Immunizations with diverse sarbecovirus receptor-binding domains elicit SARS-CoV-2 neutralizing antibodies against a conserved site of vulnerability

接种多种沙贝病毒受体结合域可诱导产生针对SARS-CoV-2保守易感位点的中和抗体。

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作者:Deborah L Burnett,Katherine J L Jackson,David B Langley,Anupria Aggrawal,Alberto Ospina Stella,Matt D Johansen,Harikrishnan Balachandran,Helen Lenthall,Romain Rouet,Gregory Walker,Bernadette M Saunders,Mandeep Singh,Hui Li,Jake Y Henry,Jennifer Jackson,Alastair G Stewart,Franka Witthauer,Matthew A Spence,Nicole G Hansbro,Colin Jackson,Peter Schofield,Claire Milthorpe,Marianne Martinello,Sebastian R Schulz,Edith Roth,Anthony Kelleher,Sean Emery,Warwick J Britton,William D Rawlinson,Rudolfo Karl,Simon Schäfer,Thomas H Winkler,Robert Brink,Rowena A Bull,Philip M Hansbro,Hans-Martin Jäck,Stuart Turville,Daniel Christ,Christopher C Goodnow

Abstract

Viral mutations are an emerging concern in reducing SARS-CoV-2 vaccination efficacy. Second-generation vaccines will need to elicit neutralizing antibodies against sites that are evolutionarily conserved across the sarbecovirus subgenus. Here, we immunized mice containing a human antibody repertoire with diverse sarbecovirus receptor-binding domains (RBDs) to identify antibodies targeting conserved sites of vulnerability. Antibodies with broad reactivity against diverse clade B RBDs targeting the conserved class 4 epitope, with recurring IGHV/IGKV pairs, were readily elicited but were non-neutralizing. However, rare class 4 antibodies binding this conserved RBD supersite showed potent neutralization of SARS-CoV-2 and all variants of concern. Structural analysis revealed that the neutralizing ability of cross-reactive antibodies was reserved only for those with an elongated CDRH3 that extends the antiparallel beta-sheet RBD core and orients the antibody light chain to obstruct ACE2-RBD interactions. These results identify a structurally defined pathway for vaccine strategies eliciting escape-resistant SARS-CoV-2 neutralizing antibodies.

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