Evidence map›Paper›PMID 39266557›Full record

ArticleNature communications2024

Exploiting human immune repertoire transgenic mice for protective monoclonal antibodies against antimicrobial resistant Acinetobacter baumannii.

Stephen Baker, Aishwarya Krishna, Sophie Higham, Plamena Naydenova, Siobhan O'Leary, Josefin Bartholdson Scott, Katherine Harcourt, Sally Forrest, David Goulding, To Nguyen Thi Nguyen and 18 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Review
  2. Monoclonal Antibodies Targeting Bacterial Infections: A Broad Review of the Field.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. The intricacies ofFrontiers in microbiology · 2025
    Review
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

28 authors.

Stephen Baker *University of Cambridge School of Clinical Medicine Cambridge Biomedical Campus, Cambridge, UK.ORCID 0000-0002-7797-9080
Aishwarya Krishna *Kymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.
Sophie Higham *Department of Infectious Disease, Imperial College London, St Marys Campus, Norfolk Place, London, UK.ORCID 0000-0003-4139-7780
Plamena NaydenovaUniversity of Cambridge School of Clinical Medicine Cambridge Biomedical Campus, Cambridge, UK.
Siobhan O'LearyKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.
Josefin Bartholdson ScottKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.ORCID 0000-0003-3380-4446
Katherine HarcourtUniversity of Cambridge School of Clinical Medicine Cambridge Biomedical Campus, Cambridge, UK.
Sally ForrestUniversity of Cambridge School of Clinical Medicine Cambridge Biomedical Campus, Cambridge, UK.
David GouldingPathogens and Microbes Programme, Wellcome Sanger Institute, Cambridge, UK.
To Nguyen Thi NguyenDepartment of Microbiology, Monash Biomedicine Discovery Institute, Monash University, Melbourne, Victoria, Australia.
Nguyen Duc ToanNeonatal Intensive Care Unit, Children's Hospital 1, Ho Chi Minh City, Vietnam.
Elizaveta AlekseevaKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.
Qingqing ZhouKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.
Ilaria AndreozziKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.
Barbara SoboticKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.
Hannah CraigKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.
Vivian WongKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.
Nichola Forrest-OwenKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.
Dana Moreno SanchezKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.
Claire PearceKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.
Leah RobertsEuropean Molecular Biology Laboratory, European Bioinformatics Institute (EMBL-EBI), Hinxton, UK.ORCID 0000-0002-1024-0564
Simon WatsonKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.ORCID 0000-0002-1741-5742
Simon ClareUniversity of Cambridge School of Clinical Medicine Cambridge Biomedical Campus, Cambridge, UK.
Mili Estee TorokUniversity of Cambridge School of Clinical Medicine Cambridge Biomedical Campus, Cambridge, UK.ORCID 0000-0001-9098-8590
Gordon DouganUniversity of Cambridge School of Clinical Medicine Cambridge Biomedical Campus, Cambridge, UK.
Paul KellamKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK.ORCID 0000-0003-3166-4734
John S TregoningDepartment of Infectious Disease, Imperial College London, St Marys Campus, Norfolk Place, London, UK.ORCID 0000-0001-8093-8741
Stephen T ReeceKymab, a Sanofi Company, Babraham Research Campus, Cambridge, UK. stephen.reece@sanofi.com.ORCID 0000-0003-0725-6271

Funding

Medical Research Council MC_PC_19040Wellcome TrustWellcome Trust 215515/Z/19/Z
6 · The paper itself

Abstract

The use of monoclonal antibodies for the control of drug resistant nosocomial bacteria may alleviate a reliance on broad spectrum antimicrobials for treatment of infection. We identify monoclonal antibodies that may prevent infection caused by carbapenem resistant Acinetobacter baumannii. We use human immune repertoire mice (Kymouse platform mice) as a surrogate for human B cell interrogation to establish an unbiased strategy to probe the antibody-accessible target landscape of clinically relevant A. baumannii. After immunisation of the Kymouse platform mice with A. baumannii derived outer membrane vesicles (OMV) we identify 297 antibodies and analyse 26 of these for functional potential. These antibodies target lipooligosaccharide (OCL1), the Oxa-23 protein, and the KL49 capsular polysaccharide. We identify a single monoclonal antibody (mAb1416) recognising KL49 capsular polysaccharide to demonstrate prophylactic in vivo protection against a carbapenem resistant A. baumannii lineage associated with neonatal sepsis mortality in Asia. Our end-to-end approach identifies functional monoclonal antibodies with prophylactic potential against major lineages of drug resistant bacteria accounting for phylogenetic diversity and clinical relevance without existing knowledge of a specific target antigen. Such an approach might be scaled for a additional clinically important bacterial pathogens in the post-antimicrobial era.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAntibodies, MonoclonalMice, TransgenicAnimalsAnti-Bacterial AgentsAntibodies, BacterialCarbapenemsDrug Resistance, BacterialFemaleHumansLipopolysaccharidesMiceAnti-Bacterial AgentsAntibodies, BacterialAntibodies, MonoclonalCarbapenemslipid-linked oligosaccharidesLipopolysaccharides

Identifiers

PMID39266557
PMCPMC11392949

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.