Evaluation of strategies to modify Anti-SARS-CoV-2 monoclonal antibodies for optimal functionality as therapeutics

Robert V House1, Thomas A Broge2, Todd J Suscovich2

  • 1Ology Bioservices, Frederick, MD, United States of America.

Plos One
|June 3, 2022
PubMed

Insights

This study shows a combination therapy of two monoclonal antibodies (mAbs) effectively neutralizes SARS-CoV-2, including variants. This approach offers potential protection against COVID-19 by enhancing antibody function and longevity.

Area of Science:

  • Immunology
  • Virology
  • Pharmacology

Background:

  • The COVID-19 pandemic, caused by SARS-CoV-2, presents a significant global health and economic challenge.
  • Monoclonal antibodies (mAbs) are a promising therapeutic strategy for neutralizing SARS-CoV-2 and mitigating disease spread.
  • Understanding antibody interactions with viral variants and Fc effector functions is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate a combination therapy of two monoclonal antibodies (mAbs) for neutralizing SARS-CoV-2.
  • To assess the efficacy of mAbs against circulating SARS-CoV-2 variants.
  • To evaluate the impact of Fc portion mutations (YTE and LALA) on antibody function and potential for antibody-dependent enhancement of disease.

Main Methods:

  • In vitro cell-based assays were used to evaluate viral neutralization by mAbs.
  • Binding affinity to the SARS-CoV-2 spike protein was assessed.
  • Fc effector functions and antibody-dependent enhancement were studied using specific antibody mutations.

Main Results:

  • Both individual mAbs demonstrated binding to the spike protein and neutralized SARS-CoV-2 in vitro.
  • The mAb combination effectively neutralized multiple circulating SARS-CoV-2 variants.
  • Fc mutations influenced effector functions and showed potential to prevent antibody-dependent enhancement of disease.

Conclusions:

  • A combination of two mAbs targeting distinct epitopes on the SARS-CoV-2 spike protein shows potential for protecting humans against infection.
  • This therapeutic strategy may extend serum half-life and prevent antibody-dependent enhancement of disease.
  • Further development of mAb combination therapies holds promise for managing COVID-19.