Multivalent IgM scaffold enhances the therapeutic potential of variant-agnostic ACE2 decoys against SARS-CoV-2

As immunological selection for escape mutants continues to give rise to future SARS-CoV-2 variants, novel universal therapeutic strategies against ACE2-dependent viruses are needed. Here we present an IgM-based decavalent ACE2 decoy that has variant-agnostic efficacy. In immuno-, pseudovirus, and li...

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Main Authors: Meghan M. Verstraete, Florian Heinkel, Janessa Li, Siran Cao, Anh Tran, Elizabeth C. Halverson, Robert Gene, Elizabeth Stangle, Begonia Silva-Moreno, Sifa Arrafi, Jegarubee Bavananthasivam, Madeline Fung, Mariam Eji-Lasisi, Stephanie Masterman, Steve Xanthoudakis, Surjit Dixit, John Babcook, Brandon Clavette, Mark Fogg, Eric Escobar-Cabrera
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:mAbs
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Online Access:https://www.tandfonline.com/doi/10.1080/19420862.2023.2212415
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author Meghan M. Verstraete
Florian Heinkel
Janessa Li
Siran Cao
Anh Tran
Elizabeth C. Halverson
Robert Gene
Elizabeth Stangle
Begonia Silva-Moreno
Sifa Arrafi
Jegarubee Bavananthasivam
Madeline Fung
Mariam Eji-Lasisi
Stephanie Masterman
Steve Xanthoudakis
Surjit Dixit
John Babcook
Brandon Clavette
Mark Fogg
Eric Escobar-Cabrera
author_facet Meghan M. Verstraete
Florian Heinkel
Janessa Li
Siran Cao
Anh Tran
Elizabeth C. Halverson
Robert Gene
Elizabeth Stangle
Begonia Silva-Moreno
Sifa Arrafi
Jegarubee Bavananthasivam
Madeline Fung
Mariam Eji-Lasisi
Stephanie Masterman
Steve Xanthoudakis
Surjit Dixit
John Babcook
Brandon Clavette
Mark Fogg
Eric Escobar-Cabrera
author_sort Meghan M. Verstraete
collection DOAJ
description As immunological selection for escape mutants continues to give rise to future SARS-CoV-2 variants, novel universal therapeutic strategies against ACE2-dependent viruses are needed. Here we present an IgM-based decavalent ACE2 decoy that has variant-agnostic efficacy. In immuno-, pseudovirus, and live virus assays, IgM ACE2 decoy had potency comparable or superior to leading SARS-CoV-2 IgG-based mAb therapeutics evaluated in the clinic, which were variant-sensitive in their potency. We found that increased ACE2 valency translated into increased apparent affinity for spike protein and superior potency in biological assays when decavalent IgM ACE2 was compared to tetravalent, bivalent, and monovalent ACE2 decoys. Furthermore, a single intranasal dose of IgM ACE2 decoy at 1 mg/kg conferred therapeutic benefit against SARS-CoV-2 Delta variant infection in a hamster model. Taken together, this engineered IgM ACE2 decoy represents a SARS-CoV-2 variant-agnostic therapeutic that leverages avidity to drive enhanced target binding, viral neutralization, and in vivo respiratory protection against SARS-CoV-2.
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spelling doaj-art-0babf0f9afc845fba1c4497a7c7e24722025-08-20T02:50:17ZengTaylor & Francis GroupmAbs1942-08621942-08702023-12-0115110.1080/19420862.2023.2212415Multivalent IgM scaffold enhances the therapeutic potential of variant-agnostic ACE2 decoys against SARS-CoV-2Meghan M. Verstraete0Florian Heinkel1Janessa Li2Siran Cao3Anh Tran4Elizabeth C. Halverson5Robert Gene6Elizabeth Stangle7Begonia Silva-Moreno8Sifa Arrafi9Jegarubee Bavananthasivam10Madeline Fung11Mariam Eji-Lasisi12Stephanie Masterman13Steve Xanthoudakis14Surjit Dixit15John Babcook16Brandon Clavette17Mark Fogg18Eric Escobar-Cabrera19Zymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaDepartment of Human Health Therapeutics, National Research Council Canada, Ottawa, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaDepartment of Human Health Therapeutics, National Research Council Canada, Ottawa, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaZymeworks Inc, Vancouver, CanadaAs immunological selection for escape mutants continues to give rise to future SARS-CoV-2 variants, novel universal therapeutic strategies against ACE2-dependent viruses are needed. Here we present an IgM-based decavalent ACE2 decoy that has variant-agnostic efficacy. In immuno-, pseudovirus, and live virus assays, IgM ACE2 decoy had potency comparable or superior to leading SARS-CoV-2 IgG-based mAb therapeutics evaluated in the clinic, which were variant-sensitive in their potency. We found that increased ACE2 valency translated into increased apparent affinity for spike protein and superior potency in biological assays when decavalent IgM ACE2 was compared to tetravalent, bivalent, and monovalent ACE2 decoys. Furthermore, a single intranasal dose of IgM ACE2 decoy at 1 mg/kg conferred therapeutic benefit against SARS-CoV-2 Delta variant infection in a hamster model. Taken together, this engineered IgM ACE2 decoy represents a SARS-CoV-2 variant-agnostic therapeutic that leverages avidity to drive enhanced target binding, viral neutralization, and in vivo respiratory protection against SARS-CoV-2.https://www.tandfonline.com/doi/10.1080/19420862.2023.2212415ACE2antibody engineeringCOVID-19IgMmultivalent scaffoldreceptor decoys
spellingShingle Meghan M. Verstraete
Florian Heinkel
Janessa Li
Siran Cao
Anh Tran
Elizabeth C. Halverson
Robert Gene
Elizabeth Stangle
Begonia Silva-Moreno
Sifa Arrafi
Jegarubee Bavananthasivam
Madeline Fung
Mariam Eji-Lasisi
Stephanie Masterman
Steve Xanthoudakis
Surjit Dixit
John Babcook
Brandon Clavette
Mark Fogg
Eric Escobar-Cabrera
Multivalent IgM scaffold enhances the therapeutic potential of variant-agnostic ACE2 decoys against SARS-CoV-2
mAbs
ACE2
antibody engineering
COVID-19
IgM
multivalent scaffold
receptor decoys
title Multivalent IgM scaffold enhances the therapeutic potential of variant-agnostic ACE2 decoys against SARS-CoV-2
title_full Multivalent IgM scaffold enhances the therapeutic potential of variant-agnostic ACE2 decoys against SARS-CoV-2
title_fullStr Multivalent IgM scaffold enhances the therapeutic potential of variant-agnostic ACE2 decoys against SARS-CoV-2
title_full_unstemmed Multivalent IgM scaffold enhances the therapeutic potential of variant-agnostic ACE2 decoys against SARS-CoV-2
title_short Multivalent IgM scaffold enhances the therapeutic potential of variant-agnostic ACE2 decoys against SARS-CoV-2
title_sort multivalent igm scaffold enhances the therapeutic potential of variant agnostic ace2 decoys against sars cov 2
topic ACE2
antibody engineering
COVID-19
IgM
multivalent scaffold
receptor decoys
url https://www.tandfonline.com/doi/10.1080/19420862.2023.2212415
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