Cell Reports (May 2016)

Antibody Treatment of Ebola and Sudan Virus Infection via a Uniquely Exposed Epitope within the Glycoprotein Receptor-Binding Site

  • Katie A. Howell,
  • Xiangguo Qiu,
  • Jennifer M. Brannan,
  • Christopher Bryan,
  • Edgar Davidson,
  • Frederick W. Holtsberg,
  • Anna Z. Wec,
  • Sergey Shulenin,
  • Julia E. Biggins,
  • Robin Douglas,
  • Sven G. Enterlein,
  • Hannah L. Turner,
  • Jesper Pallesen,
  • Charles D. Murin,
  • Shihua He,
  • Andrea Kroeker,
  • Hong Vu,
  • Andrew S. Herbert,
  • Marnie L. Fusco,
  • Elisabeth K. Nyakatura,
  • Jonathan R. Lai,
  • Zhen-Yong Keck,
  • Steven K.H. Foung,
  • Erica Ollmann Saphire,
  • Larry Zeitlin,
  • Andrew B. Ward,
  • Kartik Chandran,
  • Benjamin J. Doranz,
  • Gary P. Kobinger,
  • John M. Dye,
  • M. Javad Aman

Journal volume & issue
Vol. 15, no. 7
pp. 1514 – 1526

Abstract

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Summary: Previous efforts to identify cross-neutralizing antibodies to the receptor-binding site (RBS) of ebolavirus glycoproteins have been unsuccessful, largely because the RBS is occluded on the viral surface. We report a monoclonal antibody (FVM04) that targets a uniquely exposed epitope within the RBS; cross-neutralizes Ebola (EBOV), Sudan (SUDV), and, to a lesser extent, Bundibugyo viruses; and shows protection against EBOV and SUDV in mice and guinea pigs. The antibody cocktail ZMapp™ is remarkably effective against EBOV (Zaire) but does not cross-neutralize other ebolaviruses. By replacing one of the ZMapp™ components with FVM04, we retained the anti-EBOV efficacy while extending the breadth of protection to SUDV, thereby generating a cross-protective antibody cocktail. In addition, we report several mutations at the base of the ebolavirus glycoprotein that enhance the binding of FVM04 and other cross-reactive antibodies. These findings have important implications for pan-ebolavirus vaccine development and defining broadly protective antibody cocktails. : Howell et al. examine a mAb, FVM04, that binds the ebolavirus receptor-binding site and find that FVM04 protects against EBOV and SUDV. When combined with two ZMapp™ components, the antibody cocktail retains EBOV protection similar to that of ZMapp™ and extends protection against SUDV. Specific glycoprotein mutations that enhance the exposure of cross-neutralizing epitopes are described.