Hou, Ruitian, Jiang, Qiwei, Cheng, Meiling, Dai, Jun, Yang, Huiqin, Yuan, Jiao, Li, Xiao, Tang, Xiaoping, and Yu, Haisheng
• We identified MPXV-neutralizing antibodies using RNA sequencing of antigen B cells. • Three potent neutralizing antibodies were identified with the MPXV A35 protein. • IC50 of MV129 was 2.68ug/mL with authentic MPXV, was the most potent antibody. The global monkeypox virus (MPXV) outbreak in 2022 emphasizes the urgent need for effective and accessible new-generation vaccines and neutralizing antibodies. Herein, we identified MPXV-neutralizing antibodies using high-throughput single-cell RNA and V(D)J sequencing of antigen-sorted B cells from patients with convalescent monkeypox. IgG1-expressing B cells were obtained from 34 paired heavy- and light-chain B cell receptor sequences. Subsequently, three potent neutralizing antibodies, MV127, MV128, and MV129, were identified and reacted with the MPXV A35 protein. Among these, MV129, which has a half-maximal inhibitory concentration of 2.68μg/mL against authentic MPXV, was considered to be the putative candidates for MPXV neutralization in response to monkeypox disease. [ABSTRACT FROM AUTHOR]