Cell Reports (Jun 2023)

Structural changes in the SARS-CoV-2 spike E406W mutant escaping a clinical monoclonal antibody cocktail

  • Amin Addetia,
  • Young-Jun Park,
  • Tyler Starr,
  • Allison J. Greaney,
  • Kaitlin R. Sprouse,
  • John E. Bowen,
  • Sasha W. Tiles,
  • Wesley C. Van Voorhis,
  • Jesse D. Bloom,
  • Davide Corti,
  • Alexandra C. Walls,
  • David Veesler

Journal volume & issue
Vol. 42, no. 6
p. 112621

Abstract

Read online

Summary: Continued evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is eroding antibody responses elicited by prior vaccination and infection. The SARS-CoV-2 receptor-binding domain (RBD) E406W mutation abrogates neutralization mediated by the REGEN-COV therapeutic monoclonal antibody (mAb) COVID-19 cocktail and the AZD1061 (COV2-2130) mAb. Here, we show that this mutation remodels the receptor-binding site allosterically, thereby altering the epitopes recognized by these three mAbs and vaccine-elicited neutralizing antibodies while remaining functional. Our results demonstrate the spectacular structural and functional plasticity of the SARS-CoV-2 RBD, which is continuously evolving in emerging SARS-CoV-2 variants, including currently circulating strains that are accumulating mutations in the antigenic sites remodeled by the E406W substitution.

Keywords