Cell Reports (Nov 2021)

Monoclonal antibodies protect aged rhesus macaques from SARS-CoV-2-induced immune activation and neuroinflammation

  • Anil Verma,
  • Chase E. Hawes,
  • Yashavanth Shaan Lakshmanappa,
  • Jamin W. Roh,
  • Brian A. Schmidt,
  • Joseph Dutra,
  • William Louie,
  • Hongwei Liu,
  • Zhong-Min Ma,
  • Jennifer K. Watanabe,
  • Jodie L. Usachenko,
  • Ramya Immareddy,
  • Rebecca L. Sammak,
  • Rachel Pollard,
  • J. Rachel Reader,
  • Katherine J. Olstad,
  • Lark L. Coffey,
  • Pamela A. Kozlowski,
  • Dennis J. Hartigan-O’Connor,
  • Michel Nussenzweig,
  • Koen K.A. Van Rompay,
  • John H. Morrison,
  • Smita S. Iyer

Journal volume & issue
Vol. 37, no. 5
p. 109942

Abstract

Read online

Summary: Anti-viral monoclonal antibody (mAb) treatments may provide immediate but short-term immunity from coronavirus disease 2019 (COVID-19) in high-risk populations, such as people with diabetes and the elderly; however, data on their efficacy in these populations are limited. We demonstrate that prophylactic mAb treatment blocks viral replication in both the upper and lower respiratory tracts in aged, type 2 diabetic rhesus macaques. mAb infusion dramatically curtails severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-mediated stimulation of interferon-induced chemokines and T cell activation, significantly reducing development of interstitial pneumonia. Furthermore, mAb infusion significantly dampens the greater than 3-fold increase in SARS-CoV-2-induced effector CD4 T cell influx into the cerebrospinal fluid. Our data show that neutralizing mAbs administered preventatively to high-risk populations may mitigate the adverse inflammatory consequences of SARS-CoV-2 exposure.

Keywords