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Exploiting human immune repertoire transgenic mice for protective monoclonal antibodies against antimicrobial resistant Acinetobacter baumannii

Title: Exploiting human immune repertoire transgenic mice for protective monoclonal antibodies against antimicrobial resistant Acinetobacter baumannii
Authors: Stephen Baker; Aishwarya Krishna; Sophie Higham; Plamena Naydenova; Siobhan O’Leary; Josefin Bartholdson Scott; Katherine Harcourt; Sally Forrest; David Goulding; To Nguyen Thi Nguyen; Nguyen Duc Toan; Elizaveta Alekseeva; Qingqing Zhou; Ilaria Andreozzi; Barbara Sobotic; Hannah Craig; Vivian Wong; Nichola Forrest-Owen; Dana Moreno Sanchez; Claire Pearce; Leah Roberts; Simon Watson; Simon Clare; Mili Estee Torok; Gordon Dougan; Paul Kellam; John S. Tregoning; Stephen T. Reece
Source: Nature Communications, Vol 15, Iss 1, Pp 1-14 (2024)
Publisher Information: Nature Portfolio
Publication Year: 2024
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: Science
Description: The use of monoclonal antibodies for the control of drug resistant nosocomial bacteria may alleviate a reliance on broad spectrum antimicrobials for treatment of infection. We identify monoclonal antibodies that may prevent infection caused by carbapenem resistant Acinetobacter baumannii. We use human immune repertoire mice (Kymouse platform mice) as a surrogate for human B cell interrogation to establish an unbiased strategy to probe the antibody-accessible target landscape of clinically relevant A. baumannii. After immunisation of the Kymouse platform mice with A. baumannii derived outer membrane vesicles (OMV) we identify 297 antibodies and analyse 26 of these for functional potential. These antibodies target lipooligosaccharide (OCL1), the Oxa-23 protein, and the KL49 capsular polysaccharide. We identify a single monoclonal antibody (mAb1416) recognising KL49 capsular polysaccharide to demonstrate prophylactic in vivo protection against a carbapenem resistant A. baumannii lineage associated with neonatal sepsis mortality in Asia. Our end-to-end approach identifies functional monoclonal antibodies with prophylactic potential against major lineages of drug resistant bacteria accounting for phylogenetic diversity and clinical relevance without existing knowledge of a specific target antigen. Such an approach might be scaled for a additional clinically important bacterial pathogens in the post-antimicrobial era.
Document Type: article in journal/newspaper
Language: English
Relation: https://doi.org/10.1038/s41467-024-52357-8; https://doaj.org/toc/2041-1723; https://doaj.org/article/61a68b7e9f41452c92f657bdd46b3b43
DOI: 10.1038/s41467-024-52357-8
Availability: https://doi.org/10.1038/s41467-024-52357-8; https://doaj.org/article/61a68b7e9f41452c92f657bdd46b3b43
Accession Number: edsbas.E052DA7A
Database: BASE