Evidence map›Paper›PMID 41439713›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

An ultrapotent human antibody neutralizes all maturation states of Zika virus.

Bo Shu, Thiam-Seng Ng, Xin-Ni Lim, Shuijun Zhang, Victor A Kostyuchenko, Guntur Fibriansah, Benjamin D McElvany, Valerie Shyn-Yun Chew, Aravinda M de Silva, Sean A Diehl and 1 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 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. Article
  2. A review of bloodstream infections-pathogens, pathogenesis, diagnostic strategies, treatment methods-challenges and future aspects.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
  3. Article
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.

Bo ShuProgram in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, Singapore 169857, Singapore.
Thiam-Seng NgProgram in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, Singapore 169857, Singapore.ORCID 0000-0002-1668-8976
Xin-Ni LimProgram in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, Singapore 169857, Singapore.ORCID 0000-0001-8117-3613
Shuijun ZhangProgram in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, Singapore 169857, Singapore.
Victor A KostyuchenkoProgram in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, Singapore 169857, Singapore.ORCID 0000-0001-9751-307X
Guntur FibriansahProgram in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, Singapore 169857, Singapore.ORCID 0000-0002-9990-3335
Benjamin D McElvanyDepartment of Microbiology and Molecular Genetics, The University of Vermont, Burlington, VT 05405.
Valerie Shyn-Yun ChewProgram in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, Singapore 169857, Singapore.ORCID 0000-0001-8679-2659
Aravinda M de SilvaDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7292.ORCID 0000-0003-3317-5950
Sean A DiehlDepartment of Microbiology and Molecular Genetics, The University of Vermont, Burlington, VT 05405.ORCID 0000-0001-9700-235X
Shee-Mei LokProgram in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, Singapore 169857, Singapore.ORCID 0000-0003-4631-8041

Funding

Using Dengue Controlled Human Infection Model to Identify Adaptive Immune Correlates of ProtectionP20GM125498 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Ellen Kozelka · 2018 to 2026
$24.9M
Molecular Basis of Flavivirus Cross-Neutralization by Human AntibodiesR01AI107731 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DESILVA, ARAVINDA M. · 2013 to 2022
$5.3M
Mechanisms of Protection and Durability for a Live Attenuated Tetravalent Dengue VaccineU01AI141997 · NIAID · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Sean A. Diehl, Anna Palmer Durbin · 2019 to 2026
$5.1M
Centers for Disease Control and Prevention Foundation (CDCF) 2017-N-18041Foundation for the NIH (FNIH) U01AI141997HHS | NIH | NCI | CCR | Basic Research Laboratory (BRL) P20GM125498HHS | NIH | NCI | CCR | Basic Research Laboratory (BRL) R01AI107731Ministry of Education - Singapore (MOE) MOE T32023-0002MOH | Ministry of Health Office for Healthcare Transformation (MOHT) Duke-NUS Signature researchNIAID NIH HHS R01 AI107731NIAID NIH HHS U01 AI141997NIGMS NIH HHS P20 GM125498PMO | National Research Foundation Singapore (NRF) NRF2016NRF-CRP001-063PMO | National Research Foundation Singapore (NRF) NRF-NRFI2016-01
6 · The paper itself

Abstract

Zika virus (ZIKV), a flavivirus, causes a range of clinical complications including microcephaly in human fetuses. Currently, there is no treatment or vaccine. Different maturation states (mature and immature forms) of flavivirus particles have been observed to be released from infected cells and are infectious. To understand how an ultrapotent human antibody (HMAb) A9E can neutralize these Zika particles, we determined the cryoEM structures of the A9E Fab fragment complexed with mature (mZIKV) and immature (immZIKV) ZIKV to 2.8Å and 7.5Å, respectively. A9E binds to an epitope spanning Domain I (EDI), EDIII, and their linker in an E protein protomer in both immZIKV and mZIKV particles. A9E generally inhibited prior to or during virus attachment to cells, via virus aggregation, distortion of virus particles and inhibition of receptor binding. ImmZIKV is particularly sensitive to structural distortion by Fab A9E. The primary mode of infection used by ImmZIKV is via antibody-dependent enhancement of infection (ADE)-the formation of virus complex with nonneutralizing or subneutralizing concentrations of antibodies, that leads to enhanced infection of Fcγ positive myeloid cells. IgG A9E, by itself displays poor ADE activity. When IgG LALA mutant or Fab A9E is added to other enhancing antibody (DV62.5):virus complexes, they can strongly reduce the overall ADE activity. This is likely due to their ability to distort virus particle structure, suggesting that HMAb A9E could be a potential prophylactic and therapeutic candidate against all maturation states of ZIKV.

Indexed as

Antibodies, NeutralizingAntibodies, ViralZika VirusAnimalsCryoelectron MicroscopyEpitopesHumansImmunoglobulin Fab FragmentsViral Envelope ProteinsVirionZika Virus InfectionAntibodies, NeutralizingAntibodies, ViralEpitopesImmunoglobulin Fab FragmentsViral Envelope ProteinsantibodycryoEMdengueflavivirusZika

Identifiers

PMID41439713
PMCPMC12768462

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.