A monoclonal antibody against staphylococcal enterotoxin B superantigen inhibits SARS-CoV-2 entry in vitro

Mary Hongying Cheng1, Rebecca A Porritt2, Magali Noval Rivas2

  • 1Department of Computational and Systems Biology, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA.

Insights

A novel superantigen-like motif on SARS-CoV-2 spike protein may cause MIS-C and severe COVID-19. An anti-SEB antibody (6D3) inhibits viral infection by blocking this motif and protease activity.

Area of Science:

  • Virology
  • Immunology
  • Molecular Biology

Background:

  • SARS-CoV-2 spike protein contains a superantigen-like motif similar to staphylococcal enterotoxin B (SEB).
  • This motif is located near the S1/S2 cleavage site, a region crucial for viral entry and pathogenesis.
  • The motif's presence may explain severe COVID-19 manifestations like cytokine storm and multisystem inflammatory syndrome in children (MIS-C).

Purpose of the Study:

  • To investigate the role of the SEB-like motif in SARS-CoV-2 pathogenesis.
  • To evaluate the efficacy of an anti-SEB monoclonal antibody (mAb), 6D3, in inhibiting SARS-CoV-2 infection.
  • To explore the therapeutic potential of mAb 6D3 for COVID-19 and related inflammatory syndromes.

Main Methods:

  • Structural and sequential analysis of the SARS-CoV-2 spike protein to identify superantigen-like motifs.
  • In vitro live virus assays using mAb 6D3 to assess its inhibitory effect on viral infection.
  • Analysis of mAb 6D3's binding site and affinity to the viral motif, including its heavy chain CDR2 region.

Main Results:

  • A superantigen-like motif, structurally and sequentially similar to SEB, was identified on the SARS-CoV-2 spike protein near the S1/S2 cleavage site.
  • The anti-SEB mAb 6D3 effectively binds to this viral motif, specifically at the polybasic (PRRA) insert.
  • mAb 6D3 demonstrated inhibition of SARS-CoV-2 infection in live virus assays, suggesting interference with proteolytic cleavage by host proteases (furin and TMPRSS2).
  • The high affinity of 6D3 is attributed to a polyacidic segment in its heavy chain CDR2.

Conclusions:

  • The identified superantigen-like motif on the SARS-CoV-2 spike protein is a potential contributor to severe COVID-19 and MIS-C.
  • The anti-SEB mAb 6D3 shows promise as a therapeutic agent by inhibiting viral entry through dual action on the motif and protease activity.
  • mAb 6D3 may offer a potential treatment strategy for COVID-19, MIS-C, and other human coronavirus infections with similar cleavage site characteristics.

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