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papers/2025_simonich.md

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---
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layout: paper
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title: "RSV F evolution escapes some monoclonal antibodies but does not strongly erode neutralization by human polyclonal sera"
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date: "2025-03-12"
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authors:
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- "Cassandra AL Simonich"
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- "Teagan A McMahon"
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- "Xiaohui Ju"
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- "Timothy C Yu"
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- "Natalie Brunette"
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- "Terry Stevens-Ayers"
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- "Michael J Boeckh"
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- "Neil P King"
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- "Alexander L Greninger"
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- "Jesse D Bloom"
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journal: "bioRxiv"
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doi: "10.1101/2025.03.11.642476"
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link: "https://doi.org/10.1101/2025.03.11.642476"
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image: "/assets/papers/2025_simonich.jpg"
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keywords:
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- "RSV"
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- "Immunity"
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selected: false
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---
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## Abstract
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Vaccines and monoclonal antibodies targeting the respiratory syncytial virus (RSV) fusion protein (F) have recently begun to be widely used to protect infants and high-risk adults. Some other viral proteins evolve to erode polyclonal antibody neutralization and escape individual monoclonal antibodies. However, little is known about how RSV F evolution affects antibodies. Here we develop an experimental system for measuring neutralization titers against RSV F using pseudotyped lentiviral particles. This system is easily adaptable to evaluate neutralization of relevant clinical strains. We apply this system to demonstrate that natural evolution of RSV F leads to escape from some monoclonal antibodies, but at most modestly affects neutralization by polyclonal serum antibodies. Overall, our work sheds light on RSV antigenic evolution and describes a tool to measure the ability of antibodies and sera to neutralize contemporary RSV strains.

posts/2025-03-12_rsv-evol-neut.md

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layout: post
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title: RSV F evolution escapes some monoclonal antibodies but does not strongly erode neutralization by human polyclonal sera
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date: 2025-03-12
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author: Jesse Bloom
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---
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In a new study [posted on bioRxiv today](https://www.biorxiv.org/content/10.1101/2025.03.11.642476v1), we developed a pseudovirus neutralization assay for RSV's F protein, and then used that assay to quantify the extent of antigenic evolution of F.
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We think this is an important study because RSV is a top cause of infant hospitalizations, and antibodies and vaccines are coming into widespread use.
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---
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For accessible summaries of the study, see:
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- [This Bluesky thread](https://bsky.app/profile/jbloomlab.bsky.social/post/3lk7n4etj6c2r), which can be read more easily in [threaded form here](https://skywriter.blue/pages/jbloomlab.bsky.social/post/3lk7n4etj6c2r)
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- [This X thread](https://x.com/jbloom_lab/status/1899956286378451264)
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This study was lead by Cassie Simonich (a pediatrics medical fellow working in our lab) and Teagan McMahon, who together have pioneered the RSV studies in our lab.
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RSV is the top cause of infant hospitalizations in the USA.
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Now that a monoclonal antibody is recommended for infants born in the USA during RSV season, it is also going to come under new antigenic pressure.
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This study both develops the tools to study its antigenic evolution, and applies them to answer an important question.
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See the [full paper](https://www.biorxiv.org/content/10.1101/2025.03.11.642476v1) or the summaries linked above to see what we found!
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