Structural and virological identification of neutralizing antibody footprint provides insights into therapeutic antibody design against SARS-CoV-2 variants.

Publication date: Mar 22, 2025

Medical treatments using potent neutralizing SARS-CoV-2 antibodies have achieved remarkable improvements in clinical symptoms, changing the situation for the severity of COVID-19 patients. We previously reported an antibody, NT-108 with potent neutralizing activity. However, the structural and functional basis for the neutralizing activity of NT-108 has not yet been understood. Here, we demonstrated the therapeutic effects of NT-108 in a hamster model and its protective effects at low doses. Furthermore, we determined the cryo-EM structure of NT-108 in complex with SARS-CoV-2 spike. The single-chain Fv construction of NT-108 improved the cryo-EM maps because of the prevention of preferred orientations induced by Fab orientation. The footprints of NT-108 illuminated how escape mutations such as E484K evade from class 2 antibody recognition without ACE2 affinity attenuation. The functional and structural basis for the potent neutralizing activity of NT-108 provides insights into the rational design of therapeutic antibodies.

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Concepts Keywords
Antibody Animals
Covid Antibodies, Neutralizing
E484k Antibodies, Neutralizing
Hamster Antibodies, Viral
Improved Antibodies, Viral
COVID-19
COVID-19 Drug Treatment
Cricetinae
Cryoelectron Microscopy
Drug Design
Humans
Mesocricetus
Mutation
SARS-CoV-2
Single-Chain Antibodies
Single-Chain Antibodies
Spike Glycoprotein, Coronavirus
Spike Glycoprotein, Coronavirus
spike protein, SARS-CoV-2

Semantics

Type Source Name
disease MESH COVID-19
drug DRUGBANK Sulfasalazine
pathway KEGG Viral replication
disease IDO host
drug DRUGBANK Serine
disease IDO protein
disease MESH Middle East Respiratory Syndrome
disease IDO role
disease MESH weight loss
disease MESH infection
drug DRUGBANK Proline
drug DRUGBANK Medical air
drug DRUGBANK Water
disease MESH Body weight change
disease IDO site
drug DRUGBANK Amino acids
drug DRUGBANK Sodium lauryl sulfate
drug DRUGBANK Nitrogen

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