2016
DOI: 10.1016/j.cell.2016.05.073
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Structure and Function Analysis of an Antibody Recognizing All Influenza A Subtypes

Abstract: SummaryInfluenza virus remains a threat because of its ability to evade vaccine-induced immune responses due to antigenic drift. Here, we describe the isolation, evolution, and structure of a broad-spectrum human monoclonal antibody (mAb), MEDI8852, effectively reacting with all influenza A hemagglutinin (HA) subtypes. MEDI8852 uses the heavy-chain VH6-1 gene and has higher potency and breadth when compared to other anti-stem antibodies. MEDI8852 is effective in mice and ferrets with a therapeutic window super… Show more

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Cited by 330 publications
(367 citation statements)
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“…Currently, mAbs have been approved or are in development for numerous infectious diseases, including RSV, influenza, Pseudomonas aeruginosa, and Staphylococcus aureus (18,20,(29)(30)(31)(32). These mAbs target secreted virulence factors, surface/structural proteins, or both, resulting in neutralization of pathogen-induced host damage and improved pathogen clearance.…”
Section: Discussionmentioning
confidence: 99%
“…Currently, mAbs have been approved or are in development for numerous infectious diseases, including RSV, influenza, Pseudomonas aeruginosa, and Staphylococcus aureus (18,20,(29)(30)(31)(32). These mAbs target secreted virulence factors, surface/structural proteins, or both, resulting in neutralization of pathogen-induced host damage and improved pathogen clearance.…”
Section: Discussionmentioning
confidence: 99%
“…In fact, two group 2-specific stem-binding bnAbs, namely CR8020 [107] and CR8043 [109], find a solution by recognizing an epitope lower down the stem, which may avoid a direct clash with the oligosaccharide at Asn38. Another stem-binding bnAb MEDI8852 binds to an epitope slightly higher than that of CR8020 and CR8043 and can neutralize both group 1 and 2 subtypes [105]. These bnAbs do not use V H 1–69 germline gene.…”
Section: Functionally Conserved Region 2: Membrane Fusionmentioning
confidence: 99%
“…The IFL and HR1 are seemingly well exposed on the surface of the GP, similar to other enveloped viruses for which these features have been identified as sites of vulnerability for broadly neutralizing antibodies (Kallewaard et al, 2016; Kong et al, 2016. Nevertheless, antibodies that target the IFL are isolated at a low frequency.…”
Section: Discussionmentioning
confidence: 80%