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A Potently Neutralizing Antibody Protects Mice against SARS-CoV-2 Infection Wafaa B. Alsoussi, Jackson S. Turner, James B. Case, Haiyan Zhao, Aaron J. Schmitz, Julian Q. Zhou, Rita E. This information is current as Chen, Tingting Lei, Amena A. Rizk, Katherine M. McIntire, of September 27, 2021. Emma S. Winkler, Julie M. Fox, Natasha M. Kafai, Larissa B. Thackray, Ahmed O. Hassan, Fatima Amanat, Florian Krammer, Corey T. Watson, Steven H. Kleinstein, Daved H. Fremont, Michael S. Diamond and Ali H. Ellebedy Downloaded from J Immunol 2020; 205:915-922; Prepublished online 26 June 2020; doi: 10.4049/jimmunol.2000583 http://www.jimmunol.org/content/205/4/915 http://www.jimmunol.org/ Supplementary http://www.jimmunol.org/content/suppl/2020/06/23/jimmunol.200058 Material 3.DCSupplemental References This article cites 51 articles, 10 of which you can access for free at: http://www.jimmunol.org/content/205/4/915.full#ref-list-1 by guest on September 27, 2021 Why The JI? Submit online. • Rapid Reviews! 30 days* from submission to initial decision • No Triage! Every submission reviewed by practicing scientists • Fast Publication! 4 weeks from acceptance to publication *average Subscription Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 2020 by The American Association of Immunologists, Inc. All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. The Journal of Immunology A Potently Neutralizing Antibody Protects Mice against SARS-CoV-2 Infection Wafaa B. Alsoussi,*,1 Jackson S. Turner,*,1 James B. Case,†,1 Haiyan Zhao,*,1 Aaron J. Schmitz,*,1 Julian Q. Zhou,‡,1 Rita E. Chen,† Tingting Lei,* Amena A. Rizk,* Katherine M. McIntire,* Emma S. Winkler,*,† Julie M. Fox,† Natasha M. Kafai,*,† Larissa B. Thackray,† Ahmed O. Hassan,† Fatima Amanat,x,{ Florian Krammer,x Corey T. Watson,‖ Steven H. Kleinstein,‡,#,** Daved H. Fremont,*,††,‡‡ Michael S. Diamond,*,†,††,xx and Ali H. Ellebedy*,††,xx Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for millions of infections and hundreds of thousands of deaths globally. There are no widely available licensed therapeutics against SARS-CoV-2, highlighting an urgent need for effective Downloaded from interventions. The virus enters host cells through binding of a receptor-binding domain within its trimeric spike glycoprotein to human angiotensin-converting enzyme 2. In this article, we describe the generation and characterization of a panel of murine mAbs directed against the receptor-binding domain. One mAb, 2B04, neutralized wild-type SARS-CoV-2 in vitro with remarkable potency (half-maximal inhibitory concentration of <2 ng/ml). In a murine model of SARS-CoV-2 infection, 2B04 protected challenged animals from weight loss, reduced lung viral load, and blocked systemic dissemination. Thus, 2B04 is a promising candidate for an effective antiviral that can be used to prevent SARS-CoV-2 infection. The Journal of Immunology, 2020, 205: 915–922. http://www.jimmunol.org/ ost members of the Coronaviridae family infect the (2–4). In December 2019, a third highly pathogenic human respiratory tract of mammals, causing mild respira- coronavirus, SARS-CoV 2 (SARS-CoV-2) emerged in Wuhan, M tory disease (1). In the past two decades, however, two Hubei province of China (5–7). Compared with SARS-CoV and highly pathogenic coronaviruses, severe acute respiratory syn- MERS-CoV, SARS-CoV-2 is more readily transmitted among drome coronavirus (SARS-CoV) and Middle East respiratory humans, spreading to multiple continents and leading to the World syndrome coronavirus (MERS-CoV), crossed the species barrier Health Organization’s declaration of a coronavirus disease 2019 and led to epidemics with high morbidity and mortality in humans (COVID-19) pandemic (8, 9). As of June 16, 2020, SARS-CoV-2 by guest on September 27, 2021 *Department of Pathology and Immunology, Washington University School of Med- of Genetics at Washington University School of Medicine]), the National Center for icine, St. Louis, MO 63110; †Department of Medicine, Washington University Research Resources (an Institute for Clinical and Translational Science/Clinical and School of Medicine, St. Louis, MO 63110; ‡Interdepartmental Program in Compu- Translational Sciences Award, Grant UL1 TR000448, to the Genome Technology tational Biology and Bioinformatics, Yale School of Medicine, Yale University, New Access Center in the Department of Genetics at Washington University School of Haven, CT 06511; xDepartment of Microbiology, Icahn School of Medicine at Mount Medicine), and a Helen Hay Whitney postdoctoral fellowship (to J.B.C.). The Sinai, New York, NY 10024; {Graduate School of Biomedical Sciences, Icahn contents of this publication are solely the responsibility of the authors and do not School of Medicine at Mount Sinai, New York, NY 10024; ‖Department of Biochem- necessarily represent the official views of the NIAID or NIH. istry and Molecular Genetics, University of Louisville School of Medicine, Louis- W.B.A., A.J.S., and J.S.T. isolated the Abs. W.B.A., J.B.C., K.M.M., H.Z., R.E.C., ville, KY 40292; #Department of Pathology, Yale School of Medicine, New Haven, A.O.H., J.M.F., E.S.W., L.B.T., and N.M.K. functionally characterized the mAbs. A.A.R., CT 06511; **Department of Immunobiology, Yale School of Medicine, New Haven, T.L., and F.A. expressed and purified the mAbs and recombinant viral proteins. J.Q.Z., CT 06511; ††Department of Molecular Microbiology, Washington University School C.T.W., and S.H.K. analyzed the scRNA-seq and BCR data. F.K. provided critical of Medicine, St. Louis, MO 63110; ‡‡Department of Biochemistry and Molecular reagents. W.B.A., J.S.T., D.H.F., M.S.D., and A.H.E. conceptualized the study and Biophysics, Washington University School of Medicine, St. Louis, MO 63110; and xx wrote the manuscript. The Andrew M. and Jane M. Bursky Center for Human Immunology and Immu- notherapy Programs, Washington University School of Medicine, St. Louis, MO Raw fastq files, associated RNA-sequencing, and processed gene expression data 63110 presented in this article have been submitted to the National Center for Biotechnol- ogy Information Gene Expression Omnibus/Sequence Read Archive database 1W.B.A., J.S.T., J.B.C., H.Z., A.J.S., and J.Q.Z. contributed equally to this work. (https://www.ncbi.nlm.nih.gov/geo/, https://www.ncbi.nlm.nih.gov/sra) under acces- ORCIDs: 0000-0002-4396-6265 (J.S.T.); 0000-0001-7331-5511 (J.B.C.); 0000-0001- sion numbers SRP256045 and GSE149036. Ab sequences presented in this article 5123-5537 (H.Z.); 0000-0002-8077-6751 (A.J.S.); 0000-0001-9602-2092 (J.Q.Z.); have been submitted to the GenBank/European Molecular Biology Laboratory/DNA 0000-0003-0567-738X (J.M.F.); 0000-0002-3115-3400 (N.M.K.); 0000-0002-9638- Data Base in Japan (https://www.ncbi.nlm.nih.gov/genbank/) under accession num- 1260 (A.O.H.); 0000-0003-4121-776X (F.K.); 0000-0001-7248-8787 (C.T.W.); 0000- bers MT341590–MT341641). 0003-4957-1544 (S.H.K.); 0000-0002-8544-2689 (D.H.F.). Address correspondence and reprint requests to Dr. Ali Ellebedy, Washington Uni- Received for publication May 19, 2020. Accepted for publication June 8, 2020. versity in St. Louis, St. Louis, MO. E-mail address: [email protected] This work was supported or partially supported by the National Institute of Allergy The online version of this article contains supplemental material. and Infectious Diseases (NIAID) (R21 AI139813 and U01 AI141990, to the Ellebedy Abbreviations used in this article: COVID-19, coronavirus disease 2019; FRNT, laboratory; HHSN272201700060C, to the Fremont laboratory; 75N93019C00062, focus reduction neutralization test; hACE2, human angiotensin-converting enzyme to the Fremont and Diamond laboratories; 5T32CA009547, to J.S.T.; and 2; HVG, highly variable gene; IMGT, ImMunoGeneTics information system; i.n., R01AI104739, to the Kleinstein laboratory), the NIAID Centers of Excellence for intranasal(ly); MERS-CoV, Middle East respiratory syndrome coronavirus; MGI, Influenza Research and Surveillance (CEIRS) (Contract HHSN272201400008C, to Mouse Genome Informatics; PB, plasmablast; PFA, paraformaldehyde; RBD, the Ellebedy and Krammer laboratories), the National Institutes of Health (NIH) receptor-binding domain; RSS, recombination signal sequence; S, spike; SARS- (Grant R01 AI127828, to the Diamond laboratory), the Defense Advanced Research CoV, severe acute respiratory syndrome coronavirus; SARS-CoV-2, SARS-CoV 2; Projects Agency (HR001117S0019, to the Diamond laboratory), the Collaborative scRNA-seq, single-cell RNA-sequencing; UMI, unique molecular identifier. Influenza Vaccine Innovation Centers (Contract 75N93019C00051, to the Krammer laboratory), the National Cancer Institute Cancer Center (Grant P30 CA91842, to the Ó Siteman Cancer Center [The Genome Technology Access Center in the Department Copyright 2020 by The American Association of Immunologists, Inc. 0022-1767/20/$37.50 www.jimmunol.org/cgi/doi/10.4049/jimmunol.2000583 916 A PROTECTIVE, POTENTLY NEUTRALIZING SARS-COV-2 Ab caused .8 million confirmed cases globally, leading to at least after transfection. The soluble S proteins were recovered using 2 ml of 440,000 deaths (10). Currently, there are no widely available li- cobalt-charged resin (G-Biosciences). Mammalian SARS-CoV-2 RBD 2 censed therapeutics to prevent or treat COVID-19. This underlines (residues 331 524) was cloned into vector pFM1.2 with N-terminal m-phosphatase signal peptide and C-terminal 6XHis Tag. The protein the need for immediate development of prophylactic and thera- was expressed as S protein and recovered by nickel agarose beads peutic reagents to combat SARS-CoV-2 virus infection.