| Literature DB >> 34261126 |
Tyler N Starr1, Nadine Czudnochowski2, Zhuoming Liu3, Fabrizia Zatta4, Young-Jun Park5, Amin Addetia1, Dora Pinto4, Martina Beltramello4, Patrick Hernandez2, Allison J Greaney1,6, Roberta Marzi4, William G Glass7, Ivy Zhang7,8, Adam S Dingens1, John E Bowen5, M Alejandra Tortorici5, Alexandra C Walls5, Jason A Wojcechowskyj2, Anna De Marco4, Laura E Rosen2, Jiayi Zhou2, Martin Montiel-Ruiz2, Hannah Kaiser2, Josh R Dillen2, Heather Tucker2, Jessica Bassi4, Chiara Silacci-Fregni4, Michael P Housley2, Julia di Iulio2, Gloria Lombardo4, Maria Agostini2, Nicole Sprugasci4, Katja Culap4, Stefano Jaconi4, Marcel Meury2, Exequiel Dellota2, Rana Abdelnabi9, Shi-Yan Caroline Foo9, Elisabetta Cameroni4, Spencer Stumpf3, Tristan I Croll10, Jay C Nix11, Colin Havenar-Daughton2, Luca Piccoli4, Fabio Benigni4, Johan Neyts9, Amalio Telenti2, Florian A Lempp2, Matteo S Pizzuto4, John D Chodera7, Christy M Hebner2, Herbert W Virgin2,12,13, Sean P J Whelan3, David Veesler5, Davide Corti14, Jesse D Bloom15,16,17, Gyorgy Snell18.
Abstract
An ideal therapeutic anti-SARS-CoV-2 antibody would resist viral escape1-3, have activity against diverse sarbecoviruses4-7, and be highly protective through viral neutralization8-11 and effector functions12,13. Understanding how these properties relate to each other and vary across epitopes would aid the development of therapeutic antibodies and guide vaccine design. Here we comprehensively characterize escape, breadth and potency across a panel of SARS-CoV-2 antibodies targeting the receptor-binding domain (RBD). Despite a trade-off between in vitro neutralization potency and breadth of sarbecovirus binding, we identify neutralizing antibodies with exceptional sarbecovirus breadth and a corresponding resistance to SARS-CoV-2 escape. One of these antibodies, S2H97, binds with high affinity across all sarbecovirus clades to a cryptic epitope and prophylactically protects hamsters from viral challenge. Antibodies that target the angiotensin-converting enzyme 2 (ACE2) receptor-binding motif (RBM) typically have poor breadth and are readily escaped by mutations despite high neutralization potency. Nevertheless, we also characterize a potent RBM antibody (S2E128) with breadth across sarbecoviruses related to SARS-CoV-2 and a high barrier to viral escape. These data highlight principles underlying variation in escape, breadth and potency among antibodies that target the RBD, and identify epitopes and features to prioritize for therapeutic development against the current and potential future pandemics.Entities:
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Year: 2021 PMID: 34261126 PMCID: PMC9282883 DOI: 10.1038/s41586-021-03807-6
Source DB: PubMed Journal: Nature ISSN: 0028-0836 Impact factor: 69.504