PMID- 26189681 OWN - NLM STAT- MEDLINE DCOM- 20151028 LR - 20181113 IS - 1097-4172 (Electronic) IS - 0092-8674 (Print) IS - 0092-8674 (Linking) VI - 162 IP - 3 DP - 2015 Jul 30 TI - Structure-Guided Design of an Anti-dengue Antibody Directed to a Non-immunodominant Epitope. PG - 493-504 LID - S0092-8674(15)00827-2 [pii] LID - 10.1016/j.cell.2015.06.057 [doi] AB - Dengue is the most common vector-borne viral disease, causing nearly 400 million infections yearly. Currently there are no approved therapies. Antibody epitopes that elicit weak humoral responses may not be accessible by conventional B cell panning methods. To demonstrate an alternative strategy to generating a therapeutic antibody, we employed a non-immunodominant, but functionally relevant, epitope in domain III of the E protein, and engineered by structure-guided methods an antibody directed to it. The resulting antibody, Ab513, exhibits high-affinity binding to, and broadly neutralizes, multiple genotypes within all four serotypes. To assess therapeutic relevance of Ab513, activity against important human clinical features of dengue was investigated. Ab513 mitigates thrombocytopenia in a humanized mouse model, resolves vascular leakage, reduces viremia to nearly undetectable levels, and protects mice in a maternal transfer model of lethal antibody-mediated enhancement. The results demonstrate that Ab513 may reduce the public health burden from dengue. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Robinson, Luke N AU - Robinson LN AD - Visterra Inc., One Kendall Square, Suite B3301, Cambridge, MA 02139, USA; Department of Biological Engineering, Koch Institute of Integrative Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge MA 02139; USA. FAU - Tharakaraman, Kannan AU - Tharakaraman K AD - Department of Biological Engineering, Koch Institute of Integrative Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge MA 02139; USA. FAU - Rowley, Kirk J AU - Rowley KJ AD - Visterra Inc., One Kendall Square, Suite B3301, Cambridge, MA 02139, USA. FAU - Costa, Vivian V AU - Costa VV AD - Infectious Diseases Interdisciplinary Research Group, Singapore-MIT Alliance for Research and Technology, Singapore. FAU - Chan, Kuan Rong AU - Chan KR AD - Program in Emerging Infectious Diseases, Duke-NUS Graduate Medical School, 8 College Road, Singapore 169857. FAU - Wong, Yee Hwa AU - Wong YH AD - School of Biological Sciences, Nanyang Technological University, 60 Nanyang Drive, Singapore 637551. FAU - Ong, Li Ching AU - Ong LC AD - Infectious Diseases Interdisciplinary Research Group, Singapore-MIT Alliance for Research and Technology, Singapore. FAU - Tan, Hwee Cheng AU - Tan HC AD - Program in Emerging Infectious Diseases, Duke-NUS Graduate Medical School, 8 College Road, Singapore 169857. FAU - Koch, Tyree AU - Koch T AD - Visterra Inc., One Kendall Square, Suite B3301, Cambridge, MA 02139, USA. FAU - Cain, David AU - Cain D AD - Department of Biological Engineering, Koch Institute of Integrative Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge MA 02139; USA. FAU - Kirloskar, Rama AU - Kirloskar R AD - Department of Biological Engineering, Koch Institute of Integrative Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge MA 02139; USA. FAU - Viswanathan, Karthik AU - Viswanathan K AD - Visterra Inc., One Kendall Square, Suite B3301, Cambridge, MA 02139, USA. FAU - Liew, Chong Wai AU - Liew CW AD - School of Biological Sciences, Nanyang Technological University, 60 Nanyang Drive, Singapore 637551. FAU - Tissire, Hamid AU - Tissire H AD - Visterra Inc., One Kendall Square, Suite B3301, Cambridge, MA 02139, USA. FAU - Ramakrishnan, Boopathy AU - Ramakrishnan B AD - Visterra Inc., One Kendall Square, Suite B3301, Cambridge, MA 02139, USA. FAU - Myette, James R AU - Myette JR AD - Visterra Inc., One Kendall Square, Suite B3301, Cambridge, MA 02139, USA. FAU - Babcock, Gregory J AU - Babcock GJ AD - Visterra Inc., One Kendall Square, Suite B3301, Cambridge, MA 02139, USA. FAU - Sasisekharan, V AU - Sasisekharan V AD - Department of Biological Engineering, Koch Institute of Integrative Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge MA 02139; USA. FAU - Alonso, Sylvie AU - Alonso S AD - Infectious Diseases Interdisciplinary Research Group, Singapore-MIT Alliance for Research and Technology, Singapore; Department of Microbiology, National University of Singapore, 5 Science Drive 2, Blk MD4, Level 3, Singapore 117545. FAU - Chen, Jianzhu AU - Chen J AD - Infectious Diseases Interdisciplinary Research Group, Singapore-MIT Alliance for Research and Technology, Singapore; Department of Biology, Koch Institute of Integrative Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge MA 02139, USA. FAU - Lescar, Julien AU - Lescar J AD - School of Biological Sciences, Nanyang Technological University, 60 Nanyang Drive, Singapore 637551. FAU - Shriver, Zachary AU - Shriver Z AD - Visterra Inc., One Kendall Square, Suite B3301, Cambridge, MA 02139, USA. FAU - Ooi, Eng Eong AU - Ooi EE AD - Infectious Diseases Interdisciplinary Research Group, Singapore-MIT Alliance for Research and Technology, Singapore; Program in Emerging Infectious Diseases, Duke-NUS Graduate Medical School, 8 College Road, Singapore 169857. FAU - Sasisekharan, Ram AU - Sasisekharan R AD - Department of Biological Engineering, Koch Institute of Integrative Cancer Research, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge MA 02139; USA; Infectious Diseases Interdisciplinary Research Group, Singapore-MIT Alliance for Research and Technology, Singapore. Electronic address: rams@mit.edu. LA - eng SI - PDB/4UDZ GR - R01 GM057073/GM/NIGMS NIH HHS/United States GR - R37 GM057073-13/GM/NIGMS NIH HHS/United States GR - 1R01AI111395/AI/NIAID NIH HHS/United States GR - T32 ES007020/ES/NIEHS NIH HHS/United States GR - R01 AI111395/AI/NIAID NIH HHS/United States GR - R37 GM057073/GM/NIGMS NIH HHS/United States GR - 2T32ES007020/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150716 PL - United States TA - Cell JT - Cell JID - 0413066 RN - 0 (Antibodies, Neutralizing) RN - 0 (Immunodominant Epitopes) RN - 0 (Receptors, Fc) SB - IM MH - Amino Acid Sequence MH - Animals MH - Antibodies, Neutralizing/*administration & dosage/*chemistry MH - Dengue/immunology/*therapy/virology MH - Dengue Virus/immunology/*physiology MH - Disease Models, Animal MH - Immunodominant Epitopes/*chemistry MH - Mice MH - Models, Molecular MH - Molecular Sequence Data MH - Phagocytosis MH - Protein Engineering MH - Receptors, Fc/immunology MH - Sequence Alignment PMC - PMC4758460 MID - NIHMS706754 EDAT- 2015/07/21 06:00 MHDA- 2015/10/29 06:00 PMCR- 2016/07/30 CRDT- 2015/07/21 06:00 PHST- 2014/11/21 00:00 [received] PHST- 2015/05/13 00:00 [revised] PHST- 2015/06/19 00:00 [accepted] PHST- 2015/07/21 06:00 [entrez] PHST- 2015/07/21 06:00 [pubmed] PHST- 2015/10/29 06:00 [medline] PHST- 2016/07/30 00:00 [pmc-release] AID - S0092-8674(15)00827-2 [pii] AID - 10.1016/j.cell.2015.06.057 [doi] PST - ppublish SO - Cell. 2015 Jul 30;162(3):493-504. doi: 10.1016/j.cell.2015.06.057. Epub 2015 Jul 16.