Isolation of Monoclonal Neutralizing Single-Domain Antibodies Against Clostridioides difficile Toxin B

I A Alekseeva1, A S Ungur1, I A Favorskaya1

  • 1Gamaleya National Research Center of Epidemiology and Microbiology of the Ministry of Health of the Russian Federation, Moscow, 123098 Russia.

Acta Naturae
|July 25, 2026
PubMed

Insights

Researchers developed homodimeric antibodies targeting Clostridioides difficile toxin B. These enhanced antibodies neutralize the toxin effectively and protect against lethal challenges, offering a promising new strategy for treating C. difficile infections (CDI).

Area of Science:

  • Microbiology
  • Immunology
  • Pharmacology

Background:

  • Clostridioides difficile infection (CDI) is a prevalent nosocomial infection.
  • Toxins A and B are key virulence factors contributing to CDI pathogenesis.
  • Neutralizing these toxins presents a viable therapeutic strategy for CDI.

Purpose of the Study:

  • To isolate and characterize single-domain antibodies targeting Clostridioides difficile toxin B.
  • To enhance the neutralizing efficacy of these antibodies through homodimerization.
  • To evaluate the therapeutic potential of these engineered antibodies in preclinical models.

Main Methods:

  • Isolation of single-domain antibodies against the Clostridioides difficile toxin B CROPs domain.
  • Engineering of homodimeric forms of potent neutralizing antibodies (TB5A7 and TB4A8).
  • In vitro neutralization assays and in vivo protection studies against toxin B challenge.

Main Results:

  • Identification of two effective single-domain antibodies, TB5A7 and TB4A8.
  • Homodimeric forms of TB5A7 and TB4A8 demonstrated significantly enhanced neutralizing activity.
  • The antibody dimers provided protection in animals challenged with a lethal dose of toxin B.

Conclusions:

  • Engineered homodimeric antibodies targeting Clostridioides difficile toxin B exhibit superior neutralizing potency.
  • These enhanced antibodies represent a promising therapeutic candidate for the development of novel agents against CDI.
  • Further development of these antibody-based therapies could lead to effective treatments for C. difficile infections.