title: Polyclonal preparations of anti-tetanus toxoid antibodies derived from a combinatorial library confer protection.
abstract: We have compared the in vivo therapeutic potential of anti-tetanus toxin (TT) human Fab antibodies derived from a combinatorial phage display library to established polyclonal and monoclonal reagents. The oligoclonality and fine specificity distribution of the synthetic anti-TT Fab preparations was comparable to the antibody spectrum present in the donor serum and the affinities determined for the synthetic phage-bound Fab (Phab) and soluble Fab were in the same range as their monoclonal and polyclonal counterparts. On a weight basis, the protective capacity of the new oligoclonal preparations in vivo (16.4 IU/100 micrograms Fab) was comparable to those of the best combinations of hybridoma derived human monoclonal antibodies, and far better than those exhibited by the polyclonal serum antibodies of the donor (0.29 IU/100 micrograms IgG) or by a standard commercial human tetanus immunoglobulin preparation. These data suggest that recombinant antibodies may become a safe and effective alternative to human plasma-derived immunoglobulins for passive immunization.
authors.affiliation: Swiss Serum and Vaccine Institute, Berne, Switzerland.
authors.forename: A B
authors.initials: AB
authors.lastname: Lang
authors.forename: M
authors.initials: M
authors.lastname: Vogel
authors.forename: J F
authors.initials: JF
authors.lastname: Viret
authors.forename: B M
authors.initials: BM
authors.lastname: Stadler
mesh_terms: D000818:Animals; D000911:Antibodies, Monoclonal / Q000627:therapeutic use; D000937:Antigen-Antibody Reactions; D015723:Gene Library; D006801:Humans; D007140:Immunoglobulin Fab Fragments / Q000235:genetics / Q000627:therapeutic use*; D051379:Mice; D013742:Tetanus / Q000628:therapy*; D013745:Tetanus Toxoid / Q000276:immunology*
chemical_list: D000911:Antibodies, Monoclonal; D007140:Immunoglobulin Fab Fragments; D013745:Tetanus Toxoid