Structural Insight into the Resistance of the SARS-CoV-2 Omicron BA.4 and BA.5 Variants to Cilgavimab

We have recently revealed that the new SARS-CoV-2 Omicron sublineages BA.4 and BA.5 exhibit increased resistance to cilgavimab, a therapeutic monoclonal antibody, and the resistance to cilgavimab is attributed to the spike L452R substitution. However, it remains unclear how the spike L452R substitut...

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Main Authors: Shigeru Fujita, Yusuke Kosugi, Izumi Kimura, Daichi Yamasoba, The Genotype to Phenotype Japan (G2P-Japan) Consortium, Kei Sato
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/14/12/2677
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author Shigeru Fujita
Yusuke Kosugi
Izumi Kimura
Daichi Yamasoba
The Genotype to Phenotype Japan (G2P-Japan) Consortium
Kei Sato
author_facet Shigeru Fujita
Yusuke Kosugi
Izumi Kimura
Daichi Yamasoba
The Genotype to Phenotype Japan (G2P-Japan) Consortium
Kei Sato
author_sort Shigeru Fujita
collection DOAJ
description We have recently revealed that the new SARS-CoV-2 Omicron sublineages BA.4 and BA.5 exhibit increased resistance to cilgavimab, a therapeutic monoclonal antibody, and the resistance to cilgavimab is attributed to the spike L452R substitution. However, it remains unclear how the spike L452R substitution renders resistance to cilgavimab. Here, we demonstrated that the increased resistance to cilgavimab of the spike L452R is possibly caused by the steric hindrance between cilgavimab and its binding interface on the spike. Our results suggest the importance of developing therapeutic antibodies that target SARS-CoV-2 variants harboring the spike L452R substitution.
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spelling doaj.art-c69842851b254caca2b4771ce97b58492023-11-24T18:37:41ZengMDPI AGViruses1999-49152022-11-011412267710.3390/v14122677Structural Insight into the Resistance of the SARS-CoV-2 Omicron BA.4 and BA.5 Variants to CilgavimabShigeru Fujita0Yusuke Kosugi1Izumi Kimura2Daichi Yamasoba3The Genotype to Phenotype Japan (G2P-Japan) ConsortiumKei Sato4Division of Systems Virology, Department of Microbiology and Immunology, The Institute of Medical Science, The University of Tokyo, Tokyo 1088639, JapanDivision of Systems Virology, Department of Microbiology and Immunology, The Institute of Medical Science, The University of Tokyo, Tokyo 1088639, JapanDivision of Systems Virology, Department of Microbiology and Immunology, The Institute of Medical Science, The University of Tokyo, Tokyo 1088639, JapanDivision of Systems Virology, Department of Microbiology and Immunology, The Institute of Medical Science, The University of Tokyo, Tokyo 1088639, JapanDivision of Systems Virology, Department of Microbiology and Immunology, The Institute of Medical Science, The University of Tokyo, Tokyo 1088639, JapanWe have recently revealed that the new SARS-CoV-2 Omicron sublineages BA.4 and BA.5 exhibit increased resistance to cilgavimab, a therapeutic monoclonal antibody, and the resistance to cilgavimab is attributed to the spike L452R substitution. However, it remains unclear how the spike L452R substitution renders resistance to cilgavimab. Here, we demonstrated that the increased resistance to cilgavimab of the spike L452R is possibly caused by the steric hindrance between cilgavimab and its binding interface on the spike. Our results suggest the importance of developing therapeutic antibodies that target SARS-CoV-2 variants harboring the spike L452R substitution.https://www.mdpi.com/1999-4915/14/12/2677SARS-CoV-2COVID-19OmicronBA.4BA.5cilgavimab
spellingShingle Shigeru Fujita
Yusuke Kosugi
Izumi Kimura
Daichi Yamasoba
The Genotype to Phenotype Japan (G2P-Japan) Consortium
Kei Sato
Structural Insight into the Resistance of the SARS-CoV-2 Omicron BA.4 and BA.5 Variants to Cilgavimab
Viruses
SARS-CoV-2
COVID-19
Omicron
BA.4
BA.5
cilgavimab
title Structural Insight into the Resistance of the SARS-CoV-2 Omicron BA.4 and BA.5 Variants to Cilgavimab
title_full Structural Insight into the Resistance of the SARS-CoV-2 Omicron BA.4 and BA.5 Variants to Cilgavimab
title_fullStr Structural Insight into the Resistance of the SARS-CoV-2 Omicron BA.4 and BA.5 Variants to Cilgavimab
title_full_unstemmed Structural Insight into the Resistance of the SARS-CoV-2 Omicron BA.4 and BA.5 Variants to Cilgavimab
title_short Structural Insight into the Resistance of the SARS-CoV-2 Omicron BA.4 and BA.5 Variants to Cilgavimab
title_sort structural insight into the resistance of the sars cov 2 omicron ba 4 and ba 5 variants to cilgavimab
topic SARS-CoV-2
COVID-19
Omicron
BA.4
BA.5
cilgavimab
url https://www.mdpi.com/1999-4915/14/12/2677
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