1. Broad sarbecovirus neutralization by a human monoclonal antibody
- Author
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Jesse D. Bloom, Fabio Benigni, Anna De Marco, Fabrizia Zatta, Laura E. Rosen, Stefano Jaconi, Istvan Bartha, Tyler N. Starr, Michael P. Housley, Elisabetta Cameroni, Julia di Iulio, Gyorgy Snell, Rana Abdelnabi, Davide Corti, Chiara Silacci Fregni, Jiayi Zhou, Katja Culap, Exequiel Dellota, Herbert W. Virgin, Nicole Sprugasci, John E. Bowen, Isabella Giacchetto-Sasselli, M. Alejandra Tortorici, David Veesler, Nadine Czudnochowski, Dora Pinto, Shi Yan Caroline Foo, Martina Beltramello, Colin Havenar-Daughton, Christian Saliba, Zhuoming Liu, Matteo Samuele Pizzuto, Samantha K Zepeda, Hannah Kaiser, Amalio Telenti, Johan Neyts, Roberta Marzi, Martin Montiel-Ruiz, Alexandra C. Walls, Michael A. Schmid, Z. Wang, Sean P. J. Whelan, Barbara Guarino, Eneida Vetti, Florian A. Lempp, and Amin Addetia
- Subjects
education.field_of_study ,Multidisciplinary ,Zoonotic Infection ,biology ,medicine.drug_class ,Population ,biology.organism_classification ,Monoclonal antibody ,Virology ,Epitope ,Antigenic drift ,Article ,Antigen ,medicine ,biology.protein ,Antibody ,education ,Mesocricetus - Abstract
The recent emergence of SARS-CoV-2 variants of concern1-10 and the recurrent spillovers of coronaviruses11,12 into the human population highlight the need for broadly neutralizing antibodies that are not affected by the ongoing antigenic drift and that can prevent or treat future zoonotic infections. Here we describe a human monoclonal antibody designated S2X259, which recognizes a highly conserved cryptic epitope of the receptor-binding domain and cross-reacts with spikes from all clades of sarbecovirus. S2X259 broadly neutralizes spike-mediated cell entry of SARS-CoV-2, including variants of concern (B.1.1.7, B.1.351, P.1, and B.1.427/B.1.429), as well as a wide spectrum of human and potentially zoonotic sarbecoviruses through inhibition of angiotensin-converting enzyme 2 (ACE2) binding to the receptor-binding domain. Furthermore, deep-mutational scanning and in vitro escape selection experiments demonstrate that S2X259 possesses an escape profile that is limited to a single substitution, G504D. We show that prophylactic and therapeutic administration of S2X259 protects Syrian hamsters (Mesocricetus auratus) against challenge with the prototypic SARS-CoV-2 and the B.1.351 variant of concern, which suggests that this monoclonal antibody is a promising candidate for the prevention and treatment of emergent variants and zoonotic infections. Our data reveal a key antigenic site that is targeted by broadly neutralizing antibodies and will guide the design of vaccines that are effective against all sarbecoviruses.
- Published
- 2021