Broadly neutralizing antibodies derived from the earliest COVID-19 convalescents protect mice from SARS-CoV-2

Qianyun Liu1,2, Haiyan Zhao1, Zhiqiang Li3

  • 1State Key Laboratory of Virology, Institute for Vaccine Research, College of Life Sciences, Wuhan University, Wuhan, 430072, China.

Insights

Elite COVID-19 convalescents produced potent monoclonal antibodies (mAbs) that neutralize SARS-CoV-2 variants, including Omicron. These human mAbs offer potential prophylactic and therapeutic benefits against diverse coronavirus strains.

Area of Science:

  • Immunology and Virology

Background:

  • The emergence of SARS-CoV-2 variants of concern (VOCs) poses a continuous threat, necessitating the development of broadly effective countermeasures.
  • Vaccines were developed based on the original SARS-CoV-2 strain, but viral evolution has led to immune escape.

Purpose of the Study:

  • To isolate and characterize human monoclonal antibodies (mAbs) from individuals who recovered from the original SARS-CoV-2 infection.
  • To evaluate the neutralizing activity of these mAbs against various SARS-CoV-2 strains, including VOCs and Omicron subvariants.
  • To assess the in vivo prophylactic and therapeutic efficacy of the most potent mAbs.

Main Methods:

  • Isolation of six human mAbs from two elite convalescents in Wuhan.
  • In vitro neutralization assays against SARS-CoV-2 original strain and VOCs (including Omicron XBB and XBB.1.5).
  • In vivo studies in K18-hACE2 KI mice to evaluate prophylactic and therapeutic effects against SARS-CoV-2 WT, Delta, and Omicron variants.
  • Cryo-electron microscopy (Cryo-EM) to determine the binding epitopes and mechanism of neutralization.

Main Results:

  • Six human mAbs were developed, recognizing diverse epitopes on the SARS-CoV-2 receptor binding domain (RBD).
  • These mAbs demonstrated varying degrees of inhibition against the original strain and VOCs, including Omicron XBB and XBB.1.5.
  • Two mAbs, 7B3 and 14B1, showed potent broad neutralization, prophylactic activity against WT, and therapeutic effects against Delta and Omicron variants in mice.
  • Cryo-EM revealed that 7B3 and 14B1 bind overlapping epitopes on the RBD, sterically hindering hACE2 binding.

Conclusions:

  • Elite COVID-19 convalescents harbor mAbs with broad neutralizing activity against diverse SARS-CoV-2 strains, including immune-evasive variants.
  • These findings highlight the potential of naturally derived mAbs as therapeutic and prophylactic agents against current and future SARS-CoV-2 threats.
  • The study underscores the lasting benefit of prior infection or vaccination despite viral evolution and immune escape.

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