Basic Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Vir Biotechnology, San Francisco, CA, USA.
Nature. 2021 Sep;597(7874):97-102. doi: 10.1038/s41586-021-03807-6. Epub 2021 Jul 14.
An ideal therapeutic anti-SARS-CoV-2 antibody would resist viral escape, have activity against diverse sarbecoviruses, and be highly protective through viral neutralization and effector functions. 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 (S2E12) 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.
一种理想的治疗性抗 SARS-CoV-2 抗体应具有抵抗病毒逃逸、对多种 sarbecovirus 具有活性、通过病毒中和和效应功能提供高度保护的能力。了解这些特性如何相互关联以及在不同表位上的变化将有助于治疗性抗体的开发,并指导疫苗设计。在这里,我们全面表征了针对受体结合域(RBD)的一组 SARS-CoV-2 抗体的逃逸、广度和效力。尽管在体外中和效力和 sarbecovirus 结合的广度之间存在权衡,但我们确定了具有出色 sarbecovirus 广度和相应抵抗 SARS-CoV-2 逃逸的中和抗体。其中一种抗体 S2H97 以高亲和力结合所有 sarbecovirus 谱系上的隐蔽表位,并预防性地保护仓鼠免受病毒攻击。针对血管紧张素转换酶 2(ACE2)受体结合基序(RBM)的抗体通常具有较差的广度,并且尽管中和效力很高,但很容易被突变逃逸。然而,我们还表征了一种针对与 SARS-CoV-2 相关的 sarbecovirus 具有广度和高病毒逃逸屏障的强效 RBM 抗体(S2E12)。这些数据突出了针对 RBD 的抗体在逃逸、广度和效力方面变化的原理,并确定了针对当前和潜在未来大流行的治疗性开发的表位和特征。
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