Prospective mapping of viral mutations that escape antibodies used to treat COVID-19

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Abstract

Several antibodies are in use or under development as therapies to treat COVID-19. As new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants emerge, it is important to predict whether they will remain susceptible to antibody treatment. Starr et al. used a yeast library that covers all mutations to the SARS-CoV-2 receptor-binding domain that do not strongly disrupt binding to the host receptor (ACE2) and mapped how these mutations affect binding to three leading anti–SARS-CoV-2 antibodies. The maps identify mutations that escape antibody binding, including a single mutation that escapes both antibodies in the Regeneron antibody cocktail. Many of the mutations that escape single antibodies are circulating in the human population.

Science , this issue p. 850

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  1. SciScore for 10.1101/2020.11.30.405472: (What is this?)

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

    Table 1: Rigor

    NIH rigor criteria are not applicable to paper type.

    Table 2: Resources

    Antibodies
    SentencesResources
    Antibodies: Publicly available antibody variable domain sequences were acquired for REGN10933, REGN10987, and LY-CoV016 (also known as JS016, LY3832479, or CB6).
    LY3832479
    suggested: None
    CB6
    suggested: None
    Specifically, antibody variable domains were cloned with the human IgG1 heavy chain and human IgK (REGN10933 and LY-CoV016) or human IgL2 (REGN10987) constant regions into pcDNA3.4 vector, and transfected into HD 293F cells maintained at 37°C with 8% CO2 on an orbital shaker.
    human IgK
    suggested: None
    Antibody-escape mapping: Antibody selection experiments were performed in biological duplicate using a deep mutational scanning (mutational antigenic profiling) approach (8) using previously described duplicate mutant RBD libraries (7).
    Antibody-escape
    suggested: None
    Labeled cells were washed with ice-cold PBS-BSA followed by secondary labeling for 1 h at 4°C in 2.5 mL 1:200 PE-conjugated goat anti-human-IgG (Jackson ImmunoResearch 109-115-098) to label for bound antibody, and 1:100 FITC-conjugated anti-Myc (Immunology Consultants Lab, CYMC-45F) to label for RBD surface expression.
    anti-human-IgG
    suggested: None
    anti-Myc
    suggested: None
    Experimental Models: Organisms/Strains
    SentencesResources
    LY-CoV016 (CB6) sequence was reported by Shi et al. (11), Genbank Accessions MT470196 and MT470197.
    LY-CoV016
    suggested: None
    Software and Algorithms
    SentencesResources
    The deep sequencing data have been deposited on the Sequence Read Archive under BioProject accession PRJNA681234.
    BioProject
    suggested: (NCBI BioProject, RRID:SCR_004801)
    Following filtering, reads were aligned to the Wuhan-Hu-1 reference with BWA-MEM (31).
    BWA-MEM
    suggested: (Sniffles, RRID:SCR_017619)
    S4C) over the last three timepoints, we used a custom Python script that counted the co-occurrence of nonsynonymous variants in read-pairs.
    Python
    suggested: (IPython, RRID:SCR_001658)
    The static structural views in the paper were rendered in PyMOL using antibody-bound RBD structures PDB 6XDG (9) and PDB 7C01 (11)
    PyMOL
    suggested: (PyMOL, RRID:SCR_000305)

    Results from OddPub: Thank you for sharing your code and 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: 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.

  2. SciScore for 10.1101/2020.11.30.405472: (What is this?)

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

    Table 1: Rigor

    NIH rigor criteria are not applicable to paper type.

    Table 2: Resources

    Antibodies
    SentencesResources
    See also Fig. 3. B) For each antibody, sites were classified as direct antibody contacts (non-hydrogen atoms within 4Å of antibody), antibody-proximal (4-8Å), or antibody-distal (>8Å)
    antibody-proximal (4-8Å),
    suggested: None
    antibody-distal
    suggested: None
    Antibodies Publicly available antibody variable domain sequences were acquired for REGN10933, REGN10987, and LY-CoV016 (also known as JS016, LY3832479, or CB6).
    LY3832479
    suggested: None
    CB6
    suggested: None
    Specifically, antibody variable domains were cloned with the human IgG1 heavy chain and human IgK (REGN10933 and LY-CoV016) or human IgL2 (REGN10987) constant regions into pcDNA3.4 vector, and transfected into HD 293F cells maintained at 37°C with 8% CO​2​ on an orbital shaker.
    human IgK
    suggested: None
    As described in (​8​), these libraries were sorted to eliminate variants that lose ACE2 binding prior to mapping the antibody-escape variants
    antibody-escape
    suggested: None
    Labeled cells were washed with ice-cold PBS-BSA followed by secondary labeling for 1 h at 4°C in 2.5 mL 1:200 PE-conjugated goat anti-human-IgG (Jackson ImmunoResearch 109-115-098) to label for bound antibody, and 1:100 FITC-conjugated anti-Myc (Immunology Consultants Lab, CYMC-45F) to label for RBD surface expression.
    anti-human-IgG
    suggested: None
    anti-Myc
    suggested: None
    Deep mutational scanning method to map antibody-escape mutations.​ (A) Experimental approach to map antibody-escape mutations (​8​).
    antibody-escape mutations.​
    suggested: None
    ( B) We then performed neutralization assays using the REGN-COV2 antibodies / cocktail with the indicated spike mutants, using a dilution range that spanned higher antibody concentration ranges to maximize the resolution on changes in IC50 for escape mutations.
    REGN-COV2
    suggested: None
    Software and Algorithms
    SentencesResources
    Intra-patient single-nucleotide polymorphisms (SNPs) were identified with an automated variant-calling pipeline (​https://github.com/jbloomlab/SARS-CoV-2_chronic-infection-seq​) created with Snakemake (​29​).
    Snakemake
    suggested: (Snakemake, RRID:SCR_003475)
    Following filtering, reads were aligned to the Wuhan-Hu-1 reference with BWA-MEM (​31​).
    BWA-MEM
    suggested: (Sniffles, RRID:SCR_017619)
    S4C) over the last three timepoints, we used a custom Python script that counted the co-occurrence of nonsynonymous variants in read-pairs.
    Python
    suggested: (IPython, RRID:SCR_001658)
    The static structural views in the paper were rendered in PyMOL using antibody-bound RBD structures PDB 6XDG (​9​) and PDB 7C01 (​11​)
    PyMOL
    suggested: (PyMOL, RRID:SCR_000305)

    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: We did not find any issues relating to colormaps.


    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.