Human Biology Division, Fred Hutchinson Cancer Center, Seattle, Washington, United States of America.
Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, Washington, United States of America.
PLoS Pathog. 2024 Aug 2;20(8):e1012383. doi: 10.1371/journal.ppat.1012383. eCollection 2024 Aug.
The SARS-CoV-2 virus responsible for the COVID-19 global pandemic has exhibited a striking capacity for viral evolution that drives continued evasion from vaccine and infection-induced immune responses. Mutations in the receptor binding domain of the S1 subunit of the spike glycoprotein have led to considerable escape from antibody responses, reducing the efficacy of vaccines and monoclonal antibody (mAb) therapies. Therefore, there is a need to interrogate more constrained regions of spike, such as the S2 subdomain. Here, we present a collection of S2 mAbs from two SARS-CoV-2 convalescent individuals that target multiple regions in S2, including regions outside of those commonly reported. One of the S2 mAbs, C20.119, which bound to a highly conserved epitope in the fusion peptide, was able to broadly neutralize across SARS-CoV-2 variants, SARS-CoV-1, and closely related zoonotic sarbecoviruses. The majority of the mAbs were non-neutralizing; however, many of them could mediate antibody-dependent cellular cytotoxicity (ADCC) at levels similar to the S1-targeting mAb S309 that was previously authorized for treatment of SARS-CoV-2 infections. Several of the mAbs with ADCC function also bound to spike trimers from other human coronaviruses (HCoVs), such as MERS-CoV and HCoV-HKU1. Our findings suggest S2 mAbs can target diverse epitopes in S2, including functional mAbs with HCoV and sarbecovirus breadth that likely target functionally constrained regions of spike. These mAbs could be developed for potential future pandemics, while also providing insight into ideal epitopes for eliciting a broad HCoV response.
导致 COVID-19 大流行的 SARS-CoV-2 病毒表现出惊人的病毒进化能力,能够持续逃避疫苗和感染诱导的免疫反应。刺突糖蛋白 S1 亚基受体结合域的突变导致抗体反应大量逃逸,降低了疫苗和单克隆抗体(mAb)疗法的疗效。因此,有必要研究刺突更受限制的区域,例如 S2 亚结构域。在这里,我们展示了来自两名 SARS-CoV-2 康复患者的 S2 mAb 集合,这些 mAb 靶向 S2 的多个区域,包括那些通常报道之外的区域。其中一种 S2 mAb C20.119 结合到融合肽中的一个高度保守表位,能够广泛中和 SARS-CoV-2 变体、SARS-CoV-1 和密切相关的人畜共患沙贝科病毒。大多数 mAb 是非中和性的;然而,其中许多 mAb 可以介导抗体依赖性细胞毒性(ADCC),其水平与先前授权用于治疗 SARS-CoV-2 感染的 S1 靶向 mAb S309 相似。具有 ADCC 功能的一些 mAb 也与来自其他人类冠状病毒(HCoV)的刺突三聚体结合,如 MERS-CoV 和 HCoV-HKU1。我们的研究结果表明,S2 mAb 可以靶向 S2 中的多种表位,包括具有 HCoV 和沙贝科病毒广度的功能性 mAb,这些 mAb 可能靶向刺突的功能受限区域。这些 mAb 可以为未来的大流行开发,同时为诱导广泛的 HCoV 反应提供理想表位的见解。