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Human neutralizing antibodies to cold linear epitopes and subdomain 1 of the SARS-CoV-2 spike glycoprotein.

Filippo BianchiniVirginia CrivelliMorgan E AbernathyConcetta GuerraMartin PalusJonathan MuriHarold MarcotteAntonio PirallaMattia PedottiRaoul De GasparoLuca SimonelliMilos MatkovicChiara ToscanoMaira BiggiogeroVeronica CalvarusoPavel SvobodaTomás Cervantes RincónTommaso FavaLucie PodešvováAkanksha A ShanbhagAndrea CeloriaJacopo SgrignaniMichal ŠtefánikVaclav HonigVeronika PrančlováTereza MichalčíkováJan ProchazkaGiuditta GuerriniDora MehnAnnalisa CiabattiniHassan AbolhassaniDavid JarrossayMariagrazia UguccioniDonata MedagliniQiang Pan-HammarströmLuigi CalzolaiDaniel FernándezFausto BaldantiAlessandra Franzetti PellandaChristian GarzoniRadislav SedlacekDaniel RuzekLuca VaraniAndrea CavalliChristopher O BarnesDavide F Robbiani
Published in: Science immunology (2023)
Emergence of SARS-CoV-2 variants diminishes the efficacy of vaccines and antiviral monoclonal antibodies. Continued development of immunotherapies and vaccine immunogens resilient to viral evolution is therefore necessary. Using coldspot-guided antibody discovery, a screening approach that focuses on portions of the virus spike glycoprotein that are both functionally relevant and averse to change, we identified human neutralizing antibodies to highly conserved viral epitopes. Antibody fp.006 binds the fusion peptide and cross-reacts against coronaviruses of the four genera , including the nine human coronaviruses, through recognition of a conserved motif that includes the S2´ site of proteolytic cleavage. Antibody hr2.016 targets the stem helix and neutralizes SARS-CoV-2 variants. Antibody sd1.040 binds to subdomain 1, synergizes with antibody rbd.042 for neutralization and, like fp.006 and hr2.016, protects mice expressing human ACE2 against infection when present as bispecific antibody. Thus, coldspot-guided antibody discovery reveals donor-derived neutralizing antibodies that are cross-reactive with Orthocoronavirinae , including SARS-CoV-2 variants.
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