[HTML][HTML] Bispecific IgG neutralizes SARS-CoV-2 variants and prevents escape in mice

R De Gasparo, M Pedotti, L Simonelli, P Nickl… - Nature, 2021 - nature.com
R De Gasparo, M Pedotti, L Simonelli, P Nickl, F Muecksch, I Cassaniti, E Percivalle…
Nature, 2021nature.com
Neutralizing antibodies that target the receptor-binding domain (RBD) of the SARS-CoV-2
spike protein are among the most promising approaches against COVID-19,. A bispecific
IgG1-like molecule (CoV-X2) has been developed on the basis of C121 and C135, two
antibodies derived from donors who had recovered from COVID-19. Here we show that CoV-
X2 simultaneously binds two independent sites on the RBD and, unlike its parental
antibodies, prevents detectable spike binding to the cellular receptor of the virus …
Abstract
Neutralizing antibodies that target the receptor-binding domain (RBD) of the SARS-CoV-2 spike protein are among the most promising approaches against COVID-19,. A bispecific IgG1-like molecule (CoV-X2) has been developed on the basis of C121 and C135, two antibodies derived from donors who had recovered from COVID-19. Here we show that CoV-X2 simultaneously binds two independent sites on the RBD and, unlike its parental antibodies, prevents detectable spike binding to the cellular receptor of the virus, angiotensin-converting enzyme 2 (ACE2). Furthermore, CoV-X2 neutralizes wild-type SARS-CoV-2 and its variants of concern, as well as escape mutants generated by the parental monoclonal antibodies. We also found that in a mouse model of SARS-CoV-2 infection with lung inflammation, CoV-X2 protects mice from disease and suppresses viral escape. Thus, the simultaneous targeting of non-overlapping RBD epitopes by IgG-like bispecific antibodies is feasible and effective, and combines the advantages of antibody cocktails with those of single-molecule approaches.
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