A novel bispecific nanobody protects mice against RSV infection via intranasal administration

Min Zhang1, Liuxing Qin1, Raoqing Guo2,3

  • 1State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.

Journal of Virology
|November 24, 2025
PubMed

Insights

A novel nanobody, 4-H1, effectively neutralizes respiratory syncytial virus (RSV). Engineered into a bispecific nanobody (4-H1-anti-HSA-4-H1), it provides potent, long-lasting protection against RSV infection when delivered intranasally.

Area of Science:

  • Virology
  • Immunology
  • Nanotechnology

Background:

  • Respiratory syncytial virus (RSV) is a major cause of hospitalization in young children.
  • Developing effective interventions against RSV is a critical public health need.
  • Nanobodies targeting the RSV prefusion F protein offer a promising therapeutic strategy.

Purpose of the Study:

  • To identify and characterize a novel nanobody targeting the RSV prefusion F protein.
  • To engineer a bispecific nanobody with enhanced efficacy and stability for prophylactic use.
  • To evaluate the in vivo protective potential of the engineered nanobody against RSV challenge.

Main Methods:

  • Identification and characterization of a novel anti-RSV F nanobody (4-H1).
  • Epitope mapping using binning assays, molecular docking, and mutational analyses.
  • Engineering of a heterotrimeric bispecific nanobody (4-H1-anti-HSA-4-H1) with anti-RSV F and anti-human serum albumin domains.
  • In vitro neutralization assays and in vivo challenge studies in BALB/c mice following intranasal administration.

Main Results:

  • The novel nanobody 4-H1 demonstrated potent neutralization against both RSV A and B subtypes.
  • The engineered bispecific nanobody 4-H1-anti-HSA-4-H1 exhibited sub-nanogram per milliliter neutralization potency.
  • The bispecific nanobody showed a prolonged in vivo half-life and conferred robust protection against RSV challenge upon intranasal administration.
  • Epitope characterization revealed 4-H1 binds a unique region of the RSV pre-F protein.

Conclusions:

  • The novel nanobody 4-H1 is a potent neutralizer of RSV.
  • The engineered bispecific nanobody 4-H1-anti-HSA-4-H1 demonstrates enhanced potency, stability, and prolonged efficacy.
  • Intranasal administration of 4-H1-anti-HSA-4-H1 offers a promising prophylactic strategy against RSV, particularly for infants and young children.