Ultrapotent antibodies against diverse and highly transmissible SARS-CoV-2 variants

针对多种高传染性SARS-CoV-2变种的超强效抗体

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作者:Lingshu Wang # ,Tongqing Zhou # ,Yi Zhang ,Eun Sung Yang ,Chaim A Schramm ,Wei Shi ,Amarendra Pegu ,Olamide K Oloniniyi ,Amy R Henry ,Samuel Darko ,Sandeep R Narpala ,Christian Hatcher ,David R Martinez ,Yaroslav Tsybovsky ,Emily Phung ,Olubukola M Abiona ,Avan Antia ,Evan M Cale ,Lauren A Chang ,Misook Choe ,Kizzmekia S Corbett ,Rachel L Davis ,Anthony T DiPiazza ,Ingelise J Gordon ,Sabrina Helmold Hait ,Tandile Hermanus ,Prudence Kgagudi ,Farida Laboune ,Kwanyee Leung ,Tracy Liu ,Rosemarie D Mason ,Alexandra F Nazzari ,Laura Novik ,Sarah O'Connell ,Sijy O'Dell ,Adam S Olia ,Stephen D Schmidt ,Tyler Stephens ,Christopher D Stringham ,Chloe Adrienna Talana ,I-Ting Teng ,Danielle A Wagner ,Alicia T Widge ,Baoshan Zhang ,Mario Roederer ,Julie E Ledgerwood ,Tracy J Ruckwardt ,Martin R Gaudinski ,Penny L Moore ,Nicole A Doria-Rose ,Ralph S Baric ,Barney S Graham ,Adrian B McDermott ,Daniel C Douek ,Peter D Kwong ,John R Mascola ,Nancy J Sullivan ,John Misasi #

Abstract

The emergence of highly transmissible SARS-CoV-2 variants of concern (VOCs) that are resistant to therapeutic antibodies highlights the need for continuing discovery of broadly reactive antibodies. We identified four receptor binding domain-targeting antibodies from three early-outbreak convalescent donors with potent neutralizing activity against 23 variants, including the B.1.1.7, B.1.351, P.1, B.1.429, B.1.526, and B.1.617 VOCs. Two antibodies are ultrapotent, with subnanomolar neutralization titers [half-maximal inhibitory concentration (IC50) 0.3 to 11.1 nanograms per milliliter; IC80 1.5 to 34.5 nanograms per milliliter). We define the structural and functional determinants of binding for all four VOC-targeting antibodies and show that combinations of two antibodies decrease the in vitro generation of escape mutants, suggesting their potential in mitigating resistance development.

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