His work in human immunology (T-cell B-cell cooperation, antigen processing and presentation, dendritic cell biology, lymphocyte activation and traffic, immunological memory and human monoclonal antibodies).
Starting in the early Eighties, Lanzavecchia has contributed to the advancement of human immunology in three distinct fields: i) antigen presentation and dendritic cell biology; ii) lymphocyte activation and immunological memory and iii) human monoclonal antibodies. In 1985, using antigen-specific T and B cell clones, Lanzavecchia demonstrated that B cells efficiently capture, process and present antigen to T helper cells ([4]). This study uncovered a critical step in the process of T-B cell cooperation that is essential for high affinity antibody production and is the basis for the development of glycoconjugate vaccines.
He also studied the role of HLA class II molecules as receptors for self, versus foreign peptides (,[5][6]) and the role of inflammatory stimuli in promoting antigen presentation by antigen-presenting cells ([7]).
In 1994 Sallusto and Lanzavecchia discovered that human monocytes could be induced to differentiate in vitro into immature dendritic cells that resemble those that function as sentinels in peripheral tissues ([8]), contributing to the rapid advancement of the field in the late nineties. Taking advantage of such immature dendritic cells, they characterized in detail the maturation process and identified the microbial and endogenous stimuli that trigger dendritic cell maturation (,[9][10]).
In the late Nineties the Lanzavecchia laboratory determined the mechanism, stoichiometry and kinetics of T cell receptor stimulation and signaling (,[11][12][13]) and discovered a fundamental division of memory T cells into two major subsets of central memory and effector memory and central T cells that play distinct roles in immediate protection and secondary immune responses ([14]).
Starting in 2003, the laboratory developed efficient methods to isolate human monoclonal antibodies as new tools for prophylaxis and therapy of infectious diseases ([15]). Among these is FI6 that neutralizes all influenza A viruses ([16]), MPE8 that neutralizes four different paramyxoviruses ([17]) and mab114 (Ansuvimab) that has been approved for treatment of Ebola infected patients ([18]).
The laboratory also pioneered the use of human monoclonal antibodies as tools for vaccine design, a process dubbed as “analytic vaccinology” (,[19][20]). Basic studies addressed the role of somatic mutations in the development of broadly neutralizing antibodies ([21]) and the relationship between infection and autoimmunity ([22]). The study of the antibody response to the malaria parasite led to the discovery of a new mechanism of antibody diversification through the insertion into antibody genes of DNA encoding pathogen receptors such as LAIR1 ([23][24]).
In 2021, Lanzavecchia and colleagues developed a vaccine that protects animals from Salmonella.[25]
Recent highly cited work on Covid-19 analyzes the sensitivity of the virus to mRNA vaccine-elicited antibodies[26] and the receptor-binding domain of the SARS-CoV-2 Omicron variant.[27]
Monoclonal antibody production by EBV transformation of B cells (WO2004076677)
Human cytomegalovirus neutralizing antibodies and use thereof (WO2008084410)
Neutralizing anti-influenza virus antibodies and uses thereof (WO2010010467)
Methods for producing antibodies from plasma cells (WO2010046775)
Selected publications
As of 2023, Lanzavecchia has over 355 publications in peer reviewedscientific journals, with a total of over 130,000 citations (h-index=162). A complete list can be found on Google Scholar.[3]
^Lanzavecchia, A.; Reid, P.A.; Watts, C. (1985). "Irreversible association of peptides with class II MHC molecules in living cells". Nature. 357 (6375): 249–252. doi:10.1038/357249a0. PMID1375347. S2CID4229494.
^Panina-Bordignon, P.; Corradin, G.; Roosnek, E.; Sette, A.; Lanzavecchia, A. (1991). "Recognition by class II alloreactive T cells of processed determinants from human serum proteins". Science. 252 (5012): 1548–1550. Bibcode:1991Sci...252.1548P. doi:10.1126/science.1710827. PMID1710827. S2CID319466.