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. 2019 Jun 25;18(2):1384–1390. doi: 10.3892/etm.2019.7708

Preparation of mouse anti-human rotavirus VP7 monoclonal antibody and its protective effect on rotavirus infection

Mei Zha 1, Jing Yang 2, Linlin Zhou 1, Hongren Wang 1, Xing Pan 3, Zhaomin Deng 4, Yuan Yang 1, Wanyi Li 1, Baoning Wang 1,✉, Mingyuan Li 1,✉
PMCID: PMC6639772  PMID: 31384336

Abstract

The aim of the current study was to prepare and identify mouse anti-human rotavirus (RV) VP7 monoclonal antibodies and explore their protective effects on RV infection. The mouse anti-human RV VP7 monoclonal antibody was produced using the ascites method and identified via western blot analysis. In vitro neutralization of mouse anti-human RV VP7 monoclonal antibodies was detected by performing an MTT assay. The TCID50 value was calculated to obtain antibody neutralization titers. A mouse RV infection model was generated to assess the protective effect of the mouse anti-human RV VP7 monoclonal antibody in experimental animals. Monoclonal antibodies were successfully prepared and their purity reached ≥90%. Western blotting demonstrated that monoclonal antibodies specifically bound to the purified Wa RV strain, with a specific reaction band at ~40 kDa. Monoclonal antibody in vitro neutralization results demonstrated that cell survival rate in the virus + monoclonal antibody group was higher than that in virus + maintenance fluid group (P<0.05). Monoclonal antibody neutralization titer detection revealed that the cytopathic effect did not extend beyond 4 days. In addition, the calculated monoclonal antibody neutralization titer was 1:446. The results revealed that the positive rate of colloidal gold RV in the 100 µl monoclonal antibody group was significantly lower than that in the control group (P<0.05). Furthermore, the protection rate of the 100 µl monoclonal antibody group was 71.4%, whereas the 50 µl monoclonal antibody group was 42.9% and the ribavirin group was 57.1%. In conclusion, the results of the current study demonstrated that mouse anti-human RV VP7 monoclonal antibodies can be successfully prepared using ascites method. These antibodies also effectively neutralize the cytotoxic effects of the human RV Wa strain in vitro and mouse anti-human RV VP7 monoclonal antibodies also exhibited a good protective role in mice. Furthermore, greater protective effects were observed at a higher dose and the protective effects of these high dose treatments were superior to that of ribavirin.

Keywords: mouse, mouse monoclonal antibody, rotavirus, VP7

Introduction

Rotavirus (RV) belongs to the reovirus subfamily and is the most important causative agents of viral diarrhea in infants and young children, as well as many young animals worldwide (1). It is also the major causative agent of acute diarrhea in children under 5 years of age, which may lead to mortality in severe cases (2). There is currently no efficient drug for the treatment of RV infections and vaccines remains the only effective and economical means to prevent and control RV (3). RV-encoded structural proteins primarily consist of VP2, VP6, VP4 and VP7, of which VP4 and VP7 are the major neutralizing antigens (4). VP7 accounts for ~30% of the total viral proteins and mediates the viral shedding and host invasion, which is required for RV maturation (5). A previous study demonstrated that the RV VP7 protein exhibits higher antigenicity and immunogenicity than the VP4 protein (6). Therefore a large number of studies have utilized VP7 as the primary target for engineering RV viral gene subunit vaccines, RV nucleic acid vaccines and therapeutic monoclonal antibodies (7,8). However, the ability to produce a large quantity of mouse anti-human RV VP7 monoclonal antibodies is a key factor that determines its success in clinical applications (9). Currently, in vitro culture methods and in vivo induction methods are used to generate a large quantity of monoclonal antibodies. However, during the process of monoclonal antibody production using in vitro culture methods, the culture medium needs to be replaced several times (once per day) and the antibody yield is low. Proliferation of hybridoma cells in animals can overcome these weaknesses. There are currently two methods of in vivo induction for the mass production of monoclonal antibodies; subcutaneous and intraperitoneal injection into the back of mice. However, in the preparation of experimental antibodies, the most commonly used method involves the use of ascites (10,11). To the best of the author's knowledge, no studies published thus far have investigated the mass preparation of mouse anti-human RV VP7 monoclonal antibodies using the ascites method. Therefore, in the present study, the feasibility of preparing mouse anti-human RV VP7 monoclonal antibodies using the ascites method was assessed and the protective effect of mouse anti-human RV VP7 monoclonal antibodies on RV infection were verified. These results may enable the screening antiviral drugs for RV and allow investigation of their mechanisms of action.

Materials and methods

Materials

Liquid paraffin was purchased from Chengdu Kelong Chemical Co., Ltd. (Chengdu, China). Hybridoma cells were kindly provided by Department of Microbiology, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University (Chengdu, China). An ultraviolet (UV)-visible spectrophotometer was purchased from Beijing Kaiao Technology Development Co., Ltd. (Beijing, China). Horseradish peroxidase (HRP)-labeled goat anti-mouse IgG was purchased from Jackson ImmunoResearch Laboratories, Inc. (West Grove, PA, USA). Trypsin was purchased from Gibco (Thermo Fisher Scientific, Inc.). The CO2 incubator was purchased from SANYO Electric Co., Ltd. (Osaka, Japan). Dimethylsulfoxide (DMSO) was purchased from Sigma-Aldrich; Merck KGaA (Darmstadt, Germany). MA-104 cells were purchased from China Center For Type Culture (Wuhan, China). Maintenance solution (cat. no. YP02476) was purchased from Shanghai Yuan Mu Biotechnology Co., Ltd. (Shanghai, China).

Animals

A total of 50 female Kunming mice (age, 7 days; weight, 6±1 g) were provided by Chengdu Dashuo Biotechnology Co., Ltd., (Chengdu, China). All mice were housed 20–26°C, humidity 40–70%, 12 h light-12 h dark cycle conditions, feeding full-price nutritious pellet feed, access to safe, clean water. The animal experiments performed in the present study were approved by the Committee on Animal Research and Ethics of West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University. Mice in the current study were euthanized via cervical dislocation.

Preparation of mouse anti-human RV Wa strain VP7 monoclonal antibodies

Each mouse received an intraperitoneal inoculation of 0.5 ml liquid paraffin. Following 7 days, hybridoma cells were diluted in serum-free Eagle's minimum Essential medium (EMEM; cat. no. 77203; Beijing Bitab Biotechnology Co., Ltd., Beijing, China). The diluted hybridoma cells were then injected intraperitoneally at a dosage of 2×106 cells/0.2 ml/cell. Following a further 7 days, mouse ascites were monitored daily. Ascites were considered to have developed when significant abdominal swelling was observed and skin tension was palpable.

Purification of VP7 monoclonal antibodies

The collected ascites was subjected to agitation and dialysis with loading buffer (20 mM phosphate buffer; 0.15 M NaCl, pH 7.0), and run at a flow rate of 0.5 ml/min. Following dialysis, protein content was detected by the bicinchoninic acid method. The protein purity was detected using BandScan 5.0 software (Glyko Inc., Novato, CA, USA). VP7 monoclonal antibodies were purified by the ammonium sulfate precipitation method (12). Antibodies were purified using a 1 ml HiTrap™ Protein A (GE Healthcare, Chicago, IL, USA)-prepacked column. The column was equilibrated with 20 times the column volume of PBS loading buffer. A 20-mg sample was selected and re-loaded manually into the column. Loading buffer (20 times the column volume) was then used to wash any unbound protein remaining on the column. The column was then rinsed with elution buffer (30 mM imidazole; flow rate, 0.2 ml/min; detection wavelength, 214 nm) and the elution peak was collected (sample volume, 9 ml). A total of 1 M Tris-HCl buffer (pH=7.0) was immediately added to the elution peak. The eluted protein was mixed with and dialyzed against 24X 20 mM phosphate buffer column buffer. Protein samples were collected and the protein content was measured using a UV-visible spectrophotometer. Samples were stored at −20°C until required.

Identification of VP7 monoclonal antibodies

VP7 monoclonal antibodies were identified via western blotting. RV viral proteins were purchased from American Type Culture Collection (cat. no. ATCCVR-2018). Following the separation of the RV (20 µg protein/lane) by SDS-PAGE using a 10% separating gel, sufficient transfer buffer was prepared to fill the transfer tank and polyvinylidene fluoride membranes were prepared. Following transfer of the separated proteins, the membrane was washed in Tris-buffered saline five times in a shaker at 4°C for 5 min. The membrane was subsequently blocked with 10 ml blocking solution (0.1 M TBST containing 5% dried skimmed milk) and either transferred to a shaker for 2 h at room temperature or incubated overnight at room temperature. The membrane was then incubated with the laboratory-produced VP7 primary monoclonal antibodies (1:1,000 in blocking solution) overnight in a shaker at 4°C. The following day, the membrane was washed in Tris-Tween-buffer-saline (TTBS) three times for 5 min each. The membrane was subsequently incubated with HRP-labeled goat anti-mouse IgG secondary antibodies (cat. no. 115-035-003; 1:8,000) on a shaker at 4°C for 1 h. The secondary antibodies were recovered and the membrane was washed with TTBS three times for 5 min each time. The membrane was then stained with tetramethylbenzidine (cat. no. 54827-17-7; China Chengdu Huaxia Chemical Reagent Co., Ltd.) and the results were recorded by direct photography.

In vitro detection of VP7 monoclonal antibody neutralization

MA-104 cells were digested with 0.25% trypsin and centrifuged at 447.2 × g for 3 min at 4°C. The supernatant was discarded and the precipitate was resuspended in 1 ml serum-free EMEM. Cells were counted using an optical microscope at a magnification of ×100 and the concentration was adjusted to 2.5×105 cells/ml. Cells (200 µl) were transferred to each well and incubated in a 5% CO2 incubator at 37°C for 24 h. The following day, RV viral solution was diluted 10 times and the laboratory-produced VP7 monoclonal antibodies were added to the diluted RV solution at a ratio of 1:10. A negative control with maintenance solution (1:10 in RV) was prepared simultaneously. Following mixing, samples were incubated at 37°C for 60 min. The supernatant was discarded before the samples were added to a 96-well plate containing the MA-104 cells. The cells were washed with serum-free EMEM three times. A total of 200 µl/well of the solution was added to the experimental and the negative control groups. A normal control without virus solution was also included. Each group consisted of 6 parallel wells. The plates were incubated in a 5% CO2 incubator for 2 h at 37°C. The medium was then discarded and 200 µl maintenance solution was added to each well. Following incubation at 37°C for 3 days, the medium was discarded. To each well, 100 µl serum-free EMEM and 20 µl MTT was added and the plates were incubated at 37°C for a further 4 h. The culture medium was carefully removed and 150 µl DMSO was added to each well. Samples were mixed thoroughly in order to completely dissolve the purple precipitate. The optical density (OD) value of each well was detected at 578 nm. Cell survival was calculated using the following formula: Cell survival rate (%)=(OD value of test wells/OD value of control wells) ×100%.

Determination of the neutralization titer of the mouse anti-human RV Wa strain VP7 antibody

MA-104 cells were digested with 0.25% trypsin and centrifuged at 447.2 × g for 3 min at 4°C. The precipitate was then resuspended in 1 ml serum-free EMEM and the cells were counted with an optical microscope at a magnification of ×100. The cell concentration was adjusted to 2.5×105 cells/ml. A total of 200 µl cell sample was transferred into each well of a culture plate and the cells were cultured in a 5% CO2 incubator at 37°C. The following day, RV was diluted 10 times and combined with mouse anti-VP7 monoclonal antibodies at ratios of 1:10, 1:20, 1:40, 1:80, 1:160, 1:320, 1:640 and 1:1,280. A negative control (maintenance solution; RV=1:10) was prepared simultaneously. Following mixing, samples were incubated at 37°C for 60 min before the medium was discarded and the cells were washed with serum-free EMEM three times. A total of 200 µl/well of samples in the experimental and the negative control groups were transferred to a fresh 96-well plate. A normal control consisting of maintenance solution without virus and the antibodies were prepared simultaneously. Each group consisted of six parallel wells. Cells were incubated in a 5% CO2 incubator for 3 days at 37°C. The cytopathic effect was monitored daily and the number of lesions were recorded in order to calculate the antibody neutralization titer using the Reed-Muench formula, namely, rotavirus TCID50=10−6.59/0.2 ml. Briefly, TCID50/0.2 ml=[log of virus dilution with lesion rate >50% + log of the dilution coefficient × (lesion percentage >50-50%)]/(lesion percentage >50-<50%).

Analysis of the protective effects of VP7 monoclonal antibodies in vivo

A RV challenge test was carried out using 500 µl 10−6.59 TCID50/ml RV. Briefly, all experimental mice were first divided into 3 groups (n=6/group). Mice in two experimental groups were subjected to intragastric administration of 500 µl RV solution and RV solution diluted 10 times, respectively. Mice in the control group were administered 500 µl normal saline. Alterations in body weight were recorded daily after the virus challenge test and this was used as a basis for establishing a model of RV infection in young mice.

In order to establish this model, the 32 Kunming mice were randomly divided into 4 groups (n=8/group): Two experimental groups, one positive control group and one negative control group. Intragastric administration at TCID50=10−6.59 (twice daily, every other day) was performed using 200 µl RV solution for each mouse. The mental state, including response to the external environment, activity sensitivity, respiratory status and somnolence state in mice was observed by perusal. The body weights of mice were measured by using scales. The RV antigen in mouse feces was detected by the colloidal gold method (13). Following the establishment of the RV infection model (at 6 days following the final infection), the four groups were administered with different treatments three times/day for a period of 6 days, as presented in Table I (2). Mice in the negative control group were treated with 100 µl normal saline, 60 µg ribavirin (approval no. Chinese Medicine Standard H19999411; China Meheco Topfond Pharma Co., Ltd., Zhumadian, China) was administered to mice in the positive control group and mice in the monoclonal antibody groups were treated with 100 or 50 µl monoclonal antibody solutions.

Table I.

Dosages for different preparation-treated groups.

Group Preparation and dose
Negative control Normal saline, 100 µl/mouse
Positive control Ribavirin, 60 µg/mouse
High dose monoclonal antibody Mouse anti-RV–VP7 monoclonal antibody, 100 µl/mouse
Low dose monoclonal antibody Mouse anti-RV–VP7 monoclonal antibody, 50 µl/mouse
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At 6 days following final treatment, mice were sacrificed, dissected and the caecum feces were used to detect RV using immune colloid gold (cat. no. IM4101053; Sichuan Mike Biotechnology Co., Ltd., Chengdu, China) following the manufacturing protocol. Finally, the results of immune colloid gold RV detection of each group were statistically analyzed and the protective effect of mouse-anti VP7 monoclonal antibodies on RV infection was measured. The following formulae were used: Positive rate of colloidal gold RV detection (%)=mice with positive colloidal gold RV detection in each group/number of surviving mice in each group ×100% and; protection rate (%)=(positive rate of colloidal gold RV detection in control group-positive rate of colloidal gold RV detection in treatment group)/positive rate of colloidal gold RV detection in control group ×100%.

Statistical analysis

SPSS 21.0 statistical software (IBM Corp., Armonk, NY USA) was used for statistical analysis. A Fisher's exact test was used to compare mice rotavirus antigen test results following intragastric administration of different preparations. One-way analysis of variance was used to compare the neutralization test results in mice administered with anti-human rotavirus Wa strain VP7 antibodies, with a Dunn-Bonferroni test for post-hoc comparisons. P<0.05 was considered to indicate a statistically significant difference.

Results

Purification of VP7 monoclonal antibodies

The dialysis and affinity chromatography results were obtained prior to antibody purity detection by SDS-PAGE electrophoresis. The results showed that the protein purity was >90% (Fig. 1).

Figure 1.

Figure 1.

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VP7 monoclonal antibody electrophoresis following purification. Mouse anti-human rotavirus IgG was detected. M, protein marker; 1, mouse anti-human rotavirus IgG (purity >90%).

VP7 monoclonal antibody identification

The results of western blot analysis demonstrated that the VP7 monoclonal antibody specifically bound to the purified human RV Wa strain and formed a specific reaction band at a molecular weight of ~40 kD (Fig. 2).

Figure 2.

Figure 2.

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Western blotting identified human rotavirus Wa strain VP7 protein. M, protein marker; 1, MA-104 total cellular protein (negative control); 2, RV (positive control); 3, lab-amplified RV. RV, rotavirus.

Mouse anti-human RV VP7 monoclonal antibody in vitro neutralization test results

The in vitro neutralization effect of mouse anti-human RV VP7 monoclonal antibodies was detected using an MTT assay. The survival rate of cells in the virus plus monoclonal antibody group was 102.1% (data not shown). By contrast, the survival rate of cells in the virus plus maintenance fluid group was 58.8% (data not shown). Therefore, the mouse anti-human RV VP7 monoclonal antibody secreted by the hybridoma cells exhibited neutralizing activity (data not shown). The survival rate of cells in the VP7 antibody group was higher than that of cells in the negative control group (P<0.05), but was similar to that of the normal control group (Fig. 3). By subtracting the survival rate of cells in the virus plus monoclonal antibody group from that of the virus plus maintenance fluid group, it demonstrated that the cell protection rate of monoclonal antibody reached 43.3%.

Figure 3.

Figure 3.

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Neutralization test result of mouse anti-human rotavirus Wa strain VP7 antibody. ***P<0.001.

VP7 monoclonal antibody neutralization titer test results

The MA-104 cell line was infected with mouse anti-human RV VP7 monoclonal antibodies following gradient dilution and its action against human RV was measured. A control group of cells treated with maintenance liquid plus human RV and a normal control group of cells treated with maintenance fluid without virus or antibodies were also included. The number of lesions were observed and recorded each day (7 days were observed). Further lesions did not develop following 4 days. The TCID50 was calculated according to the Reed-Muench formula. An antibody neutralization titer of 1:446 was obtained, namely, 1:446 antibody protect 50% of cells against lesions (data not shown).

RV immune colloidal gold detection in mouse feces at 6 days following intragastric administration of different preparations

In the control group, 8 mice infected with RV were treated with sterile normal saline. Of these, 7 mice exhibited positive immune colloidal gold detection in their feces, with a positive rate of 87.5%. In mice treated with ribavirin, 3 were infected with RV, equating to a positive rate of 37.5%. Of the mice treated with 100 and 50 µl monoclonal antibodies, 2 and 4 mice were infected with RV, with positive rates of 25 and 50%, respectively (Table II).

Table II.

Mice rotavirus antigen test results following the intragastric administration of different preparations.

Group Number of positive mice Number of negative mice
Monoclonal antibody (100 µl) groupa 2 6
Monoclonal antibody (50 µl) group 4 4
Ribavirin groupa 3 5
Negative control group 7 1
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a

P<0.05 vs. the negative control group.

Further statistical analysis was performed to compare RV infection in different groups treated with different preparations. The results revealed that the positive rate of colloidal gold RV detection in the group treated with 100 µl monoclonal antibody was significantly lower than that of the control group (P<0.05). The remaining experimental groups demonstrated no significant differences when compared with the control group.

Using the aforementioned formula, the protection rate of RV-infected mice treated with different preparations were as follows: Ribavirin positive control group, 57.1%; 100 µl monoclonal antibody group, 71.4% and 50 µl monoclonal antibody group, 42.9%.

Discussion

Kunming mice are the most productive and abundant outbred mice in China, which originate from Swiss mice (14). Kunming mice also exhibit strong disease resistance, adaptability, a high reproductive rate, a high survival rate and are relatively cheap to purchase (15). These mice also represent ~70% of total mice used in biomedical experiments, involving pharmacology, toxicology and the production and verification of drugs and biological products in China (16). In the present study, a large number of monoclonal antibodies were prepared using the ascites method in Kunming mice. When using ascites to prepare monoclonal antibodies in large quantities, paraffin oil must be injected into the abdominal cavity (17). This is to promote immunosuppression, preventing immune rejection reactions and accelerating tumor growth (18). This step can also induce mice to concentrate monocytes and lymphocytes in the peritoneal cavity, avoiding the development of solid tumors and increasing the production of ascites in mice (19,20). The number of injected hybridoma cells may also affect the preparation of monoclonal antibodies using ascites and may lead to cell death if it is excessive, or a lack of ascites production if the number is too low (21). Generally, 105−106 hybridoma cells are appropriate (22). In addition, fewer injections of hybridoma cells may lead to increased tolerance and survival rates, delayed pathological alterations and reduced pain in mice (23). By inoculating 2×106 cells/0.2 ml into the peritoneal cavity of mice, a large number of ascites were successfully harvested in the present study.

Antibodies prepared using the ascites method are mixed with a large number of contaminating proteins, including lipid proteins, transferrin, macroglobulin, albumin and serum, which do not meet the requirements for structural and functional studies (24,25). Therefore, antibody purification is required (26). The principle of antibody purification is based on unique charge characteristics, hydrophobicity, chelation with metal ions, specificity, affinity, solubility and molecular size (27,28). In the present study, the ammonium sulfate precipitation method was employed. Due to differences in the hydrophobicity of different proteins, altering the salt concentration allows for protein precipitation. The RV VP7 monoclonal antibody precipitates in ammonium sulfate with a concentration range of 30–50%, which allows for the removal of contaminating proteins (29,30). This purification method stabilizes the antibody, reduces the risk of antibody activity loss, removes the majority of contaminating proteins and concentrates the sample (31). However, a disadvantage of this method is that some antibody activity is lost following precipitation or co-precipitation with other contaminating proteins, which may affect the antibody purity (32). Therefore, following purification, antibody purity must be determined (33). In the present study, the results revealed that the antibody purity was 90%. Therefore, the experimental requirements were met. Further detection of antibody specificity by western blot analysis revealed that the monoclonal antibody exhibited a specific reaction band at ~40 kDa, indicating that it bound to the purified human RV Wa strain.

The MTT colorimetric method is used to detect the activity and growth rate of cells. The OD value was measured in the current study using a spectrophotometer at 578 nm to determine the number of surviving cells following an MTT assay (34,35). The results demonstrated that the mouse anti-human RV VP7 monoclonal antibody exhibited good neutralization activity, with a cell protection rate of 43.3% and a neutralization titer of 1:446.

In the present study, a model of RV infection in young mice was established. Mice were treated with ribavirin, 100 or 50 µl monoclonal antibody or a negative control. The results demonstrated that the positive rate of colloidal gold RV detection in mice treated with 100 µl monoclonal antibody was significantly lower than that in the negative control group. However, the positive rate of colloidal gold RV detection in ribavirin-treated group was not statistically lower than that of the negative control group, which is inconsistent with a previous report on ribavirin resistance to RV treatment (36). It has been reported that treatment with ribavirin, a broad-spectrum antiviral agent, phosphorylates ribavirin upon entry into virus-infected cells (37). The products then inhibit or reduce viral synthetases, mRNA guanosine transferase, inosine monophosphate dehydrogenase and guanosine triphosphate in cells (38). This affects the synthesis of viral proteins and formation of viral RNA, thereby inhibiting virus replication and proliferation and effectively treating RV-induced intestinal inflammation, alleviating clinical symptoms (39). In the current study, the sample size was small and the selected outcome indicator only included a feces RV antigen test without comparisons of certain clinical symptoms, including stool frequency. The protective effect of different preparations was therefore evaluated by further calculations. The protection rate of mice following the intragastric administration of 100 µl monoclonal antibodies reached 71.4%, which confirmed that the mouse anti-human RV VP7 monoclonal antibody produced in this study was able to neutralize the virus in mice, thus preventing viral proliferation. In addition, the protection rate of the 100 µl monoclonal antibody group was 14.3% higher than that of the ribavirin group.

The present study had several limitations. For instance, the number of mice selected was small and an increased sample size should thus be utilized to confirm the results obtained. In addition, future studies should assess whether the VP7 monoclonal antibody can be directly inoculated into an individual to provide immuno-protection. Furthermore, it is unclear whether the VP7 monoclonal antibody should only be used for the in vitro screening of anti-viral drugs. The efficacy of the VP7 monoclonal antibody has also not been compared with other vaccines that are currently in use, which will be investigated further in future studies.

In conclusion, mouse anti-human RV VP7 monoclonal antibodies can be successfully generated using the ascites method. These monoclonal antibodies demonstrate a good neutralization effect on the Wa strain human RV in vitro and in vivo. A higher dose was associated with a greater protective effect and the protective effects of high doses were superior to that of ribavirin.

Acknowledgements

Not applicable.

Funding

No funding was received.

Availability of data and materials

The datasets used and/or analyzed during the present study are available from the corresponding author on reasonable request.

Authors' contributions

MZ, JY, LZ, HW, XP, ZD, YY and WL collected and interpreted the data. MZ and YY drafted the manuscript. MZ and WL revised it critically for important intellectual content. BW and ML were responsible for the conception and design of the study. All authors read and approved the final manuscript.

Ethics approval and consent to participate

The study was approved by the Committee on Animal Research and Ethics of West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University (Chengdu, China).

Patient consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

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Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Data Availability Statement

The datasets used and/or analyzed during the present study are available from the corresponding author on reasonable request.

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