RT Journal Article SR Electronic T1 In Silico Improvement of Highly Protective Anti-Malarial Antibodies JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.04.08.487687 DO 10.1101/2022.04.08.487687 A1 Mateo Reveiz A1 Prabhanshu Tripathi A1 Lais Da Silva Pereira A1 Patience Kiyuka A1 Tracy Liu A1 Baoshan Zhang A1 Yongping Yang A1 Brian G. Bonilla A1 Marlon Dillon A1 Myungjin Lee A1 Chen-Hsiang Shen A1 Arne Schön A1 Sven Kratochvil A1 Facundo D. Batista A1 Azza H. Idris A1 Robert A. Seder A1 Peter D. Kwong A1 Reda Rawi YR 2022 UL http://biorxiv.org/content/early/2022/04/09/2022.04.08.487687.abstract AB Antibody CIS43 binds Plasmodium falciparum circumsporozoite protein (PfCSP) and protects against malaria, as recently demonstrated clinically. To improve the efficacy of CIS43, we developed an in silico pipeline to optimize the interaction energy of CIS43 to its junctional epitope (peptide 21: PfCSP residues 101-115). Starting from two improved CIS43 variants, recently elicited from a CIS43-germline knock-in mice, single and double amino acid substitutions in the peptide 21-proximal heavy (VH) and light (VL) variable regions were introduced. CIS43-variants, selected on the basis of improved in silico interface and stability energies, showed increased affinity to peptide 21 and superior malaria-protective efficacy. The best designed variant, antibody P3-43, was significantly more protective than its template antibody m43.151, with greater liver-burden protection than the current best-in-class (antibody iGL-CIS43.D3). Crystal structures of improved antibodies revealed atomic-level interactions explaining gains in binding affinity. The reported pipeline provides a powerful in silico approach to improve antibody functionality.Competing Interest StatementS.K., P.T., R.R., M.R., P.D.K., R.A.S. and F.D.B. have submitted a US Provisional Patent Application describing improved CIS43 antibodies (filed November 5, 2021). R.A.S. and A.H.I. hold patents on CIS43 (International Application No. PCT/US2018/017826; US Patent Application No. 16/485,354; issued June 1, 2021).