Key result
Treatment with a secreted MFSD6-Fc microbody increased 15-day survival from 11% to 89% in a neonatal mouse model infected with EV-D68.
Why the study?
EV-D68 causes severe respiratory infections and poliomyelitis-like illnesses in children, and the recent identification of MFSD6 as its receptor prompted the development of a decoy receptor to neutralise the virus.
An engineered secMFSD6 microbody acts as an effective decoy receptor, neutralizing EV-D68 and significantly improving survival in a preclinical mouse model.
Should not change EV-D68 care; leaves open whether this decoy receptor will translate to humans.
BACKGROUND: Enterovirus D68 (EV-D68) is a prominent non-polio enterovirus known to cause severe respiratory infections and poliomyelitis-like illnesses in children. Recently, we identified MFSD6 as a receptor for EV-D68, providing a potential target for blocking viral entry into cells. This study aimed to develop an MFSD6-based decoy receptor to neutralise EV-D68 and elucidate its mechanism of action. METHODS: In this study, we engineered a secreted MFSD6-Fc microbody (secMFSD6 Mb) and evaluated its efficacy using in vitro binding assays (co-immunoprecipitation, RT-qPCR), electron microscopy, and functional studies in EV-D68-infected respiratory cell lines (Calu-3, BEAS-2B, A549), primary human bronchial epithelial cells (HBECs), and a neonatal ICR mouse model (n = 9 per group) infected with EV-D68. Statistical significance was determined by two-way ANOVA and t-test (GraphPad Prism 8.0.2; significance threshold P < 0.05). FINDINGS: of US/MO/14-18947, secMFSD6 Mb increased 15-day survival from 11% (1/9) to 89% (8/9). INTERPRETATION: This decoy receptor strategy may support the development of effective therapeutic approaches against EV-D68 infection.
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Li et al. (2025) studied Enterovirus D68 (EV-D68) infection (n=18). secreted MFSD6-Fc microbody (secMFSD6 Mb) vs. Control was evaluated on 15-day survival. Treatment with a secreted MFSD6-Fc microbody increased 15-day survival from 11% to 89% in a neonatal mouse model infected with EV-D68.
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