A SARS-CoV-2 neutralizing antibody selected from COVID-19 patients binds to the ACE2-RBD interface and is tolerant to

Federico Bertoglio1, Viola Fühner1, Maximilian Ruschig1

  • 1Technische Universität Braunschweig, Institut für Biochemie, Biotechnologie und Bioinformatik, Abteilung Biotechnologie, Spielmannstr. 7, 38106 Braunschweig, Germany.

Cell Reports
|July 17, 2021
PubMed

Insights

Researchers developed a potent neutralizing antibody, STE90-C11, targeting the SARS-CoV-2 receptor-binding domain. This antibody demonstrated in vivo efficacy and is advancing to clinical trials for treating COVID-19.

Area of Science:

  • Virology
  • Immunology
  • Structural Biology

Background:

  • Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) causes COVID-19, a significant global health concern.
  • Development of effective neutralizing antibodies is crucial for combating SARS-CoV-2 infections.

Purpose of the Study:

  • To generate and characterize human neutralizing antibodies against the SARS-CoV-2 receptor-binding domain (RBD).
  • To evaluate the therapeutic potential of a lead antibody candidate, STE90-C11, in preclinical models and assess its mechanism of action.

Main Methods:

  • Construction of antibody gene libraries from convalescent COVID-19 patients.
  • Selection of recombinant antibody fragments (scFv) targeting SARS-CoV-2 RBD using phage display.
  • In vitro neutralization assays, in vivo efficacy studies in Syrian hamsters and hACE2 mice models, and crystal structure determination of antibody-RBD complex.

Main Results:

  • The antibody STE90-C11 exhibited potent neutralization with a subnanometer IC50 in live virus assays.
  • STE90-C11 demonstrated significant in vivo efficacy in relevant animal models.
  • Structural analysis revealed that STE90-C11 binds to the ACE2 binding site on the RBD and is effective against emerging RBD mutations.
  • A human IgG1 derivative, COR-101, is currently in Phase Ib/II clinical trials.

Conclusions:

  • STE90-C11 is a highly effective neutralizing antibody against SARS-CoV-2 with a well-defined mechanism of action.
  • The antibody's efficacy in preclinical models and its broad activity against RBD mutations support its therapeutic potential.
  • Clinical development of COR-101 indicates promising prospects for treating moderate to severe COVID-19.