Human monoclonal antibody combination against SARS coronavirus: synergy and coverage of escape mutants

抗SARS冠状病毒全人单克隆抗体组合:协同作用及对逃逸突变体的覆盖

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作者:Jan ter Meulen, Edward N van den Brink, Leo L M Poon, Wilfred E Marissen, Cynthia S W Leung, Freek Cox, Chung Y Cheung, Arjen Q Bakker, Johannes A Bogaards, Els van Deventer, Wolfgang Preiser, Hans Wilhelm Doerr, Vincent T Chow, John de Kruif, Joseph S M Peiris, Jaap Goudsmit

Background

Experimental animal data show that protection against severe acute respiratory syndrome coronavirus (SARS-CoV) infection with human monoclonal antibodies (mAbs) is feasible. For an effective immune prophylaxis in humans, broad coverage of different strains of SARS-CoV and control of potential neutralization escape variants will be required. Combinations of virus-neutralizing, noncompeting mAbs may have these properties.

Conclusions

The combination of two noncompeting human mAbs CR3014 and CR3022 potentially controls immune escape and extends the breadth of protection. At the same time, synergy between CR3014 and CR3022 may allow for a lower total antibody dose to be administered for passive immune prophylaxis of SARS-CoV infection.

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