Literature DB >> 35378757

Convergent epitope specificities, V gene usage and public clones elicited by primary exposure to SARS-CoV-2 variants.

Noemia S Lima, Maryam Mukhamedova, Timothy S Johnston, Danielle A Wagner, Amy R Henry, Lingshu Wang, Eun Sung Yang, Yi Zhang, Kevina Birungi, Walker P Black, Sijy O'Dell, Stephen D Schmidt, Damee Moon, Cynthia G Lorang, Bingchun Zhao, Man Chen, Kristin L Boswell, Jesmine Roberts-Torres, Rachel L Davis, Lowrey Peyton, Sandeep R Narpala, Sarah O'Connell, Jennifer Wang, Alexander Schrager, Chloe Adrienna Talana, Kwanyee Leung, Wei Shi, Rawan Khashab, Asaf Biber, Tal Zilberman, Joshua Rhein, Sara Vetter, Afeefa Ahmed, Laura Novik, Alicia Widge, Ingelise Gordon, Mercy Guech, I-Ting Teng, Emily Phung, Tracy J Ruckwardt, Amarendra Pegu, John Misasi, Nicole A Doria-Rose, Martin Gaudinski, Richard A Koup, Peter D Kwong, Adrian B McDermott, Sharon Amit, Timothy W Schacker, Itzchak Levy, John R Mascola, Nancy J Sullivan, Chaim A Schramm, Daniel C Douek.   

Abstract

While humoral immune responses to infection or vaccination with ancestral SARS-CoV-2 have been well-characterized, responses elicited by infection with variants are less understood. Here we characterized the repertoire, epitope specificity, and cross-reactivity of antibodies elicited by Beta and Gamma variant infection compared to ancestral virus. We developed a high-throughput approach to obtain single-cell immunoglobulin sequences and isolate monoclonal antibodies for functional assessment. Spike-, RBD- and NTD-specific antibodies elicited by Beta- or Gamma-infection exhibited a remarkably similar hierarchy of epitope immunodominance for RBD and convergent V gene usage when compared to ancestral virus infection. Additionally, similar public B cell clones were elicited regardless of infecting variant. These convergent responses may account for the broad cross-reactivity and continued efficacy of vaccines based on a single ancestral variant. One Sentence Summary: WA1, Beta and Gamma variants of SARS-CoV-2 all elicit antibody responses targeting similar RBD epitopes; public and cross-reactive clones are common.

Entities:  

Year:  2022        PMID: 35378757      PMCID: PMC8978934          DOI: 10.1101/2022.03.28.486152

Source DB:  PubMed          Journal:  bioRxiv


INTRODUCTION

The sustained spread of SARS-CoV-2 infection has resulted in the emergence of virus variants characterized by the accumulation of multiple sequence mutations. Variants that acquired enhanced transmissibility, pathogenicity or a mechanism of immune escape are considered “variants of concern” (VOC), and include Alpha (PANGO lineage B.1.1.7), Beta (B.1.351), Gamma (P.1), Delta (B.1.617.2), and Omicron (B.1.1.529) (1). Their ability to escape immune responses elicited by vaccines based on the first reported sequence from Wuhan (PANGO lineage B.1, here called “WA1”), or by previous infection with a different variant, is a major obstacle to efforts to control the pandemic. A better understanding of the similarities and differences in the immune responses induced by each variant will help guide vaccine design strategies to overcome immune evasion by the virus. Early in the pandemic, D614G was the first amino acid substitution in the Spike protein to become dominant, and it was shown to confer increased infectivity due to improved Spike stability, albeit with higher sensitivity to antibody neutralization (2, 3). Over the course of the pandemic, selective immune pressure is proposed to have led to the accumulation of changes in residues targeted for antibody recognition and neutralization, most importantly in the receptor binding domain (RBD) (4, 5). N501Y and other substitutions in RBD increase binding affinity to ACE2 and can compensate for affinity-lowering substitutions that are selected by immune pressure (6–9). The combination of K417N/T, E484K/A and N501Y substitutions arose independently in the Beta, Gamma and Omicron variants (10, 11), with N501Y also present in the Alpha, Theta, and Mu variants, showing convergent viral evolution along these pathways. Changes in the N-terminal domain (NTD), by contrast, are less often convergent across variants, but may also account for epitope disruption (12). Although neutralizing antibodies that recognize NTD are less frequent than those binding to RBD (13–15), this domain is a major target for non-neutralizing antibodies that can elicit Fc effector functions (16, 17). Therefore, neutralizing capacity and Fc-mediated functionality of antibodies induced by WA1 are significantly reduced against these variants. In addition, CD4 and CD8 T cell responses do not seem to be substantially impacted by variant substitutions (18–22). The epitopes on the ancestral virus targeted by the humoral response have been well characterized (15, 23–31) and conservation of these regions among VOCs and across a broad range of sarbecoviruses can be readily assessed. Previous studies of the SARS-CoV-2-specific antibody repertoire have revealed polarization toward usage of specific VH genes including IGHV3–53, IGHV3–66, IGHV3–30 and IGHV1–2 (28, 32–36). In many cases, convergent V(D)J rearrangements (so-called “public clones”) have been found in multiple individuals and several structural classes have been identified (37) which comprise antibodies derived from the same genetic elements with a shared binding mode (13, 27, 30, 33, 38–41). Many of the most common neutralizing antibodies from these classes make contact with residues such as K417 and E484 and thus lose potency against VOCs (6, 42), although some can maintain potency through specific substitutions that adjust the binding conformation to avoid variable residues (43, 44). However, neutralizing antibodies make up only a minority of the total binding repertoire, which has not been well characterized in VOC infections compared to WA1. In-depth characterization of antigen-specific B cell repertoires requires rapid, high-throughput monoclonal antibody (mAb) discovery and functional testing. Further, high-resolution observations of differences in immune responses to SARS-CoV-2 variants can be leveraged to inform future rational vaccine design for boosters and an efficacious pan-coronavirus vaccine. Using a novel method for high-throughput, cloning-free recombinant mAb synthesis and sequencing, we investigated the differences in epitope targeting, VH gene usage, and B cell clonal repertoires from convalescent individuals infected with WA1, Beta, or Gamma variants.

RESULTS

Spike binding antibody titers in WA1-, Beta-, and Gamma-infected individuals

We collected serum or plasma and PBMC from individuals infected with WA1, Beta, or Gamma variants at 17–38 days after symptom onset (Table S1) to compare antibody and B cell responses. The infecting variant for Beta and Gamma cases was confirmed by sequencing; WA1 cases were from early in the pandemic, prior to the rise of VOCs. All individuals were previously naïve to SARS-CoV-2. As we were interested in studying the total antigen-specific B cell repertoire, we did not select individuals based solely on high neutralization titers, but rather focused on the time post-infection when frequencies of B and T cells are typically high. We measured serum binding titers to stabilized Spike trimer (S-2P) from WA1, Alpha, Beta, Gamma, and Delta variants, and to RBD from WA1, Alpha, Beta, and Gamma variants using a Meso Scale Discovery electrochemiluminescence immunoassay (MSD-ECLIA) (Fig. 1A). Additionally, we assessed binding titers to Spike from WA1 (with and without D614G), Alpha, Beta, Gamma, Delta, or Omicron variants expressed on the surface of HEK293T cells (Fig. S1A). Both assays showed that all convalescent individuals had antibodies against the homologous Spike as well as cross-reactive antibodies to Spike from other variants. The WA1-infected individuals showed a significant reduction in antibody titers against beta RBD, but variant-infected individuals recognized WA1 RBD at similar levels as the homologous RBD (Fig. 1A), consistent with previous reports (45, 46). Individuals with the highest serum binding titers (SAV1, SAV3 and A49) could cross-neutralize WA1, Beta, Gamma, and, with lower potency, Delta variants, however, low levels of neutralization were detected in the other serum samples (Fig. 1B).
Figure 1:

Homologous and cross-reactive antibodies induced by WA1 and variant infections. (A) Binding antibody titers to spike (top panels) and RBD (bottom panels) from different variants indicated on the x-axis. (B) Heatmap showing neutralizing antibody titers (reciprocal 50% inhibitory dilution) for each individual labeled on the left against each variant indicated on the top. (C) Epitope mapping on homologous spike by competition assay using surface plasmon resonance. Antibodies CB6 (RBD-B epitope) and A19–30.1 (RBD-I) do not bind to Beta and competition is not measured at these sites. (D) CD4 (left) and CD8 (right) T cell responses to WA1 spike peptide pools A+B, selected pools containing altered variant peptides and control pool containing correspondent peptides for each variant pool.

VOC infection does not alter B or T cell immunodominance profiles

We next used a surface plasmon resonance (SPR)-based competition assay (47, 48) to characterize epitopes targeted by serum antibodies. We individually blocked specific RBD epitopes on S-2P using structurally validated mAbs (Figure S1B) and measured the fraction of polyclonal serum binding activity remaining compared to unblocked trimer. Notably, when the binding activity of each serum was characterized against the homologous Spike, the patterns of reactivity were comparable between individuals infected either with WA1 or Beta (Fig 1C), revealing a similar immunodominance hierarchy across variants. Likewise, there were no differences in competition at each epitope when sera from Beta- or Gamma-infected individuals were mapped against WA1, Beta, or Delta Spike (Fig. S1, C and D). Only one of the WA1-infected individuals produced sufficiently high binding titers against variant Spike to enable epitope mapping by competition (Table S2). We evaluated the ability of T cells elicited by Beta and Gamma infections to recognize WA1 Spike peptides by measuring upregulation of CD69 and CD154 on CD4 T cells, and production of IFN-γ, TNF, or IL-2 by CD8 T cells (Fig. S1E). Due to PBMC availibility, the Beta-infected individuals included in this analysis were from a different cohort. CD4 and CD8 T cell responses to WA1 Spike peptides were similar in Beta- and Gamma-infected individuals compared to WA1-infected individuals (Fig. 1D). When stimulated with selected peptides covering only regions containing substitutions in each variant, CD4 and CD8 T cell responses were minimal, suggesting that the substituted residues are not included within immunodominant T cell epitopes (Fig. 1D).

High-throughput mAb production and repertoire characterization

The three individuals in our cohort with the highest binding titers (Fig 1A) were selected for in-depth characterization of the antibody repertoire and identification of mAb binding patterns. Two individuals (SAV1 and SAV3) had been infected with the Beta variant, and the third (A49) with Gamma (Fig S2A). To swiftly characterize antibodies from single B cells, we developed a method for rapid assembly, transfection, and production of immunoglobulins (abbreviated to RATP-Ig) that enables high-throughput discovery of mAbs from single-sorted B cells. RATP-Ig relies on 5’-RACE and high-fidelity DNA assembly to produce recombinant heavy and light chain-expressing linear DNA cassettes. These cassettes can be synthesized within two days after single-cell sorting and can be directly transfected into 96-well microtiter mammalian cell cultures. Resulting culture supernatants containing the expressed mAbs can then be tested for functionality (Fig. 2). We sorted cross-reactive WA1+Beta+ B cells using S-2P, RBD, or NTD probes (Fig. S2B) from the three selected individuals, resulting in a total of 509 single cells for analysis (Fig. 3A). We recovered paired heavy and light chain sequences from 355 (70%) of cells (Fig. 3A). In parallel, we screened the RATP-Ig supernatants by ELISA for binding to Spike, RBD, and NTD derived from each of WA1, Beta, and Gamma variants. IgG binding at least one antigen was produced in 240 (47%) of wells with a single sorted B cell (Fig. 3, A and B). All three individuals yielded high levels of cross-reactive antibodies to Spike, NTD, and RBD (Fig. 3B and Tables S3–S5). Antibodies isolated from Beta-infected individuals SAV1 and SAV3 showed similar binding profiles dominated by cross-reactive mAbs among WA1, Beta, and Gamma variants (Fig. 3B). While the majority of antibodies isolated from individuals A49 were also cross-reactive, we isolated a large population of Gamma-specific S-2P binding mAbs and another population whose epitope specificity was indeterminate and appeared to bind both RBD and NTD (Fig. 3B and Table S5), perhaps due to high background ELISA signal.
Figure 2:

Rapid assembly, transfection and production of immunoglobulin (RATP-Ig) workflow. 5’-RACE is used to generate total cDNA. Full-length heavy and light chain immunoglobulin V genes are enriched by PCR and assembled into recombinant mAb linear expression cassettes. In parallel, V gene libraries are synthesized and sequenced by NGS. Final cassettes are transfected into 96-well Expi293 microtiter cultures, and culture supernatants are collected up to 7 days after initial sort for functional screening.

Figure 3:

Functional Characterization of RATP-Ig Isolated mAbs. (A) RATP-Ig screening overviews for three individuals, represented as bullseyes. The area of each circle is proportional to the number of antibodies. (B) Supernatants were screened for antigen-specific binding by single-point ELISA for WA1, Beta, and Gamma S2P, RBD, and NTD. (C) Neutralization screening of isolated antibodies at 4-fold supernatant dilutions using a D614G pseudovirus luciferase reporter assay, reported as % virus neutralized derived from reduction in luminescence. Associated ELISA heatmap reported as absorbance at 450nm. (D) Validation of RATP-Ig screening with synthesized plasmids. (E) Clonal expansion in each individual. Expanded clones are colored by the number of cells in each clone as shown; singleton clones are shown in gray.

We next performed D614G pseudovirus neutralization screening for all supernatants at a 4-fold dilution. This assay identified 7, 6, and 1 neutralizing antibodies from individuals SAV1, SAV3, and A49, respectively (Fig. 3C). Neutralizing antibodies were predominately cross-reactive and RBD-specific, except for two which bound to S-2P only and a single NTD-specific antibody (Fig. 3C). RBD-specific neutralizing antibodies were also the most potent of those isolated, with 6/12 neutralizing >90% of pseudovirus at 4-fold dilution. It is important to note that supernatant IgG titers were not calculated but were only verified to reach a minimum cutoff value for functional assays, limiting our ability to compare potency between antibodies. Overall, we found that infection with Beta or Gamma variants elicited robust B-cell responses with cross-reactive binding and neutralizing mAbs. To validate our results from supernatants produced by RATP-Ig, we selected seven antibodies for heavy and light chain synthesis and expression. After performing antigen-specific ELISA on the plasmid-transfected supernatants, we found RATP-Ig screening to be reliably predictive of mAb functionality, with 59/63 (94%) of functional interactions being reproduced (Fig. 3D). While all three individuals had polyclonal antigen-specific repertoires (Fig. 3E), SAV3 and A49 had highly expanded clones matching a widely reported public clone using IGHV1–69 and IGKV3–11 (28, 34, 49–53). Members of this public clone were also recovered from SAV1, although they were not greatly expanded. RATP-Ig ELISA data indicated that these antibodies bound a non-RBD, non-NTD epitope on Spike, consistent with available data for previously described members of this public clone. In addition, most antibodies from this public clone have been reported to bind SARS-CoV-1 (28, 34, 49, 50, 52), and one, mAb-123 (50), weakly binds endemic human coronaviruses HKU1 and 229E. We also found 2 antibodies, SAV1–109.1 and SAV1–168.1, with a YYDRxG motif that can target the epitope of mAb CR3022 on RBD and produce broad and potent neutralization of a variety of sarbecoviruses (54). While SAV1–168.1 was cross-reactive but non-neutralizing (Table S3), SAV1–109.1 showed good neutralization potency and bound to all three variants tested when expressed both via RATP-Ig and from a plasmid (Fig. 3, C and D).

Sequence analysis of SARS-CoV-2 B cell repertoires elicited by different infecting variants

To investigate possible differences in targeting of domains outside of RBD, we stained memory B cells with fluorescently labeled S-2P and individual RBD and NTD probes and examined the specificities by flow cytometry (Fig. S2B). Cells from WA1-infected individuals were stained separately with WA1-, Beta-, and Gamma-based probes, while Beta- and Gamma-infected samples were stained for WA1 and the infecting variant probes (Fig. S2A). As expected, the frequency of antigen-specific cells was generally higher in individuals who had higher serum binding titers, and cells capable of binding to heterologous variants were typically less frequent than those binding the infecting variant (Fig. 4A). In addition, both Beta- and Gamma-infected individuals showed higher frequencies of NTD-binding B cells against the homologous virus when compared to WA1-infected individuals (Fig. 4B).
Figure 4:

Anti-SARS-CoV-2 Ig repertoires. (A) Frequencies of probe+ B cells sorted for IG repertoire analysis. (B) Proportion of probe+ B cells binding to each domain. (C) SARS-CoV-2-specific VH repertoire analysis by infecting variant WA1, Beta and Gamma shown in grey, orange and blue, respectively, with data from pre-pandemic controls in yellow. X-axis shows all germline genes used; y-axis represents percent of individual gene usage. Stars indicate genes with at least one significant difference between groups; pairwise comparisons are in Table S4. (D) and (E) Combined frequency of VH genes capable of giving rise to stereotypical Y501-dependent antibodies (IGHV4–30, IGHV4–31, IGHV4–39, and IGHV4–61) in (D) Beta- or Gamma-binding B cells from individuals infected with each variant or (E) B cells from Beta-infected individuals sorted with either WA1- or Beta-derived probes.

To analyze the SARS-CoV-2 spike-specific B cell repertoire elicited by each variant in more depth, we generated libraries from sorted antigen-specific single cells using the 10x Genomics Chromium platform. After sequencing, we recovered a total of 162, 319, and 107 paired heavy and light chain sequences from WA1-, Beta-, and Gamma-infected groups, respectively (Table S6). As observed in the sequences isolated via RATP-Ig, all three SARS-CoV-2 infected IG repertoires showed little clonal expansion. We then combined these data with the sequences generated by RATP-Ig for downstream analysis. Antigen-specific V gene usage was highly similar across all three infection types (Figs. 4C and S3), with differences noted only for IGHV1–46 and IGLV1–47 (Table S7). However, when we compared these specific repertories to the total memory B cell repertoire in pre-pandemic controls (55), we observed significant enrichment for several genes (Figs. 4C and S3; Table S7). For example, IGHV1–46, IGHV5–51, and IGLV3–19 were all used at higher levels in both WA1- and Beta-elicited repertoires compared to the total memory pool, while IGHV3–30 was enriched in both WA1- and Gamma-infected individuals compared to controls (adjusted P-value ≤ 0.05, Table S7). This highlights the convergence in responses to all SARS-CoV-2 variants we investigated. Recent studies have shown that Y501-dependent mAbs derived from IGHV4–39 and related genes are overrepresented among neutralizing antibodies isolated from Beta-infected individuals (56, 57). Structural evidence suggests that bias toward these genes may in part be due to germline-encoded residues Y35 and Y54 in complementarity-determining region (CDR) H1 and H2, respectively (56). We therefore analyzed the observed frequency of germline genes encoding these residues (IGHV4–30, IGHV4–31, IGHV4–39, and IGHV4–61) among Beta- and Gamma-binding B cells but found no significant differences based on infecting variant (Fig. 4D). Furthermore, we compared the frequency of sequences using these germline genes for WA1-versus Beta-binding B cells among Beta-infected individuals (excluding cross-reactive B cells isolated by RATP-Ig), and again found no difference in usage (Fig 4E). In addition, in many of the sequences we observed from these germline genes, Y35 and/or Y54 had been substituted due to somatic hypermutation (SHM), indicating that they likely are not members of the neutralizing class. This suggests that differences in the neutralization sensitivity of variants are not reflected in the overall binding patterns or sequences of specific mAbs, which instead remain highly consistent among individuals infected with different variants. We next investigated SHM levels in these repertoires. The median VH SHM levels among individuals ranged between 0.3% to 6.6% in VH and 0.0 to 3.0% in VL, compared to 6.7% and 2.4%, respectively, in the control repertoires. We then further examined SHM by both infecting variant and the probes used to isolate each cell. We found no differences in SHM in single probe-binding repertoires for either WA1- or Gamma-infected individuals (Fig. 5). Surprisingly, cross-reactive (WA1 and Beta) cells sorted for RATP-Ig had lower SHM than the single probe-binding repertoires sorted for 10x Genomics and sequencing. Moreover, single probe-binding Beta-specific B cells from Beta-infected individuals had significantly higher SHM (median of 4.9% in VH and 2.7% in VL) compared to single probe WA1-binding cells from the same individuals (2.1% and 0.8%, respectively) (Fig. 5). Overall, the low levels of SHM across all the SARS-CoV-2-specific B cells that we isolated is consistent with prior reports (32, 34, 36, 58–61). This further demonstrates that the human immune system can readily generate antibodies capable of cross-binding multiple variants, regardless of infecting variant.
Figure 5:

Somatic hypermutation (SHM) levels of SARS-CoV-2 specific B cells (unpaired sequences). SHM percent in variable heavy (VH) (A) or variable kappa/lambda (VK/VL) (B) regions. Error bars indicate the average number of nucleotide substitutions +/− standard deviation. Statistical significance was determined by the Mann-Whitney t-test.

Identification of public clones

We next identified public clones in the SARS-CoV-2-specific repertoires elicited after infection with different variants. We defined public clones as antibodies from multiple individuals using the same VH gene and having at least 80% amino acid sequence identity in CDR H3. In total, 16 public clones were identified from 11 of the 13 infected individuals distributed across infection with all three variants (Fig. 6A). Notably, the two people for whom we failed to observe public clones were the least sampled individuals, with only 10 and 16 cells recovered, respectively (Table S6). While light chain V genes and CDR3 were not used to define public clones, they are reported when we found a consistent signature within a public clone.
Figure 6:

Public and cross-reactive clones. (A) Sixteen public clones were identified. Public clones are numbered 1–16 by row, as shown on the far left. Each column of boxes in the middle panel represents a single individual, as labeled at top, and is colored by probe(s) used, as shown at bottom. Right panel shows additional information about each public clone. Light chain ifnormation is provided after a colon if a consistent signature was found. Epitopes are inferred from ELISA of RATP-Ig supernatants of at least 1 public clone member; nd, not determined. (B) CDR H3 logogram for the top public clone, found in 5 of 13 individuals. (C)-(E) Combined CDR H3 logograms for (C) 2 public clones using IGHV1–69 and IGKV3–11 with a 15 amino acid CDR H3 length. (D) 6 public clones using IGHV3–30 with a 14 amino acid CDR H3 length. (E) 3 public clones using IGHV3–30 with a 10 amino acid CDR H3 length.

One public clone, found in 5 individuals, uses IGHV4–59 with a short 6 amino acid CDR H3 and IGKV3–20. This public clone comprises B cells from a WA1-infected individual and 4 Beta-infected individuals which bound to both WA1 and Beta probes (Fig. 6A) and has a strongly conserved CDR H3 (Fig. 6B). Antibodies matching the signature of public clone 1 have been previously published (28, 49, 59, 62–64); notably, they have been characterized as binding the S2 domain of Spike and are generally cross-reactive with SARS-CoV-1. Indeed, one member of this public clone, H712427+K711927, was isolated from an individual who was infected with SARS-CoV-1 (49). This suggests that the convergent immune responses we observe may not be limited only to variants of SARS-CoV-2 but may even extend to a broader range of sarbecoviruses. Public clone 2 contains the expanded clones identified by RATP-Ig in SAV3 and A49, discussed above, as well as cells from SAV12. Public clone 3 includes sequences from two individuals that bound to either Beta or Gamma probes. Notably, both public clones 2 and 3 use the same heavy and light chain germline genes with the same CDR H3 and L3 lengths, though they fall outside of the 80% amino acid identity threshold. Combining sequences from both public clones revealed a strongly conserved IGHD3–22-encoded YDSSGY motif at positions 6–11 of CDR H3 (Fig. 6C). Strikingly, this is the same D gene implicated in targeting a Class IV RBD epitope (54), although public clones 2 and 3 instead target an epitope in S2 and appear to be restricted to IGHV1–69 and IGKV3–11 V genes. We also observed the repeated use of IGHV3–30 with a 14 amino acid CDR H3 in six public clones which together comprise 35 cells from 8 different individuals. Each of these public clones included cells that bound to at least two variants, and all six were identified in individuals from at least two of our three variant-infected cohorts, suggesting a common, cross-reactive binding mode. When we combined CDR H3 sequences from all 6 public clones in this group, we found a consistent small-G-polar-Y-aromatic motif spanning positions 5–9 of CDR H3 (Fig. 6D). A large number of antibodies matching this signature have been previously described (25, 28, 34, 49–52, 59, 60, 62–66). Similar to the above public clones, the epitope targeted by these antibodies has generally been reported as being in the S2 domain of Spike, and approximately one third of them have been shown to also bind SARS-CoV-1. We identified only one public clone, 12, that we were able to verify bound to either RBD or NTD, although public clones 13 and 14 also have highly similar V genes and CDR lengths (Fig. 6, A and E). These public clones were identified in both Beta- and Gamma-infected individuals from cells isolated with WA1 and/or Beta probes. Two previously reported antibodies, WRAIR-2038 (16) and COV-2307 (34), match the signature of these public clones and are also confirmed to bind NTD. The identification of a cross-reactive public clone is remarkable given deletions in Beta that disrupt the main NTD supersite for neutralizing antibodies (12). This again highlights the discordance between neutralization, which is variant-restricted, and reproducible binding modes which show a consensus in the face of differences among variants.

DISCUSSION

The rise of novel, antigenically distinct SARS-CoV-2 variants both threatens the efficacy of lifesaving mAb therapies and emphasizes the need for continued therapeutic mAb discovery (67). Moreover, although T cell responses are predominantly directed toward conserved epitopes and hence are broadly cross-reactive (18–22), Spike-binding IgG antibodies and serum neutralization have been identified as key correlates of protection for SARS-CoV-2 infection (68–70). Thus, a deep understanding of the IG repertoires that generate these protective responses will be critical for predicting the impact of infections with different variants. In this study, we used rapid mAb production and functional analysis and single cell sequencing using the 10x Genomics platform to conduct an in-depth, unbiased characterization of total antigen-specific B cell repertoires from people infected with the ancestral WA1, Beta, or Gamma variants of SARS-CoV-2. Our principal findings were: 1) infection with any of these variants elicited antibodies targeting the same immunodominant epitopes in RBD; 2) antigen-specific memory B cells elicited by SARS-CoV-2 are polyclonal and use similar patterns of heavy and light chain V genes, irrespective of the infecting variant; and 3) public clones and other cross-reactive antibodies are common among responses to all infecting variants. Our results demonstrate a fundamentally convergent humoral immune response across different SARS-CoV-2 variants. To date, most analyses of SARS-CoV-2-specific B cells have focused on neutralizing antibodies with potential therapeutic applications. Those which have investigated the total binding repertoire have used samples from people infected with the ancestral WA1 variant (9, 25, 31); here we complement these studies with new data from Beta- and Gamma-infected individuals and show that the hierarchy of immunodominant epitopes remains unchanged. Indeed, while a recent report found that serum antibodies elicited by Beta infection were less likely to contact Spike residue F456 compared to antibodies elicited by WA1 infection (71), we found no changes in targeting of the RBD-A epitope, which includes this residue. Combined with the fact that Spike F456 is unchanged between WA1 and Beta, this suggests that the difference in escape is likely due to a shifted binding conformation (43, 44). Thus, just as binding epitope immunodominance is known to be consistent in response to WA1, Beta, or Omicron mRNA immunization (47, 48), we now demonstrate here similar immunodominance after variant infection. This insight will be helpful for understanding and predicting the burdens of serial infections with different variants. In addition to concordant epitope targeting, we also found consistent V gene usage in the antibody response to all three variants we investigated. Although some recent studies have noted enrichment for IGHV4–39 and closely related VH genes in Beta-infection (56, 57) we did not observe any differences in the usage of these genes. Our findings likely highlight the difference between the neutralizing antibody repertoires investigated in prior studies compared to the total binding repertoires examined here and emphasize the insights to be gleaned by taking a broader perspective. However, despite this consistent epitope immunodominance and convergent V gene usage, we observed an excess of SHM in homologous Beta-binding B cells isolated from Beta-infected individuals, an effect we did not observe in WA1- or Gamma-infected individuals. This is even more unexpected in light of the lower overall SHM in cross-binding B cells sorted for mAb isolation by RATP-Ig. Other studies have also suggested the possibility that Beta may be somewhat distinct from other SARS-CoV-2 variants, inducing neutralization that appears to wane more slowly and that can be boosted to higher levels by additional vaccine doses (47, 48). In this light, it is perhaps even more important that we identified the same cross-reactive public clones induced by Beta infection as by WA1 and Gamma, suggesting that key elements for protection against other variants are likely to be maintained. Furthermore, the genetic convergence among IG repertoires was not limited to V gene usage but extended to the public clones we identified. These were reliably observed irrespective of the infecting variant and were consistently identified as cross-reactive to multiple variants. Additionally, members of public clones 1 and 2 have been reported in the literature as having cross-reactivity extending to SARS-CoV-1. While they appear to be non-neutralizing and S2 domain-binding, they may yet be important for Fc-dependent functions (16, 17) and thus their elicitation by different variants may contribute to protection from future infection with other variants. Overall, more than 8% of the cells that we sequenced belong to a public clone, highlighting again the extraordinary convergence of the antibody response across variants of SARS-CoV-2. Importantly, we also observed convergences that are not encompassed within the standard definition of a public clone, consistent with structural modeling and clustering demonstrating that high CDR H3 sequence similarity and even convergent V genes are not required for antibodies to target overlapping epitopes using comparable binding conformations (72). As a specific example, we identified antibodies with a previously described IGHD3–22-encoded YYDRxG motif that can result in broad neutralization of divergent sarbecoviruses (54). Furthermore, we also observed three sets of multiple public clones with overlapping gene usage and CDR H3 lengths. Despite the low CDR H3 sequence homology between public clones, we found conserved motifs which are likely to drive functional convergence. These findings further highlight the capability of the human immune system to respond to SARS-CoV-2 in a manner that is largely consistent yet tolerant of differences between variants. In summary, our data reveal marked convergence that defines multiple aspects of the humoral immune response to different SARS-CoV-2 variants. Despite the emergence of key escape mutations which have pronounced impact on neutralizing antibody function, first-generation vaccine designs using the ancestral Spike protein sequence have demonstrated the capacity to generate a cross-reactive anamnestic response that can be mobilized upon infection with novel variants (47, 48, 73, 74). Our observations show that this phenomenon may be explained in part by convergent V-gene usage and epitope specificities elicited by primary exposure to SARS-CoV-2 variant Spikes.

LIMITATIONS OF THE STUDY

Our study is limited by sampling of paired heavy and light chain sequences from fewer than 1,000 SARS-CoV-2-specific B cells across 13 individuals. This scale is small in comparison to bulk IG sequencing studies (32, 61) and even a few single-cell studies (58, 60, 75). We are also limited in our ability to make functional repertoire comparisons due to varied sorting strategies and differences in functional assays used to assess isolated mAbs. Moreover, our cohort was sampled only at a single time point early in convalescence and included only one individual with high serum neutralization titers. It will be important to verify that our findings extend to later time points when the antibody repertoire has matured. In addition, further studies are needed to examine the response elicited by more recent SARS-CoV-2 variants such as Delta and Omicron.

MATERIALS AND METHODS

Study design

We selected 13 convalescent individuals that had experienced symptomatic Covid-19 infection with either WA1 virus or the Beta or Gamma variants. Serum, plasma and PBMC were isolated at each respective clinical center. The selection of individuals was based on the availability of samples collected at similar time-points (between 17 and 38 days after symptoms onset), rather than the severity of disease or neutralizing antibody titers (Table S1). Seven individuals were infected with the Beta variant and recruited at the Sheba Medical Center, Tel HaShomer, Israel. Two individuals were infected with the Gamma variant and recruited at the University of Minnesota Hospital, USA. The samples from four WA1-infected individuals, collected early in the pandemic, as well as the two additional beta-infected individuals used for T cell analysis were collected under the Vaccine Research Center’s (VRC), National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health protocol VRC 200 (NCT00067054) in compliance with the NIH Institutional Review Board (IRB) approved protocol and procedures. All subjects met protocol eligibility criteria and agreed to participate in the study by signing the NIH IRB approved informed consent. Research studies with these samples were conducted by protecting the rights and privacy of the study participants. All participants provided informed consent in accordance with protocols approved by the respective institutional review boards and the Helsinki Declaration.

Serology

Antibody binding was measured by 10-plex Meso Scale Discovery Electrochemiluminescence immunoassay (MSD-ECLIA) as previously described (76). Cell-surface spike binding was assessed as previously described (76). Serum neutralization titers for either WA1-D614G, Beta, Gamma or Delta pseudotyped virus particles were obtained as previously described (76).

Antigen-specific ELISA

Reacti-Bind 96-well polystyrene plates (Pierce) were coated with 100 μl of affinity purified goat anti-human IgG Fc (Rockland) at 1:20,000 in PBS, or 2 μg/ml SARS-CoV-2 recombinant protein in PBS overnight at 4°C. Plates were washed in PBS-T (500ml 10XPBS + 0.05% Tween-20 + 4.5L H2O) and blocked for 1 h at 37°C with 200 μL/well of B3T buffer: 8.8 g/liter NaCl, 7.87 g/liter Tris-HCl, 334.7 mg/liter EDTA, 20 g BSA Fraction V, 33.3 ml/liter fetal calf serum, 666 ml/liter Tween-20, and 0.02% Thimerosal, pH 7.4). Diluted antibody samples were applied and incubated 1 hr at 37°C followed by 6 washes with PBS-T; plates were the incubated with HRP-conjugated anti-human IgG (Jackson ImmunoResearch) diluted 1:10,000 in B3T buffer for 1 h at 37°C. After 6 washes with PBS-T, SureBlue TMB Substrate (KPL) was added, incubated for 10 min, and the reaction was stopped with 1N H2SO4 before measuring optical densities at 450nm (Molecular Devices, SpectraMax using SoftMax Pro 5 software). For single-point assays, supernatants from transfected cells were diluted 1:10 in B3T and added to the blocked plates. Purified monoclonal antibodies were assessed using 5-fold serial dilutions starting at 10ug/ml. To assess the levels of IgG in supernatants, standard curves were run on the same plates as supernatants, using threefold serial dilutions of human IgG (Sigma) starting at 100ng/ml IgG.

Intracellular cytokine staining

The T cell staining panel used in this study was modified from a panel developed by the laboratory of Dr. Steven De Rosa (Fred Hutchinson Cancer Research Center). Directly conjugated antibodies purchased from BD Biosciences include CD19 PE-Cy5 (Clone HIB19; cat. 302210), CD14 BB660 (Clone M0P9; cat. 624925), CD3 BUV395 (Clone UCHT1; cat. 563546), CD4 BV480 (Clone SK3; cat. 566104), CD8a BUV805 (Clone SK1; cat. 612889), CD45RA BUV496 (Clone H100; cat. 750258), CD154 PE (Clone TRAP1; cat. 555700), IFNg V450 (Clone B27; cat. 560371 and IL-2 BB700 (Clone MQ1–17H12; cat. 566404). Antibodies from Biolegend include CD16 BV570 (Clone 3G8; cat. 302036), CD56 BV750 (Clone 5.1H11; cat. 362556), CCR7 BV605 (Clone G043H7; cat. 353244) and CD69 APC-Fire750 (Clone FN50; cat. 310946). TNF FITC (Clone Mab11; cat. 11-7349-82) and the LIVE/DEAD Fixable Blue Dead Cell Stain (cat. L34962) were purchased from Invitrogen. Cryopreserved PBMC were thawed into pre-warmed R10 media (RPMI 1640, 10% FBS, 2 mM L-glutamine, 100 U/ml penicillin, and 100 μg/ml streptomycin) containing DNase and rested for 1 hour at 37°C/5% CO2. For stimulation, 1 – 1.5 million cells were plated into 96-well V-bottom plates in 200mL R10 and stimulated with SARS-CoV-2 peptide pools (2ug/mL for each peptide) for 6 hours at 37°C/5%CO2. A DMSO-only condition was used to determine background responses. Following stimulation samples were stained with LIVE/DEAD Fixable Blue Dead Cell Stain for 10 minutes at room temperature and surface stained with titrated amounts of anti-CD19, anti-CD14, anti-CD16, anti-CD56, anti-CD4, anti-CD8, anti-CCR7 and anti-CD45RA for 20 minutes at room temperature. Cells were washed in FACS Buffer (PBS + 2% FBS), and fixed and permeabilized (Cytofix/Cytoperm, BD Biosciences) for 20 minutes at room temperature. Following fixation, cells were washed with Perm/Wash buffer (BD Biosciences) and stained intracellularly with anti-CD3, anti-CD154, anti-CD69, anti-IFNg, anti-IL-2 and anti-TNF for 20 minutes at room temperature. Cells were subsequently washed with Perm/Wash buffer and fixed with 1% paraformaldehyde. Data were acquired on a modified BD FACSymphony and analyzed using FlowJo software (version 10.7.1). Cytokine frequencies were background subtracted and negative values were set to zero. Synthetic peptides (>75% purity by HPLC; 15 amino acids in length overlapping by 11 amino acids) were synthesized by GenScript. To measure T cell responses to the full-length WA1-Spike glycoprotein (YP_009724390.1), 2 peptide pools were utilized, Spike pool A (peptides 1–160; residues 1–651) and Spike pool B (peptides 161–316; residues 641–1273) (Table S8). Peptides were 15 amino acids in length and overlapped by 11 amino acids. Spike pool A contained peptides for both D614 and the G614 mutation. Responses to full-length Spike were calculated by summing the responses to both pools after background subtraction. Select peptide pools were used to measure T cell responses to mutated regions of the Spike glycoproteins of the Alpha, Beta and Gamma SARS-CoV-2 variants along with control pools corresponding to the same regions within the WA-1 Spike glycoprotein (Table S9).

Epitope mapping by Surface Plasmon Resonance (SPR)

Serum epitope mapping competition assays were performed, as previously described (47, 48), using the Biacore 8K+ surface plasmon resonance system (Cytiva). Anti-histidine antibody was immobilized on Series S Sensor Chip CM5 (Cytiva) through primary amine coupling using a His capture kit (Cytiva). Following this, his-tagged SARS-CoV-2 S protein containing 2 proline stabilization mutations (S-2P) was captured on the active sensor surface. Human IgG monoclonal antibodies (mAb) used for these analyses include: B1–182, CB6, A20–29.1, A19–46.1, LY-COV555, A19–61.1, S309, A23–97.1, A19–30.1, A23–80.1, and CR3022. Either competitor or negative control mAb was injected over both active and reference surfaces. Human sera were then flowed over both active and reference sensor surfaces, at a dilution of 1:50. Following the association phase, active and reference sensor surfaces were regenerated between each analysis cycle. Prior to analysis, sensorgrams were aligned to Y (Response Units) = 0, using Biacore 8K Insights Evaluation Software (Cytiva), at the beginning of the serum association phase. Relative “analyte binding late” report points (RU) were collected and used to calculate percent competition (% C) using the following formula: % C = [1 − (100 * ((RU in presence of competitor mAb) / (RU in presence of negative control mAb))]. Results are reported as percent competition and statistical analysis was performed using unpaired, two-tailed t-test (Graphpad Prism v.8.3.1). All assays were performed in duplicate and averaged.

Production of antigen-specific probes

Biotinylated probes for S-2P, NTD and RBD were produced as described previously (77, 78). Briefly, single-chain Fc and AVI-tagged proteins were expressed transiently for 6 days. After harvest, the soluble proteins were purified and biotinylated in a single protein A column followed by final purification on a Superdex 200 16/600 gel filtration column. Biotinylated proteins were then conjugated to fluorescent streptavidin.

Antigen-specific B cell sorting

PBMC vials containing approximately 107 cells were thawed and stained with Live/Dead Fixable Blue Dead Cell Stain Kit (Invitrogen, cat# L23105) for 10 min at room temperature, followed by incubation for 20 min with the staining cocktail consisting of antibodies and probes. The antibodies used in the staining cocktail were: CD8-BV510 (Biolegend, clone RPA-T8, cat# 301048), CD56-BV510 (Biolegend, clone HCD56, cat# 318340), CD14-BV510 (Biolegend, clone M5E2, cat# 301842), CD16-BUV496 (BD Biosciences, clone 3G8, cat# 612944), CD3-APC-Cy7 (BD Biosciences, clone SP34–2, cat# 557757), CD19-PECy7 (Beckmann Coulter, clone J3–119, cat# IM36284), CD20 (BD Biosciences, clone 2H7, cat# 564917), IgG-FITC (BD Biosciences, clone G18–145, cat# 555786), IgA-FITC (Miltenyi Biotech, clone IS11–8E10, cat# 130-114-001) and IgM-PECF594 (BD Biosciences, clone G20–127, cat# 562539). For each variant, a set of two spike probes S-2P-APC and S-2P-BUV737, in addition to RBD-BV421 and NTD-BV711 were included in the staining cocktail for flow cytometry sorting. For RATP-Ig, single-cells were sorted in 96-well plates containing 5 μL of TCL buffer (Qiagen) with 1% β-mercaptoethanol according to the gating strategy shown in Fig. S2B. Samples sorted for 10x Genomics single-cell RNAseq were individually labelled with an oligonucleotide-linked hashing antibody (Totalseq-C, Biolegend) in addition to the staining cocktail and sorted into a single tube according to the gating strategy shown in Fig. S2B. All cell sorts were performed using a BD FACSAria II instrument (BD Biosciences). Frequency of antigen-specific B cells were analyzed using FlowJo 10.8.1 (BD Biosciences).

Monoclonal antibody isolation and characterization by RATP-Ig

cDNA synthesis:

Variable heavy and light chains were synthesized using a modified SMARTSeq-V4 protocol by 5’ RACE. Single-cell RNA was first purified with RNAclean beads (Beckman Coulter). cDNA was then synthesized using 5’ RACE reverse-transcription, adding distinct 3’ and 5’ template switch oligo adapters to total cDNA. cDNA was subsequently amplified with TSO_FWD and TS_Oligo_2_REV primers. Excess oligos and dNTPs were removed from amplified cDNA with EXO-CIP cleanup kit (New England BioLabs).

Immunoglobulin enrichment and sequencing:

Heavy and light chain variable regions were enriched by amplifying cDNA with TSO_FWD and IgA/IgG_REV or IgK/IgL_REV primer pools. An aliquot of enriched product was used to prepare Nextera libraries with Unique Dual Indices (Illumina) and sequenced using 2×150 paired-end reads on an Illumina MiSeq. Separate aliquots were used for IG production; RATP-Ig is a modular system and can produce single combined or separate HC/LC cassettes.

Cassette fragment synthesis:

Final cassettes include CMV, and HC/LC-TBGH polyA fragments. To isolate these fragments, amplicons were first synthesized by PCR. PCR products were run on a 1% agarose gel and fragments of the correct length were extracted with Thermo gel extraction and PCR cleanup kit (ThermoFisher Scientific). Gel-extracted products were digested with DpnI (New England Biolabs) to further remove any possible contaminating plasmid. These fragment templates were then further amplified to create final stocks of cassette fragments.

Cassette assembly:

Enriched variable regions were assembled into linear expression cassettes in two sequential ligation reactions. The first reaction assembles CMV-TSO, TSO-V-LC, and KC-IRES fragments into part 1 and IRES-TSO, TSO-V-HC, and IgGC-TBGH fragments into part 2 using NEBuilder HIFI DNA Assembly Mastermix (New England BioLabs). Following reaction 1, parts 1 and 2 were combined into a single reaction 2 and ligated into a single cassette.

Separate cassettes:

Enriched variable regions were assembled into linear expression cassettes by ligating CMV-TSO, TSO-V-C, and C-TBGH fragments using NEBuilder HIFI DNA Assembly Mastermix (New England BioLabs). Assembled cassettes were amplified using CMV_FWD and TBGH_REV primers. Amplified linear DNA cassettes encoding monoclonal heavy and light chain genes were co-transfected into Expi293 cells in 96-well deep-well plates using the Expi293 Transfection Kit (ThermoFisher Scientific) according to the manufacturer’s protocol. Microtiter cultures were incubated at 37 degrees and 8% CO2 with shaking at 1100 RPM for 5–7 days before supernatants were clarified by centrifugation and harvested.

Droplet-based single cell isolation and sequencing

Antigen-specific memory B cells were sorted as described above. Cells from two separate sorts were pooled in a single suspension and loaded on the 10x Genomics Chromium instrument with reagents from the Next GEM Single Cell 5’ Kit v1.1 following the manufacturer’s protocol to generate total cDNA. Heavy and light chains were amplified from the cDNA using custom 3’ primers specific for IgG, IgA, IgK or IgL with the addition of Illumina sequences (79). The Illumina-ready libraries were sequenced using 2×300 paired-end reads on an Illumina MiSeq. Hashing oligonucleotides were amplified and sequenced from the total cDNA according to the 10x Genomics protocol.

V(D)J sequence analysis

For cells processed via RATP-Ig, reads were demultiplexed using a custom script and candidate V(D)J sequences were generated using BALDR (80) and filtered for quality using a custom script. The resulting sequences were annotated using SONAR v4.2 (81) in single-cell mode. For cells processed via the 10x Genomics Chromium device, reads from the hashing libraries were processed using cellranger (10x Genomics). The resulting count matrix was imported into Seurat (82) and the sample of origin called using the HTODemux function. Paired-end reads from V(D)J libraries were merged and annotated using SONAR in single-cell mode with UMI detection and processing. For all datasets, nonproductive rearrangements were discarded, as were any cells with more than one productive heavy or light chain. Cells with an unpaired heavy or light chain were included in calculations of SHM and gene usage statistics, but were excluded from assessments of clonality and determination of public clones. Public clones were determined by using the clusterfast algorithm in vsearch (83) to cluster CDR H3 amino acid sequences at 80% identity. Where relevant, all clonally related B cells in a single individual were included in a public clone, even if not all were directly clustered together in the vsearch analysis. Table S3: Heatmaps of complete RATP-Ig ELISA results for SAV1. Values are reported as absorbance at 450nm wavelength. Table S4: Heatmaps of complete RATP-Ig ELISA results for SAV3. Values are reported as absorbance at 450nm wavelength. Table S5: Heatmaps of complete RATP-Ig ELISA results for A49. Values are reported as absorbance at 450nm wavelength. Table S8: Sequences of peptides included in Spike pools A and B used for T cell stimulation. Highlighted peptides did not meet >75% purity and were not included in the pool. Table S9: Sequences of peptides included in selected peptide pools for each variant used for T cell stimulation. Fig. S1: Additional serology and epitope mapping data. A) Antibody binding titers against multiple variants assessed by cell surface binding assay; B) Structural schematic of spike protein showing epitopes from monoclonal antibodies used for RBD epitope mapping by competition assay; C) Epitope mapping of Beta-infected individuals on WA1, Beta and Delta spike proteins; D) Epitope mapping of Gamma-infected individuals on WA1, Beta and Delta spike proteins; E) Gating strategy for T cell response analysis. Fig. S2: Antigen-specific B cell sorting. (A) Arrows indicate probes used for sorting antigen-specific B cells from each group of convalescent individuals. The individual marked with a star was used for both RATP-Ig and total BCR repertoire sequencing. (B) Flow cytometry representative plots and gating strategies for B cell sorting and analysis; final sort gates are shown in blue. Fig. S3: SARS-CoV-2-specific light chain V gene usage frequencies. (A) Kappa and (B) Lambda chain V gene repertoire analysis by infecting variant, with WA1, Beta and Gamma shown in grey, orange and blue, respectively, and data from pre-pandemic controls in yellow. The x-axis shows all germline genes used; the y-axis represents the percent of individual gene usage. Stars indicate genes with at least one significant difference between groups; pairwise comparisons using the Dunn test are in Table S7. Table S1: Details of the study cohort. Table S2: Serum epitope competition Table S6: Sample recovery from 10x Genomics-based single cell isolation and sequencing. Table S7: Significant differences in gene-usage. For genes with a significant difference detected by the Kruskal-Wallis test (Figs. 4B and S3), the Dunn test was used to find significant pairwise difference. P values were adjusted for multiple testing using the Benjami-Hochberg procedure.
  79 in total

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Journal:  Nature       Date:  2019-02-13       Impact factor: 49.962

2.  Structural basis of a shared antibody response to SARS-CoV-2.

Authors:  Meng Yuan; Hejun Liu; Nicholas C Wu; Chang-Chun D Lee; Xueyong Zhu; Fangzhu Zhao; Deli Huang; Wenli Yu; Yuanzi Hua; Henry Tien; Thomas F Rogers; Elise Landais; Devin Sok; Joseph G Jardine; Dennis R Burton; Ian A Wilson
Journal:  Science       Date:  2020-07-13       Impact factor: 47.728

3.  Escape from neutralizing antibodies by SARS-CoV-2 spike protein variants.

Authors:  Yiska Weisblum; Fabian Schmidt; Fengwen Zhang; Justin DaSilva; Daniel Poston; Julio Cc Lorenzi; Frauke Muecksch; Magdalena Rutkowska; Hans-Heinrich Hoffmann; Eleftherios Michailidis; Christian Gaebler; Marianna Agudelo; Alice Cho; Zijun Wang; Anna Gazumyan; Melissa Cipolla; Larry Luchsinger; Christopher D Hillyer; Marina Caskey; Davide F Robbiani; Charles M Rice; Michel C Nussenzweig; Theodora Hatziioannou; Paul D Bieniasz
Journal:  Elife       Date:  2020-10-28       Impact factor: 8.140

4.  Antibody evasion by the P.1 strain of SARS-CoV-2.

Authors:  Wanwisa Dejnirattisai; Daming Zhou; Piyada Supasa; Chang Liu; Alexander J Mentzer; Helen M Ginn; Yuguang Zhao; Helen M E Duyvesteyn; Aekkachai Tuekprakhon; Rungtiwa Nutalai; Beibei Wang; César López-Camacho; Jose Slon-Campos; Thomas S Walter; Donal Skelly; Sue Ann Costa Clemens; Felipe Gomes Naveca; Valdinete Nascimento; Fernanda Nascimento; Cristiano Fernandes da Costa; Paola Cristina Resende; Alex Pauvolid-Correa; Marilda M Siqueira; Christina Dold; Robert Levin; Tao Dong; Andrew J Pollard; Julian C Knight; Derrick Crook; Teresa Lambe; Elizabeth Clutterbuck; Sagida Bibi; Amy Flaxman; Mustapha Bittaye; Sandra Belij-Rammerstorfer; Sarah C Gilbert; Miles W Carroll; Paul Klenerman; Eleanor Barnes; Susanna J Dunachie; Neil G Paterson; Mark A Williams; David R Hall; Ruben J G Hulswit; Thomas A Bowden; Elizabeth E Fry; Juthathip Mongkolsapaya; Jingshan Ren; David I Stuart; Gavin R Screaton
Journal:  Cell       Date:  2021-03-30       Impact factor: 41.582

5.  Efficient discovery of SARS-CoV-2-neutralizing antibodies via B cell receptor sequencing and ligand blocking.

Authors:  Kevin J Kramer; Nicole V Johnson; Steven C Wall; Andrea R Shiakolas; Naveenchandra Suryadevara; Daniel Wrapp; Sivakumar Periasamy; Kelsey A Pilewski; Nagarajan Raju; Rachel Nargi; Rachel E Sutton; Lauren M Walker; Ian Setliff; James E Crowe; Alexander Bukreyev; Robert H Carnahan; Jason S McLellan; Ivelin S Georgiev
Journal:  Nat Biotechnol       Date:  2022-03-03       Impact factor: 68.164

6.  BALDR: a computational pipeline for paired heavy and light chain immunoglobulin reconstruction in single-cell RNA-seq data.

Authors:  Amit A Upadhyay; Robert C Kauffman; Amber N Wolabaugh; Alice Cho; Nirav B Patel; Samantha M Reiss; Colin Havenar-Daughton; Reem A Dawoud; Gregory K Tharp; Iñaki Sanz; Bali Pulendran; Shane Crotty; F Eun-Hyung Lee; Jens Wrammert; Steven E Bosinger
Journal:  Genome Med       Date:  2018-03-20       Impact factor: 15.266

7.  Convergent antibody responses to SARS-CoV-2 in convalescent individuals.

Authors:  Davide F Robbiani; Christian Gaebler; Frauke Muecksch; Julio C C Lorenzi; Zijun Wang; Alice Cho; Marianna Agudelo; Christopher O Barnes; Anna Gazumyan; Shlomo Finkin; Thomas Hägglöf; Thiago Y Oliveira; Charlotte Viant; Arlene Hurley; Hans-Heinrich Hoffmann; Katrina G Millard; Rhonda G Kost; Melissa Cipolla; Kristie Gordon; Filippo Bianchini; Spencer T Chen; Victor Ramos; Roshni Patel; Juan Dizon; Irina Shimeliovich; Pilar Mendoza; Harald Hartweger; Lilian Nogueira; Maggi Pack; Jill Horowitz; Fabian Schmidt; Yiska Weisblum; Eleftherios Michailidis; Alison W Ashbrook; Eric Waltari; John E Pak; Kathryn E Huey-Tubman; Nicholas Koranda; Pauline R Hoffman; Anthony P West; Charles M Rice; Theodora Hatziioannou; Pamela J Bjorkman; Paul D Bieniasz; Marina Caskey; Michel C Nussenzweig
Journal:  Nature       Date:  2020-06-18       Impact factor: 69.504

8.  D614G Spike Mutation Increases SARS CoV-2 Susceptibility to Neutralization.

Authors:  Drew Weissman; Mohamad-Gabriel Alameh; Thushan de Silva; Paul Collini; Hailey Hornsby; Rebecca Brown; Celia C LaBranche; Robert J Edwards; Laura Sutherland; Sampa Santra; Katayoun Mansouri; Sophie Gobeil; Charlene McDanal; Norbert Pardi; Nick Hengartner; Paulo J C Lin; Ying Tam; Pamela A Shaw; Mark G Lewis; Carsten Boesler; Uğur Şahin; Priyamvada Acharya; Barton F Haynes; Bette Korber; David C Montefiori
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10.  Tracking Changes in SARS-CoV-2 Spike: Evidence that D614G Increases Infectivity of the COVID-19 Virus.

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Journal:  Cell       Date:  2020-07-03       Impact factor: 66.850

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