Human anthrax infection cannot always be treated successfully by antibiotics, as highlighted by recent bioterrorist attacks; thus, adjunct therapies are clearly needed for the future. There is a particular need to further develop adjunct therapies that can neutralize secreted toxins, such as antibodies directed towards the 83-kDa protective antigen (PA 83 ). In the absence of human donors, we immunized a macaque (Macaca fascicularis) with PA 83 to obtain such antibodies suitable as an adjunct therapy for human anthrax infection. By using bone marrow as a template, we PCR amplified specific Fab-encoding genes and cloned them as an immune library (10 7 clones). We isolated a high-affinity ( Bacillus anthracis, the causative agent of anthrax, produces a toxin related to the classic A-B family, which plays a major role in disease pathogenesis. The 83-kDa protective antigen (PA 83 ) is the common cell-binding domain (38) that, after proteolytic activation, can interact with two enzymatically active domains that elicit cell damage, the edema factor (EF; 89 kDa) and lethal factor (LF; 90 kDa). LF is a metalloproteinase specific for mitogen-activated protein kinase kinases. EF is a calmodulin-dependent adenylate cyclase that causes dramatic increases in the intracellular concentration of cAMP. These proteins are secreted by the bacterium as nontoxic monomers and assemble on the surface of receptor-bearing cells to form toxic complexes. After binding to its cellular receptor (4,30,44), PA 83 is cleaved by a furin-like cellular protease(s) (34), causing the release of an amino-terminal 20-kDa fragment and leaving the carboxy-terminal 63-kDa moiety (PA 63 ) bound to its receptor. PA 63 then spontaneously oligomerizes to form a ringshaped homoheptamer that binds LF and/or EF (38) to form the lethal toxin and/or the edema toxin, respectively. Heptamers are internalized by acidic endosomes, and then EF and LF are translocated into the cytosol (32).This pathogenesis and the prophylactic/therapeutic approaches used to treat anthrax are subjects of great interest due to concerns over intentional or inadvertent exposure to aerosols of Bacillus anthracis spores (47