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review article

Antibodies to combat viral infections: development strategies and progress

Pantaleo, Giuseppe
•
Correia, Bruno  
•
Fenwick, Craig
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June 20, 2022
Nature Reviews Drug Discovery

Monoclonal antibodies (mAbs) are appealing as potential therapeutics and prophylactics for viral infections. This Review describes advances in antibody discovery and engineering that have led to the development of mAbs that target viruses such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), respiratory syncytial virus and Ebola virus, and also considers the implications for vaccine development. Monoclonal antibodies (mAbs) are appealing as potential therapeutics and prophylactics for viral infections owing to characteristics such as their high specificity and their ability to enhance immune responses. Furthermore, antibody engineering can be used to strengthen effector function and prolong mAb half-life, and advances in structural biology have enabled the selection and optimization of potent neutralizing mAbs through identification of vulnerable regions in viral proteins, which can also be relevant for vaccine design. The COVID-19 pandemic has stimulated extensive efforts to develop neutralizing mAbs against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), with several mAbs now having received authorization for emergency use, providing not just an important component of strategies to combat COVID-19 but also a boost to efforts to harness mAbs in therapeutic and preventive settings for other infectious diseases. Here, we describe advances in antibody discovery and engineering that have led to the development of mAbs for use against infections caused by viruses including SARS-CoV-2, respiratory syncytial virus (RSV), Ebola virus (EBOV), human cytomegalovirus (HCMV) and influenza. We also discuss the rationale for moving from empirical to structure-guided strategies in vaccine development, based on identifying optimal candidate antigens and vulnerable regions within them that can be targeted by antibodies to result in a strong protective immune response.

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Type
review article
DOI
10.1038/s41573-022-00495-3
Web of Science ID

WOS:000813626000001

Author(s)
Pantaleo, Giuseppe
Correia, Bruno  
Fenwick, Craig
Joo, Victor S.
Perez, Laurent
Date Issued

2022-06-20

Published in
Nature Reviews Drug Discovery
Volume

21

Start page

676

End page

696

Subjects

Biotechnology & Applied Microbiology

•

Pharmacology & Pharmacy

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respiratory syncytial virus

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memory b-cells

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human monoclonal-antibodies

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broadly neutralizing antibodies

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influenza hemagglutinin stem

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fusion-glycoprotein vaccine

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receptor-binding

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cytomegalovirus-infection

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potent neutralization

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computational design

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LPDI  
Available on Infoscience
July 4, 2022
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/188930
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