Evidence map›Paper›PMID 41662412›Full record

ArticlePLoS neglected tropical diseases2026

Maternal expression and breast milk transfer of an mRNA- encoded monoclonal antibody in a murine model of cholera.

Jennifer E Doering, Yetunde Adewunmi, Cailin E Deal, Obadiah Plante, Andrea Carfi, Nicholas J Mantis

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Jennifer E DoeringDivision of Infectious Diseases, Wadsworth Center, New York State Department of Health, Albany, New York, United States of America.
Yetunde AdewunmiDivision of Infectious Diseases, Wadsworth Center, New York State Department of Health, Albany, New York, United States of America.
Cailin E DealModerna, Inc., Cambridge, Massachusetts, United States of America.
Obadiah PlanteModerna, Inc., Cambridge, Massachusetts, United States of America.
Andrea CarfiModerna, Inc., Cambridge, Massachusetts, United States of America.
Nicholas J MantisDivision of Infectious Diseases, Wadsworth Center, New York State Department of Health, Albany, New York, United States of America.ORCID https://orcid.org/0000-0002-5083-8640

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast milk confers infants with immunity to a multitude of pathogens reflective of prior maternal infections and vaccinations. However, in outbreak situations where infants may be vulnerable to lethal infections due to gaps in the maternal immune repertoire, a case can be made for supplementing breast milk with one or more pathogen-specific monoclonal antibodies (mAbs) with known prophylactic or therapeutic activity. As oral delivery of recombinant IgG and IgA mAbs to infants has proven challenging, we investigated the use of mRNA-lipid nanoparticle (LNP) technology to stimulate pathogen-specific mAbs in milk. mRNA encoding the Vibrio cholerae O1 specific mAb, ZAC-3, as a human IgG1 or dimeric IgA2, was encapsulated in lipid nanoparticles (LNP) and administered parenterally to lactating and non-lactating female mice. A single intravenous administration of mRNA-LNPs resulted in high and sustained expression of functional ZAC-3 IgG1 in the blood and breast milk of lactating dams. ZAC-3 IgA2 levels were lower and more transient. ZAC-3 IgG1 (but not IgA2) was also detected in the serum of suckling pups at levels proportional to those in the mothers, demonstrating successful transfer of functional antibodies to newborns. Levels of ZAC-3 IgG1 and IgA2 were not sufficient to limit intestinal colonization of V. cholerae O1 when pups were separated from dams following intragastric challenge; however, a significant reduction in bacterial burden was observed when challenged pups remained with dams for continuous breastfeeding. Our findings highlight the potential of mRNA-based mAb platforms in the maternal-newborn context, while acknowledging the need for optimized antibody isotypes, dosing, and tissue-specific delivery to improve mucosal immunity.

Indexed as

Antibodies, BacterialAntibodies, MonoclonalCholeraImmunity, Maternally-AcquiredMilk, HumanRNA, MessengerAnimalsDisease Models, AnimalFemaleHumansImmunoglobulin AImmunoglobulin GLactationMiceMice, Inbred BALB CVibrio cholerae O1Antibodies, BacterialAntibodies, MonoclonalImmunoglobulin AImmunoglobulin GRNA, Messenger

Identifiers

PMID41662412
PMCPMC12919922

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.