WASHINGTON — Researchers at Washington University School of Medicine in St. Louis have identified a highly protective antibody at low doses against a wide range of viral variants of Covid-19.
The antibody attaches to a part of the virus that differs little across the variants, making it unlikely for resistance to arise at this spot.
The findings, published in the journal Immunity, could be a step toward developing new antibody-based therapies that are less likely to lose their potency as the virus mutates.
The virus that causes Covid-19 today is not the same as what made people fall sick way back in December 2019. Many of the variants circulating now are partially resistant to some of the antibody-based therapeutics developed based on the original virus.
As the pandemic continues, more variants inevitably will arise, and the problem of resistance will only grow.
“Current antibodies may work against some but not all variants,” said senior author Michael S. Diamond in a statement.
“The virus will likely continue to evolve over time and space. Having broadly neutralizing, effective antibodies that work individually and can be paired to make new combinations will likely prevent resistance.”
SARS-CoV-2, the virus that causes Covid-19, uses a protein called spike to attach to and invade cells in the body’s respiratory tract.
Antibodies that prevent spikes from attaching to cells neutralize the virus and prevent disease. Many variants have acquired mutations in their spike genes that allow them to evade some antibodies generated against the original strain, undermining the effectiveness of antibody-based therapeutics.
To find neutralizing antibodies that work against a wide range of variants, the researchers began by immunizing mice with a critical part of the spike protein known as the receptor-binding domain.
Then, they extracted antibody-producing cells and obtained 43 antibodies from them that recognize the receptor-binding domain.
Along with Diamond, the research team included co-first authors Laura VanBlargan, Lucas J. Adams, and Zhuoming Liu and co-author David Fremont.
The researchers screened the 43 antibodies by measuring how well they prevented the original variant of SARS-CoV-2 from infecting cells in a dish. Nine of the most potent neutralizing antibodies were then tested in mice to see whether they could protect animals infected with the original SARS-CoV-2 from disease.
Multiple antibodies passed both tests, with varying degrees of potency.
The researchers selected the two most effective antibodies for protecting mice from disease. They tested them against a panel of viral variants.
The panel comprised viruses with spike proteins representing all four variants of concern (alpha, beta, gamma, and delta), two variants of interest (kappa and iota), and several unnamed variants that are being monitored as potential threats.
One antibody, SARS2-38, quickly neutralized all the variants. Moreover, a humanized version of SARS2-38 protected mice against disease caused by two variants: kappa and a virus containing the spike protein from the beta variant.
The researchers said that the beta variant is notoriously resistant to antibodies, so its inability to resist SARS2-38 is particularly remarkable.
Further experiments pinpointed the precise spot on the spike protein recognized by the antibody. They identified two mutations at that spot that could, in principle, prevent the antibody from working.
These mutations are vanishingly rare in the real world, however. The researchers searched a nearly 800,000 SARS-CoV-2 sequences database and found escape mutations in only 0.04 percent of them.
“This antibody is both highly neutralizing (meaning it works very well at low concentrations) and broadly neutralizing (meaning it works against all variants),” said Diamond.
“That’s an unusual and very desirable combination for an antibody. Also, it binds to a unique spot on the spike protein that isn’t targeted by other antibodies under development. That’s great for combination therapy.”
“We could start thinking about combining this antibody with another one that binds somewhere else to create a combination therapy that would be very difficult for the virus to resist,” Diamond said.
(With inputs from ANI)
Edited by Saptak Datta and Praveen Pramod Tewari
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