Subclass-switched anti-spike IgG3 oligoclonal cocktails strongly enhance Fc-mediated opsonization

Author:

Izadi Arman1ORCID,Hailu Arsema1,Godzwon Magdalena2ORCID,Wrighton Sebastian1ORCID,Olofsson Berit1ORCID,Schmidt Tobias34,Söderlund-Strand Anna5ORCID,Elder Elizabeth6ORCID,Appelberg Sofia7ORCID,Valsjö Maria8,Larsson Olivia8,Wendel-Hansen Vidar9ORCID,Ohlin Mats210ORCID,Bahnan Wael1,Nordenfelt Pontus15ORCID

Affiliation:

1. Department of Clinical Sciences Lund, Division of Infection Medicine, Faculty of Medicine, Lund University, 221 84 Lund, Sweden

2. Department of Immunotechnology, Faculty of Engineering, Lund University, 221 00 Lund, Sweden

3. Department of Clinical Sciences Lund, Division of Pediatrics, Faculty of Medicine, Lund University, 221 84 Lund, Sweden

4. Wallenberg Center for Molecular Medicine, Faculty of Medicine, Lund University, 221 84 Lund, Sweden

5. Department of Laboratory Medicine, Clinical Microbiology, Skåne University Hospital Lund, Lund University, 221 85 Lund, Sweden

6. Department of Microbiology, National Veterinary Institute, 751 89 Uppsala, Sweden

7. Department of Microbiology, Public Health Agency of Sweden, 171 82 Stockholm, Sweden

8. Scantox A/S, 171 65 Stockholm, Sweden

9. Tanea Medical AB, 751 83 Uppsala, Sweden

10. SciLifeLab Drug Discovery and Development, Lund University, 221 00 Lund, Sweden

Abstract

Antibodies play a central role in the immune defense against SARS-CoV-2. Emerging evidence has shown that nonneutralizing antibodies are important for immune defense through Fc-mediated effector functions. Antibody subclass is known to affect downstream Fc function. However, whether the antibody subclass plays a role in anti-SARS-CoV-2 immunity remains unclear. Here, we subclass-switched eight human IgG1 anti-spike monoclonal antibodies (mAbs) to the IgG3 subclass by exchanging their constant domains. The IgG3 mAbs exhibited altered avidities to the spike protein and more potent Fc-mediated phagocytosis and complement activation than their IgG1 counterparts. Moreover, combining mAbs into oligoclonal cocktails led to enhanced Fc- and complement receptor-mediated phagocytosis, superior to even the most potent single IgG3 mAb when compared at equivalent concentrations. Finally, in an in vivo model, we show that opsonic mAbs of both subclasses can be protective against a SARS-CoV-2 infection, despite the antibodies being nonneutralizing. Our results suggest that opsonic IgG3 oligoclonal cocktails are a promising idea to explore for therapy against SARS-CoV-2, its emerging variants, and potentially other viruses.

Funder

Knut och Alice Wallenbergs Stiftelse

Vetenskapsrådet

Crafoordska Stiftelsen

Alfred Österlunds Stiftelse

Kungliga Fysiografiska Sällskapet i Lund

Publisher

Proceedings of the National Academy of Sciences

Subject

Multidisciplinary

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