mAbs (Jan 2020)

A novel biparatopic hybrid antibody-ACE2 fusion that blocks SARS-CoV-2 infection: implications for therapy

  • Xiaoniu Miao,
  • Yi Luo,
  • Xi Huang,
  • Suki M. Y. Lee,
  • Zhijun Yuan,
  • Yongzhou Tang,
  • Liandi Chen,
  • Chao Wang,
  • Fan Wu,
  • Yifeng Xu,
  • Wenchao Jiang,
  • Wei Gao,
  • Xuedong Song,
  • Yao Yan,
  • Tuling Pang,
  • Cheng Chen,
  • Yuefeng Zou,
  • Weihui Fu,
  • Liping Wan,
  • Javier Gilbert-Jaramillo,
  • Michael Knight,
  • Tiong Kit Tan,
  • Pramila Rijal,
  • Alain Townsend,
  • Joanne Sun,
  • Xiaolin Liu,
  • William James,
  • Andy Tsun,
  • Yingda Xu

DOI
https://doi.org/10.1080/19420862.2020.1804241
Journal volume & issue
Vol. 12, no. 1

Abstract

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In the absence of a proven effective vaccine preventing infection by SARS-CoV-2, or a proven drug to treat COVID-19, the positive results of passive immune therapy using convalescent serum provide a strong lead. We have developed a new class of tetravalent, biparatopic therapy, 89C8-ACE2. It combines the specificity of a monoclonal antibody (89C8) that recognizes the relatively conserved N-terminal domain of the viral Spike (S) glycoprotein, and the ectodomain of ACE2, which binds to the receptor-binding domain of S. This molecule shows exceptional performance in vitro, inhibiting the interaction of recombinant S1 to ACE2 and transduction of ACE2-overexpressing cells by S-pseudotyped lentivirus with IC50s substantially below 100 pM, and with potency approximately 100-fold greater than ACE2-Fc itself. Moreover, 89C8-ACE2 was able to neutralize authentic viral infection in a standard 96-h co-incubation assay at low nanomolar concentrations, making this class of molecule a promising lead for therapeutic applications.

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