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N-terminal domain antigenic mapping reveals a site of vulnerability for SARS-CoV-2
Open accessPreprint — published as 10.1016/j.cell.2021.03.028 · Paper page
Abstract
SARS-CoV-2 entry into host cells is orchestrated by the spike (S) glycoprotein that contains an immunodominant receptor-binding domain (RBD) targeted by the largest fraction of neutralizing antibodies (Abs) in COVID-19 patient plasma. Little is known about neutralizing Abs binding to epitopes outside the RBD and their contribution to protection. Here, we describe 41 human monoclonal Abs (mAbs) derived from memory B cells, which recognize the SARS-CoV-2 S N-terminal domain (NTD) and show that a subset of them neutralize SARS-CoV-2 ultrapotently. We define an antigenic map of the SARS-CoV-2 NTD and identify a supersite recognized by all known NTD-specific neutralizing mAbs. These mAbs inhibit cell-to-cell fusion, activate effector functions, and protect Syrian hamsters from SARS-CoV-2 challenge. SARS-CoV-2 variants, including the 501Y.V2 and B.1.1.7 lineages, harbor frequent mutations localized in the NTD supersite suggesting ongoing selective pressure and the importance of NTD-specific neutralizing mAbs to protective immunity.
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“Neutralizing mAbs that bind regions of the viral spike have also been identified (24, 33, 38–42).”
From mRNA vaccination boosts cross-variant neutralizing antibodies elicited by SARS-CoV-2 infection (2021) · cites this paper as [39]
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“In older adults mean GMT was only 12 in a preliminary analysis of 12 participants19 and increased to 109 after the second dose.”
From Sensitivity of SARS-CoV-2 B.1.1.7 to mRNA vaccine-elicited antibodies (2021) · cites this paper as [19]
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Díaz-Salinas, M. A., Li, Q., Ejemel, M., Yurkovetskiy, L., Luban, J., Shen, K., Wang, Y., & Munro, J. B. (2022) · eLife · doi:10.7554/elife.75433 · Cited by 81
“Several mAbs have been identified that target epitopes outside of the RBD, some of which bind the NTD and are potently neutralizing ( Cerutti et al., 2021 ; Chi et al., 2020 ; McCallum et al., 2021b ; Suryadevara et al., 2021 ).”
Discovery of ultrapotent broadly neutralizing antibodies from SARS-CoV-2 elite neutralizers
Vanshylla, K., Fan, C., Wunsch, M., Poopalasingam, N., Meijers, M., Kreer, C., Kleipass, F., Ruchnewitz, D., Ercanoglu, M. S., Gruell, H., et al. (2021) · Cell Host & Microbe · doi:10.1016/j.chom.2021.12.010 · Cited by 58
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“…respect to theN-terminal domain (NTD) and the receptor-binding domain (RBD; the portion of the S protein that binds to the ACE2 receptor; Hoffmann et al., 2020; Zhou et al., 2020), which both are known to harbor key epitopes of neutralizing antibodies (McCallum et al., 2021; Piccoli et al., 2020).”
Inter-domain communication in SARS-CoV-2 spike proteins controls protease-triggered cell entry
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InfluentialNarowski, T. M., Raphel, K., Adams, L. E., Huang, J., Vielot, N. A., Jadi, R., de Silva, A. M., Baric, R. S., Lafleur, J., & Premkumar, L. (2022) · Cell Reports · doi:10.1016/j.celrep.2022.110336 · Cited by 53
“A subset of the NTD-specific antibody also neutralizes SARS-CoV-2 by targeting a supersite, possibly preventing proteolytic activation, membrane fusion, or spike protein interactions with an auxiliary receptor (McCallum et al., 2021).”
BackgroundRapid lateral flow tests for the detection of SARS-CoV-2 neutralizing antibodies
Wang, J. J., Zhang, N., Richardson, S. A., & Wu, J. V. (2021) · Expert Review of Molecular Diagnostics · doi:10.1080/14737159.2021.1913123 · Cited by 49
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“We have previously isolated three neutralizing monoclonal antibodies (mAbs) that bind to spike but not to RBD, NTD, or S2 (Graham et al., 2021; Seow et al., 2022).”
InfluentialHaslwanter, D., Dieterle, M. E., Wec, A. Z., O’Brien, C. M., Sakharkar, M., Florez, C., Tong, K., Rappazzo, C. G., Lasso, G., Vergnolle, O., et al. (2021) · mBio · doi:10.1128/mbio.02473-21 · Cited by 55
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“Deletions in the NTD may contribute to altered antibody recognition [61,62] with genetic variation in this region also suggested as supporting conformational changes in the spike protein [63,64], either permitting or compensating for other changes in the RBD, with which they are often associated.”
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Characterization of the enhanced infectivity and antibody evasion of Omicron BA.2.75
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“Interestingly, the majority of these substitutions are highly enriched in the peripheral region of the S-trimer, adjacent to the NTD super-site (Figure 4E), presumably escaping neutralizing antibodies and modulating entry efficiency (Cerutti et al., 2021; McCallum et al., 2021).”
Lenart, K., Hellgren, F., Ols, S., Yan, X., Cagigi, A., Cerveira, R. A., Winge, I. P., Hanczak, J., Mueller, S. O., Jasny, E., et al. (2022) · Molecular Therapy — Methods & Clinical Development · doi:10.1016/j.omtm.2022.10.001 · Cited by 40
Evolutionary remodelling of N‐terminal domain loops fine‐tunes SARS‐CoV‐2 spike
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“Whilst N-loop variation can directly impact antigenicity (Graham et al , 2021; Mlcochova et al , 2021; Planas et al , 2021; preprint: McCallum et al , 2021b), our work suggests that immune selection is not the sole evolutionary driver.”
Triveri, A., Serapian, S. A., Marchetti, F., Doria, F., Pavoni, S., Cinquini, F., Moroni, E., Rasola, A., Frigerio, F., & Colombo, G. (2021) · Journal of Chemical Information and Modeling · doi:10.1021/acs.jcim.1c00857 · Cited by 38
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“These observations highlight the continued immunological selection to evade potent NTD-targeting mAbs ( Harvey et al., 2021; McCallum et al., 2021b).”
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“…antibodies which bind at the ACE2 binding site of the RBD, and hence cannot quantify antibodies binding to other regions of spike or nucleocapsid 19 , but the RBD is a dominant target of neutralizing antibodies, and hence, as confirmed by the strong correlation with neutralization titer over…”
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Human coronavirus HKU1 recognition of the TMPRSS2 host receptor
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“These TMPRSS2 constructs harbored S441 (unless otherwise noted), DS-stabilizing mutations, the N249 glycan, and SUMO tag; these constructs auto-activated during purification—except for S441A constructs, which were activated by enterokinase—simultaneously removing theSUMOtag.”
Self-citationSARS-CoV-2 spike E156G/Δ157-158 mutations contribute to increased infectivity and immune escape
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“Beta variant spike proteins carry three amino acid deletion LAL242-244 in the NTD (Meng et al, 2021; Wang et al, 2021), which does not change the neutralization effect of antibodies, but specific antibodies such as 4A8 are shown not to neutralize the virus (Wang et al, 2021; Wibmer et al, 2021).”
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“exchange values at labelling times 1 and 10 min for S protein domains NTD (i), RBD (ii) and S2 domain (iii) are mapped on to the respective structures (C) Differences in deuterium exchange values at labelling times t= 1 min and 10 min are mapped on to the full-length S protein (14-1208) structure.”
BackgroundShould we discount the laboratory origin of COVID-19?
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“To confirm the signature of positive selection on S1 and to detect possible positive selection in other genomic regions, we carried out the McDonald– Kreitman test (Mcdonald and Kreitman 1991) on the VOC/VOI lineages.”
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“…domain (NTD) and the constellation of substitutions in the receptor-binding domain, such as K417N/T, L452R, E484K/Q, and N501Y (Barnes et al., 2020; Chen et al., 2021; Chi et al., 2020; Corti et al., 2021; Garcia-Beltran et al., 2021; Harvey et al., 2021; McCallum et al., 2021; Planas et al.,…”
InfluentialStructure-activity relationships of B.1.617 and other SARS-CoV-2 spike variantsPreprint
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“Overall, these results suggest that some antibodies described here neutralize SARS-CoV-2 through mechanisms beyond direct receptor binding inhibition, such as inhibiting membrane fusion (McCallum et al., 2021) or S1 shedding (Piccoli et al., 2020), which need be investigated further.”
InfluentialFidan, Ö., Mujwar, S., & Kciuk, M. (2022) · Molecular Diversity · doi:10.1007/s11030-022-10440-6 · Cited by 42
Mapping cross-variant neutralizing sites on the SARS-CoV-2 spike protein
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“Several of these regions overlap with the putative residues of the recently identified NTD antigenic supersite, and deletions within them can abrogate binding to neutralizing antibodies 13–15 .”
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“The RBD and NTD are two crucial domains of the S1 subunit that are responsible for interacting with host cell receptor (ACE2) and recognizing various attachment factors, respectively [3-9].”
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The Genetic Variant of SARS-CoV-2: Would it matter for Controlling the Devastating Pandemic?
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“D142L is in one of multiple loops in the NTD that form an antigenic supersite (41) and help modulate the efficiency of spike-mediated cell entry (42).”
Niesen, M. J. M., Anand, P., Silvert, E., Suratekar, R., Pawlowski, C., Ghosh, P., Lenehan, P. J., Hughes, T. K., Zemmour, D., O’Horo, J. C., et al. (2021) · medRxiv · doi:10.1101/2021.07.01.21259833 · Cited by 29
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“In fact, NAbs are a subset of the total polyclonal response to the virus whose relevance has emerged for their strong correlation with the immune protection induced by vaccines [62,63].”
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Proteases and variants: context matters for SARS-CoV-2 entry assays
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Immunogenicity of COVID-19 vaccines and their effect on HIV reservoir in older people with HIV
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“Furthermore, several non-overlapping neutralizing epitopes on NTD have been identified that are susceptible to sequence variation in this region (Cerutti et al., 2021; Graham et al., 2021; McCallum et al., 2021; Suryadevara et al., 2021).”
InfluentialRichard, D., Shaw, L. P., Lanfear, R., Corbett-Detig, R. B., Hinrichs, A. S., McBroome, J., Turakhia, Y., Acman, M., Owen, C. J., Tan, C. C. S., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.05.06.442903 · Cited by 20
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“A mildly neutralizing antibody targeting the RBD proximal side (site iv) also has been identified, namely C1791 (IC50 of 824ng/mL), which sits between the N61 and N234 linked glycans, similar to non-neutralizing mAb S2L20 (McCallum et al., 2021; Wang, Muecksch, et al., 2022) (Fig.”
InfluentialBellucci, M., Germano, F., Grisanti, S. G., Castellano, C., Tazza, F., Mobilia, E. M., Visigalli, D., Novi, G., Massa, F., Rossi, S., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.894872 · Cited by 19
“Outside the RBD, the N-terminal-domains (NTDs) of SARS-CoV-2 spike protein have been identified as supersites recognized by human NTD antibodies, some of which are able to neutralize SARS-CoV-2 ultrapotently (13).”
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A Potent and Protective Human Neutralizing Antibody Against SARS-CoV-2 Variants
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A SARS-CoV-2 omicron (B.1.1.529) variant outbreak in a primary school in Geneva, Switzerland
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“Of note, N-612-017 CDRH2 loop residues contact RBD positions frequently mutated among circulating variants (Deng et al., 2021; Kuzmina et al., 2021; McCallum et al., 2021a; Wang et al., 2021).”
InfluentialSARS-CoV-2 spike conformation determines plasma neutralizing activityPreprint
Bowen, J. E., Walls, A. C., Joshi, A., Sprouse, K. R., Stewart, C., Tortorici, M. A., Franko, N., Logue, J. K., Mazzitelli, I. G., Tilles, S. W., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.12.19.473391 · Cited by 21
“…antibodies broadly neutralizing SARS-CoV-2 variants is reminiscent of recent reports describing broadly neutralizing sarbecovirus monoclonal antibodies isolated from infected subjects ( 12 – 14 , 16 , 18 , 64 – 67 ) and the rapid accumulations of mutations in the NTD ( 20 , 54 , 61 – 63 ).”
InfluentialSelf-citationFrancino-Urdaniz, I. M., & Whitehead, T. A. (2021) · RSC Chemical Biology · doi:10.1039/d1cb00169h · Cited by 28
“34 Overall, X-ray crystallography has been a key technique in the study of SARS-CoV-2 epitopes as it was used to define individual conserved and non-conserved epitopes on the RBD and NTD of the SARS-CoV-2 S. Key limitations of this technique include the difficulty of the preparation of high…”
BackgroundMethodLiang, B., Zhu, Y., Shi, W., Ni, C., Tan, B., & Tang, S. (2023) · Research · doi:10.34133/research.0078 · Cited by 17
“Apart from that, the confidence scores in NTD, HR2, TM, and CT areas are in range of 70 to 90, reflecting the immunologically important variation and other functions [35].”
BackgroundThe Comparison of Mutational Progression in SARS-CoV-2: A Short Updated Overview
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“N969K (asparagine to lysine) not only induces reduced infectivity but is also reported to displace the HR2 (heptad repeat 2) backbone [18].”
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“Recent reports suggest that NTD (N-Terminal Domain) is known to be supersite for antibody-mediated binding [10, 25, 33].”
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“Mutations associated with neutralization escape are mostly found in the receptor binding domain (RBD) of spike, although the N-terminal domain is also important (14, 15).”
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“…the moment, the world’s concern is focused in about four functionally well-defined variants, B.1.1.7 (Alpha), B.1.351 (Beta), P.1 (Gamma) and B.1.617.2 (Delta) associated with viral fitness changes (Faria et al., 2021; Hodcroft, 2021; McCallum et al., 2021; Tang et al., 2021; Tegally et al., 2021).”
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“have probably no effect on the viral transmission, severity, and antibody escape due to its structural position; rather, super‐spreading founder events might be the reason behind its faster spreading.(17,111)”
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On the origin of Omicron's unique Spike gene insertion
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“This antibody targets an epitope outside the defined antigenic supersite in NTD and is one of the few NTD-targeting antibodies isolated pre-Omicron that still retains some potency against Omicron variants (Cerutti et al., 2021; Liu et al., 2022; McCallum et al., 2021).”
Metadata
- Authors
- McCallum, M., Marco, A. D., Lempp, F., Tortorici, M. A., Pinto, D., Walls, A. C., Beltramello, M., Chen, A., Liu, Z., Zatta, F., Zepeda, S., di Iulio, J., Bowen, J. E., Montiel-Ruiz, M., Zhou, J., Rosen, L. E., Bianchi, S., Guarino, B., Fregni, C. S., Abdelnabi, R., Caroline Foo, S.-Y., Rothlauf, P. W., Bloyet, L.-M., Benigni, F., Cameroni, E., Neyts, J., Riva, A., Snell, G., Telenti, A., Whelan, S. P. J., Virgin, H. W., Corti, D., Pizzuto, M. S., & Veesler, D.
- Affiliations
- University of Washington (US)
- Vir Biotechnology (Switzerland) (CH)
- VIR Biotechnology (United States) (US)
- Centre National de la Recherche Scientifique (FR)
- Washington University in St. Louis (US)
- Rega Institute for Medical Research (BE)
- University of Milan (IT)
- Corresponding author
- Corti, Davide
- Pizzuto, Matteo Samuele
- Veesler, David
- ORCID
- McCallum, Matthew
- Marco, Anna De
- Lempp, Florian
- Tortorici, M. Alejandra
- Pinto, Dora
- Walls, Alexandra C.
- Beltramello, Martina
- Chen, Alex
- Liu, Zhuoming
- Zatta, Fabrizia
- Zepeda, Samantha
- Bowen, John E.
- Montiel-Ruiz, Martin
- Zhou, Jiayi
- Rosen, Laura E.
- Bianchi, Siro
- Guarino, Barbara
- Abdelnabi, Rana
- Rothlauf, Paul W.
- Bloyet, Louis-Marie
- Benigni, Fabio
- Cameroni, Elisabetta
- Neyts, Johan
- Riva, Agostino
- Snell, Gyorgy
- Telenti, Amalio
- Whelan, Sean P.J.
- Virgin, Herbert W.
- Corti, Davide
- Pizzuto, Matteo Samuele
- Veesler, David
- Venue
- Cell
- Publisher
- openRxiv
- Published
- 2021-01-14
- Volume
- 184
- Issue
- 9
- Pages
- 2332-2347.e16
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC7814825
- OpenAlex
- W3136616180
- Cited by
- 901
- References
- 0
- Citations by year
- 2026: 38 · 2025: 64 · 2024: 92 · 2023: 154 · 2022: 270 · 2021: 269
- FWCI
- 62.32
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cell (publishedVersion)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Lirias (acceptedVersion, other-oa)
- PubMed Central (submittedVersion)
- HAL (submittedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- Lirias (submittedVersion, other-oa)
- Funders
- Burroughs Wellcome Fund
- University of Washington
- Fast Grants
- National Institutes of Health (1s10od023476-01)
- Natural Sciences and Engineering Research Council of Canada (HHSN272201700059C)
- National Institute of General Medical Sciences (R01GM120553, T32GM008268)
- National Institute of Allergy and Infectious Diseases (HHSN272201700059C, DP1AI158186)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › vaccines and immunoinformatics approaches
- Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Animal Virus Infections Studies
- Keywords
- SARS-CoV-2, spike protein, N-terminal domain, neutralizing antibodies, monoclonal antibodies, antigenic mapping, receptor binding domain, SARS-CoV-2 variants, Alpha variant, Beta variant, P.1 lineage, vaccine design
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