Why the study?
Enterovirus A71 causes severe neural complications, post-marketing vaccine surveillance is unavailable, and there are no antiviral drugs against EV-A71.
Does 07-human IgG 1 antibody improve survival and reduce viral load and neural pathology in EV-A71 infected mice?
Does 07-human IgG 1 antibody improve survival and reduce viral load and neural pathology in EV-A71 infected mice?
An identified anti-ENO1 antibody (07-human IgG 1) increases survival and reduces viral load and neural pathology in a mouse model of EV-A71 infection, suggesting a potential therapeutic approach.
Hypothesis-generating for EV-A71 antivirals; leaves open clinical translation pending rigorous trials.
Background Enterovirus A71 (EV-A71) is a neurotropic virus which may cause severe neural complications, especially in infants and children. The clinical manifestations include hand-foot-and-mouth disease, herpangina, brainstem encephalitis, pulmonary edema, and other severe neurological diseases. Although there are some vaccines approved, the post-marketing surveillance is still unavailable. In addition, there is no antiviral drugs against EV-A71 available. Methods In this study, we identified a novel antibody that could inhibit viral growth through a human single chain variable fragment (scFv) library expressed in mammalian cells and panned by infection with lethal dose of EV-A71. Results We identified that the host protein α-enolase (ENO1) is the target of this scFv, and anti-ENO1 antibody was found to be more in mild cases than severe EV-A71 cases. Furthermore, we examined the antiviral activity in a mouse model. We found that the treatment of the identified 07-human IgG 1 antibody increased the survival rate after virus challenge, and significantly decreased the viral RNA and the level of neural pathology in brain tissue. Conclusions Collectively, through a promising intracellular scFv library expression and screening system, we found a potential scFv/antibody which targets host protein ENO1 and can interfere with the infection of EV-A71. The results indicate that the usage and application of this antibody may offer a potential treatment against EV-A71 infection.
No takes yet. Share an insight, caveat, or question.
Cheng et al. (2022) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: