In vivo delivery of engineered synthetic DNA-encoded SARS-CoV-2 monoclonal antibodies for pre-exposure prophylaxis in non-human primates

COVID-19 remains a major public health concern. Monoclonal antibodies have received emergency use authorization (EUA) for pre-exposure prophylaxis against COVID-19 among high-risk groups for treatment of mild to moderate COVID-19. In addition to recombinant biologics, engineered synthetic DNA-encode...

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Hauptverfasser: Patel, Ami, Rosenke, Kyle, Parzych, Elizabeth M., Feldmann, Friederike, Bharti, Suman, Griffin, Amanda J., Schouest, Blake, Lewis, Matt, Choi, Jihae, Chokkalingam, Neethu, Machado, Viviane, Smith, Brian J., Frase, Drew, Ali, Ali R., Lovaglio, Jamie, Nguyen, Brian, Hanley, Patrick W., Walker, Susanne N., Gary, Ebony N., Kulkarni, Abhijeet, Generotti, Allison, Francica, Joseph R., Rosenthal, Kim, Kulp, Daniel W., Esser, Mark T., Smith, Trevor R. F., Shaia, Carl, Weiner, David B., Feldmann, Heinz
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container_title
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creator Patel, Ami
Rosenke, Kyle
Parzych, Elizabeth M.
Feldmann, Friederike
Bharti, Suman
Griffin, Amanda J.
Schouest, Blake
Lewis, Matt
Choi, Jihae
Chokkalingam, Neethu
Machado, Viviane
Smith, Brian J.
Frase, Drew
Ali, Ali R.
Lovaglio, Jamie
Nguyen, Brian
Hanley, Patrick W.
Walker, Susanne N.
Gary, Ebony N.
Kulkarni, Abhijeet
Generotti, Allison
Francica, Joseph R.
Rosenthal, Kim
Kulp, Daniel W.
Esser, Mark T.
Smith, Trevor R. F.
Shaia, Carl
Weiner, David B.
Feldmann, Heinz
description COVID-19 remains a major public health concern. Monoclonal antibodies have received emergency use authorization (EUA) for pre-exposure prophylaxis against COVID-19 among high-risk groups for treatment of mild to moderate COVID-19. In addition to recombinant biologics, engineered synthetic DNA-encoded antibodies (DMAb) are an important strategy for direct in vivo delivery of protective mAb. A DMAb cocktail was synthetically engineered to encode the immunoglobulin heavy and light chains of two different two different Fc-engineered anti-SARS-CoV-2 antibodies. The DMAbs were designed to enhance in vivo expression and delivered intramuscularly to cynomolgus and rhesus macaques with a modified in vivo delivery regimen. Serum levels were detected in macaques, along with specific binding to SARS-CoV-2 spike receptor binding domain protein and neutralization of multiple SARS-CoV-2 variants of concern in pseudovirus and authentic live virus assays. Prophylactic administration was protective in rhesus macaques against signs of SARS-CoV-2 (USA-WA1/2020) associated disease in the lungs. Overall, the data support further study of DNA-encoded antibodies as an additional delivery mode for prevention of COVID-19 severe disease. These data have implications for human translation of gene-encoded mAbs for emerging infectious diseases and low dose mAb delivery against COVID-19.
doi_str_mv 10.6084/m9.figshare.24926411
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identifier DOI: 10.6084/m9.figshare.24926411
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source DataCite
subjects Biochemistry
Cancer
FOS: Clinical medicine
FOS: Health sciences
Immunology
Infectious Diseases
Medicine
Molecular Biology
Pharmacology
Space Science
title In vivo delivery of engineered synthetic DNA-encoded SARS-CoV-2 monoclonal antibodies for pre-exposure prophylaxis in non-human primates
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