Fc-modification of anti-PcrV gene-encoded antibodies modulates complement-mediated killing of Pseudomonas aeruginosa
Jillian Eisenhauer1,2, Spencer Dublin3, Jihae Choi2
1Perelman School of Medicine University of Pennsylvania, Philadelphia, PA, United States.
Abstract:
Pseudomonas aeruginosa is a high priority multi-drug-resistant (MDR) bacterial pathogen with increasing resistance against broad-spectrum antibiotics. Multiple efforts are ongoing to develop anti-pseudomonal vaccines however achieving meaningful outcomes has been challenging in human clinical trials. Monoclonal antibodies (MAbs) are emerging as promising biologics for targeting P. aeruginosa infections and engineering strategies that bridge engagement with innate immune mechanisms like complement-mediated antibody dependent phagocytosis may be beneficial to improve bacterial clearance. We previously described both protection and long-term expression of synthetic DNA-encoded MAb (DMAb) expressing the anti-PcrV MAb V2L2-MD. Here, we show that modification of DMAb-V2L2-MD with an Fc-point mutation designed to enhance complement engagement demonstrates improved binding to C1q, C3 deposition, and improved opsonophagocytic killing. This Fc-modified DMAb reduced P. aeruginosa bacteria burden in lungs and nasal washes in a lethal acute murine intranasal infection model. These data highlight the importance of tailoring downstream antibody innate effector functions to improve clearance of difficult-to-treat bacteria like MDR P. aeruginosa.
Insights
Engineered DNA-encoded monoclonal antibodies targeting Pseudomonas aeruginosa show enhanced complement engagement. This improved bacterial clearance in a lethal infection model, offering new hope against multi-drug resistant infections.
Area of Science:
- Immunology
- Microbiology
- Biotechnology
Background:
- Pseudomonas aeruginosa is a high-priority multi-drug resistant pathogen with increasing antibiotic resistance.
- Developing effective anti-pseudomonal vaccines has been challenging in clinical trials.
- Monoclonal antibodies (MAbs) show promise for targeting P. aeruginosa infections.
Purpose of the Study:
- To engineer a DNA-encoded MAb (DMAb) with enhanced complement engagement for improved P. aeruginosa clearance.
- To evaluate the efficacy of an Fc-modified DMAb against P. aeruginosa in a murine infection model.
Main Methods:
- Modification of a previously described anti-PcrV DMAb (V2L2-MD) with an Fc-point mutation.
- Assessment of complement engagement (C1q binding, C3 deposition) and opsonophagocytic killing.
- Evaluation of bacterial burden in lungs and nasal washes in a lethal acute murine intranasal infection model.
Main Results:
- The Fc-modified DMAb demonstrated enhanced binding to C1q and increased C3 deposition.
- Improved opsonophagocytic killing was observed with the modified DMAb.
- The Fc-modified DMAb significantly reduced P. aeruginosa bacterial burden in lungs and nasal washes.
Conclusions:
- Tailoring antibody innate effector functions, specifically complement engagement, is crucial for effective bacterial clearance.
- Fc-modified DMAb represents a promising strategy for combating difficult-to-treat bacteria like multi-drug resistant P. aeruginosa.
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