The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.
SARS-CoV-2 RBD antibodies that maximize breadth and resistance to escape
Open accessAbstract
An ideal therapeutic anti-SARS-CoV-2 antibody would resist viral escape1–3, have activity against diverse sarbecoviruses4–7, and be highly protective through viral neutralization8–11 and effector functions12,13. Understanding how these properties relate to each other and vary across epitopes would aid the development of therapeutic antibodies and guide vaccine design. Here we comprehensively characterize escape, breadth and potency across a panel of SARS-CoV-2 antibodies targeting the receptor-binding domain (RBD). Despite a trade-off between in vitro neutralization potency and breadth of sarbecovirus binding, we identify neutralizing antibodies with exceptional sarbecovirus breadth and a corresponding resistance to SARS-CoV-2 escape. One of these antibodies, S2H97, binds with high affinity across all sarbecovirus clades to a cryptic epitope and prophylactically protects hamsters from viral challenge. Antibodies that target the angiotensin-converting enzyme 2 (ACE2) receptor-binding motif (RBM) typically have poor breadth and are readily escaped by mutations despite high neutralization potency. Nevertheless, we also characterize a potent RBM antibody (S2E128) with breadth across sarbecoviruses related to SARS-CoV-2 and a high barrier to viral escape. These data highlight principles underlying variation in escape, breadth and potency among antibodies that target the RBD, and identify epitopes and features to prioritize for therapeutic development against the current and potential future pandemics. A survey of SARS-CoV-2 RBD antibodies identifies those with activity against diverse SARS-CoV-2 variants and SARS-related coronaviruses, highlighting epitopes and features to prioritize in antibody and vaccine development.
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Self-citationSARS-CoV-2 neutralizing antibody structures inform therapeutic strategies
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Cited by
Omicron escapes the majority of existing SARS-CoV-2 neutralizing antibodies
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Structural basis of SARS-CoV-2 Omicron immune evasion and receptor engagement
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“The isolation of RBD-specific cross-reactive mAbs neutralizing SARS-CoV-2 and SARS-CoV suggests that RBD-based vaccines could, in principle, elicit Abs that neutralize distantly related sarbecoviruses, which have future pandemic potential (Cathcart et al., 2021; Jette et al., 2021; Martinez et al., 2021a; Pinto et al.…”
InfluentialSelf-citationAn antibody-escape estimator for mutations to the SARS-CoV-2 receptor-binding domain
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Metadata
- Authors
- Starr, T. N., Czudnochowski, N., Liu, Z., Zatta, F., Park, Y.-J., Addetia, A., Pinto, D., Beltramello, M., Hernandez, P., Greaney, A. J., Marzi, R., Glass, W. G., Zhang, I., Dingens, A. S., Bowen, J. E., Tortorici, M. A., Walls, A. C., Wojcechowskyj, J. A., De Marco, A., Rosen, L. E., Zhou, J., Montiel-Ruiz, M., Kaiser, H., Dillen, J. R., Tucker, H., Bassi, J., Silacci-Fregni, C., Housley, M. P., di Iulio, J., Lombardo, G., Agostini, M., Sprugasci, N., Culap, K., Jaconi, S., Meury, M., Dellota Jr, E., Abdelnabi, R., Foo, S.-Y. C., Cameroni, E., Stumpf, S., Croll, T. I., Nix, J. C., Havenar-Daughton, C., Piccoli, L., Benigni, F., Neyts, J., Telenti, A., Lempp, F. A., Pizzuto, M. S., Chodera, J. D., Hebner, C. M., Virgin, H. W., Whelan, S. P. J., Veesler, D., Corti, D., Bloom, J. D., & Snell, G.
- Venue
- Nature
- Published
- 2021-07-14
- Volume
- 597
- Issue
- 7874
- Pages
- 97-102
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W3179071715
- Cited by
- 515
- References
- 35
- FWCI
- 29.91
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Starr, T. N., Czudnochowski, N., Liu, Z., Zatta, F., Park, Y.-J., Addetia, A., Pinto, D., Beltramello, M., Hernandez, P., Greaney, A. J., Marzi, R., Glass, W. G., Zhang, I., Dingens, A. S., Bowen, J. E., Tortorici, M. A., Walls, A. C., Wojcechowskyj, J. A., De Marco, A., . . . Snell, G. (2021). SARS-CoV-2 RBD antibodies that maximize breadth and resistance to escape. Nature. https://doi.org/10.1038/s41586-021-03807-6
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