Evidence map›Paper›PMID 42188602›Full record

ArticleToxins2026

Co-Expression and Co-Purification Enable Manufacturing of a Six-Monoclonal Antibody Botulinum Antitoxin Cocktail.

Andrew Davis, Kamaljit Bajwa, Zachary Martinez, Ryan R Davis, April Green, Fletcher Suber, Shauna Farr-Jones, Milan T Tomic

Abstract read
In one paragraph

Article in Toxins, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Andrew DavisResilience Government Services, 2061 Challenger Drive, Alameda, CA 94501, USA.
Kamaljit BajwaResilience Government Services, 2061 Challenger Drive, Alameda, CA 94501, USA.
Zachary MartinezResilience Government Services, 2061 Challenger Drive, Alameda, CA 94501, USA.
Ryan R DavisResilience Government Services, 13200 NW Nano Court, Alachua, FL 32615, USA.ORCID 0000-0002-9695-4356
April GreenResilience Government Services, 13200 NW Nano Court, Alachua, FL 32615, USA.
Fletcher SuberResilience Government Services, 13200 NW Nano Court, Alachua, FL 32615, USA.
Shauna Farr-JonesDepartment of Anesthesia, University of California, 1001 Potrero Ave, San Francisco, CA 94110, USA.ORCID 0000-0003-4130-6332
Milan T TomicResilience Government Services, 2061 Challenger Drive, Alameda, CA 94501, USA.

Funding

Defense Threat Reduction Agency W15QKN-16-9-1002United States Department of Defense W911SR22D0009
6 · The paper itself

Abstract

A highly potent antitoxin for botulinum neurotoxin (BoNT) serotypes A and B has been developed that comprises three monoclonal antibodies (mAbs) targeting BoNT/A and three targeting BoNT/B. These oligoclonal antibody combinations neutralize toxin by simultaneously binding non-overlapping epitopes, thereby promoting rapid toxin clearance. All six mAbs use the same human Fc and framework and have been individually manufactured using the same expression platform and purification process. To minimize the time and labor required to produce the divalent antitoxin, we tested a co-expression and co-purification strategy for the three mAbs per serotype. The mAbs were expressed in CHO-K1 cells, and the media were optimized for co-expression in 10 L bioreactors. Chromatographic co-purification consisted of Protein A capture, followed by strong anion exchange chromatography in flow-through mode and cation-exchange chromatography in bind-elute mode. Co-expression experiments demonstrated that expression of the three anti-BoNT/A antibodies remained within approximately ±30% of the optimal equimolar ratio, whereas the anti-BoNT/B antibodies showed greater variability. Downstream purification steps achieved recoveries greater than 95% per chromatographic step, resulting in overall process yields of approximately 63-75%. This strategy provided sufficient purity of all six mAbs while largely preserving their relative ratios. These results demonstrate the feasibility of producing oligoclonal antitoxin antibodies using co-expression and shared purification strategies. Such approaches may simplify the manufacturing of antibody cocktails while maintaining product quality and biological activity.

Indexed as

Antibodies, MonoclonalBotulinum AntitoxinBotulinum ToxinsBotulinum Toxins, Type AAnimalsCHO CellsCombined Antibody TherapeuticsCricetulusHumansAntibodies, MonoclonalBotulinum AntitoxinBotulinum ToxinsBotulinum Toxins, Type ACombined Antibody Therapeuticsbotulinum antitoxinco-expressionco-purificationoligoclonal antibodiesrecombinant antibody manufacturing

Identifiers

PMID42188602
PMCPMC13211578

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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.