Kim Teha, Bimler Lynn, Ronzulli Sydney L, Song Amber Y, Johnson Scott K, Jones Cheryl A, Tompkins S Mark, Paust Silke
The Jackson Laboratory for Genomic Medicine, Farmington, CT 06032, USA.
Department of Immunology and Microbiology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Sci Adv. 2025 Sep 12;11(37):eadx3505. doi: 10.1126/sciadv.adx3505. Epub 2025 Sep 10.
Influenza A viruses remain a global health threat, yet no universal antibody therapy exists. Clinical programs have centered on neutralizing mAbs, only to be thwarted by strain specificity and rapid viral escape. We instead engineered three non-neutralizing IgG2a mAbs that target distinct, overlapping epitopes within the conserved N terminus of the M2 ectodomain (M2e). Combined at low dose, this "triple M2e-mAb" confers robust prophylactic and therapeutic protection in mice challenged with diverse human and zoonotic IAV strains, including highly pathogenic variants. Therapeutic efficacy depends on Fc-mediated effector activity via FcγRI, FcγRIII, and FcγRIV, rather than in vitro neutralization. Serial passaging in triple M2e-mAb-treated immunocompetent and immunodeficient hosts failed to generate viral escape mutants. Our findings redefine the influenza-specific antibody therapeutic design and support Fc-optimized, non-neutralizing M2e-mAbs as a broadly effective, mutation-resistant, off-the-shelve therapy with direct relevance to human pandemic preparedness.
甲型流感病毒仍然是全球健康威胁,但目前尚无通用的抗体疗法。临床项目主要集中在中和性单克隆抗体上,却因毒株特异性和病毒的快速逃逸而受阻。相反,我们设计了三种非中和性IgG2a单克隆抗体,它们靶向M2胞外域(M2e)保守N端内不同的重叠表位。低剂量组合时,这种“三联M2e单克隆抗体”在受到多种人类和人畜共患甲型流感病毒毒株(包括高致病性变种)攻击的小鼠中提供了强大的预防和治疗保护。治疗效果取决于通过FcγRI、FcγRIII和FcγRIV介导的Fc效应器活性,而非体外中和作用。在接受三联M2e单克隆抗体治疗的免疫健全和免疫缺陷宿主中连续传代未能产生病毒逃逸突变体。我们的研究结果重新定义了流感特异性抗体治疗设计,并支持Fc优化的非中和性M2e单克隆抗体作为一种广泛有效的、抗突变的、现成可用的疗法,与人类大流行防范直接相关。