ACE2-binding exposes the SARS-CoV-2 fusion peptide to broadly neutralizing coronavirus antibodies

Author:

Low Jun Siong12ORCID,Jerak Josipa12ORCID,Tortorici M. Alejandra3ORCID,McCallum Matthew3ORCID,Pinto Dora4,Cassotta Antonino1ORCID,Foglierini Mathilde1ORCID,Mele Federico1ORCID,Abdelnabi Rana5ORCID,Weynand Birgit6ORCID,Noack Julia7ORCID,Montiel-Ruiz Martin7ORCID,Bianchi Siro4ORCID,Benigni Fabio4ORCID,Sprugasci Nicole4ORCID,Joshi Anshu3,Bowen John E.3ORCID,Stewart Cameron3ORCID,Rexhepaj Megi3ORCID,Walls Alexandra C.38ORCID,Jarrossay David1ORCID,Morone Diego1,Paparoditis Philipp1,Garzoni Christian9ORCID,Ferrari Paolo101112ORCID,Ceschi Alessandro10131415ORCID,Neyts Johan516ORCID,Purcell Lisa A.7ORCID,Snell Gyorgy7ORCID,Corti Davide4ORCID,Lanzavecchia Antonio417ORCID,Veesler David38ORCID,Sallusto Federica12ORCID

Affiliation:

1. Institute for Research in Biomedicine, Università della Svizzera Italiana, 6500 Bellinzona, Switzerland.

2. Institute of Microbiology, ETH Zürich, 8093 Zurich, Switzerland.

3. Department of Biochemistry, University of Washington, Seattle, WA 98195, USA.

4. Humabs BioMed SA (subsidiary of Vir Biotechnology), 6500 Bellinzona, Switzerland.

5. KU Leuven Department of Microbiology, Immunology and Transplantation, Rega Institute for Medical Research, Laboratory of Virology and Chemotherapy, B-3000 Leuven, Belgium.

6. KU Leuven Department of Imaging and Pathology, Translational Cell and Tissue Research, B-3000 Leuven, Belgium.

7. Vir Biotechnology, San Francisco, CA 94158, USA.

8. Howard Hughes Medical Institute, Seattle, WA 98195, USA.

9. Clinic of Internal Medicine and Infectious Diseases, Clinica Luganese Moncucco, 6900 Lugano, Switzerland.

10. Faculty of Biomedical Sciences, Università della Svizzera Italiana, 6900 Lugano, Switzerland.

11. Department of Internal Medicine, Ente Ospedaliero Cantonale, 6500 Bellinzona, Switzerland.

12. Prince of Wales Hospital Clinical School, University of New South Wales, Sydney, New South Wales 2052, Australia.

13. Division of Clinical Pharmacology and Toxicology, Institute of Pharmacological Sciences of Southern Switzerland, Ente Ospedaliero Cantonale, 6900 Lugano, Switzerland.

14. Clinical Trial Unit, Ente Ospedaliero Cantonale, 6500 Bellinzona, Switzerland.

15. Department of Clinical Pharmacology and Toxicology, University Hospital Zurich, 8091 Zurich, Switzerland.

16. Global Virus Network, Baltimore, MD 21201, USA.

17. National Institute of Molecular Genetics, 20122 Milano, Italy.

Abstract

The coronavirus spike glycoprotein attaches to host receptors and mediates viral fusion. Using a broad screening approach, we isolated seven monoclonal antibodies (mAbs) that bind to all human-infecting coronavirus spike proteins from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) immune donors. These mAbs recognize the fusion peptide and acquire affinity and breadth through somatic mutations. Despite targeting a conserved motif, only some mAbs show broad neutralizing activity in vitro against alpha- and betacoronaviruses, including animal coronaviruses WIV-1 and PDF-2180. Two selected mAbs also neutralize Omicron BA.1 and BA.2 authentic viruses and reduce viral burden and pathology in vivo. Structural and functional analyses showed that the fusion peptide–specific mAbs bound with different modalities to a cryptic epitope hidden in prefusion stabilized spike, which became exposed upon binding of angiotensin-converting enzyme 2 (ACE2) or ACE2-mimicking mAbs.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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