Etesevimab in combination with JS026 neutralizing SARS-CoV-2 and its variants

The neutralizing antibody is a potential therapeutic for the ongoing COVID-19 pandemic. As an antiviral agent, numerous mAbs recognize the epitopes that overlap with ACE2-binding sites in the SARS-CoV-2-RBD. Some studies have shown that residual changes on the spike protein can significantly decreas...

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Main Authors: Fengze Wang, Li Li, Yang Dou, Rui Shi, Xiaomin Duan, Hongchuan Liu, Jing Zhang, DanDan Liu, Jing Wu, Yang He, Jun Lan, Bai Lu, Hui Feng, Jinghua Yan
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:Emerging Microbes and Infections
Subjects:
Online Access:http://dx.doi.org/10.1080/22221751.2022.2032374
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author Fengze Wang
Li Li
Yang Dou
Rui Shi
Xiaomin Duan
Hongchuan Liu
Jing Zhang
DanDan Liu
Jing Wu
Yang He
Jun Lan
Bai Lu
Hui Feng
Jinghua Yan
author_facet Fengze Wang
Li Li
Yang Dou
Rui Shi
Xiaomin Duan
Hongchuan Liu
Jing Zhang
DanDan Liu
Jing Wu
Yang He
Jun Lan
Bai Lu
Hui Feng
Jinghua Yan
author_sort Fengze Wang
collection DOAJ
description The neutralizing antibody is a potential therapeutic for the ongoing COVID-19 pandemic. As an antiviral agent, numerous mAbs recognize the epitopes that overlap with ACE2-binding sites in the SARS-CoV-2-RBD. Some studies have shown that residual changes on the spike protein can significantly decrease the efficiency of neutralizing antibodies. To address this issue, a therapeutic cocktail could be an effective countermeasure. In the present study, we isolated a fully human neutralizing antibody, JS026, from a convalescent patient. The comparative analysis revealed that JS026 binding to SARS-CoV-2-RBD mainly located between epitopes for class 2 and class 3 mAbs as opposed to that of class 1 (etesevimab) antibodies. A cocktail of etesevimab and JS026 increased neutralizing efficacy against both wild-type SARS-CoV-2 and the recent emergence of Alpha, Beta, Gamma, and Delta variants. JS026 and the cocktail reduced virus titers in the infected lungs of hACE2 transgenic mice and relieved pathological changes. These findings would benefit antibody-based therapeutic countermeasures in the treatment of COVID-19.
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spelling doaj.art-6c4076ee56804353bcf7166d10f6e8fa2022-12-21T23:48:34ZengTaylor & Francis GroupEmerging Microbes and Infections2222-17512022-12-0111154855110.1080/22221751.2022.20323742032374Etesevimab in combination with JS026 neutralizing SARS-CoV-2 and its variantsFengze Wang0Li Li1Yang Dou2Rui Shi3Xiaomin Duan4Hongchuan Liu5Jing Zhang6DanDan Liu7Jing Wu8Yang He9Jun Lan10Bai Lu11Hui Feng12Jinghua Yan13Institute of Microbiology, Chinese Academy of SciencesShanghai Junshi Biosciences Co. LtdIDG/McGovern Institute for Brain Research, Tsinghua UniversityInstitute of Microbiology, Chinese Academy of SciencesInstitute of Microbiology, Chinese Academy of SciencesShanghai Junshi Biosciences Co. LtdShanghai Junshi Biosciences Co. LtdShanghai Junshi Biosciences Co. LtdShanghai Junshi Biosciences Co. LtdShanghai Junshi Biosciences Co. LtdTsinghua UniversityIDG/McGovern Institute for Brain Research, Tsinghua UniversityShanghai Junshi Biosciences Co. LtdInstitute of Microbiology, Chinese Academy of SciencesThe neutralizing antibody is a potential therapeutic for the ongoing COVID-19 pandemic. As an antiviral agent, numerous mAbs recognize the epitopes that overlap with ACE2-binding sites in the SARS-CoV-2-RBD. Some studies have shown that residual changes on the spike protein can significantly decrease the efficiency of neutralizing antibodies. To address this issue, a therapeutic cocktail could be an effective countermeasure. In the present study, we isolated a fully human neutralizing antibody, JS026, from a convalescent patient. The comparative analysis revealed that JS026 binding to SARS-CoV-2-RBD mainly located between epitopes for class 2 and class 3 mAbs as opposed to that of class 1 (etesevimab) antibodies. A cocktail of etesevimab and JS026 increased neutralizing efficacy against both wild-type SARS-CoV-2 and the recent emergence of Alpha, Beta, Gamma, and Delta variants. JS026 and the cocktail reduced virus titers in the infected lungs of hACE2 transgenic mice and relieved pathological changes. These findings would benefit antibody-based therapeutic countermeasures in the treatment of COVID-19.http://dx.doi.org/10.1080/22221751.2022.2032374sars-cov-2etesevimabjs026antibody cocktailvariants of concern
spellingShingle Fengze Wang
Li Li
Yang Dou
Rui Shi
Xiaomin Duan
Hongchuan Liu
Jing Zhang
DanDan Liu
Jing Wu
Yang He
Jun Lan
Bai Lu
Hui Feng
Jinghua Yan
Etesevimab in combination with JS026 neutralizing SARS-CoV-2 and its variants
Emerging Microbes and Infections
sars-cov-2
etesevimab
js026
antibody cocktail
variants of concern
title Etesevimab in combination with JS026 neutralizing SARS-CoV-2 and its variants
title_full Etesevimab in combination with JS026 neutralizing SARS-CoV-2 and its variants
title_fullStr Etesevimab in combination with JS026 neutralizing SARS-CoV-2 and its variants
title_full_unstemmed Etesevimab in combination with JS026 neutralizing SARS-CoV-2 and its variants
title_short Etesevimab in combination with JS026 neutralizing SARS-CoV-2 and its variants
title_sort etesevimab in combination with js026 neutralizing sars cov 2 and its variants
topic sars-cov-2
etesevimab
js026
antibody cocktail
variants of concern
url http://dx.doi.org/10.1080/22221751.2022.2032374
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