Yuan Meng, Wilson Ian A
Department of Integrative Structural and Computational Biology, The Scripps Research Institute, La Jolla, California, USA.
The Skaggs Institute for Chemical Biology, The Scripps Research Institute, La Jolla, California, USA.
Immunol Rev. 2025 Jan;329(1):e13431. doi: 10.1111/imr.13431. Epub 2024 Dec 27.
The SARS-CoV-2 spike (S) protein has undergone significant evolution, enhancing both receptor binding and immune evasion. In this review, we summarize ongoing efforts to develop antibodies targeting various epitopes of the S protein, focusing on their neutralization potency, breadth, and escape mechanisms. Antibodies targeting the receptor-binding site (RBS) typically exhibit high neutralizing potency but are frequently evaded by mutations in SARS-CoV-2 variants. In contrast, antibodies targeting conserved regions, such as the S2 stem helix and fusion peptide, exhibit broader reactivity but generally lower neutralization potency. However, several broadly neutralizing antibodies have demonstrated exceptional efficacy against emerging variants, including the latest omicron subvariants, underscoring the potential of targeting vulnerable sites such as RBS-A and RBS-D/CR3022. We also highlight public classes of antibodies targeting different sites on the S protein. The vulnerable sites targeted by public antibodies present opportunities for germline-targeting vaccine strategies. Overall, developing escape-resistant, potent antibodies and broadly effective vaccines remains crucial for combating future variants. This review emphasizes the importance of identifying key epitopes and utilizing antibody affinity maturation to inform future therapeutic and vaccine design.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)刺突(S)蛋白经历了显著进化,增强了受体结合能力和免疫逃逸能力。在本综述中,我们总结了针对S蛋白不同表位开发抗体的 ongoing efforts,重点关注它们的中和效力、广度和逃逸机制。靶向受体结合位点(RBS)的抗体通常表现出高中和效力,但经常被SARS-CoV-2变体中的突变所逃避。相比之下,靶向保守区域(如S2茎螺旋和融合肽)的抗体表现出更广泛的反应性,但中和效力通常较低。然而,几种广泛中和抗体已证明对新出现的变体(包括最新的奥密克戎亚变体)具有 exceptional efficacy,突出了靶向RBS-A和RBS-D/CR3022等易受攻击位点的潜力。我们还强调了靶向S蛋白不同位点的公共抗体类别。公共抗体靶向的易受攻击位点为种系靶向疫苗策略提供了机会。总体而言,开发抗逃逸、强效抗体和广泛有效的疫苗对于对抗未来变体仍然至关重要。本综述强调了识别关键表位和利用抗体亲和力成熟来为未来治疗和疫苗设计提供信息的重要性。
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