A broadly neutralizing monoclonal antibody overcomes the mutational landscape of emerging SARS-CoV-2 variants of concern

PLoS Pathog. 2022 Dec 12;18(12):e1010994. doi: 10.1371/journal.ppat.1010994. eCollection 2022 Dec.

Abstract

The emergence of new variants of SARS-CoV-2 necessitates unremitting efforts to discover novel therapeutic monoclonal antibodies (mAbs). Here, we report an extremely potent mAb named P4A2 that can neutralize all the circulating variants of concern (VOCs) with high efficiency, including the highly transmissible Omicron. The crystal structure of the P4A2 Fab:RBD complex revealed that the residues of the RBD that interact with P4A2 are a part of the ACE2-receptor-binding motif and are not mutated in any of the VOCs. The pan coronavirus pseudotyped neutralization assay confirmed that the P4A2 mAb is specific for SARS-CoV-2 and its VOCs. Passive administration of P4A2 to K18-hACE2 transgenic mice conferred protection, both prophylactically and therapeutically, against challenge with VOCs. Overall, our data shows that, the P4A2 mAb has immense therapeutic potential to neutralize the current circulating VOCs. Due to the overlap between the P4A2 epitope and ACE2 binding site on spike-RBD, P4A2 may also be highly effective against a number of future variants.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiotensin-Converting Enzyme 2* / chemistry
  • Animals
  • Antibodies, Monoclonal / therapeutic use
  • Antibodies, Neutralizing* / therapeutic use
  • Antibodies, Viral / therapeutic use
  • COVID-19* / immunology
  • COVID-19* / therapy
  • Humans
  • Mice
  • Mice, Transgenic
  • Neutralization Tests
  • SARS-CoV-2* / genetics
  • SARS-CoV-2* / immunology
  • Spike Glycoprotein, Coronavirus / genetics

Substances

  • Angiotensin-Converting Enzyme 2
  • Antibodies, Monoclonal
  • Antibodies, Neutralizing
  • Antibodies, Viral
  • Spike Glycoprotein, Coronavirus
  • spike protein, SARS-CoV-2

Supplementary concepts

  • SARS-CoV-2 variants

Grants and funding

The work for isolation and characterization of mAbs was supported by the Translational Health Science and Technology Institute Intramural grant (Grant No. THSTI-T001 to RK) and GIISER South Asia grant from Bill and Melinda Gates Foundation, Seattle, USA (Grant No. Investment INV-030592 to PKG). Intramural funds from the Regional Centre for Biotechnology (RCB) were utilized for structural work in this study (Grant No. RCB- C01001 to DTN). THSTI and RCB are funded by the Department of Biotechnology, Ministry of Science and Technology, Government of India. Data collection at the ESRF was supported by the ESRF Access Program of the Department of Biotechnology (Grant No. BT/PR36150/INF/22/214/2020). Animal studies work was supported by financial support from BIRAC (Grant No. BT/CS0054/05/21 to AA). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.