Evidence map›Paper›PMID 34077751›Full record

ArticleCell2021

Protective neutralizing antibodies from human survivors of Crimean-Congo hemorrhagic fever.

J Maximilian Fels, Daniel P Maurer, Andrew S Herbert, Ariel S Wirchnianski, Olivia Vergnolle, Robert W Cross, Dafna M Abelson, Crystal L Moyer, Akaash K Mishra, Jennifer T Aguilan and 19 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
4.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 88 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors at 9 institutions in 4 countries.

J Maximilian FelsDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Daniel P MaurerAdimab, LLC, Lebanon, NH 03766, USA.
Andrew S HerbertU.S. Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD 21702, USA; The Geneva Foundation, Tacoma, WA 98402, USA.
Ariel S WirchnianskiDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY 10461, USA; Deparment of Biochemistry, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Olivia VergnolleDeparment of Biochemistry, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Robert W CrossGalveston National Laboratory, University of Texas Medical Branch, Galveston, TX 77550, USA; Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX 77550, USA.
Dafna M AbelsonMapp Biopharmaceutical, Inc., San Diego, CA 92121, USA.
Crystal L MoyerMapp Biopharmaceutical, Inc., San Diego, CA 92121, USA.
Akaash K MishraDepartment of Molecular Biosciences, University of Texas at Austin, Austin, TX 78712, USA.
Jennifer T AguilanDepartment of Pathology, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Ana I KuehneU.S. Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD 21702, USA.
Noel T PauliAdimab, LLC, Lebanon, NH 03766, USA.
Russell R BakkenU.S. Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD 21702, USA.
Elisabeth K NyakaturaDeparment of Biochemistry, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Jan HellertStructural Virology Unit, Department of Virology, CNRS UMR 3569, Institut Pasteur, Paris 75724, France.
Gregory QuevedoDeparment of Biochemistry, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Leslie LobelDepartment of Microbiology, Immunology and Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel.
Stephen BalinandiUganda Virus Research Institute, Entebbe, Uganda.
Julius J LutwamaUganda Virus Research Institute, Entebbe, Uganda.
Larry ZeitlinMapp Biopharmaceutical, Inc., San Diego, CA 92121, USA.
Thomas W GeisbertGalveston National Laboratory, University of Texas Medical Branch, Galveston, TX 77550, USA; Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX 77550, USA.
Felix A ReyStructural Virology Unit, Department of Virology, CNRS UMR 3569, Institut Pasteur, Paris 75724, France.
Simone SidoliDeparment of Biochemistry, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Jason S McLellanDepartment of Molecular Biosciences, University of Texas at Austin, Austin, TX 78712, USA.
Jonathan R LaiDeparment of Biochemistry, Albert Einstein College of Medicine, Bronx, NY 10461, USA.
Zachary A BornholdtMapp Biopharmaceutical, Inc., San Diego, CA 92121, USA. Electronic address: zachary.bornholdt@mappbio.com.
John M DyeU.S. Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD 21702, USA. Electronic address: john.m.dye1.civ@mail.mil.
Laura M WalkerAdimab, LLC, Lebanon, NH 03766, USA; Adagio Therapeutics, Inc., Waltham, MA 02451, USA. Electronic address: laura.walker@adimab.com.
Kartik ChandranDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY 10461, USA. Electronic address: kartik.chandran@einsteinmed.org.
Albert Einstein College of Medicine · USUnited States Army Medical Research Institute of Infectious Diseases · USAdimab (United States) · USCentre National de la Recherche Scientifique · FRThe University of Texas at Austin · USThe University of Texas Medical Branch at Galveston · USUganda Virus Research Institute · UGBen-Gurion University of the Negev · ILMapp Biopharmaceutical (United States) · US

Funding

Prometheus: A Platform for Rapid Development of Human Antibody-based Therapeutics and Prophylactics against Emerging Viral ThreatsU19AI142777 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI CHANDRAN, KARTIK · 2019 to 2023
$21.9M
Preclinical Development of Human Monoclonal Antibodies for Postexposure Treatment of Crimean-Congo Hemorrhagic FeverR01AI132246 · NIAID · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GEISBERT, THOMAS WILLIAM · 2017 to 2021
$6.0M
Geographic Medicine and Emerging InfectionsT32AI070117 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI WEISS, LOUIS M. · 2008 to 2023
$5.1M
Predoctoral Program in BiophysicsT32GM149438 · NIGMS · YALE UNIVERSITY · PI Yong Xiong, Elsa Chui Ying Yan · 2023 to 2026
$2.6M
NIAID NIH HHS R01 AI132246NIAID NIH HHS T32 AI070117NIAID NIH HHS U19 AI142777NIGMS NIH HHS T32 GM149438
6 · The paper itself

Abstract

Crimean-Congo hemorrhagic fever virus (CCHFV) is a World Health Organization priority pathogen. CCHFV infections cause a highly lethal hemorrhagic fever for which specific treatments and vaccines are urgently needed. Here, we characterize the human immune response to natural CCHFV infection to identify potent neutralizing monoclonal antibodies (nAbs) targeting the viral glycoprotein. Competition experiments showed that these nAbs bind six distinct antigenic sites in the Gc subunit. These sites were further delineated through mutagenesis and mapped onto a prefusion model of Gc. Pairwise screening identified combinations of non-competing nAbs that afford synergistic neutralization. Further enhancements in neutralization breadth and potency were attained by physically linking variable domains of synergistic nAb pairs through bispecific antibody (bsAb) engineering. Although multiple nAbs protected mice from lethal CCHFV challenge in pre- or post-exposure prophylactic settings, only a single bsAb, DVD-121-801, afforded therapeutic protection. DVD-121-801 is a promising candidate suitable for clinical development as a CCHFV therapeutic.

Indexed as

SurvivorsAmino Acid SequenceAnimalsAntibodies, MonoclonalAntibodies, NeutralizingAntigens, ViralBiophysical PhenomenaChlorocebus aethiopsEpitope MappingEpitopesFemaleHemorrhagic Fever, CrimeanHemorrhagic Fever Virus, Crimean-CongoHumansImmunoglobulin GMaleAntibodies, MonoclonalAntibodies, NeutralizingAntigens, ViralEpitopesImmunoglobulin GRecombinant ProteinsViral Proteinsantibody therapeuticbunyavirusCCHFVCrimean-Congo hemorrhagic fever virusemerging virushuman monoclonal antibodymonoclonal antibodynairovirustickborneviral glycoprotein

Identifiers

PMID34077751
PMCPMC8559771
OpenAlexW3164377241

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.