Key result
Monoclonal antibody 4D6 confers ~100% survival against lethal coxsackievirus A5 challenge in mice.
Why the study?
The antigenic structure of coxsackievirus A5 and key determinants for neutralizing antibody responses remain largely undefined, hindering rational vaccine design and antibody-based interventions.
Does neutralizing monoclonal antibody 4D6 prevent mortality from lethal CV-A5 challenge in a mouse model?
Does neutralizing monoclonal antibody 4D6 prevent mortality from lethal CV-A5 challenge in a mouse model?
Absolute Event Rate: 100% vs 0%
The identification of a highly conserved linear neutralizing epitope on CV-A5 VP1 and the potent protective efficacy of mAb 4D6 provide a new target for rational vaccine design and therapeutic antibody development.
mAb 4D6 protects mice from lethal CV-A5; hypothesis-generating for conserved epitope-based human vaccines or therapies, pending clinical studies.
Background Coxsackievirus A5 (CV-A5) has re-emerged as an important pathogen associated with hand, foot, and mouth disease (HFMD) in young children. However, the antigenic structure of CV-A5 and the key determinants responsible for neutralizing antibody responses remain largely undefined, hindering rational vaccine design and antibody-based intervention strategies. Methods To investigate the relationship between viral particle composition and humoral immune responses, three forms of CV-A5 particles, including empty particles (EPs), full particles (FPs), A-particles (APs) were purified from the candidate vaccine strain CV-A5-3487, and artificial B-particles (BPs) were generated by heat treatment of FPs. These four particles were evaluated in mice. A mouse-adapted strain (CV-A5-611) was used to mimic natural infection for monoclonal antibody generation, and neutralizing hybridomas were rapidly screened using a fluorescent reporter virus (CV-A5-r611-iLOV). Linear epitope mapping was performed using truncated peptides and alanine scanning peptides, followed by sequence conservation analysis. Protective efficacy of the neutralizing antibody was evaluated in a lethal mouse challenge model. Results Among the four particle types, FPs elicited the most potent neutralizing antibody responses, indicating that intact virions are critical for inducing effective humoral immunity. Hybridoma screening generated 617 ELISA-positive clones, of which 84 (13.61%) exhibited neutralizing activity against CV-A5. Ten neutralizing monoclonal antibodies (mAb) were obtained after subcloning, and only one antibody, 4D6, recognized a linear epitope. Epitope mapping identified the binding site within VP1 residues 155-169 (VPPGAPVPTGRDTFQ), with the minimal neutralizing core epitope defined as 158GAPVPTGR165. This epitope showed high sequence conservation (90.5%) among CV-A5 strains, suggesting a structurally constrained neutralization site. Passive transfer experiments demonstrated that mAb 4D6 conferred complete protection against lethal CV-A5 challenge at a dose of 20 μg per mouse, confirming its strong in vivo protective activity. Conclusion Our study provides a systematic comparison of the immunogenicity of distinct CV-A5 particle forms and identifies a highly conserved linear neutralizing epitope on VP1 for the first time. The potent protective efficacy of mAb 4D6 highlights the importance of this epitope as a target for therapeutic antibody development and rational vaccine design, and provides new insights into the mechanisms of protective humoral immunity against CV-A5 infection.
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Wang et al. (2026) studied Coxsackievirus A5 (CV-A5) infection. Monoclonal antibody 4D6 vs. Phosphate-buffered saline (PBS) was evaluated on Survival rate following lethal CV-A5 challenge. Passive transfer of monoclonal antibody 4D6 conferred complete protection against lethal coxsackievirus A5 challenge in mice at a dose of 20 μg, targeting a highly conserved linear VP1 epitope.
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