Discovery of highly neutralizing human antibodies targeting Pseudomonas aeruginosa

Alexander Simonis1, Christoph Kreer2, Alexandra Albus3

  • 1Department I of Internal Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937 Cologne, Germany; Center for Molecular Medicine Cologne (CMMC), Faculty of Medicine and University Hospital Cologne, University of Cologne, 50931 Cologne, Germany; German Center for Infection Research (DZIF), partner site Bonn-Cologne, 50937 Cologne, Germany.

Cell
|November 2, 2023
PubMed

Insights

Drug-resistant Pseudomonas aeruginosa infections can be treated with new antibodies. These neutralizing antibodies, found in infected patients, target the PcrV protein and are effective against dangerous bacterial strains.

Area of Science:

  • Immunology
  • Microbiology
  • Structural Biology

Background:

  • Pseudomonas aeruginosa (PA) is a significant cause of drug-resistant infections.
  • The type III secretion system (T3SS) is a key virulence factor in PA.
  • Alternative therapies are urgently needed to combat PA infections.

Purpose of the Study:

  • To investigate the B cell and antibody response to PA's T3SS in chronically infected patients.
  • To identify and characterize neutralizing monoclonal antibodies (mAbs) against T3SS components.
  • To evaluate the therapeutic potential of these mAbs against drug-resistant PA.

Main Methods:

  • Single-cell analytics to analyze B cell receptor repertoire.
  • Monoclonal antibody production and characterization.
  • Cryoelectron microscopy for epitope mapping.
  • In vivo efficacy studies comparing mAbs and antibiotics.

Main Results:

  • A diverse B cell repertoire targeting the T3SS needle-tip protein PcrV was identified.
  • Monoclonal antibodies (mAbs) were generated that neutralize T3SS-mediated cytotoxicity.
  • A specific C-terminal PcrV epitope was identified as the target of broadly neutralizing mAbs.
  • Anti-PcrV mAbs demonstrated efficacy in vivo, comparable to conventional antibiotics.

Conclusions:

  • Chronically PA-infected patients harbor a valuable source of neutralizing antibodies.
  • Anti-PcrV mAbs represent a promising therapeutic strategy against drug-resistant PA.
  • Targeting the T3SS via PcrV offers a viable approach for novel anti-PA therapies.