Structure-guided antibody cocktail for prevention and treatment of COVID-19

Development of effective therapeutics for mitigating the COVID-19 pandemic is a pressing global need. Neutralizing antibodies are known to be effective antivirals, as they can be rapidly deployed to prevent disease progression and can accelerate patient recovery without the need for fully developed...

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Autores principales: Shih-Chieh Su, Tzu-Jing Yang, Pei-Yu Yu, Kang-Hao Liang, Wan-Yu Chen, Chun-Wei Yang, Hsiu-Ting Lin, Mei-Jung Wang, Ruei-Min Lu, Hsien-Cheng Tso, Meng-Jhe Chung, Tzung-Yang Hsieh, Yu-Ling Chang, Shin-Chang Lin, Fang-Yu Hsu, Feng-Yi Ke, Yi-Hsuan Wu, Yu-Chyi Hwang, I-Ju Liu, Jian-Jong Liang, Chun-Che Liao, Hui-Ying Ko, Cheng-Pu Sun, Ping-Yi Wu, Jia-Tsrong Jan, Yuan-Chih Chang, Yi-Ling Lin, Mi-Hua Tao, Shang-Te Danny Hsu, Han-Chung Wu
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:16354bc5faef45df8f05181199b756562021-11-04T05:51:24ZStructure-guided antibody cocktail for prevention and treatment of COVID-191553-73661553-7374https://doaj.org/article/16354bc5faef45df8f05181199b756562021-10-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8530329/?tool=EBIhttps://doaj.org/toc/1553-7366https://doaj.org/toc/1553-7374Development of effective therapeutics for mitigating the COVID-19 pandemic is a pressing global need. Neutralizing antibodies are known to be effective antivirals, as they can be rapidly deployed to prevent disease progression and can accelerate patient recovery without the need for fully developed host immunity. Here, we report the generation and characterization of a series of chimeric antibodies against the receptor-binding domain (RBD) of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein. Some of these antibodies exhibit exceptionally potent neutralization activities in vitro and in vivo, and the most potent of our antibodies target three distinct non-overlapping epitopes within the RBD. Cryo-electron microscopy analyses of two highly potent antibodies in complex with the SARS-CoV-2 spike protein suggested they may be particularly useful when combined in a cocktail therapy. The efficacy of this antibody cocktail was confirmed in SARS-CoV-2-infected mouse and hamster models as prophylactic and post-infection treatments. With the emergence of more contagious variants of SARS-CoV-2, cocktail antibody therapies hold great promise to control disease and prevent drug resistance. Author summary Effective approaches to mitigate the COVID-19 pandemic are a pressing global need. One promising strategy is to combine neutralizing antibodies that can reduce viral load to prevent disease progression and accelerate patient recovery. However, the current supply of therapeutic antibodies for COVID-19 is insufficient to fill the enormous demand, and escape mutants may compromise the utility of existing drugs. Thus, there is an urgent worldwide need to develop highly potent neutralizing antibody cocktails. We generated a series of chimeric antibodies against the receptor-binding domain (RBD) of SARS-CoV-2 spike protein, which potently neutralize authentic SARS-CoV-2 infection according to the plaque reduction neutralization test (PRNT) and pseudovirus-based inhibition assay. These antibodies can be classified into three distinct groups based on their targets within the receptor-binding motif. Cryo-electron microscopy structural analyses of two representative receptor-binding domain-chimeric antibodies in complex with the SARS-CoV-2 spike protein further revealed two sets of non-overlapping epitopes, suggesting the potential for their combination in a therapeutic antibody cocktail. The prophylactic and therapeutic effects of these antibodies and their combination were demonstrated in SARS-CoV-2-infected mouse and hamster models. Thus, our potent neutralizing antibody cocktail has strong potential for development as an effective therapeutic drug to prevent and treat SARS-CoV-2 infection.Shih-Chieh SuTzu-Jing YangPei-Yu YuKang-Hao LiangWan-Yu ChenChun-Wei YangHsiu-Ting LinMei-Jung WangRuei-Min LuHsien-Cheng TsoMeng-Jhe ChungTzung-Yang HsiehYu-Ling ChangShin-Chang LinFang-Yu HsuFeng-Yi KeYi-Hsuan WuYu-Chyi HwangI-Ju LiuJian-Jong LiangChun-Che LiaoHui-Ying KoCheng-Pu SunPing-Yi WuJia-Tsrong JanYuan-Chih ChangYi-Ling LinMi-Hua TaoShang-Te Danny HsuHan-Chung WuPublic Library of Science (PLoS)articleImmunologic diseases. AllergyRC581-607Biology (General)QH301-705.5ENPLoS Pathogens, Vol 17, Iss 10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Immunologic diseases. Allergy
RC581-607
Biology (General)
QH301-705.5
spellingShingle Immunologic diseases. Allergy
RC581-607
Biology (General)
QH301-705.5
Shih-Chieh Su
Tzu-Jing Yang
Pei-Yu Yu
Kang-Hao Liang
Wan-Yu Chen
Chun-Wei Yang
Hsiu-Ting Lin
Mei-Jung Wang
Ruei-Min Lu
Hsien-Cheng Tso
Meng-Jhe Chung
Tzung-Yang Hsieh
Yu-Ling Chang
Shin-Chang Lin
Fang-Yu Hsu
Feng-Yi Ke
Yi-Hsuan Wu
Yu-Chyi Hwang
I-Ju Liu
Jian-Jong Liang
Chun-Che Liao
Hui-Ying Ko
Cheng-Pu Sun
Ping-Yi Wu
Jia-Tsrong Jan
Yuan-Chih Chang
Yi-Ling Lin
Mi-Hua Tao
Shang-Te Danny Hsu
Han-Chung Wu
Structure-guided antibody cocktail for prevention and treatment of COVID-19
description Development of effective therapeutics for mitigating the COVID-19 pandemic is a pressing global need. Neutralizing antibodies are known to be effective antivirals, as they can be rapidly deployed to prevent disease progression and can accelerate patient recovery without the need for fully developed host immunity. Here, we report the generation and characterization of a series of chimeric antibodies against the receptor-binding domain (RBD) of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein. Some of these antibodies exhibit exceptionally potent neutralization activities in vitro and in vivo, and the most potent of our antibodies target three distinct non-overlapping epitopes within the RBD. Cryo-electron microscopy analyses of two highly potent antibodies in complex with the SARS-CoV-2 spike protein suggested they may be particularly useful when combined in a cocktail therapy. The efficacy of this antibody cocktail was confirmed in SARS-CoV-2-infected mouse and hamster models as prophylactic and post-infection treatments. With the emergence of more contagious variants of SARS-CoV-2, cocktail antibody therapies hold great promise to control disease and prevent drug resistance. Author summary Effective approaches to mitigate the COVID-19 pandemic are a pressing global need. One promising strategy is to combine neutralizing antibodies that can reduce viral load to prevent disease progression and accelerate patient recovery. However, the current supply of therapeutic antibodies for COVID-19 is insufficient to fill the enormous demand, and escape mutants may compromise the utility of existing drugs. Thus, there is an urgent worldwide need to develop highly potent neutralizing antibody cocktails. We generated a series of chimeric antibodies against the receptor-binding domain (RBD) of SARS-CoV-2 spike protein, which potently neutralize authentic SARS-CoV-2 infection according to the plaque reduction neutralization test (PRNT) and pseudovirus-based inhibition assay. These antibodies can be classified into three distinct groups based on their targets within the receptor-binding motif. Cryo-electron microscopy structural analyses of two representative receptor-binding domain-chimeric antibodies in complex with the SARS-CoV-2 spike protein further revealed two sets of non-overlapping epitopes, suggesting the potential for their combination in a therapeutic antibody cocktail. The prophylactic and therapeutic effects of these antibodies and their combination were demonstrated in SARS-CoV-2-infected mouse and hamster models. Thus, our potent neutralizing antibody cocktail has strong potential for development as an effective therapeutic drug to prevent and treat SARS-CoV-2 infection.
format article
author Shih-Chieh Su
Tzu-Jing Yang
Pei-Yu Yu
Kang-Hao Liang
Wan-Yu Chen
Chun-Wei Yang
Hsiu-Ting Lin
Mei-Jung Wang
Ruei-Min Lu
Hsien-Cheng Tso
Meng-Jhe Chung
Tzung-Yang Hsieh
Yu-Ling Chang
Shin-Chang Lin
Fang-Yu Hsu
Feng-Yi Ke
Yi-Hsuan Wu
Yu-Chyi Hwang
I-Ju Liu
Jian-Jong Liang
Chun-Che Liao
Hui-Ying Ko
Cheng-Pu Sun
Ping-Yi Wu
Jia-Tsrong Jan
Yuan-Chih Chang
Yi-Ling Lin
Mi-Hua Tao
Shang-Te Danny Hsu
Han-Chung Wu
author_facet Shih-Chieh Su
Tzu-Jing Yang
Pei-Yu Yu
Kang-Hao Liang
Wan-Yu Chen
Chun-Wei Yang
Hsiu-Ting Lin
Mei-Jung Wang
Ruei-Min Lu
Hsien-Cheng Tso
Meng-Jhe Chung
Tzung-Yang Hsieh
Yu-Ling Chang
Shin-Chang Lin
Fang-Yu Hsu
Feng-Yi Ke
Yi-Hsuan Wu
Yu-Chyi Hwang
I-Ju Liu
Jian-Jong Liang
Chun-Che Liao
Hui-Ying Ko
Cheng-Pu Sun
Ping-Yi Wu
Jia-Tsrong Jan
Yuan-Chih Chang
Yi-Ling Lin
Mi-Hua Tao
Shang-Te Danny Hsu
Han-Chung Wu
author_sort Shih-Chieh Su
title Structure-guided antibody cocktail for prevention and treatment of COVID-19
title_short Structure-guided antibody cocktail for prevention and treatment of COVID-19
title_full Structure-guided antibody cocktail for prevention and treatment of COVID-19
title_fullStr Structure-guided antibody cocktail for prevention and treatment of COVID-19
title_full_unstemmed Structure-guided antibody cocktail for prevention and treatment of COVID-19
title_sort structure-guided antibody cocktail for prevention and treatment of covid-19
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/16354bc5faef45df8f05181199b75656
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