Breadth and function of antibody response to acute SARS-CoV-2 infection in humans.

Breadth and function of antibody response to acute SARS-CoV-2 infection in humans.
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人类急性SARS-CoV-2感染抗体应答的广度和功能。

DOI:
10.1371/journal.ppat.1009352
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发表时间:
2021-03
期刊:
影响因子:
6.7
通讯作者:
Townsend AR
Townsend AR
中科院分区:
医学1区
文献类型:
--
作者:
Huang KA;Tan TK;Chen TH;Huang CG;Harvey R;Hussain S;Chen CP;Harding A;Gilbert-Jaramillo J;Liu X;Knight M;Schimanski L;Shih SR;Lin YC;Cheng CY;Cheng SH;Huang YC;Lin TY;Jan JT;Ma C;James W;Daniels RS;McCauley JW;Rijal P;Townsend AR

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Serological and plasmablast responses and plasmablast-derived IgG monoclonal antibodies (MAbs) have been analysed in three COVID-19 patients with different clinical severities. Potent humoral responses were detected within 3 weeks of onset of illness in all patients and the serological titre was elicited soon after or concomitantly with peripheral plasmablast response. An average of 13.7% and 3.5% of plasmablast-derived MAbs were reactive with virus spike glycoprotein or nucleocapsid, respectively. A subset of anti-spike (10 of 32) antibodies cross-reacted with other betacoronaviruses tested and harboured extensive somatic mutations, indicative of an expansion of memory B cells upon SARS-CoV-2 infection. Fourteen of 32 anti-spike MAbs, including five anti-receptor-binding domain (RBD), three anti-non-RBD S1 and six anti-S2, neutralised wild-type SARS-CoV-2 in independent assays. Anti-RBD MAbs were further grouped into four cross-inhibiting clusters, of which six antibodies from three separate clusters blocked the binding of RBD to ACE2 and five were neutralising. All ACE2-blocking anti-RBD antibodies were isolated from two recovered patients with prolonged fever, which is compatible with substantial ACE2-blocking response in their sera. Finally, the identification of non-competing pairs of neutralising antibodies would offer potential templates for the development of prophylactic and therapeutic agents against SARS-CoV-2. The global COVID-19 outbreak poses a serious threat to human health and antibody-mediated immunity plays a key role in controlling acute viral infection in humans. We report the complete mapping of antibody responses, from serology through to single plasmablast-derived antibody clone, in three COVID-19 patients with different severities. The data show that a subset of anti-spike plasmablast-derived antibodies cross-react with other betacoronaviruses including human coronavirus OC43, which suggests an expansion of memory B cells upon SARS-CoV-2 infection. Anti-SARS-CoV-2 spike antibody clones target a diverse spectrum of epitopes on the receptor-binding domain (RBD), non-RBD S1 and S2 regions of the spike glycoprotein, 40% of them neutralise wild-type SARS-CoV-2. Anti-RBD antibodies constitute a major part of neutralising antibody response. Potent antibodies target three non-overlapping epitopes on the RBD, and the neutralising activity is linked to ACE2-binding blockade. Combinations of multiple antibody clones targeting non-overlapping epitopes offer a potential avenue to combat the global outbreak.
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