An experimentally validated structure-based computational framework for humanisation of anti-orthopoxvirus antibodies

Xuehua Yang1, Xuemeng Dong2, Jiahan Lu3

  • 1Key Laboratory of Pathogen Infection Prevention and Control (Ministry of Education), National Institute of Pathogen Biology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 102629, China; NHC Key Laboratory of Systems Biology of Pathogens, National Institute of Pathogen Biology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 102629, China; State Key Laboratory of Respiratory Health and Multimorbidity, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 102629, China; Suzhou Centre for Disease Control and Prevention, Suzhou, Jiangsu 215004, China.

Ebiomedicine
|July 24, 2026
PubMed
Abstract

Insights

A new structure-guided method efficiently humanizes mouse antibodies against mpox virus (MPXV). This approach overcomes limitations of traditional methods, leading to potent antibody therapies for orthopoxvirus infections.

Area of Science:

  • Immunology
  • Virology
  • Structural Biology

Background:

  • Orthopoxviruses, including mpox virus (MPXV), represent a significant global health concern.
  • Murine antibodies are limited by anti-mouse responses, and sequence-based humanization can reduce efficacy.

Purpose of the Study:

  • To develop and validate a structure-guided computational framework for humanizing murine anti-orthopoxvirus antibodies.
  • To assess the efficacy of humanized antibodies against orthopoxvirus infections.

Main Methods:

  • A novel framework prioritizing 3D structural congruence over sequence identity was developed.
  • The framework integrated Foldseek structural alignment and interface-residue constraints.
  • Two murine antibodies (7D11, A27D7) were humanized (POX1.1, POX2.1) and extensively validated in vitro and in vivo.

Main Results:

  • Humanized variants (POX1.1, POX2.1) maintained high conformational similarity to parental antibodies.
  • Both variants demonstrated full epitope specificity and natural humanness.
  • POX1.1 enhanced neutralization of vaccinia virus (VACV) and MPXV; POX2.1 retained broad cross-reactivity.
  • Monotherapies provided significant protection in lethal VACV and MPXV models.
  • Combination therapy achieved 100% survival in VACV models and suppressed MPXV dissemination.

Conclusions:

  • The structure-centric workflow enables efficient humanization of murine anti-orthopoxvirus antibodies.
  • This validated framework supports the development of countermeasures against orthopoxvirus pandemics.