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Sci Rep . A pan-influenza monoclonal antibody neutralizes H5 strains and prophylactically protects through intranasal administration

tetano

Editor, Senior Moderator
Sci Rep


. 2024 Feb 15;14(1):3818.
doi: 10.1038/s41598-024-53049-5. A pan-influenza monoclonal antibody neutralizes H5 strains and prophylactically protects through intranasal administration

Anna L Beukenhorst[SUP] 1 2 3 [/SUP], Jacopo Frallicciardi[SUP] 4 [/SUP], Keira L Rice[SUP] 4 [/SUP], Martin H Koldijk[SUP] 4 [/SUP], Joana C Moreira de Mello[SUP] 4 [/SUP], Jaco M Klap[SUP] 4 [/SUP], Christoforos Hadjichrysanthou[SUP] 5 [/SUP], Clarissa M Koch[SUP] 4 [/SUP], Kelly A S da Costa[SUP] 6 [/SUP], Nigel Temperton[SUP] 6 [/SUP], Babette A de Jong[SUP] 4 [/SUP], Helene Vietsch[SUP] 4 [/SUP], Bertjan Ziere[SUP] 4 [/SUP], Boris Julg[SUP] 4 [/SUP], Wouter Koudstaal[SUP] 4 [/SUP], Jaap Goudsmit[SUP] 4 7 [/SUP]



Affiliations
Abstract

Avian A(H5N1) influenza virus poses an elevated zoonotic threat to humans, and no pharmacological products are currently registered for fast-acting pre-exposure protection in case of spillover leading to a pandemic. Here, we show that an epitope on the stem domain of H5 hemagglutinin is highly conserved and that the human monoclonal antibody CR9114, targeting that epitope, potently neutralizes all pseudotyped H5 viruses tested, even in the rare case of substitutions in its epitope. Further, intranasal administration of CR9114 fully protects mice against A(H5N1) infection at low dosages, irrespective of pre-existing immunity conferred by the quadrivalent seasonal influenza vaccine. These data provide a proof-of-concept for broad, pre-exposure protection against a potential future pandemic using the intranasal administration route. Studies in humans should assess if autonomous administration of a broadly-neutralizing monoclonal antibody is safe and effective and can thus contribute to pandemic preparedness.


 
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