Prospective mapping of viral mutations that escape antibodies used to treat COVID-19
pmc: PMC7724661 , PMC7963219
Prospective mapping of viral mutations that escape antibodies used to treat COVID-19
Antibodies are becoming a frontline therapy for SARS-CoV-2, but the risk of viral evolutionary escape remains unclear. Here we map how all mutations to SARS-CoV-2’s receptor-binding domain (RBD) affect binding by the antibodies in Regeneron’s REGN-COV2 cocktail and Eli Lilly’s LY-CoV016. These complete maps uncover a single amino-acid mutation that fully escapes the REGN-COV2 cocktail, which consists of two antibodies targeting distinct structural epitopes. The maps also identify viral mutations that are selected in a persistently infected patient treated with REGN-COV2, as well as in lab viral escape selections. Finally, the maps reveal that mutations escaping each individual antibody are already present in circulating SARS-CoV-2 strains. Overall, these complete escape maps enable immediate interpretation of the consequences of mutations observed during viral surveillance.
- Harvard University United States
- Fred Hutchinson Cancer Research Center South Africa
- Department of Genome Sciences, University of Washington United States
- University of Washington United States
- Howard Hughes Medical Institute United States
Multidisciplinary, SARS-CoV-2, Immunization, Passive, COVID-19, Antibodies, Monoclonal, Humanized, Antibodies, Viral, Article, Drug Combinations, Amino Acid Substitution, Protein Domains, Mutation, Spike Glycoprotein, Coronavirus, Humans, Angiotensin-Converting Enzyme 2, Cells, Cultured, COVID-19 Serotherapy, Reports, Protein Binding, Receptors, Coronavirus
Multidisciplinary, SARS-CoV-2, Immunization, Passive, COVID-19, Antibodies, Monoclonal, Humanized, Antibodies, Viral, Article, Drug Combinations, Amino Acid Substitution, Protein Domains, Mutation, Spike Glycoprotein, Coronavirus, Humans, Angiotensin-Converting Enzyme 2, Cells, Cultured, COVID-19 Serotherapy, Reports, Protein Binding, Receptors, Coronavirus
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