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Antibody affinity and concentration of convalescent sera provide context for reduced SARS-CoV-2 Omicron spike affinity of therapeutic antibodies
Sebastian Fiedler; Sean R. A. Devenish; Alexey S. Morgunov; Alison Ilsley; Francesco Ricci; Marc Emmenegger; Vasilis Kosmoliaptsis; Elitza S. Theel; John R. Mills; Anton M. Sholukh; Adriano A. A. Aguzzi; Akiko Iwasaki; Andrew K. Lynn; Tuomas P. J. Knowles.
Afiliación
  • Sebastian Fiedler; Fluidic Analytics
  • Sean R. A. Devenish; Fluidic Analytics
  • Alexey S. Morgunov; Fluidic Analytics
  • Alison Ilsley; Fluidic Analytics
  • Francesco Ricci; Fluidic Analytics
  • Marc Emmenegger; Institute of Neuropathology
  • Vasilis Kosmoliaptsis; University of Cambridge
  • Elitza S. Theel; Mayo Clinic
  • John R. Mills; Mayo Clinic
  • Anton M. Sholukh; Fred Hutchinson Cancer Research Center
  • Adriano A. A. Aguzzi; University of Zurich
  • Akiko Iwasaki; Yale University School of Medicine
  • Andrew K. Lynn; Fluidic Analytics
  • Tuomas P. J. Knowles; University of Cambridge
Preprint en En | PREPRINT-BIORXIV | ID: ppbiorxiv-478946
ABSTRACT
We assessed the affinities of the therapeutic monoclonal antibodies (mAbs) cilgavimab, tixagevimab, sotrovimab, casirivimab, and imdevimab to the receptor binding domain (RBD) of wild type, Delta, and Omicron spike. The Omicron RBD affinities of cilgavimab, tixagevimab, casirivimab, and imdevimab decreased by at least two orders of magnitude relative to their wild type equivalents, whereas sotrovimab binding was less severely impacted. These affinity reductions correlate with reduced antiviral activities of these antibodies, suggesting that simple affinity measurements can serve as an indicator for activity before challenging and time-consuming virus neutralization assays are performed. We also compared the properties of these antibodies to serological fingerprints (affinities and concentrations) of wild type RBD specific antibodies in 74 convalescent sera. The affinities of the therapeutic mAbs to wild type and Delta RBD were in the same range as the polyclonal response in the convalescent sera indicative of their high antiviral activities against these variants. However, for Omicron RBD, only sotrovimab retained affinities that were within the range of the polyclonal response, in agreement with its high activity against Omicron. Serological fingerprints thus provide important context to affinities and antiviral activity of mAb drugs and could guide the development of new therapeutics.
Licencia
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Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-BIORXIV Idioma: En Año: 2022 Tipo del documento: Preprint
Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-BIORXIV Idioma: En Año: 2022 Tipo del documento: Preprint