Abstract
Emerging evidence indicates that both neutralizing and Fc-mediated effector functions of antibodies contribute to protection against SARS-CoV-2. It is unclear whether Fc-effector functions alone can protect against SARS-CoV-2. Here, we isolated CV3-13, a non-neutralizing antibody, from a convalescent individual with potent Fc-mediated effector functions. The cryoelectron microscopy structure of CV3-13 in complex with the SARS-CoV-2 spike reveals that the antibody binds from a distinct angle of approach to an N-terminal domain (NTD) epitope that only partially overlaps with the NTD supersite recognized by neutralizing antibodies. CV3-13 does not alter the replication dynamics of SARS-CoV-2 in K18-hACE2 mice, but its Fc-enhanced version significantly delays virus spread, neuroinvasion, and death in prophylactic settings. Interestingly, the combination of Fc-enhanced non-neutralizing CV3-13 with Fc-compromised neutralizing CV3-25 completely protects mice from lethal SARS-CoV-2 infection. Altogether, our data demonstrate that efficient Fc-mediated effector functions can potently contribute to the in vivo efficacy of anti-SARS-CoV-2 antibodies.
| Original language | English |
|---|---|
| Article number | 110368 |
| Pages (from-to) | 110368 |
| Journal | Cell Reports |
| Volume | 38 |
| Issue number | 7 |
| DOIs | |
| State | Published - 15 Feb 2022 |
Keywords
- Animals
- Antibodies, Neutralizing/therapeutic use
- Antibodies, Viral/chemistry
- Antibody-Dependent Cell Cytotoxicity
- COVID-19 Serotherapy
- COVID-19/mortality
- Disease Models, Animal
- Epitopes
- Humans
- Immunization, Passive/mortality
- Immunoglobulin Fab Fragments/chemistry
- Immunoglobulin Fc Fragments/genetics
- Mice
- Protein Binding
- Protein Conformation
- SARS-CoV-2/immunology
- Spike Glycoprotein, Coronavirus/chemistry
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