Texas Therapeutics Institute, Brown Foundation Institute of Molecular Medicine, University of Texas Health Science Center at Houston, Houston, TX, USA.
Center for Infectious Disease Research, Science of Life Sciences, Westlake University, Hangzhou, Zhejiang, China.
Nat Commun. 2022 Sep 22;13(1):5552. doi: 10.1038/s41467-022-33284-y.
One major limitation of neutralizing antibody-based COVID-19 therapy is the requirement of costly cocktails to reduce emergence of antibody resistance. Here we engineer two bispecific antibodies (bsAbs) using distinct designs and compared them with parental antibodies and their cocktail. Single molecules of both bsAbs block the two epitopes targeted by parental antibodies on the receptor-binding domain (RBD). However, bsAb with the IgG-(scFv) design (14-H-06) but not the CrossMAb design (14-crs-06) shows increased antigen-binding and virus-neutralizing activities against multiple SARS-CoV-2 variants as well as increased breadth of neutralizing activity compared to the cocktail. X-ray crystallography and cryo-EM reveal distinct binding models for individual cocktail antibodies, and computational simulations suggest higher inter-spike crosslinking potentials by 14-H-06 than 14-crs-06. In mouse models of infections by SARS-CoV-2 and multiple variants, 14-H-06 exhibits higher or equivalent therapeutic efficacy than the cocktail. Rationally engineered bsAbs represent a cost-effective alternative to antibody cocktails and a promising strategy to improve potency and breadth.
基于中和抗体的 COVID-19 疗法的一个主要局限性是需要昂贵的鸡尾酒疗法来降低抗体耐药性的出现。在这里,我们使用不同的设计工程化了两种双特异性抗体(bsAb),并将其与亲本抗体及其鸡尾酒进行了比较。两种 bsAb 的单分子都可以阻断受体结合域(RBD)上亲本抗体针对的两个表位。然而,与鸡尾酒相比,具有 IgG-(scFv)设计(14-H-06)的 bsAb 而非 CrossMAb 设计(14-crs-06)显示出针对多种 SARS-CoV-2 变体的更高抗原结合和病毒中和活性,以及更高的中和活性广度。X 射线晶体学和冷冻电镜揭示了单个鸡尾酒抗体的不同结合模型,计算模拟表明 14-H-06 比 14-crs-06 具有更高的棘突间交联潜力。在 SARS-CoV-2 和多种变体感染的小鼠模型中,14-H-06 表现出比鸡尾酒更高或相当的治疗效果。合理设计的 bsAb 代表了抗体鸡尾酒的一种具有成本效益的替代方案,也是提高效力和广度的有前途的策略。