ダニ媒介性脳炎ウイルスに対し、感染後の脳内からウイルスを排除できることを発見~血液脳関門を通過する抗体で高病原性脳炎ウイルスの治療の可能性~

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2025-07-28 長崎大学

長崎大学と北海道大学の研究チームは、ダニ媒介性脳炎ウイルス(TBEV)に対する新たな治療法として、血液脳関門(BBB)を透過するペプチドを融合した抗体を開発し、感染後の脳内からウイルスを排除することに成功しました。TBEは現在有効な治療法がない重篤なウイルス性中枢神経感染症であり、BBBの存在が薬剤の脳内移行を妨げてきました。本研究で開発された抗体は、脳内に移行してウイルスを中和できることが動物実験で確認され、神経感染症治療の新たな道を拓く成果として注目されています。

ダニ媒介性脳炎ウイルスに対し、感染後の脳内からウイルスを排除できることを発見~血液脳関門を通過する抗体で高病原性脳炎ウイルスの治療の可能性~
参考図:開発した抗体による血液脳関門透過と脳内ウイルス中和のイメージ図

<関連情報>

脳内のダニ媒介性脳炎ウイルスを中和する血液脳関門透過型抗体の開発 Development of blood-brain barrier-penetrating antibodies for neutralizing tick-borne encephalitis virus in the brain

Mizuki Fukuta, Sayo Fukano, Naoya Maekawa, Shintaro Kobayashi, Shunsuke Okamoto, Minato Hirano, Junko Nio-Kobayashi, Hiroaki Kariwa, Shigeru Kawakami, Satoru Konnai, Kentaro Yoshii
mSphere  Published:7 July 2025
DOI:https://doi.org/10.1128/msphere.00184-25

ABSTRACT

Tick-borne encephalitis virus (TBEV) belongs to the genus Flavivirus and causes tick-borne encephalitis (TBE), a disease characterized by severe neurological symptoms with a high mortality rate. Currently, no specific antiviral treatments have been developed for TBE. The blood-brain barrier (BBB) restricts drug delivery to the central nervous system, posing a major challenge in developing effective therapies targeting TBEV in the brain. In this study, we developed recombinant anti-TBEV antibodies fused with BBB-penetrating rabies virus glycoprotein (RVG) peptides to facilitate their transport across the BBB. The fusion of RVG peptides to the C-terminus of the heavy chain of whole antibodies or single-chain variable fragment had minimal impact on their neutralizing ability against TBEV. The RVG fusion enhanced antibody binding to the surface of a human brain endothelial cell line and increased permeability in an in vitro BBB model. The RVG-fused antibodies exhibited a higher transport efficiency to the brain than the non-fused antibodies following peripheral injection in mice. Notably, the peripheral administration of the RVG-fused whole antibody after viral invasion into the brain significantly neutralized TBEV in the brains of infected mice. These findings suggest that RVG-fused antibodies represent a promising therapeutic strategy for treating TBE once the virus has entered the brain.

IMPORTANCE

Tick-borne encephalitis virus is a neuroinvasive pathogen that causes severe neurologic disease, significantly affecting patients’ quality of life. No specific antiviral treatment is available for tick-borne encephalitis caused by virus multiplication in the brain. The delivery of drugs to the brain via peripheral administration is often obstructed by the blood-brain barrier. To develop targeted antiviral therapies for brain infections, we engineered recombinant antibodies capable of crossing the blood-brain barrier via brain-targeted ligands. These antibodies exhibited permeability across the blood-brain barrier in both in vitro and in vivo models and notably effectively neutralized the virus within the brain following peripheral administration. This study is the first to highlight the therapeutic potential of brain-targeted recombinant antibodies after viral entry into the brain, offering a promising pathway for the development of effective antiviral treatments for tick-borne encephalitis.

医療・健康
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