A pair of non-competing neutralizing human monoclonal antibodies protecting from disease in a SARS-CoV-2 infection model

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Abstract

TRIANNI mice carry an entire set of human immunoglobulin V region gene segments and are a powerful tool to rapidly generate human monoclonal antibodies. After immunizing these mice against the spike protein of SARS-CoV-2, we identified 29 hybridoma antibodies that reacted with the SARS-CoV-2 spike protein. Nine antibodies neutralized SARS-CoV-2 infection at IC50 values in the subnanomolar range. ELISA-binding studies and DNA sequence analyses revealed one cluster of clonally related neutralizing antibodies that target the receptor-binding domain and compete with the cellular receptor hACE2. A second cluster of neutralizing antibodies binds to the N-terminal domain of the spike protein without competing with the binding of hACE2 or cluster 1 antibodies. SARS-CoV-2 mutants selected for resistance to an antibody from one cluster are still neutralized by an antibody from the other cluster. Antibodies from both clusters markedly reduced viral spread in mice transgenic for human ACE2 and protected the animals from SARS-CoV-2 induced weight loss. Thus, we report two clusters of potent non-competing SARS-CoV-2 neutralizing antibodies providing potential candidates for therapy and prophylaxis of COVID-19. The study further supports the use of transgenic animals with human immunoglobulin gene repertoires in pandemic preparedness initiatives.

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  1. SciScore for 10.1101/2021.04.16.440101: (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 variableThirty-six female K18-hACE2 mice (Jackson Laboratory, Bar Harbor, USA) were infected intranasally under isoflurane anesthesia with 300 FFU of SARS-CoV-2 strain MUC-IMB-1 p.1 in a total volume of 50 μl.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    48-72 hours post-transfection, cells were harvested without trypsin treatment, washed in FACS buffer (PBS with 0.5% bovine serum albumin and 1 nmol sodium azide) and used for binding assays or frozen in aliquots at −70°C. 105 thawed or freshly transfected cells were incubated first in wells of a 96-well plate with 100μl undiluted hybridoma supernatant or 100 μl mouse serum (1:200 dilutions in R10+ medium), and bound antibodies were detected with a mix of Cy5-conjugated goat anti-pan-mouse IgG-Cy5 conjugated goat anti-mouse (Southern Biotechnology, Birmingham, USA, #SBA-1030-15) antibody.
    anti-pan-mouse IgG-Cy5
    suggested: None
    anti-mouse (Southern Biotechnology,
    suggested: None
    Briefly, 105 cells were fixed for 20 min in 2% paraformaldehyde (Morphisto, Frankfurt am Main, Germany) diluted in PBS, washed twice with FACS buffer, resuspended in permeabilization buffer (0.5% Saponin Sigma Aldrich, Taufkirchen, Germany, in FACS buffer) containing fluorochrome-conjugated murine H and L isotype-specific antibodies (antimouse IgG1-APC # 550874 and anti-mouse IgG3-bio # 020620 from BD, Franklin Lakes, USA, antimouse IgG2b-PE SBA-1090-09 and anti-mouse IgG2c-bio SBA-1079-08 from Southern Biotech, Birmingham, USA, anti-mouse Ig light chain lambda APC # 407306 and anti-mouse IgG light chain kappa PE both from Biolegend, San Diego, USA) and incubated for 1 hour at 4°C.
    antimouse IgG1-APC
    suggested: None
    anti-mouse IgG3-bio
    suggested: None
    antimouse IgG2b-PE SBA-1090-09
    suggested: None
    anti-mouse IgG2c-bio
    suggested: None
    anti-mouse Ig light chain lambda APC
    suggested: (BioLegend Cat# 407306, RRID:AB_961363)
    anti-mouse IgG
    suggested: None
    Competitional binding in the ELISA set up was achieved by applying 50 μl/well of 0.25 μg/ml human ACE2-Biotin (Acro Biosystems, Beijing, China, # A011-214) followed by 50 μl/well serially 2-fold pre-diluted TRES antibodies (2 μg/ml start concentration).
    ACE2-Biotin
    suggested: None
    After 1 hour the cells were washed, and a goat anti-human IgG FITC (Jackson ImmunoResearch, West Grove, USA #109-096-088) antibody was applied.
    anti-human IgG FITC
    suggested: (Jackson ImmunoResearch Labs Cat# 109-096-088, RRID:AB_2337666)
    The cells were incubated for 30min on ice, washed, and bound antibodies were detected with a mouse IgG2a Alexa647-conjugated antibody directed against human IgG-Fc (BioLegend, San Diego, USA #409320).
    mouse IgG2a
    suggested: (BioLegend Cat# 409320, RRID:AB_2563330)
    human IgG-Fc
    suggested: None
    TRES6 and TRES328 antibodies were incubated for one hour at a concentration of 200 ng/ml with 2×106 TCID50 of the CoV2-ER1 virus.
    TRES6
    suggested: None
    TRES328
    suggested: None
    SARS-CoV-2 infected cells were visualized using SARS-CoV-2 S protein specific immunochemistry staining with anti-SARS-CoV-2 spike glycoprotein S1 antibody (Abcam, Cambridge, Great Britain) as described previously [64].
    anti-SARS-CoV-2 spike glycoprotein S1
    suggested: (Abcam Cat# ab273074, RRID:AB_2847846)
    Experimental Models: Cell Lines
    SentencesResources
    Mice were boosted intramuscularly either with i) 5 μg of the S protein of SARS-CoV-2 stabilized in a pre-fusion conformation (designated SARS-CoV-2-S protein) and adjuvanted with 25 μg Monophosphoryl Lipid A (MPLA) liposomes (Polymun Scientific GmbH, Klosterneuburg, Austria) into the hind leg, ii) by electroporation of the DNA vaccines used for priming, or iii) with exosomes purified from HEK-293T cells transiently transfected with SARS-CoV-2 DNA as described previously [38].
    HEK-293T
    suggested: CCLV Cat# CCLV-RIE 1018, RRID:CVCL_0063)
    Briefly, 2×108 spleen cells and inguinal lymph node cells (about 1×108 B cells) were mixed with 108 Sp2/0 cells and washed 3 times with RPMI1640 medium (Gibco, Thermo Fisher Scientific, Waltham, USA) without FCS. 2 ml PEG was added dropwise within one minute to the suspended cell pellet.
    Sp2/0
    suggested: None
    The S protein was purified from transiently transfected HEK-293F cells as described previously [59].
    HEK-293F
    suggested: RRID:CVCL_6642)
    Generation of escape mutants: 5×106 Vero-E6 cells were seeded on the day before infection in T175 flasks.
    Vero-E6
    suggested: None
    Experimental Models: Organisms/Strains
    SentencesResources
    Mice: The TRIANNI C57/Bl6 mouse line HHKKLL was established in cooperation with TRIANNI (Patent US 2013/0219535 A1).
    C57/Bl6
    suggested: None
    Thirty-six female K18-hACE2 mice (Jackson Laboratory, Bar Harbor, USA) were infected intranasally under isoflurane anesthesia with 300 FFU of SARS-CoV-2 strain MUC-IMB-1 p.1 in a total volume of 50 μl.
    K18-hACE2
    suggested: RRID:IMSR_GPT:T037657)
    Software and Algorithms
    SentencesResources
    EC50 values were calculated by plotting hACE2 activity against antibody concentrations and applying a 4-parameter curve fit using GraphPad Prism 7.02 (San Diego, USA).
    GraphPad
    suggested: (GraphPad Prism, RRID:SCR_002798)
    The consensus sequences were analyzed using VDJsolver [60] and IMGT/V-Quest [61].
    IMGT/V-Quest
    suggested: (IMGT/V-QUEST, RRID:SCR_010749)

    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 did not find any issues relating to the usage of bar graphs.


    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.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.