A human monoclonal antibody bivalently binding two different epitopes in streptococcal M protein mediates immune function.

Streptococcus dual-Fab immune function monoclonals therapeutics

Journal

EMBO molecular medicine
ISSN: 1757-4684
Titre abrégé: EMBO Mol Med
Pays: England
ID NLM: 101487380

Informations de publication

Date de publication:
08 02 2023
Historique:
revised: 14 11 2022
received: 22 04 2022
accepted: 16 11 2022
pubmed: 13 12 2022
medline: 10 2 2023
entrez: 12 12 2022
Statut: ppublish

Résumé

Group A streptococci have evolved multiple strategies to evade human antibodies, making it challenging to create effective vaccines or antibody treatments. Here, we have generated antibodies derived from the memory B cells of an individual who had successfully cleared a group A streptococcal infection. The antibodies bind with high affinity in the central region of the surface-bound M protein. Such antibodies are typically non-opsonic. However, one antibody could effectively promote vital immune functions, including phagocytosis and in vivo protection. Remarkably, this antibody primarily interacts through a bivalent dual-Fab cis mode, where the Fabs bind to two distinct epitopes in the M protein. The dual-Fab cis-binding phenomenon is conserved across different groups of M types. In contrast, other antibodies binding with normal single-Fab mode to the same region cannot bypass the M protein's virulent effects. A broadly binding, protective monoclonal antibody could be a candidate for anti-streptococcal therapy. Our findings highlight the concept of dual-Fab cis binding as a means to access conserved, and normally non-opsonic regions, regions for protective antibody targeting.

Identifiants

pubmed: 36507602
doi: 10.15252/emmm.202216208
pmc: PMC9906385
doi:

Substances chimiques

streptococcal M protein 0
Epitopes 0
Antibodies, Monoclonal 0
Antigens, Bacterial 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e16208

Informations de copyright

© 2022 The Authors. Published under the terms of the CC BY 4.0 license.

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Auteurs

Wael Bahnan (W)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Lotta Happonen (L)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Hamed Khakzad (H)

Equipe Signalisation Calcique et Infections Microbiennes, École Normale Supérieure Paris-Saclay, Gif-sur-Yvette, France.
Institut National de la Santé et de la Recherche Médicale (INSERM) U1282, Gif-sur-Yvette, France.

Vibha Kumra Ahnlide (V)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Therese de Neergaard (T)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Sebastian Wrighton (S)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Oscar André (O)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Eleni Bratanis (E)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Di Tang (D)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Thomas Hellmark (T)

Department of Clinical Sciences Lund, Division of Nephrology, Lund University, Lund, Sweden.

Lars Björck (L)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Oonagh Shannon (O)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Lars Malmström (L)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Johan Malmström (J)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

Pontus Nordenfelt (P)

Division of Infection Medicine, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

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Classifications MeSH