6 August 2020 | Rui Shi, Chao Shan, Xiaomin Duan, Zhihai Chen, Peipei Liu, Jinwen Song, Tao Song, Xiaoshan Bi, Chao Han, Lianao Wu, Ge Gao, Xue Hu, Yanan Zhang, Zhou Tong, Weijin Huang, William Jun Liu, Guizhen Wu, Bo Zhang, Lan Wang, Jianxun Qi, Hui Feng, Fu-Sheng Wang, Qihui Wang, George Fu Gao, Zhiming Yuan & Jinghua Yan
A human neutralizing antibody, CB6, was isolated from a patient recovering from COVID-19 and shown to effectively neutralize SARS-CoV-2. The antibody targets the receptor-binding domain (RBD) of the SARS-CoV-2 spike protein, overlapping with the ACE2-binding site, thereby blocking virus-receptor interactions through steric hindrance and direct competition. CB6 demonstrated potent neutralizing activity in vitro, inhibiting SARS-CoV-2 infection in both pseudovirus and live virus assays. In a rhesus macaque model, CB6 reduced viral load and alleviated lung damage when administered prophylactically or therapeutically. Structural analysis revealed that CB6 binds to the RBD with a buried surface area of 1,088 Ų, and its binding overlaps with the ACE2-binding site, suggesting resistance to mutations. CB6 was also found to be safe, with LALA mutations in the Fc region preventing antibody-dependent enhancement. The study highlights CB6 as a promising candidate for clinical translation in the treatment of COVID-19.A human neutralizing antibody, CB6, was isolated from a patient recovering from COVID-19 and shown to effectively neutralize SARS-CoV-2. The antibody targets the receptor-binding domain (RBD) of the SARS-CoV-2 spike protein, overlapping with the ACE2-binding site, thereby blocking virus-receptor interactions through steric hindrance and direct competition. CB6 demonstrated potent neutralizing activity in vitro, inhibiting SARS-CoV-2 infection in both pseudovirus and live virus assays. In a rhesus macaque model, CB6 reduced viral load and alleviated lung damage when administered prophylactically or therapeutically. Structural analysis revealed that CB6 binds to the RBD with a buried surface area of 1,088 Ų, and its binding overlaps with the ACE2-binding site, suggesting resistance to mutations. CB6 was also found to be safe, with LALA mutations in the Fc region preventing antibody-dependent enhancement. The study highlights CB6 as a promising candidate for clinical translation in the treatment of COVID-19.