Broadly neutralizing antibodies to SARS-CoV-2 and other human coronaviruses

Yanjia Chen1, Xiaoyu Zhao1, Hao Zhou2,3

  • 1State Key Laboratory of Genetic Engineering, Shanghai Institute of Infectious Disease and Biosecurity, School of Life Sciences, Fudan University, Shanghai, China.

Nature Reviews. Immunology
|September 28, 2022
PubMed

Insights

Broadly neutralizing antibodies targeting key regions of the SARS-CoV-2 spike protein offer a promising strategy against COVID-19. Understanding these antibodies can accelerate new therapeutics and vaccine development.

Area of Science:

  • Virology
  • Immunology
  • Drug Development

Background:

  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants, including Omicron, continue to drive the COVID-19 pandemic.
  • The pandemic has caused significant global public health and economic damage.
  • Broadly neutralizing antibodies are a key strategy for COVID-19 prophylaxis and therapy.

Purpose of the Study:

  • To summarize neutralizing antibodies targeting critical regions of the SARS-CoV-2 spike protein.
  • To provide insights into antibody characteristics for therapeutic and vaccine development.

Main Methods:

  • Review of existing literature on neutralizing antibodies against SARS-CoV-2.
  • Analysis of antibodies targeting four key regions of the spike (S) protein: N-terminal domain (NTD), receptor-binding domain (RBD) in S1, stem helix, and fusion peptide in S2.

Main Results:

  • Neutralizing antibodies target distinct regions of the SARS-CoV-2 spike protein.
  • Antibodies targeting the NTD, RBD, stem helix, and fusion peptide show potential for broad neutralization.
  • Several antibodies are in preclinical and clinical development, with some approved for emergency use.

Conclusions:

  • Understanding broadly neutralizing antibodies against SARS-CoV-2 is crucial for combating the pandemic.
  • This knowledge will accelerate the development of novel antibody therapeutics.
  • It will also guide the rational design of next-generation vaccines for improved efficacy.