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Cited by 987

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Reversion of advanced Ebola virus disease in nonhuman primates with ZMapp

Open access
Qiu, Xiangguo, Wong, Gary, Audet, Jonathan, Bello, Alexander, Fernando, Lisa, Alimonti, Judie B., Fausther-Bovendo, Hugues, Wei, Haiyan, Aviles, Jenna, Hiatt, Ernie, Johnson, Ashley, Morton, Josh, Swope, Kelsi, Bohorov, Ognian, Bohorova, Natasha, Goodman, Charles, Kim, Do, Pauly, Michael H., Velasco, Jesus, Pettitt, James, Olinger, Gene G., Whaley, Kevin, Xu, Bianli, Strong, James E., Zeitlin, Larry, Kobinger, Gary P.·2014·Nature

Abstract

Without an approved vaccine or treatments, Ebola outbreak management has been limited to palliative care and barrier methods to prevent transmission. These approaches, however, have yet to end the 2014 outbreak of Ebola after its prolonged presence in West Africa. Here we show that a combination of monoclonal antibodies (ZMapp), optimized from two previous antibody cocktails, is able to rescue 100% of rhesus macaques when treatment is initiated up to 5 days post-challenge. High fever, viraemia and abnormalities in blood count and blood chemistry were evident in many animals before ZMapp intervention. Advanced disease, as indicated by elevated liver enzymes, mucosal haemorrhages and generalized petechia could be reversed, leading to full recovery. ELISA and neutralizing antibody assays indicate that ZMapp is cross-reactive with the Guinean variant of Ebola. ZMapp exceeds the efficacy of any other therapeutics described so far, and results warrant further development of this cocktail for clinical use.

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Metadata

Authors
Qiu, X., Wong, G., Audet, J., Bello, A., Fernando, L., Alimonti, J. B., Fausther-Bovendo, H., Wei, H., Aviles, J., Hiatt, E., Johnson, A., Morton, J., Swope, K., Bohorov, O., Bohorova, N., Goodman, C., Kim, D., Pauly, M. H., Velasco, J., Pettitt, J., Olinger, G. G., Whaley, K., Xu, B., Strong, J. E., Zeitlin, L., & Kobinger, G. P.
Venue
Nature
Published
2014-08-29
Volume
514
Issue
7520
Pages
47-53
ISSN
  • 0028-0836 (ISSN-L)
  • 1476-4687
OpenAlex
W2094993149
Cited by
987
References
1
FWCI
108.60
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Reversion of advanced Ebola virus disease in nonhuman primates with ZMapp. https://app.cochat.ai/papers/10.1038/nature13777
The paper
Qiu, X., Wong, G., Audet, J., Bello, A., Fernando, L., Alimonti, J. B., Fausther-Bovendo, H., Wei, H., Aviles, J., Hiatt, E., Johnson, A., Morton, J., Swope, K., Bohorov, O., Bohorova, N., Goodman, C., Kim, D., Pauly, M. H., Velasco, J., . . . Kobinger, G. P. (2014). Reversion of advanced Ebola virus disease in nonhuman primates with ZMapp. Nature. https://doi.org/10.1038/nature13777

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.