An IgM-like Inhalable ACE2 fusion protein broadly neutralizes SARS-CoV-2

Author:

Li Wenhui1ORCID,Liu Juan2,Mao Fengfeng2,Chen Jianhe2,Lu Shuaiyao3ORCID,Qi Yonghe2,Sun Yinyan1,Fang Linqiang4,Yeung Man Lung5,Liu Chunmei2,Yu Guimei2,Li Guangyu2,Liu Ximing4ORCID,Yao Yuansheng2,Huang Panpan2,Hao Dongxia2,Liu Zibing2,Ding Yu2,Liu Haimo2,Yang Fang2,Chen Pan2,Sa Rigai2,Sheng Yao4,Tian Xinxin1ORCID,Peng Ran2,Li Xue2,Luo Junmian2,Cheng Yurui2,Zheng Yule2,Lin Yongqing2,Song Rui6,Jin Ronghua6,Huang Baoying7,Choe Hyeryun8,Farzan Michael8,Yuen Kwok-Yung5ORCID,Tan Wenjie9ORCID,Peng Xiaozhong10ORCID,Sui Jianhua11ORCID

Affiliation:

1. National Institute of Biological Sciences

2. Huahui Health Ltd.

3. National Kunming High-level Biosafety Primate Research Center, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Yunnan China and State Key Laborato

4. National Institute of Biological Sciences, Beijing

5. The University of Hong Kong

6. Beijing Ditan Hospital

7. Key Laboratory of Medical Virology, National Health and Family Planning Commission, National Institute for Viral Disease Control and Prevention, China CDC

8. Department of Immunology and Microbiology, Scripps Biomedical Research, University of Florida

9. China CDC

10. Institute of Medical Biology,Chinese Academy of Medical Sciences

11. Harvard Medical School

Abstract

AbstractMany of the currently available COVID-19 vaccines and therapeutics are not effective against newly emerged SARS-CoV-2 variants. Here, we developed the metallo-enzyme domain of angiotensin converting enzyme 2 (ACE2)—the cellular receptor of SARS-CoV-2—into an IgM-like inhalable molecule (HH-120). HH-120 binds to the SARS-CoV-2 Spike (S) protein with exceptionally high avidity and confers potent and broad-spectrum neutralization activity against all known SARS-CoV-2 variants of concern. HH-120 was successfully developed as an inhaled formulation that achieves appropriate aerodynamic properties for respiratory system delivery, and we found that aerosol inhalation of HH-120 significantly reduced viral loads and lung pathology scores in golden Syrian hamsters infected by the SARS-CoV-2 wild-type strain and the Delta variant. Our study presents a breakthrough for the inhalation delivery of large biologics like HH-120 (molecular weight ~ 1000kDa) and demonstrates that HH-120 can serve as a highly efficacious, safe, and convenient agent against all SARS-CoV-2 variants. Finally, given the known role of ACE2 in viral reception, it is conceivable that HH-120 will be efficacious against additional emergent coronaviruses.

Publisher

Research Square Platform LLC

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