Key result
Bispecific antibodies provide complete in vivo protection against SFTSV by blocking viral attachment and fusion.
Why the study?
SFTSV causes severe fever with thrombocytopenia syndrome with up to 30% mortality and lacks approved vaccines or therapeutics, while existing Gn-targeting antibodies face limited efficacy from epitope inaccessibility and viral escape.
Engineered bispecific antibodies targeting both Gn and Gc glycoproteins of SFTSV provide synergistic neutralization and complete in vivo protection, offering a promising therapeutic platform.
May enable SFTS therapy where none exists; extends bispecific antibody platform to emerging bunyaviruses.
Severe fever with thrombocytopenia syndrome virus (SFTSV) is an emerging bunyavirus that causes severe fever with thrombocytopenia syndrome (SFTS), with a mortality rate of up to 30%. Currently, there are no approved vaccines or therapeutics for clinical use. Although neutralizing antibodies against the viral glycoprotein Gn have been reported, their efficacy can be limited by epitope inaccessibility and viral escape. Here, we isolated human monoclonal antibodies from convalescent donors and identified multiple neutralizing antibodies targeting the Gc glycoprotein, including CAV-Gc-2H1, which binds a previously undefined epitope in Gc domain II and exhibits strong neutralizing activity. To enhance breadth and potency, we engineered bispecific antibodies (bsAbs) that co-engage Gn and Gc. Across several architectural formats, scFv-Ig bsAbs exhibited synergistic neutralization in vitro and complete protection in vivo, outperforming parental monospecific antibodies. Mechanistic studies revealed that these bsAbs block both viral attachment and membrane fusion. Our findings establish bsAbs as a promising therapeutic platform against SFTSV and provide a design framework for next-generation antivirals targeting bunyaviruses.
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Lu et al. (2026) studied this question. Engineered scFv-Ig bispecific antibodies targeting Gn and Gc provided complete in vivo protection against SFTSV by blocking viral attachment and membrane fusion.
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