9 July 2020 | Dora Pinto, Young-Jun Park, Martina Beltramello, Alexandra C. Walls, M. Alejandra Tortorici, Siro Bianchi, Stefano Jaconi, Katja Culup, Fabrizia Zatta, Anna De Marco, Alessia Peter, Barbara Guarino, Roberto Spreafico, Elisabetta Cameroni, James Brett Case, Rita E. Chen, Colin Havenar-Daughton, Gyorgy Snell, Amalio Telenti, Herbert W. Virgin, Antonio Lanzavecchia, Michael S. Diamond, Katja Fink, David Veesler & Davide Corti
A human monoclonal antibody, S309, derived from memory B cells of an individual infected with SARS-CoV in 2003, exhibits broad cross-neutralizing activity against both SARS-CoV and SARS-CoV-2. S309 targets the receptor-binding domain (RBD) of the S glycoprotein of SARS-CoV-2, which is conserved within the Sarbecovirus subgenus. Cryo-electron microscopy and binding assays reveal that S309 recognizes an epitope containing a glycan that is conserved in Sarbecoviruses, without competing with receptor attachment. When combined with other antibodies, S309 enhances SARS-CoV-2 neutralization and may limit the emergence of neutralization-escape mutants. The structural basis of S309's cross-neutralization involves recognition of a proteoglycan epitope on the SARS-CoV-2 S glycoprotein, distinct from the receptor-binding motif. S309's epitope is highly conserved between SARS-CoV and SARS-CoV-2, allowing it to neutralize both viruses. The antibody also recruits effector mechanisms, such as antibody-dependent cell cytotoxicity (ADCC) and antibody-dependent cellular phagocytosis (ADCP), which contribute to its neutralizing activity. S309's ability to neutralize SARS-CoV-2 is further enhanced when combined with other antibodies, such as S304 and S315, which target different antigenic sites on the S glycoprotein. These findings suggest that S309 and antibody cocktails containing S309 could be used for prophylaxis in high-risk individuals or as post-exposure therapy to limit or treat severe disease. The study highlights the potential of monoclonal antibodies in combating SARS-CoV-2 and underscores the importance of understanding the structural and functional characteristics of viral antigens in the development of effective therapeutic strategies.A human monoclonal antibody, S309, derived from memory B cells of an individual infected with SARS-CoV in 2003, exhibits broad cross-neutralizing activity against both SARS-CoV and SARS-CoV-2. S309 targets the receptor-binding domain (RBD) of the S glycoprotein of SARS-CoV-2, which is conserved within the Sarbecovirus subgenus. Cryo-electron microscopy and binding assays reveal that S309 recognizes an epitope containing a glycan that is conserved in Sarbecoviruses, without competing with receptor attachment. When combined with other antibodies, S309 enhances SARS-CoV-2 neutralization and may limit the emergence of neutralization-escape mutants. The structural basis of S309's cross-neutralization involves recognition of a proteoglycan epitope on the SARS-CoV-2 S glycoprotein, distinct from the receptor-binding motif. S309's epitope is highly conserved between SARS-CoV and SARS-CoV-2, allowing it to neutralize both viruses. The antibody also recruits effector mechanisms, such as antibody-dependent cell cytotoxicity (ADCC) and antibody-dependent cellular phagocytosis (ADCP), which contribute to its neutralizing activity. S309's ability to neutralize SARS-CoV-2 is further enhanced when combined with other antibodies, such as S304 and S315, which target different antigenic sites on the S glycoprotein. These findings suggest that S309 and antibody cocktails containing S309 could be used for prophylaxis in high-risk individuals or as post-exposure therapy to limit or treat severe disease. The study highlights the potential of monoclonal antibodies in combating SARS-CoV-2 and underscores the importance of understanding the structural and functional characteristics of viral antigens in the development of effective therapeutic strategies.