Neutralizing human antibodies prevent Zika virus replication and fetal disease in mice
Gopal Sapparapu1,2, Estefania Fernandez3, Nurgun Kose2
1Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Abstract:
Zika virus (ZIKV) is an emerging mosquito-transmitted flavivirus that can cause severe disease, including congenital birth defects during pregnancy. To develop candidate therapeutic agents against ZIKV, we isolated a panel of human monoclonal antibodies from subjects that were previously infected with ZIKV. We show that a subset of antibodies recognize diverse epitopes on the envelope (E) protein and exhibit potent neutralizing activity. One of the most inhibitory antibodies, ZIKV-117, broadly neutralized infection of ZIKV strains corresponding to African and Asian-American lineages. Epitope mapping studies revealed that ZIKV-117 recognized a unique quaternary epitope on the E protein dimer-dimer interface. We evaluated the therapeutic efficacy of ZIKV-117 in pregnant and non-pregnant mice. Monoclonal antibody treatment markedly reduced tissue pathology, placental and fetal infection, and mortality in mice. Thus, neutralizing human antibodies can protect against maternal-fetal transmission, infection and disease, and reveal important determinants for structure-based rational vaccine design efforts.
Insights
Human monoclonal antibodies effectively neutralize Zika virus (ZIKV) and protect against maternal-fetal transmission. This research offers a promising therapeutic strategy against ZIKV infection.
Area of Science:
- Virology
- Immunology
- Maternal-Fetal Medicine
Background:
- Zika virus (ZIKV) is an emerging flavivirus transmitted by mosquitoes.
- ZIKV infection during pregnancy can lead to severe congenital birth defects.
Purpose of the Study:
- To develop potential therapeutic agents against ZIKV.
- To evaluate the efficacy of a broadly neutralizing human monoclonal antibody (ZIKV-117) in protecting against ZIKV infection and transmission.
Main Methods:
- Isolation of human monoclonal antibodies from ZIKV-infected subjects.
- Characterization of antibody neutralizing activity and epitope mapping.
- Therapeutic efficacy studies in pregnant and non-pregnant mouse models.
Main Results:
- A subset of isolated antibodies demonstrated potent ZIKV neutralization.
- ZIKV-117 broadly neutralized diverse ZIKV strains and recognized a unique quaternary epitope.
- Monoclonal antibody treatment significantly reduced ZIKV-related pathology, maternal-fetal transmission, and mortality in mice.
Conclusions:
- Neutralizing human monoclonal antibodies are effective therapeutics against ZIKV.
- ZIKV-117 provides protection against maternal-fetal transmission and ZIKV-induced disease.
- Findings inform structure-based vaccine design for ZIKV.
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