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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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RECUR: identifying recurrent amino acid substitutions from multiple sequence alignments
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“…P.1, and B.1.167.2 (delta) variants are differentially resistant to the neutralizing antibodies elicited in convalescent and vaccinated individuals (Chen et al., 2021; Collier et al., 2021; Edara etal., 2021; Garcia-Beltran et al., 2021; Liu et al., 2021a, 2021b; Mlco-chova et al., 2021; Wang et…”
InfluentialWeidenbacher, P. A. B., Waltari, E., Kobara, I. D. L. R., Bell, B. N., Pak, J. E., & Kim, P. S. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.01.24.477625 · Cited by 1
Zhou, L., Wu, L., Peng, C., Yang, Y., Shi, Y., Xu, Z., & Zhu, W. (2021) · doi:10.33774/chemrxiv-2021-68zn8 · Cited by 1
“(B) The percentage of different numbers of hydrogen bonds in the whole 500ns simulation for prototype NTD(5-24) complex.”
BackgroundLiu, W.-Z., & Li, H.-L. (2021) · doi:10.33774/chemrxiv-2021-m7456 · Cited by 2
“An NTD supersite of attack.”
BackgroundInfluentialCerutti, G., Guo, Y.-C., Wang, P., Nair, M., Huang, Y.-X., Yu, J., Liu, L.-H., Katsamba, P., Bahna, F., Reddem, E., et al. (2021) · bioRxiv · doi:10.1101/2021.06.29.450397 · Cited by 2
Zhang, J. Z., Yeh, H.-W., Walls, A., Wicky, B., Sprouse, K., VanBlargan, L. A., Treger, R. S., Quijano-Rubio, A., Pham, M. N., Kraft, J. C., et al. (2021) · bioRxiv · doi:10.1101/2021.06.22.449355 · Cited by 2
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“and 371 extend the same three-domain pattern: T95I has been a recurrent feature of the NTD antigenic “supersite” (McCallum et al., 2021; McCarthy et al., 2021), V367F lies in the RBD core that contacts ACE2 (Starr et al., 2020), and S371F/L is one of the diagnostic Omicron BA.1 substitutions (Cao…”
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“The majority of these antibodies lost activity against Omicron subvariants (5).”
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“Mutations at this site can reduce the binding affinity to monoclonal antibodies 4A8 and S2M28 [26, 27].”
Hawkins, M., Robley, B., Alem, F., et al. (2025) · Research Square · doi:10.21203/rs.3.rs-5068132/v1 · Cited by 1
“In addition, recent studies [14, 15] have revealed a potential role for the NTD during infection and have suggested a combined RBD and NTD approach of virus neutralization may be a better way forward in disease treatment.”
Genome data artifacts and functional studies of deletion repair in the BA.1 SARS-CoV-2 spike protein
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“This domain is characterized by recurrent deletions occurring in distinct independent lineages (McCarthy et al. 2021, Meng et al. 2021, Planas et al. 2021, McCallum et al. 2021a, 2021b, Tamura et al. 2023).”
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“Both neutralizing (13-18) and infection-enhancing antibodies (19,20,23) directed to the NTD have been described, but their role, if any, in modulating SARS-CoV-2 infection and disease is less clear.”
BackgroundMolecular evolution and targeted recombination of SARS-CoV-2 in South Korea
Demirev, A. V., Lee, K., Bae, J., Park, H., Park, S., Kim, H., Lee, J., Cho, J., Yang, J., Kim, K.-C., et al. (2023) · iScience · doi:10.1016/j.isci.2023.107689 · Cited by 1
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“The N-terminal domain (NTD) of the S1 subunit has a supersite to which most NTD-specific neutralizing antibodies can bind; this suggests that mutations in the NTD potentially serve as a selective pressure for SARS-CoV-2 variants [46].”
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“On the other hand, it is well known that the biological variability of the SARS-CoV2 coronavirus represents a challenge, as the virus naturally mutates to form new variants during transmission, making it difficult to determine their impact on the current disease pathology, such as higher infectivity, which could affec…”
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Construction of a potent pan-vaccine based on the evolutionary tendency of SARS-CoV-2 spike proteinPreprint
Zhao, Y., Ni, W., Liang, S., Dong, L., Xiang, M., Cai, Z., Niu, D., Zhang, Q., Wang, D., Zheng, Y., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.12.21.473594 · Cited by 1
“351) to escape the mAb therapies or vaccines (17, 18).”
BackgroundSchmedes, S. E., Azarian, T., Cella, E., Motes, J., Tekin, O., Weiss, J., Miller, N., & Blanton, J. L. (2021) · medRxiv · doi:10.1101/2021.12.03.21266538 · Cited by 2
“Recently, three studies identified an antigenic supersite in the NTD, which includes three of five loops on the NTD at amino acid residues 14-26, 141-156, and 246-260 (39, 40, 42, 43).”
BackgroundChiara, M., Horner, D. S., Ferrandi, E., Gissi, C., & Pesole, G. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.06.23.449558 · Cited by 1
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SARS-CoV-2 Mutations and their Viral Variants
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“The S:Y144 deletion, however, has also been shown to be associated with some antibody escape without being a part of the four-amino-acid deletion at positions 141–144 ( Haynes et al. 2021, McCallum et al. 2021).”
Freyn, A. W., Budigi, Y., Girard, B., Santos, G., Harmon, C., Hasan, M. M., McGrath, S., Paila, Y. D., Carfı́, A., Edwards, D., et al. (2026) · The Journal of Infectious Diseases · doi:10.1093/infdis/jiag248
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“…the central resistance challenge for S-directed interventions: single-epitope pressure can be escaped rapidly, and deep mutational-scanning maps across the RBD and the NTD “supersite” identify numerous substitutions that ablate binding, several of which later emerged in variants of concern [64–66].”
Lebatteux, D., Corso, F., Soudeyns, H., Boucoiran, I., Gantt, S., & Diallo, A. (2026) · bioRxiv · doi:10.64898/2026.05.15.725339
“Positions 142–144 (KSS = 0.99; G142D, V143del, Y144del) and 211–213 (KSS = 0.97; N211del, L212I, V213G) correspond to primary deletion clusters defining Omicron, Delta, and Alpha lineages within the NTD antigenic supersite targeted by neutralizing antibodies [58–60].”
InfluentialCharacterization of Mutational Clusters in the N-Terminal Domain of SARS-CoV-2 Spike Protein
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“The NTD is a hotspot region that harbored many mutations and indels that participated in emergence of new circulating lineages and sublineages [11,12].”
Conservation of Bacterial Lipopolysaccharide Binding by SARS-CoV-2 Spike across Major Viral Variants
Samsudin, F., Petruk, G., Rui, L., Schmidtchen, A., & Bond, P. J. (2026) · Computational and Structural Biotechnology Journal · doi:10.34133/csbj.0040
“In the NTD, almost all of the mutations are located in the antigenic supersite, the region at the outer edge of the domain, which is one of the primary epitopes of neutralizing antibodies [ 23 , 24 ].”
Kotzen, B., Gurev, S. F., Youssef, N., Jaimes, J. A., Luban, J., Marks, D. S., Seaman, M. S., & Lemieux, J. E. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.02.26.706090
“The NTD, particularly the NTD supersite, is also a strong target for antibodies(29,30,32).”
InfluentialAntigenic landscape of a highly mutated SARS-CoV-2 Spike in ongoing viral evolution
Turelli, P., Eray, E., Raclot, C., et al. (2026) · bioRxiv · doi:10.64898/2026.02.27.708159
“Some potent NTD-targeting nAbs are public antibodies ( 12 , 13 ) that bind a common antigenic supersite spanning residues Q14-T20, F140-R158 and H245-A264 in the NTD loops N1, N3 and N5, respectively ( 13 ).”
Yeo, J., Yun, M.-R., Kim, S.-Y., Seok, J.-H., Jeon, J. H., Lee, T., Kim, J., Kim, K., Park, M., Kim, D., et al. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1718740
pH-induced structural changes in SARS-CoV-2 spike variantsPreprint
Oliveira, A. S. F., Tulli, L., Kearns, F. L., Casalino, L., Rosenfeld, M. A., Berger, I., Schaffitzel, C., Davidson, A. D., Haddrell, A. E., Reid, J. P., et al. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.11.17.688702 · Cited by 1
“Residues L210-I216 are part of a flexible peripheral loop, located near the NTD antigenic supersite (147-151).”
Tracking down the origin and subsequent spread of SARS-CoV-2 lineage B.1.619
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“McCallum et al. (2021) found that H146Y reduced binding of various antibodies (S2M28, S2X28, and in particular of 4A8), indicating a higher chance of immune escape.”
Conde, L., Oliveira, D., Maciel, G., et al. (2025) · medRxiv · doi:10.1101/2025.01.14.25320505
“Similarly, the NTD plays a multifaceted role in viral attachment and entry but is also prone to mutations and deletions that alter antigenicity and enable immune evasion [42].”
Ащеулова, Т. В., Herasymchuk, N. M., Kochubiei, O., & Herasymchuk, U. S. (2024) · Zaporozhye Medical Journal · doi:10.14739/2310-1210.2024.4.302379
“Домен CD RBD S-білка HCoV розпізнає як конкретний для кожного виду HCoV специфічний рецептор кліти-ни-хазяїна, який є основною мішенню для антитіл, що нейтралізують вірус [12,13].”
Research progress in Fc‐effector functions against SARS‐CoV‐2
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Schoefbaenker, M., Neddermeyer, R., Guenther, T., et al. (2023) · medRxiv · doi:10.1101/2023.10.10.23296792
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Wagh, K., Shen, X., Theiler, J. P., Girard, B., Marshall, J.-C. A., Montefiori, D. C., & Korber, B. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.08.13.553144
Equivalent Binding Of Sera From Omicron And Delta Period To Future Omicron SubvariantsPreprint
Biswas, D., Mahalingam, G., Subaschandrabose, R. K., Priya, S., Ramachandran, R., Suresh, S., Mathivanan, T. V., Balu, N. V., Selvaraj, K., Nellickal, A. J., et al. (2023) · medRxiv · doi:10.1101/2023.08.04.23293670 · Cited by 1
“During infection, vaccination or reinfection, antibodies are directed towards all regions of the spike protein.(6,7) A “hybrid” response on repeat infection/vaccination is due to activation of immune memory targeting conserved regions between the strain and vaccine.”
BackgroundRapid emergence of transmissible SARS-CoV-2 variants in mild community cases
Crone, M., Hakki, S., Zhou, J., et al. (2023) · medRxiv · doi:10.1101/2023.02.15.23285923
“The mutations detected were in ORF7a (two large deletions, DF54-Q62insL and DA55-C67), a gene which blocks the incorporation of the antiviral host protein SERINC5 in virions (6), and the S gene (two nonsynonymous mutations, D253G and S255F), where mutations are known to cause immune-escape (9).”
BackgroundSelf-citationUnderlying driving forces of the SARS-CoV-2 evolution: immune evasion and ACE2 binding affinityPreprint
Ma, W., Fu, H., Jian, F., Cao, Y., & Li, M. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.02.06.527236
High-throughput identification of prefusion-stabilizing mutations in SARS-CoV-2 spikePreprint
Tan, T. J. C., Mou, Z., Lei, R., Ouyang, W. O., Yuan, M., Song, G., Andrabi, R., Wilson, I. A., Kieffer, C., Dai, X., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.09.24.509341 · Cited by 6
SARS‐CoV ‐2 Delta variant in Cartagena de Indias, Colombia, August 2021
Loyola, S., Torres‐Pacheco, J., Malambo‐García, D., & Gómez‐Camargo, D. (2022) · Health Science Reports · doi:10.1002/hsr2.480 · Cited by 1
Cutting epitopes to survive: the case of lambda variantPreprint
Pascarella, S., Ciccozzi, M., Bianchi, M., Benvenuto, D., Cauda, R., & Cassone, A. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.08.14.456353
Detection of the new SARS-CoV-2 variant B.1.526 with the Spike E484K mutation in South AmericaPreprint
Fernández‐Cadena, J. C., Muñoz, M., Gabriel Morey-León, G., Armas-González, R., Amaya-Márquez, D. J., Sacheri-Viteri, K., Cárdenas, P., Valiente‐Echeverría, F., Soto‐Rifo, R., & Andrade-Molina, D. (2021) · Research Square · doi:10.21203/rs.3.rs-248965/v1
Evaluating the Effect of SARS-CoV-2 Spike Mutations by Causal InferencePreprint
Wang, X., Hu, M., Liu, B., Xu, H., Jin, Y., Wang, B., Zhao, Y., Wu, J., Yue, J., & Ren, H. (2022) · Research Square · doi:10.21203/rs.3.rs-2215102/v1
Martin, D. P., Weaver, S., Tegally, H., San, E. J., Shank, S. D., Wilkinson, E., Lucaci, A. G., Giandhari, J., Naidoo, S., Pillay, Y., et al. (2021) · doi:10.1101/2021.02.23.21252268 · Cited by 291
Infectivity and immune escape of the new SARS-CoV-2 variant of interest Lambda
Acevedo, M. L., Alonso-Palomares, L., Bustamante, A., Gaggero, A., Paredes, F., Cortés, C. P., Valiente-Echeverría, F., & Soto-Rifo, R. (2021) · doi:10.1101/2021.06.28.21259673 · Cited by 99
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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