Passive immunotherapy of viral infections: 'super-antibodies' enter the fray

Nat Rev Immunol. 2018 May;18(5):297-308. doi: 10.1038/nri.2017.148. Epub 2018 Jan 30.


Antibodies have been used for more than 100 years in the therapy of infectious diseases, but a new generation of highly potent and/or broadly cross-reactive human monoclonal antibodies (sometimes referred to as 'super-antibodies') offers new opportunities for intervention. The isolation of these antibodies, most of which are rarely induced in human infections, has primarily been achieved by large-scale screening for suitable donors and new single B cell approaches to human monoclonal antibody generation. Engineering the antibodies to improve half-life and effector functions has further augmented their in vivo activity in some cases. Super-antibodies offer promise for the prophylaxis and therapy of infections with a range of viruses, including those that are highly antigenically variable and those that are newly emerging or that have pandemic potential. The next few years will be decisive in the realization of the promise of super-antibodies.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antibodies, Monoclonal / chemistry
  • Antibodies, Monoclonal / therapeutic use
  • Antibodies, Neutralizing / chemistry
  • Antibodies, Neutralizing / therapeutic use
  • Antibodies, Viral / chemistry
  • Antibodies, Viral / therapeutic use
  • B-Lymphocytes / immunology
  • Cross Reactions
  • Donor Selection
  • High-Throughput Screening Assays
  • Humans
  • Immunization, Passive* / methods
  • Immunization, Passive* / trends
  • Mice
  • Models, Immunological
  • Models, Molecular
  • Virus Diseases / immunology*
  • Virus Diseases / prevention & control
  • Virus Diseases / therapy*


  • Antibodies, Monoclonal
  • Antibodies, Neutralizing
  • Antibodies, Viral