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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Acta Naturae</journal-id><journal-title-group><journal-title xml:lang="en">Acta Naturae</journal-title><trans-title-group xml:lang="ru"><trans-title>Acta Naturae</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2075-8251</issn><publisher><publisher-name xml:lang="en">Acta Naturae Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">27874</article-id><article-id pub-id-type="doi">10.32607/actanaturae.27874</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Research Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Экспериментальные статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Isolation of monoclonal neutralizing single-domain antibodies against <italic>Clostridioides difficile</italic> toxin B</article-title><trans-title-group xml:lang="ru"><trans-title>Получение моноклональных однодоменных антител, нейтрализующих действие токсина B <italic>Clostridioides difficile</italic></trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Alekseeva</surname><given-names>I. A.</given-names></name><name xml:lang="ru"><surname>Алексеева</surname><given-names>И. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Ungur</surname><given-names>A. S.</given-names></name><name xml:lang="ru"><surname>Унгур</surname><given-names>А. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Favorskaya</surname><given-names>I. A.</given-names></name><name xml:lang="ru"><surname>Фаворская</surname><given-names>И. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Tukhvatulin</surname><given-names>A. I.</given-names></name><name xml:lang="ru"><surname>Тухватулин</surname><given-names>А. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shcheblyakov</surname><given-names>D. V.</given-names></name><name xml:lang="ru"><surname>Щебляков</surname><given-names>Д. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Korobkova</surname><given-names>A. I.</given-names></name><name xml:lang="ru"><surname>Коробкова</surname><given-names>А. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Komyakova</surname><given-names>M. E.</given-names></name><name xml:lang="ru"><surname>Комякова</surname><given-names>М. Е.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Voronina</surname><given-names>O. L.</given-names></name><name xml:lang="ru"><surname>Воронина</surname><given-names>О. Л.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Ryzhova</surname><given-names>N. N.</given-names></name><name xml:lang="ru"><surname>Рыжова</surname><given-names>Н. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Ermolova</surname><given-names>E. I.</given-names></name><name xml:lang="ru"><surname>Ермолова</surname><given-names>Е. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kunda</surname><given-names>M. S.</given-names></name><name xml:lang="ru"><surname>Кунда</surname><given-names>М. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Logunov</surname><given-names>D. Yu.</given-names></name><name xml:lang="ru"><surname>Логунов</surname><given-names>Д. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Bobrova</surname><given-names>M. M.</given-names></name><name xml:lang="ru"><surname>Боброва</surname><given-names>М. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Makarov</surname><given-names>V. V.</given-names></name><name xml:lang="ru"><surname>Макаров</surname><given-names>В. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Yudin</surname><given-names>S. M.</given-names></name><name xml:lang="ru"><surname>Юдин</surname><given-names>С. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Gintsburg</surname><given-names>A. L.</given-names></name><name xml:lang="ru"><surname>Гинцбург</surname><given-names>А. Л.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>favorskaya@gamaleya.org</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Gamaleya National Research Center of Epidemiology and Microbiology of the Ministry of Health of the Russian Federation</institution></aff><aff><institution xml:lang="ru">Федеральное государственное бюджетное учреждение «Национальный исследовательский центр эпидемиологии и микробиологии имени почетного академика Н.Ф. Гамалеи» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Centre for Strategic Planning and Management of Biomedical Health Risks of the Federal Medical and Biological Agency</institution></aff><aff><institution xml:lang="ru">Федеральное государственное бюджетное учреждение «Центр стратегического планирования и управления медико-биологическими рисками здоровью» Федерального медико-биологического агентства</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2026-07-23" publication-format="electronic"><day>23</day><month>07</month><year>2026</year></pub-date><volume>18</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>36</fpage><lpage>44</lpage><history><date date-type="received" iso-8601-date="2025-11-01"><day>01</day><month>11</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2026-04-17"><day>17</day><month>04</month><year>2026</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2026, Alekseeva I.A., Ungur A.S., Favorskaya I.A., Tukhvatulin A.I., Shcheblyakov D.V., Korobkova A.I., Komyakova M.E., Voronina O.L., Ryzhova N.N., Ermolova E.I., Kunda M.S., Logunov D.Y., Bobrova M.M., Makarov V.V., Yudin S.M., Gintsburg A.L.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2026, Алексеева И.А., Унгур А.С., Фаворская И.А., Тухватулин А.И., Щебляков Д.В., Коробкова А.И., Комякова М.Е., Воронина О.Л., Рыжова Н.Н., Ермолова Е.И., Кунда М.С., Логунов Д.Ю., Боброва М.М., Макаров В.В., Юдин С.М., Гинцбург А.Л.</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="en">Alekseeva I.A., Ungur A.S., Favorskaya I.A., Tukhvatulin A.I., Shcheblyakov D.V., Korobkova A.I., Komyakova M.E., Voronina O.L., Ryzhova N.N., Ermolova E.I., Kunda M.S., Logunov D.Y., Bobrova M.M., Makarov V.V., Yudin S.M., Gintsburg A.L.</copyright-holder><copyright-holder xml:lang="ru">Алексеева И.А., Унгур А.С., Фаворская И.А., Тухватулин А.И., Щебляков Д.В., Коробкова А.И., Комякова М.Е., Воронина О.Л., Рыжова Н.Н., Ермолова Е.И., Кунда М.С., Логунов Д.Ю., Боброва М.М., Макаров В.В., Юдин С.М., Гинцбург А.Л.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://actanaturae.ru/2075-8251/article/view/27874">https://actanaturae.ru/2075-8251/article/view/27874</self-uri><abstract xml:lang="en"><p>The <italic>Clostridioides difficile</italic> infection (CDI) is one of the most common nosocomial infections around. The key pathogenicity factors of this bacterium include the toxins A and B that cause the disease symptoms. Neutralization of these toxins is one of the promising strategies for CDI treatment. Here, we isolated a panel of single-domain antibodies to the toxin B CROPs domain. Two antibodies, TB5A7 and TB4A8, exhibiting potent neutralizing activity were modified to produce homodimeric forms. The TB5A7 and TB4A8 dimers were characterized by enhanced neutralizing activity and protected animals from a toxin B lethal challenge. The obtained antibodies may be used to develop new agents for CDI treatment.</p></abstract><trans-abstract xml:lang="ru"><p><italic>Clostridioides difficile</italic>-ассоциированная инфекция (CDI) является одной из наиболее частых нозокомиальных инфекций. Ключевые факторы патогенности этой бактерии включают токсины A и B, опосредующие развитие симптомов заболевания. Нейтрализация вырабатываемых токсинов – одна из перспективных стратегий терапии CDI. В представленной работе получена панель однодоменных антител к домену CROPs токсина В. Два клона антител, TB5A7 и TB4A8, обладали высокой нейтрализующей активностью и были модифицированы с получением гомодимерных форм. Димеры TB5A7 и TB4A8 характеризовались улучшенными показателями нейтрализующей активности и защищали экспериментальных животных от летальной дозы токсина B. Полученные антитела в дальнейшем могут быть использованы для разработки новых средств терапии CDI.</p></trans-abstract><kwd-group xml:lang="en"><kwd>Clostridioides difficile</kwd><kwd>CDI</kwd><kwd>toxin B</kwd><kwd>TcdB</kwd><kwd>single-domain antibodies</kwd><kwd>VHH</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>Clostridioides difficile</kwd><kwd>CDI</kwd><kwd>токсин В</kwd><kwd>TcdB</kwd><kwd>однодоменные антитела</kwd><kwd>VHH</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Fitzpatrick F, Brennan R, van Prehn J, et al. European practice for CDI treatment. Adv Exp Med Biol. 2024;1435:57-84. doi: 10.1007/978-3-031-42108-2_4</mixed-citation><mixed-citation xml:lang="ru">Fitzpatrick F, Brennan R, van Prehn J, et al. European Practice for CDI Treatment. 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