A therapeutic non-self-reactive SARS-CoV-2 antibody protects from lung pathology in a COVID-19 hamster model

Autor: Julius Hoffmann, Laura Stöffler, Christian Drosten, Ian A. Wilson, Stefan Hippenstiel, Niels von Wardenburg, Jakob Trimpert, Xueyong Zhu, Dietmar Schmitz, Scott van Hoof, Andreas C. Hocke, Florian Kurth, Marcel A. Müller, Lucie Y Li, Hejun Liu, Leif E. Sander, Christiana Franke, Daria Vladimirova, Chang-Chun D Lee, Anja Richter, Marie Luisa Schmidt, Kristina Dietert, Elisa Sanchez-Sendin, Jakob Kreye, Karl Skriner, Harald Prüss, Lara Maria Jeworowski, Martin Witzenrath, Marie A Homeyer, Nikolaus Osterrieder, Nicholas C. Wu, Daniel Wendisch, Victor M. Corman, Paula Charlotte Barthel, Matthias Endres, Luca D. Bertzbach, Azza Abdelgawad, Meng Yuan, Norbert Suttorp, S. Momsen Reincke, Markus Höltje, Tatjana Schwarz, Hans Christian Kornau, Achim D. Gruber
Jazyk: angličtina
Rok vydání: 2020
Předmět:
virology [Pneumonia
Viral]

chemistry [Peptidyl-Dipeptidase A]
Ace2 protein
mouse

viruses
Antibodies
Viral

Crystallography
X-Ray

Epitope
Antigen-Antibody Reactions
Mice
crystal structures
0302 clinical medicine
Cricetinae
Neutralizing antibody
Lung
virology [Coronavirus Infections]
pathology [Lung]
0303 health sciences
drug therapy [Coronavirus Infections]
biology
Antibodies
Monoclonal

neutralizing antibody
spike protein
SARS-CoV-2

Pathophysiology
medicine.anatomical_structure
Spike Glycoprotein
Coronavirus

Angiotensin-Converting Enzyme 2
Antibody
Function and Dysfunction of the Nervous System
Coronavirus Infections
pathogenicity [Betacoronavirus]
post-exposure
therapeutic use [Antibodies
Monoclonal]

Protein Binding
chemistry [Spike Glycoprotein
Coronavirus]

medicine.drug_class
Pneumonia
Viral

Hamster
ACE2 protein
human

Molecular Dynamics Simulation
Peptidyl-Dipeptidase A
Monoclonal antibody
metabolism [Lung]
General Biochemistry
Genetics and Molecular Biology

Article
immunology [Antibodies
Viral]

03 medical and health sciences
Betacoronavirus
medicine
hamster model
Animals
Humans
ddc:610
metabolism [Peptidyl-Dipeptidase A]
Pandemics
self-antigens
autoreactivity
030304 developmental biology
immunology [Lung]
Binding Sites
immunology [Spike Glycoprotein
Coronavirus]

SARS-CoV-2
therapeutic use [Antibodies
Viral]

pathology [Pneumonia
Viral]

COVID-19
drug therapy [Pneumonia
Viral]

metabolism [Betacoronavirus]
pathology [Coronavirus Infections]
Virology
Antibodies
Neutralizing

immunology [Antibodies
Neutralizing]

immunology [Betacoronavirus]
Mice
Inbred C57BL

Disease Models
Animal

Kinetics
immunology [Antibodies
Monoclonal]

Immunization
monoclonal antibody
metabolism [Spike Glycoprotein
Coronavirus]

biology.protein
self-reactivity
030217 neurology & neurosurgery
Zdroj: Cell
Cell 183(4), 1058-1069.e19 (2020). doi:10.1016/j.cell.2020.09.049
ISSN: 1097-4172
0092-8674
Popis: The emergence of SARS-CoV-2 led to pandemic spread of coronavirus disease 2019 (COVID-19), manifesting with respiratory symptoms and multi-organ dysfunction. Detailed characterization of virus-neutralizing antibodies and target epitopes is needed to understand COVID-19 pathophysiology and guide immunization strategies. Among 598 human monoclonal antibodies (mAbs) from ten COVID-19 patients, we identified 40 strongly neutralizing mAbs. The most potent mAb CV07-209 neutralized authentic SARS-CoV-2 with IC50 of 3.1 ng/ml. Crystal structures of two mAbs in complex with the SARS-CoV-2 receptor-binding domain at 2.55 and 2.70 Å revealed a direct block of ACE2 attachment. Interestingly, some of the near-germline SARS-CoV-2 neutralizing mAbs reacted with mammalian self-antigens. Prophylactic and therapeutic application of CV07-209 protected hamsters from SARS-CoV-2 infection, weight loss and lung pathology. Our results show that non-self-reactive virus-neutralizing mAbs elicited during SARS-CoV-2 infection are a promising therapeutic strategy.
HIGHLIGHTS • Characterization of potent human monoclonal SARS-CoV-2 neutralizing antibodies • Some SARS-CoV-2 antibodies reacted with mammalian self-antigens in different organs • Crystal structures of two antibodies in complex with SARS-CoV-2 RBD at 2.55/2.70 Å • Post-exposure antibody treatment protected from lung damage in infected hamsters
Kreye et al. report the isolation and characterization of monoclonal antibodies isolated from COVID-19 patients, some of which were found to display autoreactivity with mammalian self-antigens in different organs. Crystal structures of two antibodies in complex with SARS-CoV-2 Spike RBD reveal antibody engagement with the ACE2 binding site from different approach angles. One antibody is further evaluated for in vivo efficacy and was found to be both protective and efficacious post-challenge in a hamster infection model.
Databáze: OpenAIRE