A therapeutic neutralizing antibody targeting receptor binding domain of SARS-CoV-2 spike protein.

A therapeutic neutralizing antibody targeting receptor binding domain of SARS-CoV-2 spike protein.
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DOI:
10.1038/s41467-020-20602-5
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发表时间:
2021-01-12
影响因子:
16.6
通讯作者:
Lee SY
Lee SY
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Kim C;Ryu DK;Lee J;Kim YI;Seo JM;Kim YG;Jeong JH;Kim M;Kim JI;Kim P;Bae JS;Shim EY;Lee MS;Kim MS;Noh H;Park GS;Park JS;Son D;An Y;Lee JN;Kwon KS;Lee JY;Lee H;Yang JS;Kim KC;Kim SS;Woo HM;Kim JW;Park MS;Yu KM;Kim SM;Kim EH;Park SJ;Jeong ST;Yu CH;Song Y;Gu SH;Oh H;Koo BS;Hong JJ;Ryu CM;Park WB;Oh MD;Choi YK;Lee SY

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严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)引起的大流行急需疫苗和治疗药物。在这里,我们筛选人单克隆抗体(mAb)靶向的受体结合结构域(RBD)的病毒刺突蛋白通过抗体库从外周血单个核细胞的康复期患者。CT-P59 mAb可有效中和SARS-CoV-2分离株,包括D 614 G变体,无抗体依赖性增强效应。CT-P59 Fab/RBD的复杂晶体结构表明,CT-P59阻断RBD与血管紧张素转换酶2(ACE 2)受体的相互作用区域,其取向与先前报道的RBD靶向mAb明显不同。此外,在三种动物模型(雪貂、仓鼠和恒河猴)中评价了CT-P59的治疗效果,证明病毒滴度沿着临床症状的缓解显著降低。因此,CT-P59可能是COVID-19的有希望的治疗候选物。由SARS-CoV-2病毒大流行引起的COVID-19的治疗和疫苗是迫切需要的。在本文中,作者从恢复期COVID-19患者中建立并筛选了一个抗体库,以分离出一种中和抗体,该抗体能够在雪貂、仓鼠和恒河猴感染模型中降低病毒滴度并缓解症状。
Vaccines and therapeutics are urgently needed for the pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Here, we screen human monoclonal antibodies (mAb) targeting the receptor binding domain (RBD) of the viral spike protein via antibody library constructed from peripheral blood mononuclear cells of a convalescent patient. The CT-P59 mAb potently neutralizes SARS-CoV-2 isolates including the D614G variant without antibody-dependent enhancement effect. Complex crystal structure of CT-P59 Fab/RBD shows that CT-P59 blocks interaction regions of RBD for angiotensin converting enzyme 2 (ACE2) receptor with an orientation that is notably different from previously reported RBD-targeting mAbs. Furthermore, therapeutic effects of CT-P59 are evaluated in three animal models (ferret, hamster, and rhesus monkey), demonstrating a substantial reduction in viral titer along with alleviation of clinical symptoms. Therefore, CT-P59 may be a promising therapeutic candidate for COVID-19. Therapies and vaccines for COVID-19, caused by the SARS-CoV-2 viral pandemic, are urgently needed. Here the authors establish and screen an antibody library from a convalescent COVID-19 patient to isolate a neutralizing antibody with the ability to reduce viral titer and alleviate symptoms in ferret, hamster, and rhesus monkey infection models.
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