Passive infusion of an S2-Stem broadly neutralizing antibody protects against SARS-CoV-2 infection and lower airway inflammation in rhesus macaques.

The continued evolution of SARS-CoV-2 variants capable of subverting vaccine and infection-induced immunity suggests the advantage of a broadly protective vaccine against betacoronaviruses (β-CoVs). Recent studies have isolated monoclonal antibodies (mAbs) from SARS-CoV-2 recovered-vaccinated donors...

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Main Authors: Christopher T Edwards, Kirti A Karunakaran, Elijah Garcia, Nathan Beutler, Matthew Gagne, Nadia Golden, Hadj Aoued, Kathryn L Pellegrini, Matthew R Burnett, Christopher Cole Honeycutt, Stacey A Lapp, Thang Ton, Mark C Lin, Amanda Metz, Andrei Bombin, Kelly Goff, Sarah E Scheuermann, Amelia Wilkes, Jennifer S Wood, Stephanie Ehnert, Stacey Weissman, Elizabeth H Curran, Melissa Roy, Evan Dessasau, Mirko Paiardini, Amit A Upadhyay, Ian N Moore, Nicholas J Maness, Daniel C Douek, Anne Piantadosi, Raiees Andrabi, Thomas R Rogers, Dennis R Burton, Steven E Bosinger
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS Pathogens
Online Access:https://doi.org/10.1371/journal.ppat.1012456
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author Christopher T Edwards
Kirti A Karunakaran
Elijah Garcia
Nathan Beutler
Matthew Gagne
Nadia Golden
Hadj Aoued
Kathryn L Pellegrini
Matthew R Burnett
Christopher Cole Honeycutt
Stacey A Lapp
Thang Ton
Mark C Lin
Amanda Metz
Andrei Bombin
Kelly Goff
Sarah E Scheuermann
Amelia Wilkes
Jennifer S Wood
Stephanie Ehnert
Stacey Weissman
Elizabeth H Curran
Melissa Roy
Evan Dessasau
Mirko Paiardini
Amit A Upadhyay
Ian N Moore
Nicholas J Maness
Daniel C Douek
Anne Piantadosi
Raiees Andrabi
Thomas R Rogers
Dennis R Burton
Steven E Bosinger
author_facet Christopher T Edwards
Kirti A Karunakaran
Elijah Garcia
Nathan Beutler
Matthew Gagne
Nadia Golden
Hadj Aoued
Kathryn L Pellegrini
Matthew R Burnett
Christopher Cole Honeycutt
Stacey A Lapp
Thang Ton
Mark C Lin
Amanda Metz
Andrei Bombin
Kelly Goff
Sarah E Scheuermann
Amelia Wilkes
Jennifer S Wood
Stephanie Ehnert
Stacey Weissman
Elizabeth H Curran
Melissa Roy
Evan Dessasau
Mirko Paiardini
Amit A Upadhyay
Ian N Moore
Nicholas J Maness
Daniel C Douek
Anne Piantadosi
Raiees Andrabi
Thomas R Rogers
Dennis R Burton
Steven E Bosinger
author_sort Christopher T Edwards
collection DOAJ
description The continued evolution of SARS-CoV-2 variants capable of subverting vaccine and infection-induced immunity suggests the advantage of a broadly protective vaccine against betacoronaviruses (β-CoVs). Recent studies have isolated monoclonal antibodies (mAbs) from SARS-CoV-2 recovered-vaccinated donors capable of neutralizing many variants of SARS-CoV-2 and other β-CoVs. Many of these mAbs target the conserved S2 stem region of the SARS-CoV-2 spike protein, rather than the receptor binding domain contained within S1 primarily targeted by current SARS-CoV-2 vaccines. One of these S2-directed mAbs, CC40.8, has demonstrated protective efficacy in small animal models against SARS-CoV-2 challenge. As the next step in the pre-clinical testing of S2-directed antibodies as a strategy to protect from SARS-CoV-2 infection, we evaluated the in vivo efficacy of CC40.8 in a clinically relevant non-human primate model by conducting passive antibody transfer to rhesus macaques (RM) followed by SARS-CoV-2 challenge. CC40.8 mAb was intravenously infused at 10mg/kg, 1mg/kg, or 0.1 mg/kg into groups (n = 6) of RM, alongside one group that received a control antibody (PGT121). Viral loads in the lower airway were significantly reduced in animals receiving higher doses of CC40.8. We observed a significant reduction in inflammatory cytokines and macrophages within the lower airway of animals infused with 10mg/kg and 1mg/kg doses of CC40.8. Viral genome sequencing demonstrated a lack of escape mutations in the CC40.8 epitope. Collectively, these data demonstrate the protective efficiency of broadly neutralizing S2-targeting antibodies against SARS-CoV-2 infection within the lower airway while providing critical preclinical work necessary for the development of pan-β-CoV vaccines.
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spelling doaj-art-7092eeafc6b04a23ada73b733188590b2025-02-08T05:30:30ZengPublic Library of Science (PLoS)PLoS Pathogens1553-73661553-73742025-01-01211e101245610.1371/journal.ppat.1012456Passive infusion of an S2-Stem broadly neutralizing antibody protects against SARS-CoV-2 infection and lower airway inflammation in rhesus macaques.Christopher T EdwardsKirti A KarunakaranElijah GarciaNathan BeutlerMatthew GagneNadia GoldenHadj AouedKathryn L PellegriniMatthew R BurnettChristopher Cole HoneycuttStacey A LappThang TonMark C LinAmanda MetzAndrei BombinKelly GoffSarah E ScheuermannAmelia WilkesJennifer S WoodStephanie EhnertStacey WeissmanElizabeth H CurranMelissa RoyEvan DessasauMirko PaiardiniAmit A UpadhyayIan N MooreNicholas J ManessDaniel C DouekAnne PiantadosiRaiees AndrabiThomas R RogersDennis R BurtonSteven E BosingerThe continued evolution of SARS-CoV-2 variants capable of subverting vaccine and infection-induced immunity suggests the advantage of a broadly protective vaccine against betacoronaviruses (β-CoVs). Recent studies have isolated monoclonal antibodies (mAbs) from SARS-CoV-2 recovered-vaccinated donors capable of neutralizing many variants of SARS-CoV-2 and other β-CoVs. Many of these mAbs target the conserved S2 stem region of the SARS-CoV-2 spike protein, rather than the receptor binding domain contained within S1 primarily targeted by current SARS-CoV-2 vaccines. One of these S2-directed mAbs, CC40.8, has demonstrated protective efficacy in small animal models against SARS-CoV-2 challenge. As the next step in the pre-clinical testing of S2-directed antibodies as a strategy to protect from SARS-CoV-2 infection, we evaluated the in vivo efficacy of CC40.8 in a clinically relevant non-human primate model by conducting passive antibody transfer to rhesus macaques (RM) followed by SARS-CoV-2 challenge. CC40.8 mAb was intravenously infused at 10mg/kg, 1mg/kg, or 0.1 mg/kg into groups (n = 6) of RM, alongside one group that received a control antibody (PGT121). Viral loads in the lower airway were significantly reduced in animals receiving higher doses of CC40.8. We observed a significant reduction in inflammatory cytokines and macrophages within the lower airway of animals infused with 10mg/kg and 1mg/kg doses of CC40.8. Viral genome sequencing demonstrated a lack of escape mutations in the CC40.8 epitope. Collectively, these data demonstrate the protective efficiency of broadly neutralizing S2-targeting antibodies against SARS-CoV-2 infection within the lower airway while providing critical preclinical work necessary for the development of pan-β-CoV vaccines.https://doi.org/10.1371/journal.ppat.1012456
spellingShingle Christopher T Edwards
Kirti A Karunakaran
Elijah Garcia
Nathan Beutler
Matthew Gagne
Nadia Golden
Hadj Aoued
Kathryn L Pellegrini
Matthew R Burnett
Christopher Cole Honeycutt
Stacey A Lapp
Thang Ton
Mark C Lin
Amanda Metz
Andrei Bombin
Kelly Goff
Sarah E Scheuermann
Amelia Wilkes
Jennifer S Wood
Stephanie Ehnert
Stacey Weissman
Elizabeth H Curran
Melissa Roy
Evan Dessasau
Mirko Paiardini
Amit A Upadhyay
Ian N Moore
Nicholas J Maness
Daniel C Douek
Anne Piantadosi
Raiees Andrabi
Thomas R Rogers
Dennis R Burton
Steven E Bosinger
Passive infusion of an S2-Stem broadly neutralizing antibody protects against SARS-CoV-2 infection and lower airway inflammation in rhesus macaques.
PLoS Pathogens
title Passive infusion of an S2-Stem broadly neutralizing antibody protects against SARS-CoV-2 infection and lower airway inflammation in rhesus macaques.
title_full Passive infusion of an S2-Stem broadly neutralizing antibody protects against SARS-CoV-2 infection and lower airway inflammation in rhesus macaques.
title_fullStr Passive infusion of an S2-Stem broadly neutralizing antibody protects against SARS-CoV-2 infection and lower airway inflammation in rhesus macaques.
title_full_unstemmed Passive infusion of an S2-Stem broadly neutralizing antibody protects against SARS-CoV-2 infection and lower airway inflammation in rhesus macaques.
title_short Passive infusion of an S2-Stem broadly neutralizing antibody protects against SARS-CoV-2 infection and lower airway inflammation in rhesus macaques.
title_sort passive infusion of an s2 stem broadly neutralizing antibody protects against sars cov 2 infection and lower airway inflammation in rhesus macaques
url https://doi.org/10.1371/journal.ppat.1012456
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