The dual function monoclonal antibodies VIR-7831 and VIR-7832 demonstrate potent in vitro and in vivo activity against SARS-CoV-2

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Abstract

Sotrovimab (VIR-7831) and VIR-7832 are dual action monoclonal antibodies (mAbs) targeting the spike glycoprotein of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Sotrovimab and VIR-7832 were derived from a parent antibody (S309) isolated from memory B cells of a 2003 severe acute respiratory syndrome coronavirus (SARS-CoV) survivor. Both mAbs contain an “LS” mutation in the Fc region to prolong serum half-life. In addition, VIR-7832 encodes an Fc GAALIE mutation that has been shown previously to evoke CD8+ T-cells in the context of an in vivo viral respiratory infection. Sotrovimab and VIR-7832 neutralize wild-type and variant pseudotyped viruses and authentic virus in vitro. In addition, they retain activity against monoclonal antibody resistance mutations conferring reduced susceptibility to previously authorized mAbs. The sotrovimab/VIR-7832 epitope continues to be highly conserved among circulating sequences consistent with the high barrier to resistance observed in vitro. Furthermore, both mAbs can recruit effector mechanisms in vitro that may contribute to clinical efficacy via elimination of infected host cells. In vitro studies with these mAbs demonstrated no enhancement of infection. In a Syrian Golden hamster proof-of concept wildtype SARS-CoV-2 infection model, animals treated with sotrovimab had less weight loss, and significantly decreased total viral load and infectious virus levels in the lung compared to a control mAb. Taken together, these data indicate that sotrovimab and VIR-7832 are key agents in the fight against COVID-19.

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  1. SciScore for 10.1101/2021.03.09.434607: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variableTwelve- to sixteen-week-old male hamsters were interperitoneally administered a non-LS version of VIR-7831 (SGHmAb-no-LS), control antibody or diluent Day -1 or Day -2 prior to virus challenge.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    Monoclonal Antibodies: VIR-7831 and VIR-7832 were produced at WuXi Biologics (China).
    VIR-7832
    suggested: None
    Spike binding affinity quantification by SPR: Antibody was diluted to 2 μg/mL (1 mL) in HBS-EP+ buffer and injected at 10 μL/min for 30 seconds across one flow cell of a CM5 sensor chip immobilized with anti-human Fc antibody docked in a Biacore T200.
    anti-human Fc
    suggested: None
    SARS-CoV2-RBD diluted in HBS-EP+ buffer was then injected at a single concentration, 1:3 dilutions from 100 nM to 3.7 nM, across both the flow cell containing captured the antibody as well as a reference flow cell containing only anti-human Fc antibody.
    anti-human Fc antibody.
    suggested: None
    After an overnight incubation at 37°C, monocytes were stained with anti-human CD14-APC antibody (BD Pharmingen).
    anti-human CD14-APC
    suggested: None
    Plates were washed three times with PBS and then incubated for one hour at RT with 50 μL/well of goat anti-rabbit-Alexa647 secondary antibody at 1:1,000 in blocking buffer.
    anti-rabbit-Alexa647
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    Pseudotyped virus production: Lenti-X™ 293T cells were seeded in 10-cm dishes for 80% next day confluency.
    293T
    suggested: None
    Live virus neutralization: VeroE6 cells were seeded into flat bottom 96-well plates at 20,000 cells/well and cultured overnight at 37°C.
    VeroE6
    suggested: JCRB Cat# JCRB1819, RRID:CVCL_YQ49)
    Jurkat effector cells expressing indicated FcγRs and stably transfected with an NFAT-driven luciferase gene were thawed, diluted in assay buffer, and added to the plate at an effector to target cell ratio of 6:1 for FcRγIIIa and FcγRIIb or 5:1 for FcγIIa.
    Jurkat
    suggested: TKG Cat# TKG 0209, RRID:CVCL_0065)
    On the day of infection, moDCs, PBMCs, and U937 cells were counted and plated at 7.5×104 cells/well.
    U937
    suggested: None
    Experimental Models: Organisms/Strains
    SentencesResources
    Binding to Cell Surface Expressed SARS-CoV-2 Spike Protein: The SARS-CoV-2 spike protein coding sequence (YP_009724390.1, Wuhan-Hu-1 strain) was cloned into a cell expression plasmid under the control of the human CMV promoter (phCMV1) to generate phCMV1 WT spike.
    Wuhan-Hu-1
    suggested: None
    Software and Algorithms
    SentencesResources
    Data were analyzed and graphed using GraphPad Prism software (v8.4.1).
    GraphPad Prism
    suggested: (GraphPad Prism, RRID:SCR_002798)
    Raw data were exported from the flow cytometer into the flow cytometry analysis software FlowJo v10 (Becton Dickinson) for gating and determination of the percentage of CD14+ cells that were also double positive for cell trace violet and PKH67.
    FlowJo
    suggested: (FlowJo, RRID:SCR_008520)
    The percent of nucleocapsid+ cells was quantified using the Gen5 Imager software (Biotek, Vermont) as number of Cy5+ cells, [(nucleocapsid+ cells)/number of Hoechst+ cells (total cells)]×100.
    Gen5 Imager
    suggested: None
    Data was analyzed using Prism v8.00 (GraphPad Software, La Jolla California USA, www.graphpad.com).
    Prism
    suggested: (PRISM, RRID:SCR_005375)
    GraphPad
    suggested: (GraphPad Prism, RRID:SCR_002798)
    The spike open reading frame was localized by aligning the reference protein sequence (NCBI reference sequence: YP_009724390.1) to the genomic sequence of isolates with Exonerate v.2.4.0.
    Exonerate
    suggested: (Exonerate, RRID:SCR_016088)
    Multiple sequence alignment was performed using MAFFT v.7.455.
    MAFFT
    suggested: (MAFFT, RRID:SCR_011811)
    3.10 package Biostrings v.2.54.0.
    Biostrings
    suggested: (Biostrings, RRID:SCR_016949)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We found bar graphs of continuous data. We recommend replacing bar graphs with more informative graphics, as many different datasets can lead to the same bar graph. The actual data may suggest different conclusions from the summary statistics. For more information, please see Weissgerber et al (2015).


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • No funding statement was detected.
    • No protocol registration statement was detected.

    About SciScore

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