Protective monotherapy against lethal Ebola virus infection by a potently neutralizing antibody

D Corti, J Misasi, S Mulangu, DA Stanley, M Kanekiyo… - Science, 2016 - science.org
D Corti, J Misasi, S Mulangu, DA Stanley, M Kanekiyo, S Wollen, A Ploquin, NA Doria-Rose…
Science, 2016science.org
Ebola virus disease in humans is highly lethal, with case fatality rates ranging from 25 to
90%. There is no licensed treatment or vaccine against the virus, underscoring the need for
efficacious countermeasures. We ascertained that a human survivor of the 1995 Kikwit
Ebola virus disease outbreak maintained circulating antibodies against the Ebola virus
surface glycoprotein for more than a decade after infection. From this survivor we isolated
monoclonal antibodies (mAbs) that neutralize recent and previous outbreak variants of …
Ebola virus disease in humans is highly lethal, with case fatality rates ranging from 25 to 90%. There is no licensed treatment or vaccine against the virus, underscoring the need for efficacious countermeasures. We ascertained that a human survivor of the 1995 Kikwit Ebola virus disease outbreak maintained circulating antibodies against the Ebola virus surface glycoprotein for more than a decade after infection. From this survivor we isolated monoclonal antibodies (mAbs) that neutralize recent and previous outbreak variants of Ebola virus and mediate antibody-dependent cell-mediated cytotoxicity in vitro. Strikingly, monotherapy with mAb114 protected macaques when given as late as 5 days after challenge. Treatment with a single human mAb suggests that a simplified therapeutic strategy for human Ebola infection may be possible.
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