Molecular determinants and mechanism for antibody cocktail preventing SARS-CoV-2 escape
Molecular determinants and mechanism for antibody cocktail preventing SARS-CoV-2 escape
AbstractAntibody cocktails represent a promising approach to prevent SARS-CoV-2 escape. The determinants for selecting antibody combinations and the mechanism that antibody cocktails prevent viral escape remain unclear. We compared the critical residues in the receptor-binding domain (RBD) used by multiple neutralizing antibodies and cocktails and identified a combination of two antibodies CoV2-06 and CoV2-14 for preventing viral escape. The two antibodies simultaneously bind to non-overlapping epitopes and independently compete for receptor binding. SARS-CoV-2 rapidly escapes from individual antibodies by generating resistant mutations in vitro, but it doesn’t escape from the cocktail due to stronger mutational constraints on RBD-ACE2 interaction and RBD protein folding requirements. We also identified a conserved neutralizing epitope shared between SARS-CoV-2 and SARS-CoV for antibody CoV2-12. Treatments with CoV2-06 and CoV2-14 individually and in combination confer protection in mice. These findings provide insights for rational selection and mechanistic understanding of antibody cocktails as candidates for treating COVID-19.
- The University of Texas at Austin United States
- Raymond and Ruth Perelman School of Medicine at the University of Pennsylvania United States
- University of Pennsylvania United States
- The University of Texas Health Science Center at Houston United States
- The University of Texas Medical Branch at Galveston United States
Models, Molecular, Science, General Physics and Astronomy, Antibodies, Viral, General Biochemistry, Genetics and Molecular Biology, Article, Mice, Chlorocebus aethiops, Animals, Humans, Immunoglobulin Fragments, Vero Cells, Mice, Inbred BALB C, SARS-CoV-2, Q, Antibodies, Monoclonal, COVID-19, General Chemistry, Antibodies, Neutralizing, Disease Models, Animal, Immunoglobulin G, Mutation, Spike Glycoprotein, Coronavirus, Female, Angiotensin-Converting Enzyme 2, Protein Binding
Models, Molecular, Science, General Physics and Astronomy, Antibodies, Viral, General Biochemistry, Genetics and Molecular Biology, Article, Mice, Chlorocebus aethiops, Animals, Humans, Immunoglobulin Fragments, Vero Cells, Mice, Inbred BALB C, SARS-CoV-2, Q, Antibodies, Monoclonal, COVID-19, General Chemistry, Antibodies, Neutralizing, Disease Models, Animal, Immunoglobulin G, Mutation, Spike Glycoprotein, Coronavirus, Female, Angiotensin-Converting Enzyme 2, Protein Binding
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