2015
DOI: 10.1074/jbc.m114.627943
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A Heterodimer of a VHH (Variable Domains of Camelid Heavy Chain-only) Antibody That Inhibits Anthrax Toxin Cell Binding Linked to a VHH Antibody That Blocks Oligomer Formation Is Highly Protective in an Anthrax Spore Challenge Model

Abstract: Background: Anthrax toxin is the primary cause of pathology from exposure to anthrax spores. Results: Two linked single domain antibodies (VHHs), each neutralizing anthrax toxicity by different mechanisms, potently protect mice from anthrax spore challenge. Conclusion: Linked, toxin-neutralizing VHHs (VNAs) are highly effective anthrax antitoxin agents. Significance: VNAs offer excellent versatility in developing novel therapeutics for many toxin-mediated diseases.

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Cited by 35 publications
(52 citation statements)
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“…VHH-based neutralizing agents consisting of two or more different VHHs covalently linked to each other via a peptide spacer have proven to be extremely effective in mouse (and in one case piglet) models at inactivating an array of different plant-and microbe-derived protein toxins, including botulinum neurotoxin (6), C. difficile toxins TcdA and TcdB (7-9), Shiga toxins (10,29), ricin (11,12), and anthrax toxin (13). However, with the exception of anthrax toxin, the mechanisms by which these VNAs function in vitro and in vivo remains poorly understood.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…VHH-based neutralizing agents consisting of two or more different VHHs covalently linked to each other via a peptide spacer have proven to be extremely effective in mouse (and in one case piglet) models at inactivating an array of different plant-and microbe-derived protein toxins, including botulinum neurotoxin (6), C. difficile toxins TcdA and TcdB (7-9), Shiga toxins (10,29), ricin (11,12), and anthrax toxin (13). However, with the exception of anthrax toxin, the mechanisms by which these VNAs function in vitro and in vivo remains poorly understood.…”
Section: Discussionmentioning
confidence: 99%
“…Although a number of promising toxinneutralizing murine and humanized monoclonal antibodies (mAbs) are in the pipeline, the emergence of technologies surrounding the generation and expression of toxin-specific camelid heavy chain-only VH domains (VHHs) 3 has opened up new avenues for the rational design and delivery of antitoxin agents (5). VHHs with toxin-neutralizing activity have been described against botulinum neurotoxin (6), Clostridium difficile toxins TcdA and TcdB (7)(8)(9), Shiga toxins (10), ricin (11,12), and anthrax toxin (13). X-ray crystallography of toxin-VHH complexes has provided novel insights into the mechanisms of toxin neutralization (7,14) and single chain antibodies have been successfully delivered into the intracellular compartment of mammalian cells where they can effectively inactivate their targets (15).…”
mentioning
confidence: 99%
“…Anthrax is caused by a toxin consisting of protective antigen (PA), lethal factor (LF), and edema factor (EF). Several VHHs directed against the three components of the toxin have been shown to be efficient against Anthrax disease [53,54]. Gene therapy with an adenoviral vector expressing a bispecific VHH, consisting of two linked VHHs targeting different PA-neutralizing epitopes, was tested in mice, and found to protect them from anthrax toxin challenge and anthrax spore infection [55].…”
Section: Anthraxmentioning
confidence: 99%
“…The generation of recombinant replication-incompetent Ad5-based vectors was previously described (20). Briefly, in a modification from the method of Mukherjee et al (7), pShCMV-JGf7 shuttle plasmid was used for subcloning the VNA2-PA-coding sequence (6), under the control of the mammalian cytomegalovirus (CMV) promoter and followed by the bovine growth hormone poly(A) signal. A control vector, Ad/VNA-RT, was created in a similar manner with the sequence from two VHHs against ricin A chain (21).…”
Section: Ethics Statementmentioning
confidence: 99%
“…We previously characterized a potent VNA for the treatment of anthrax (VNA2-PA), made as a heterodimer of two VHHs that neutralize PA by different mechanisms. One VHH, JKH-C7, inhibits the translocation of the cell surface-generated PA63 oligomer, while the other, JIK-B8, is a potent receptor blocker with a subnanomolar binding affinity for PA (6).…”
mentioning
confidence: 99%