Development of a cocktail of recombinant-expressed human rabies virus-neutralizing monoclonal antibodies for postexposure prophylaxis of rabies

J Infect Dis. 2003 Jul 1;188(1):53-6. doi: 10.1086/375247. Epub 2003 Jun 23.

Abstract

To provide a cost-effective and safe replacement for human rabies immunoglobulin (HRIG), we used DNA recombinant technology to express 3 human rabies virus-neutralizing human monoclonal antibodies (huMAbs) in a rhabdovirus vector (RhV). Infection of either baby hamster kidney cells or CHO cells, with the resulting RhV-huMAb recombinant viruses, yielded high-level production (< or =40 micro g/mL/48 h) of RhV recombinant-expressed huMAbs (rhuMAbs) that differ in both isotype and epitope-recognition specificity. A cocktail of these rhuMAbs neutralizes several fixed and street wild-type rabies viruses (RVs). Mice and hamsters treated only once with this rhuMAb cocktail after infection with a lethal dose of RV were protected. In the mouse models, the postexposure prophylaxis (PEP) efficacy obtained with the rhuMAb cocktail was comparable to that obtained with HRIG, a finding strongly suggesting that rhuMAbs should be given serious consideration for use in future PEP of humans.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antibodies, Monoclonal / genetics
  • Antibodies, Monoclonal / immunology*
  • Antibodies, Viral / genetics
  • Antibodies, Viral / immunology*
  • Antibody Specificity
  • Cell Line
  • Cricetinae
  • Female
  • Gene Expression
  • Genetic Engineering
  • Humans
  • Immunization, Passive
  • Mice
  • Neutralization Tests
  • Rabies / immunology*
  • Rabies / prevention & control*
  • Rabies virus / immunology*
  • Recombinant Proteins / immunology

Substances

  • Antibodies, Monoclonal
  • Antibodies, Viral
  • Recombinant Proteins