An ACE2-blocking antibody confers broad neutralization and protection against Omicron and other SARS-CoV-2 variants

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Abstract

The ongoing evolution of SARS-CoV-2 has resulted in the emergence of Omicron, which displays striking immune escape potential. Many of its mutations localize to the spike protein ACE2 receptor-binding domain, annulling the neutralizing activity of most therapeutic monoclonal antibodies. Here we describe a receptor-blocking human monoclonal antibody, 87G7, that retains ultrapotent neutralization against SARS-CoV-2 variants including the Alpha, Beta, Gamma, Delta and Omicron (BA.1/BA.2) Variants-of-Concern (VOCs). Structural analysis reveals that 87G7 targets a patch of hydrophobic residues in the ACE2-binding site that are highly conserved in SARS-CoV-2 variants, explaining its broad neutralization capacity. 87G7 protects mice and/or hamsters against challenge with all current SARS-CoV-2 VOCs. Our findings may aid the development of sustainable antibody-based strategies against COVID-19 that are more resilient to SARS-CoV-2 antigenic diversity.

One sentence summary

A human monoclonal antibody confers broad neutralization and protection against Omicron and other SARS-CoV-2 variants

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  1. SciScore for 10.1101/2022.02.17.480751: (What is this?)

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

    Table 1: Rigor

    EthicsField Sample Permit: Animal protection studies were carried out under the animal permit PROEX-146.6/20, approved by the Community of Madrid (Spain), and performed in biosafety level 3 facilities at CISA-INIA (Madrid).
    Euthanasia Agents: Antibody injection, with challenge virus and euthanasia were performed under isoflurane anesthesia.
    Sex as a biological variableBoth female and male H2L2 mice were used.
    Randomizationnot detected.
    BlindingDuring the evaluation, the pathologist was blinded regarding the treatment groups and used virus strains.
    Power Analysisnot detected.
    Cell Line AuthenticationContamination: Cell lines tested negative for mycoplasma.

    Table 2: Resources

    Antibodies
    SentencesResources
    Antigen specific antibody titres were monitored during immunization by taking blood samples from the mice and performing antigen-specific ELISA.
    antigen-specific ELISA .
    suggested: None
    Gene blocks encoding the variable heavy (VH) and light (VL) chain sequences of 87G7 and of benchmark monoclonal antibodies REGN10933, REGN10987 (PDB ID: 6XDG) (43), S309 (PDB ID: 6WPS) (44), CR3022 (GenBank accession numbers: DQ168569.1 and DQ168570.1) (45), 47D11 (GenBank accession numbers: MW881223.1 and MW881224.1) (41) were synthesized.
    CR3022
    suggested: (Imported from the IEDB Cat# CR3022, RRID:AB_2848080)
    After 8 h of infection, the cells were fixed with formalin, permeabilized with 70% ethanol, washed in PBS and stained using rabbit anti-SARS-CoV nucleocapsid (SinoBiological, 1:2000 in 0.1% bovine serum albumin (BSA) in PBS) followed by goat anti-rabbit Alexa Fluor 488 antibody (Invitrogen, 1:2000 in 0.1% BSA in PBS).
    anti-SARS-CoV nucleocapsid
    suggested: (Creative Diagnostics Cat# DMAB8869, RRID:AB_2392503)
    anti-rabbit
    suggested: None
    87G7 or a non-SARS-CoV-2 human IgG control antibody were injected intraperitoneally in a volume of 500 µl.
    human IgG
    suggested: None
    In this case, after 5 day incubation, cells were fixed with 4% PFA and stained using an anti-SARS-CoV-2 nucleocapsid antibody (Sinobiological).
    anti-SARS-CoV-2 nucleocapsid antibody (Sinobiological).
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    Recombinant human antibodies were expressed in HEK-293T cells following transient transfection with pairs of the IgG1 heavy and light chain expression plasmids.
    HEK-293T
    suggested: None
    In the virus neutralization assay, 3-fold serially diluted mAbs were pre-incubated with an equal volume of virus at RT for 1 h, and then inoculated on VeroE6 cells, and further incubated at 37°C.
    VeroE6
    suggested: JCRB Cat# JCRB1819, RRID:CVCL_YQ49)
    Omicron samples were titrated in Calu-3 cells due to the low infectivity of Omicron in Vero cells.
    Calu-3
    suggested: BCRJ Cat# 0264, RRID:CVCL_0609)
    Vero
    suggested: CLS Cat# 605372/p622_VERO, RRID:CVCL_0059)
    Experimental Models: Organisms/Strains
    SentencesResources
    Mouse challenge experiment: In vivo prophylactic and therapeutic efficacy of mAb 87G7 against challenge with SARS-CoV-2 and four variants of concern, was evaluated in heterozygous K18-hACE2 C57BL/6J mice (strain: 2B6.Cg-Tg(K18-ACE2)2Prlmn/J) obtained from The Jackson Laboratory.
    C57BL/6J
    suggested: RRID:MGI:3589388)
    2B6.Cg-Tg(K18-ACE2)2Prlmn/J
    suggested: None
    Recombinant DNA
    SentencesResources
    All proteins were expressed transiently in HEK-293T (ATCC® CRL-11268™) cells from pCAGGS expression plasmids, and secreted proteins were purified from culture supernatants using streptactin beads (IBA) following the manufacturer’s protocol.
    pCAGGS
    suggested: RRID:Addgene_127347)
    VH and VL sequences were separately cloned into the expression plasmids with human IgG1 heavy chain and human kappa chain constant regions, respectively using the HBM vectors pHBM 000254 (VH into pTT5-mIGK-hIgG1_HCv2) and HBM 000265 (VK into pTT5mIgK-hIgG_KCv2)
    pTT5-mIGK-hIgG1_HCv2
    suggested: None
    pTT5mIgK-hIgG_KCv2
    suggested: None
    Software and Algorithms
    SentencesResources
    Data were analyzed using ImageQuantTL 8.2 image analysis software (GE Healthcare).
    ImageQuantTL
    suggested: None
    The PRNT titer was calculated using Graphpad Prism 9, calculating a 50% reduction in infected cells counts based on non-linear regression with bottom constraints of 0% and top constraints of 100%.
    Graphpad Prism
    suggested: (GraphPad Prism, RRID:SCR_002798)
    Particles were imported into Relion 3.1 and, using the “relion_particle_symmetry_expand” tool, each particle from the C3-symmetry–imposed reconstruction was assigned three orientations corresponding to its symmetry related views.
    Relion
    suggested: (RELION, RRID:SCR_016274)
    Iterative rounds of manual fitting in Coot and real space refinement in Phenix (57) were carried out to improve non-ideal rotamers, bond angles and Ramachandran outliers.
    Coot
    suggested: (Coot, RRID:SCR_014222)
    During refinement with Phenix, secondary structure and non-crystallographic symmetry restraints were imposed.
    Phenix
    suggested: (Phenix, RRID:SCR_014224)
    The final model was validated with MolProbity (58), EMRinger (59) and Privateer (glycans) (60, 61).
    MolProbity
    suggested: (MolProbity, RRID:SCR_014226)

    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 35. 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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