Evidence map›Paper›PMID 40681850›Full record

ArticleCommunications biology2025

Bivalent single-domain antibodies show potent mpox virus neutralization through M1R antigen.

Daisuke Akazawa, Masayuki Shimojima, Eun-Sil Park, Akiko Okutani, Milagros Virhuez-Mendoza, Yusuke Inoue, Takayuki Hishiki, Ken Maeda, Hideki Ebihara, Yoshimasa Takahashi and 1 more

Abstract read
In one paragraph

Article in Communications biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

11 authors.

Daisuke AkazawaDepartment of Drug Development, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan. dakazawa@niid.go.jp.ORCID http://orcid.org/0000-0001-5205-6776
Masayuki ShimojimaDepartment of Virology I, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.ORCID http://orcid.org/0000-0002-5745-8413
Eun-Sil ParkDepartment of Veterinary Science, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.
Akiko OkutaniDepartment of Veterinary Science, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.
Milagros Virhuez-MendozaDepartment of Veterinary Science, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.ORCID http://orcid.org/0000-0002-8357-2498
Yusuke InoueDepartment of Veterinary Science, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.
Takayuki HishikiDepartment of Drug Development, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.
Ken MaedaDepartment of Veterinary Science, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.ORCID http://orcid.org/0000-0002-3488-5439
Hideki EbiharaDepartment of Virology I, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.ORCID http://orcid.org/0000-0002-2576-9735
Yoshimasa TakahashiResearch Center for Vaccine Development, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan.ORCID http://orcid.org/0000-0001-6342-4087
Koichi WatashiDepartment of Drug Development, National Institute of Infectious Diseases, Japan Institute for Health Security, Tokyo, Japan. kwatashi@niid.go.jp.ORCID http://orcid.org/0000-0002-4536-9966

Funding

Japan Agency for Medical Research and Development (AMED) JP21fk0108427Japan Agency for Medical Research and Development (AMED) JP23fk0108590Japan Agency for Medical Research and Development (AMED) JP24fk0108660Japan Agency for Medical Research and Development (AMED) JP25fk0310525
6 · The paper itself

Abstract

Despite the recent mpox outbreak raising global concerns, no fully validated antiviral treatment exists, highlighting the urgent need for effective therapeutics. Here, by taking advantage of the preparation technology for single-domain (VHH) antibodies, we generated VHHs targeting the six major mpox virus (MPXV) surface antigens. Although neutralization activity of these monoclonal VHH monomers was negligible, bivalent VHHs against MPXV-M1R (bi-M1A8 and bi-M1C2) improved the antigen binding affinity by up to over 400-fold compared with the monomer VHH and thus produced neutralizing activity against MPXV. Epitope analysis by SPR revealed that the two neutralizing bivalent VHHs recognized different epitopes within M1R antigen. Importantly, these bivalent VHHs were active to multiple MPXV clades and related cowpox virus. We also showed the effect of bi-M1A8 on reducing the MPXV DNA and infectious titer in an MPXV infection mouse model. These VHH modification approaches provide a new strategy for anti-MPXV drug development.

Indexed as

Antibodies, NeutralizingAntibodies, ViralAntigens, ViralMonkeypox virusSingle-Domain AntibodiesAnimalsEpitopesHumansMiceMice, Inbred BALB CMpox, MonkeypoxNeutralization TestsAntibodies, NeutralizingAntibodies, ViralAntigens, ViralEpitopesSingle-Domain Antibodies

Identifiers

PMID40681850
PMCPMC12274552

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.