Cell Reports (May 2022)

LY-CoV1404 (bebtelovimab) potently neutralizes SARS-CoV-2 variants

  • Kathryn Westendorf,
  • Stefanie Žentelis,
  • Lingshu Wang,
  • Denisa Foster,
  • Peter Vaillancourt,
  • Matthew Wiggin,
  • Erica Lovett,
  • Robin van der Lee,
  • Jörg Hendle,
  • Anna Pustilnik,
  • J. Michael Sauder,
  • Lucas Kraft,
  • Yuri Hwang,
  • Robert W. Siegel,
  • Jinbiao Chen,
  • Beverly A. Heinz,
  • Richard E. Higgs,
  • Nicole L. Kallewaard,
  • Kevin Jepson,
  • Rodrigo Goya,
  • Maia A. Smith,
  • David W. Collins,
  • Davide Pellacani,
  • Ping Xiang,
  • Valentine de Puyraimond,
  • Marketa Ricicova,
  • Lindsay Devorkin,
  • Caitlin Pritchard,
  • Aoise O’Neill,
  • Kush Dalal,
  • Pankaj Panwar,
  • Harveer Dhupar,
  • Fabian A. Garces,
  • Courtney A. Cohen,
  • John M. Dye,
  • Kathleen E. Huie,
  • Catherine V. Badger,
  • Darwyn Kobasa,
  • Jonathan Audet,
  • Joshua J. Freitas,
  • Saleema Hassanali,
  • Ina Hughes,
  • Luis Munoz,
  • Holly C. Palma,
  • Bharathi Ramamurthy,
  • Robert W. Cross,
  • Thomas W. Geisbert,
  • Vineet Menachery,
  • Kumari Lokugamage,
  • Viktoriya Borisevich,
  • Iliana Lanz,
  • Lisa Anderson,
  • Payal Sipahimalani,
  • Kizzmekia S. Corbett,
  • Eun Sung Yang,
  • Yi Zhang,
  • Wei Shi,
  • Tongqing Zhou,
  • Misook Choe,
  • John Misasi,
  • Peter D. Kwong,
  • Nancy J. Sullivan,
  • Barney S. Graham,
  • Tara L. Fernandez,
  • Carl L. Hansen,
  • Ester Falconer,
  • John R. Mascola,
  • Bryan E. Jones,
  • Bryan C. Barnhart

Journal volume & issue
Vol. 39, no. 7
p. 110812

Abstract

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Summary: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-neutralizing monoclonal antibodies (mAbs) can reduce the risk of hospitalization from coronavirus disease 2019 (COVID-19) when administered early. However, SARS-CoV-2 variants of concern (VOCs) have negatively affected therapeutic use of some authorized mAbs. Using a high-throughput B cell screening pipeline, we isolated LY-CoV1404 (bebtelovimab), a highly potent SARS-CoV-2 spike glycoprotein receptor binding domain (RBD)-specific antibody. LY-CoV1404 potently neutralizes authentic SARS-CoV-2, B.1.1.7, B.1.351, and B.1.617.2. In pseudovirus neutralization studies, LY-CoV1404 potently neutralizes variants, including B.1.1.7, B.1.351, B.1.617.2, B.1.427/B.1.429, P.1, B.1.526, B.1.1.529, and the BA.2 subvariant. Structural analysis reveals that the contact residues of the LY-CoV1404 epitope are highly conserved, except for N439 and N501. The binding and neutralizing activity of LY-CoV1404 is unaffected by the most common mutations at these positions (N439K and N501Y). The broad and potent neutralization activity and the relatively conserved epitope suggest that LY-CoV1404 has the potential to be an effective therapeutic agent to treat all known variants.

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