Cell Reports (Sep 2021)

Broad cross-reactivity across sarbecoviruses exhibited by a subset of COVID-19 donor-derived neutralizing antibodies

  • Claudia A. Jette,
  • Alexander A. Cohen,
  • Priyanthi N.P. Gnanapragasam,
  • Frauke Muecksch,
  • Yu E. Lee,
  • Kathryn E. Huey-Tubman,
  • Fabian Schmidt,
  • Theodora Hatziioannou,
  • Paul D. Bieniasz,
  • Michel C. Nussenzweig,
  • Anthony P. West, Jr.,
  • Jennifer R. Keeffe,
  • Pamela J. Bjorkman,
  • Christopher O. Barnes

Journal volume & issue
Vol. 36, no. 13
p. 109760

Abstract

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Summary: Many anti-severe acute respiratory syndrome coronavirus 2 (anti-SARS-CoV-2) neutralizing antibodies target the angiotensin-converting enzyme 2 (ACE2) binding site on viral spike receptor-binding domains (RBDs). Potent antibodies recognize exposed variable epitopes, often rendering them ineffective against other sarbecoviruses and SARS-CoV-2 variants. Class 4 anti-RBD antibodies against a less-exposed, but more-conserved, cryptic epitope could recognize newly emergent zoonotic sarbecoviruses and variants, but they usually show only weak neutralization potencies. Here, we characterize two class 4 anti-RBD antibodies derived from coronavirus disease 2019 (COVID-19) donors that exhibit breadth and potent neutralization of zoonotic coronaviruses and SARS-CoV-2 variants. C118-RBD and C022-RBD structures reveal orientations that extend from the cryptic epitope to occlude ACE2 binding and CDRH3-RBD main-chain H-bond interactions that extend an RBD β sheet, thus reducing sensitivity to RBD side-chain changes. A C118-spike trimer structure reveals rotated RBDs that allow access to the cryptic epitope and the potential for intra-spike crosslinking to increase avidity. These studies facilitate vaccine design and illustrate potential advantages of class 4 RBD-binding antibody therapeutics.

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