2021
DOI: 10.1016/j.celrep.2021.109070
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Structural basis of tetanus toxin neutralization by native human monoclonal antibodies

Abstract: Highlights d Neutralizing human mAbs target epitopes on tetanus toxin (TeNT) fragments C, B, and AB d High neutralization potency at 17 mg to 6 mg each are equivalent to 250 IU TIG d Co-crystal reveals that mAb TT0067 directly occupies the W pocket on fragment C d Pre-administration of mAb TT0069 protects mice from later lethal challenge with TeNT

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Cited by 15 publications
(16 citation statements)
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“…The search for therapeutic anti-tetanus antibodies to replace human immunoglobulin and equine serum has been the subject of recent publications, demonstrating an increased interest in this therapeutic approach [ 25 , 26 , 27 , 28 ]. In common among them is the use of B cells from immunized individuals.…”
Section: Discussionmentioning
confidence: 99%
“…The search for therapeutic anti-tetanus antibodies to replace human immunoglobulin and equine serum has been the subject of recent publications, demonstrating an increased interest in this therapeutic approach [ 25 , 26 , 27 , 28 ]. In common among them is the use of B cells from immunized individuals.…”
Section: Discussionmentioning
confidence: 99%
“…This orients the BoNT molecule while approaching the plasma membrane thus favoring their landing with the HC-C domain and increasing the probability of membrane binding (Fogolari et al 2009 ). The role of PSGs as primary receptors is supported by several experimental evidence (Binz and Rummel 2009 ), and by the fact that the most TeNT- or BoNT-neutralizing monoclonal antibodies sterically prevent PSG binding (Garcia-Rodriguez et al 2007 , 2021 ; Mukherjee et al 2012 ; Lam et al 2018 ; Tomic et al 2021 ; Pirazzini et al 2021 ; Wang et al 2016 , 2021 ; Zhang et al 2021 ; Brier et al 2021 ).…”
Section: Structure and Mechanism Of Action Of Tent And Bontsmentioning
confidence: 98%
“…In the case of tetanus, recent research has focused on human monoclonal antibodies (humAbs) anti-TeNT (Wang et al 2016 , 2021 ; Aliprandini et al 2019 ; Ghotloo et al 2020 ; Minamitani et al 2021 ; Pirazzini et al 2021 ; Zhang et al 2021 ) with the aim of overcoming some clinical problems encountered with the use of the IgG fraction isolated from human polyclonal antisera derived from tetanus toxoid immunized donors (Pirazzini et al 2021 ). The toxin neutralizing humAbs were identified using phage display libraries or by screening antibody producing cells isolated from human individuals that were treated in adult age with the tetanus toxoid vaccine.…”
Section: Toxicology Of Tetanus and Botulinum Neurotoxinsmentioning
confidence: 99%
“…Moreover, TT neutralizing antibodies were shown to be mainly directed against TTFC in mouse and human models (100% for mouse models and 75% in a human model) [61]. It is important to note that the many neutralizing antibodies described since the 1980s [62][63][64] cannot individually neutralize TT in vivo. The development of an active and safe monoclonal antibody (mAb) remains a prospect for upcoming years [65].…”
Section: Immunological Properties Against Tetanusmentioning
confidence: 99%