Edwards Christopher T, Karunakaran Kirti A, Garcia Elijah, Beutler Nathan, Gagne Matthew, Golden Nadia, Aoued Hadj, Pellegrini Kathryn L, Burnett Matthew R, Honeycutt Christopher Cole, Lapp Stacey A, Ton Thang, Lin Mark C, Metz Amanda, Bombin Andrei, Goff Kelly, Scheuermann Sarah E, Wilkes Amelia, Wood Jennifer S, Ehnert Stephanie, Weissman Stacey, Curran Elizabeth H, Roy Melissa, Dessasau Evan, Paiardini Mirko, Upadhyay Amit A, Moore Ian N, Maness Nicholas J, Douek Daniel C, Piantadosi Anne, Andrabi Raiees, Rogers Thomas R, Burton Dennis R, Bosinger Steven E
Division of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, Georgia, United States of America.
Department of Pathology, Microbiology & Immunology, Vanderbilt University, Nashville, Tennessee, United States of America.
PLoS Pathog. 2025 Jan 23;21(1):e1012456. doi: 10.1371/journal.ppat.1012456. eCollection 2025 Jan.
The continued evolution of SARS-CoV-2 variants capable of subverting vaccine and infection-induced immunity suggests the advantage of a broadly protective vaccine against betacoronaviruses (β-CoVs). Recent studies have isolated monoclonal antibodies (mAbs) from SARS-CoV-2 recovered-vaccinated donors capable of neutralizing many variants of SARS-CoV-2 and other β-CoVs. Many of these mAbs target the conserved S2 stem region of the SARS-CoV-2 spike protein, rather than the receptor binding domain contained within S1 primarily targeted by current SARS-CoV-2 vaccines. One of these S2-directed mAbs, CC40.8, has demonstrated protective efficacy in small animal models against SARS-CoV-2 challenge. As the next step in the pre-clinical testing of S2-directed antibodies as a strategy to protect from SARS-CoV-2 infection, we evaluated the in vivo efficacy of CC40.8 in a clinically relevant non-human primate model by conducting passive antibody transfer to rhesus macaques (RM) followed by SARS-CoV-2 challenge. CC40.8 mAb was intravenously infused at 10mg/kg, 1mg/kg, or 0.1 mg/kg into groups (n = 6) of RM, alongside one group that received a control antibody (PGT121). Viral loads in the lower airway were significantly reduced in animals receiving higher doses of CC40.8. We observed a significant reduction in inflammatory cytokines and macrophages within the lower airway of animals infused with 10mg/kg and 1mg/kg doses of CC40.8. Viral genome sequencing demonstrated a lack of escape mutations in the CC40.8 epitope. Collectively, these data demonstrate the protective efficiency of broadly neutralizing S2-targeting antibodies against SARS-CoV-2 infection within the lower airway while providing critical preclinical work necessary for the development of pan-β-CoV vaccines.
能够颠覆疫苗和感染诱导免疫的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)变体不断进化,这表明研发一种针对β冠状病毒(β-CoVs)的广泛保护性疫苗具有优势。最近的研究从接种过SARS-CoV-2疫苗并已康复的供体中分离出单克隆抗体(mAbs),这些抗体能够中和多种SARS-CoV-2变体和其他β-CoVs。这些mAbs中的许多靶向SARS-CoV-2刺突蛋白保守的S2茎区域,而不是当前SARS-CoV-2疫苗主要靶向的S1内的受体结合域。其中一种针对S2的mAb,即CC40.8,已在小动物模型中证明对SARS-CoV-2攻击具有保护作用。作为针对S2的抗体作为预防SARS-CoV-2感染策略的临床前测试的下一步,我们通过将抗体被动转移给恒河猴(RM),然后进行SARS-CoV-2攻击,评估了CC40.8在临床相关的非人灵长类动物模型中的体内疗效。将CC40.8 mAb以10mg/kg、1mg/kg或0.1mg/kg的剂量静脉输注到几组(n = 6)RM中,同时有一组接受对照抗体(PGT121)。接受较高剂量CC40.8的动物下呼吸道中的病毒载量显著降低。我们观察到,在输注10mg/kg和1mg/kg剂量CC40.8的动物的下呼吸道中,炎性细胞因子和巨噬细胞显著减少。病毒基因组测序表明,CC40.8表位中没有逃逸突变。总体而言,这些数据证明了广泛中和的靶向S2的抗体对下呼吸道SARS-CoV-2感染的保护效率,同时为泛β-CoV疫苗的开发提供了必要的关键临床前研究成果。
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