A lung-selective delivery of mRNA encoding broadly neutralizing antibody against SARS-CoV-2 infection.

Publication date: Dec 05, 2023

The respiratory system, especially the lung, is the key site of pathological injury induced by SARS-CoV-2 infection. Given the low feasibility of targeted delivery of antibodies into the lungs by intravenous administration and the short half-life period of antibodies in the lungs by intranasal or aerosolized immunization, mRNA encoding broadly neutralizing antibodies with lung-targeting capability can perfectly provide high-titer antibodies in lungs to prevent the SARS-CoV-2 infection. Here, we firstly identify a human monoclonal antibody, 8-9D, with broad neutralizing potency against SARS-CoV-2 variants. The neutralization mechanism of this antibody is explained by the structural characteristics of 8-9D Fabs in complex with the Omicron BA. 5 spike. In addition, we evaluate the efficacy of 8-9D using a safe and robust mRNA delivery platform and compare the performance of 8-9D when its mRNA is and is not selectively delivered to the lungs. The lung-selective delivery of the 8-9D mRNA enables the expression of neutralizing antibodies in the lungs which blocks the invasion of the virus, thus effectively protecting female K18-hACE2 transgenic mice from challenge with the Beta or Omicron BA. 1 variant. Our work underscores the potential application of lung-selective mRNA antibodies in the prevention and treatment of infections caused by circulating SARS-CoV-2 variants.

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Concepts Keywords
Aerosolized 9d
Antibodies Antibodies
Immunization Antibody
Mrna Cov
Short Delivery


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disease MESH Infectious Diseases
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disease IDO assay
disease MESH dissociation
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disease IDO infectivity
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drug DRUGBANK Polyethylene glycol
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drug DRUGBANK Phosphate ion
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disease MESH pulmonary embolism
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drug DRUGBANK D-Alanine
drug DRUGBANK Tricyclazole
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disease MESH Vector borne Diseases

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