Combating the SARS-CoV-2 Omicron variant with non-Omicron neutralizing antibodies

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Abstract

The highly mutated and transmissible Omicron variant has provoked serious concerns over its decreased sensitivity to the current coronavirus disease 2019 (COVID-19) vaccines and evasion from most anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) neutralizing antibodies (NAbs). In this study, we explored the possibility of combatting the Omicron variant by constructing bispecific antibodies based on non-Omicron NAbs. We engineered ten IgG-like bispecific antibodies with non-Omicron NAbs named GW01, 16L9, 4L12, and REGN10987 by fusing the single-chain variable fragments (scFvs) of two antibodies through a linker and then connecting them to the Fc region of IgG1. Surprisingly, eight out of ten bispecific antibodies showed high binding affinity to the Omicron receptor-binding domain (RBD) and exhibited extreme breadth and potency against pseudotyped SARS-CoV-2 variants of concern (VOCs) including Omicron, as well as authentic Omicron(+R346K) variants. Six bispecific antibodies containing the cross-NAb GW01 neutralized Omicron variant and retained their abilities to neutralize other sarbecoviruses. Bispecific antibodies inhibited Omicron infection by binding to the ACE2 binding site. A cryo-electron microscopy (cryo-EM) structure study of the representative bispecific antibody FD01 in complex with the Omicron spike (S) revealed 5 distinct trimers and one unique bi-trimer conformation. The structure and mapping analyses of 34 Omicron S variant single mutants elucidated that two scFvs of the bispecific antibody synergistically induced the RBD-down conformation into 3-RBD-up conformation, enlarged the interface area, accommodated the S371L mutation, improved the affinity between a single IgG and the Omicron RBD, and hindered ACE2 binding by forming bi-trimer conformation. Our study offers an important foundation for anti-Omicron NAb design. Engineering bispecific antibodies based on non-Omicron NAbs may provide an efficient solution to combat the Omicron variant.

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  1. SciScore for 10.1101/2022.01.30.478305: (What is this?)

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

    Table 1: Rigor

    Ethicsnot detected.
    Sex as a biological variablenot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    Memory B-cell staining, sorting and antibody cloning: CD19+IgA–IgD–IgM-primary B cells were sorted out from peripheral blood mononuclear cells (PBMC) of recovered patients of COVID-19 and expanded in vitro in MEM medium with 10% FBS in the presence of irradiated 3T3-msCD40L feeder cells, IL-2 and IL-21 as previously described 18.
    IL-21
    suggested: None
    After 3 washing steps with PBS 0.05% Tween 20 (PBS-T), 1:2500 diluted HRP-conjugated goat anti-human IgG antibody (Jackson Immuno Research Laboratories, USA) was added for 1 hour at room temperature.
    anti-human IgG
    suggested: None
    After permeabilized with 0.2% Triton X-100 for 20 min at room temperature, the plates were sequentially stained with cross-reactive rabbit anti-SARS-CoV-2 N IgG (Cat. No.: 40143-T62, Sino Biological Inc) as the primary antibody and HRP-conjugated goat anti-rabbit IgG(H+L) (No.: 109-035-088, Jackson ImmunoResearch) as the secondary antibody in 37°C for 1 hour respectively.
    anti-SARS-CoV-2 N IgG
    suggested: None
    anti-rabbit IgG(H+L
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    Cell lines, proteins, viruses and plasmids: The human primary embryonic kidney cell lines (HEK293T) and 293T-hACE2 cells were cultured in DMEM medium with 10% fetal bovine serum (FBS).
    HEK293T
    suggested: None
    African green monkey kidney-derived Vero E6 cells were grown in Dulbecco’s modified Eagle’s medium (DMEM; Gibco, Grand Island, NY, USA) supplemented with 10% fetal bovine serum (FBS).
    Vero E6
    suggested: None
    Pseudoviruses were generated by co-transfection of 293T cells with an env-deficient HIV backbone pNL4-3.
    293T
    suggested: None
    104 293T-hACE2 cells were then added to the mixture and cultured for 48 h at 37 °C.
    293T-hACE2
    suggested: None
    From the wells with SARS-CoV-2 neutralization activities, the variable regions of the antibody (VH and VL) genes were amplified by RT–PCR. mAbs were expressed as human IgG1 by HEK293F cells and purified using a protein G column (Smart-Lifesciences).
    HEK293F
    suggested: RRID:CVCL_6642)
    3. 293F cells were transiently transfected with bispecific Abs plasmid.
    293F
    suggested: RRID:CVCL_D615)
    Recombinant DNA
    SentencesResources
    Alpha (containing 69–70 and 144 deletions and N501Y, A570D, D614G, P681H, T716I, S982A, and D1118H substitutions), Beta (containing D80A, D215G, 241-243 deletions and K417N, E484K, N501Y, D614G and A701V substitutions), Gamma (containing L18F,T20N,P26S,D138Y, R190S,K417T, E484K,N501Y, D614G.H655Y,T1027I, and V1176F substitutions), Delta (containing T19R, 157-158 deletions and L452R, T478K, D614G, P681R and D950N substitutions), and Omicron (containing A67V, 69-70del, T95I, G142D, 143-145del, N211I, 212del, ins215EPE, G339D, S371L, S373P, S375F, K417N, N440K, G446S, S477N, T478K, E484A, Q493R, G496S, Q498R, N501Y, Y505H, T547K, D614G, H655Y, N679K, P681H, N764K, D796Y, N856K, Q954H, N969K, L981F substitutions), SARS-CoV, bat SARSr-CoVs (WIV1 and Rs3367) were synthesized by BGI and constructed in pcDNA3.1 vector.
    pcDNA3.1
    suggested: RRID:Addgene_79663)
    Pseudoviruses were generated by co-transfection of 293T cells with an env-deficient HIV backbone pNL4-3.
    pNL4-3
    suggested: None
    Software and Algorithms
    SentencesResources
    The IC50s of NAbs were calculated using the GraphPad Prism 7.04 software (La Jolla, CA, USA)
    GraphPad
    suggested: (GraphPad Prism, RRID:SCR_002798)
    Automated data acquisition was carried out with SerialEM software21 through beam-image shift method22.
    SerialEM
    suggested: (SerialEM, RRID:SCR_017293)
    A total of 4,363 movie stacks was binned 2 × 2, dose weighted, and motion corrected using MotionCor2 25 within RELION.
    MotionCor2
    suggested: (MotionCor2, RRID:SCR_016499)
    RELION
    suggested: (RELION, RRID:SCR_016274)
    Remaining 3,817 good images were imported into cryoSPARC for further patched CTF-estimating, blob-picking and 2D classification.
    cryoSPARC
    suggested: (cryoSPARC, RRID:SCR_016501)
    Model building and refinement: For model building of SARS-CoV-2 Omicron S FD01 complex, the SARS-CoV-2 Omicron S trimer model and the antibody model generated by swiss-model 31 were fitted into the map using UCSF Chimera and then manually adjusted with COOT 32.
    COOT
    suggested: (Coot, RRID:SCR_014222)

    Results from OddPub: Thank you for sharing your data.


    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: Please consider improving the rainbow (“jet”) colormap(s) used on page 20. At least one figure is not accessible to readers with colorblindness and/or is not true to the data, i.e. not perceptually uniform.


    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.

    Results from scite Reference Check: We found no unreliable references.


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