Structurally conserved human anti-A35 antibodies protect mice and macaques from mpox virus infection

Bin Ju1, Congcong Liu2, Jingjing Zhang3

  • 1Institute for Hepatology, National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital, The Second Affiliated Hospital, School of Medicine, Southern University of Science and Technology, Shenzhen, Guangdong Province 518112, China; Guangdong Key Laboratory for Anti-infection Drug Quality Evaluation, Shenzhen, Guangdong Province 518112, China.

Cell
|August 27, 2025
PubMed

Insights

Two human monoclonal antibodies (mAbs) show protection against monkeypox virus (mpox) infection. Structural analysis reveals how these anti-A35 mAbs bind the virus, offering insights for new antiviral therapies and vaccine design.

Area of Science:

  • Virology
  • Immunology
  • Structural Biology

Background:

  • The A35 protein on the monkeypox virus (mpox) virion is crucial for infection and spread.
  • A35 presents a potential target for antiviral interventions.

Purpose of the Study:

  • To evaluate the protective potential of human anti-A35 monoclonal antibodies (mAbs) against monkeypox virus (mpox) infection.
  • To elucidate the structural basis of anti-A35 mAb binding to the A35 protein.

Main Methods:

  • In vivo efficacy studies in CAST/EiJ mice and rhesus macaques.
  • Cryo-electron microscopy to determine high-resolution structures of A35-mAb complexes.
  • Detailed analysis of antigen-antibody interface interactions.

Main Results:

  • Two human anti-A35 mAbs demonstrated protective effects against MPXV in animal models.
  • Cryo-EM structures revealed conserved binding of mAbs to a groove at the A35 dimer interface.
  • A single dose of anti-A35 mAbs mitigated MPXV infection in rhesus macaques.

Conclusions:

  • Human anti-A35 mAbs are promising candidates for antibody-based mpox therapies.
  • Structural insights facilitate the development of novel vaccines and therapeutics targeting MPXV.
  • This study provides a proof of concept for anti-A35 mAb efficacy in mitigating mpox pathogenesis.