Abstract

A panel of potent neutralizing antibodies are protective against orthopoxvirus (OPXV) infections. For the development of OPXV-specific recombinant human single-chain antibodies (scFvs), the IgG repertoire of four vaccinated donors was amplified from peripheral B-lymphocytes. The resulting library consisted of ≥4 × 108 independent colonies. The immuno-screening against vaccinia virus (VACV) Elstree revealed a predominant selection of scFv clones specifically binding to the D8 protein. The scFv-1.2.2.H9 was engineered into larger human scFv-Fc-1.2.2.H9 and IgG1-1.2.2.H9 formats to improve the binding affinity and to add effector functions within the human immune response. Similar binding kinetics were calculated for scFv-1.2.2.H9 and scFv-Fc-1.2.2.H9 (1.61 nM and 7.685 nM, respectively), whereas, for IgG1-1.2.2.H9, the Michaelis-Menten kinetics revealed an increased affinity of 43.8 pM. None of the purified recombinant 1.2.2.H9 formats were able to neutralize VACV Elstree in vitro. After addition of 1% human complement, the neutralization of ≥50% of VACV Elstree was achieved with 0.0776 µM scFv-Fc-1.2.2.H9 and 0.01324 µM IgG1-1.2.2.H9, respectively. In an in vivo passive immunization NMRI mouse model, 100 µg purified scFv-1.2.2.H9 and the IgG1-1.2.2.H9 partially protected against the challenge with 4 LD50 VACV Munich 1, as 3/6 mice survived. In contrast, in the scFv-Fc-1.2.2.H9 group, only one mouse survived the challenge.

Highlights

  • IntroductionVaccinia virus (VACV) is the prototype of the genus Orthopoxviruses [1]

  • Post-vaccination, volunteers developed pox-like lesions at the side of scarification

  • The size and degree of the reaction was about 0.5 × 0.7 cm in Volunteer 2 and only a reddish area of about 0.5 cm in diameter was visible for Volunteer 1

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Summary

Introduction

Vaccinia virus (VACV) is the prototype of the genus Orthopoxviruses [1]. VACV was used as a heterologous vaccine against variola virus (VARV), the causative agent of smallpox. Cessation of vaccination after smallpox was declared eradicated in 1980 left an increasing susceptible population [2]. While VARV solely infects humans [2,3], zoonotic poxviruses, such as cowpox virus (CPXV) and monkeypox virus (MPXV), can cause severe and sometimes fatal infections [4,5,6,7,8,9,10]. While vaccination is generally safe and effective for the prevention of smallpox, in well-documented cases of various adverse reactions in individuals, especially in immune-compromised humans, caused by licensed

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