。 Maisonnasse、Aldon 及其同事报告了 COVA1-18 的临床前结果,并证明它可以降低三种动物模型中的病毒感染性,对猕猴上呼吸道的疗效超过 95%。
Effective treatments against Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) are urgently needed. Monoclonal antibodies have shown promising results in patients. Here, we evaluate the in vivo prophylactic and therapeutic effect of COVA1-18, a neutralizing antibody highly potent against the B.1.1.7 isolate. In both prophylactic and therapeutic settings, SARS-CoV-2 remains undetectable in the lungs of treated hACE2 mice. Therapeutic treatment also causes a reduction in viral loads in the lungs of Syrian hamsters. When administered at 10 mg kg-1 one day prior to a high dose SARS-CoV-2 challenge in cynomolgus macaques, COVA1-18 shows very strong antiviral activity in the upper respiratory compartments. Using a mathematical model, we estimate that COVA1-18 reduces viral infectivity by more than 95% in these compartments, preventing lymphopenia and extensive lung lesions. Our findings demonstrate that COVA1-18 has a strong antiviral activity in three preclinical models and could be a valuable candidate for further clinical evaluation. Monoclonal antibodies show great promise in treating Covid-19 patients. Here, Maisonnasse, Aldon and colleagues report pre-clinical results for COVA1-18 and demonstrate that it reduces viral infectivity in three animal models with over 95% efficacy in macaques upper respiratory tract.
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