Abstract
The emergence of the novel human coronavirus SARS-CoV-2 in Wuhan, China has caused a worldwide epidemic of respiratory disease (COVID-19). Vaccines and targeted therapeutics for treatment of this disease are currently lacking. Here we report a human monoclonal antibody that neutralizes SARS-CoV-2 (and SARS-CoV). This cross-neutralizing antibody targets a communal epitope on these viruses and offers potential for prevention and treatment of COVID-19.
Main text
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the etiological agent of the coronavirus induced disease 19 (COVID-19) that emerged in China late 2019 and causing a worldwide epidemic1. As of March 10th 2020, over 115,113 cases have been reported in 109 countries, of which 4,063 (3.5%) succumbed to the infection2. SARS-CoV-2 belongs to the Sarbecovirus subgenus (genus Betacoronavirus, family Coronaviridae)3 together with SARS-CoV that emerged in 2002 causing approximately 8000 infections with a lethality of 10%. Both viruses crossed species barriers from an animal reservoir and can cause a life-threatening respiratory illness in humans. Presently no approved targeted therapeutics are available for COVID-19. Monoclonal antibodies targeting vulnerable sites on viral surface proteins are increasingly recognised as a promising class of drugs against infectious diseases and have shown therapeutic efficacy for a number of viruses4, 5.
Coronavirus neutralizing antibodies primarily target the trimeric spike (S) glycoproteins on the viral surface that mediate entry into host cells. The S protein has two functional subunits that mediate cell attachment (the S1 subunit, existing of four core domains S1A through S1D) and fusion of the viral and cellular membrane (the S2 subunit). Potent neutralizing antibodies often target the receptor interaction site in S1, disabling receptor interactions6–11. The spike proteins of SARS-CoV-2 (SARS2-S; 1,273 residues, strain Wuhan-Hu-1) and SARS-CoV (SARS-S, 1,255 residues, strain Urbani) are 77.5% identical by primary amino acid sequence, are structurally very similar12, 13 and commonly bind the human angiotensin coverting enzyme 2 (ACE2) protein as a host receptor1, 14 through their S1B domain. Receptor interaction is known to trigger irreversible conformational changes in coronavirus spike proteins enabling membrane fusion15.
In order to identify SARS-CoV-2 neutralizing antibodies, ELISA-(cross)reactivity was assessed of antibody-containing supernatants of a collection of 51 SARS-S hybridoma’s derived from immunized transgenic H2L2 mice that encode chimeric immunoglobulins with human variable heavy and light chains and constant regions of rat origin (Suppl.Fig.1). Four of 51 SARS-S hybridoma supernatants displayed ELISA-cross-reactivity with the SARS2-S1 subunit (S residues 1-681; Suppl.Fig.1), of which one (47D11) exhibited cross-neutralizing activity of SARS-S and SARS2-S pseudotyped VSV infection. The chimeric 47D11 H2L2 antibody was reformatted and recombinantly expressed as a fully human IgG1 isotype antibody for further characterization.
The human 47D11 antibody binds to cells expressing the full-length spike proteins of SARS-CoV and SARS-CoV-2 (Fig.1a). The 47D11 antibody was found to potently inhibit infection of VeroE6 cells with SARS-S and SARS2-S pseudotyped VSV with IC50 values of 0.06 and 0.08 μg/ml (Fig.1b), respectively. Authentic infection of VeroE6 cells with SARS-CoV and SARS-CoV-2 was neutralized with IC50 values of 0.19 and 0.57 μg/ml (Fig.1c). Using ELISA 47D11 was shown to target the S1B receptor binding domain (RBD) of SARS-S and SARS2-S. 47D11 bound the S1B of both viruses with similar affinities as shown by the ELISA-based half maximal effective concentration (EC50) values (0.02 and 0.03 μg/ml, respectively; Fig.2a). ELISA-based binding affinity of 47D11 for the spike ectodomain (Secto) of SARS-CoV was higher relative to that of SARS-CoV-2 (EC50 values: 0.018 and 0.15 μg/ml, respectively), despite equimolar antigen coating (Suppl.Fig.2). Congruent with the ELISA-reactivities, measurement of binding kinetics of 47D11 by biolayer interferometry showed that 47D11 binds SARS-Secto with higher affinity (equilibrium dissociation constant [KD]: 0.745 nM) relative to SARS2-Secto (KD 10.8 nM) whereas affinity for SARS-S1B and SARS2-S1B was in a similar range (16.1 and 9.6 nM, respectively, Suppl.Fig.3). This difference may originate from differences in epitope accessibility in SARS-S versus SARS2-S, as domain B can adopt a closed and open conformation in the prefusion spike homotrimer12, 13. Remarkably, binding of 47D11 to SARS-S1B and SARS2-S1B did not compete with S1B binding to the ACE2 receptor expressed at the cell surface as shown by flow cytometry (Fig.2b; Suppl.Fig.4) nor with Secto and S1B binding to soluble ACE2 in solid-phase based assay (Suppl.Fig.5), whereas two SARS-S1 specific antibodies 35F4 and 43C6 that neutralize SARS-S (but not SARS2-S) pseudotyped VSV infection (Suppl.Fig.6) do block binding of SARS-Secto and SARS-S1B to ACE2. Using a trypsin-triggered cell-cell fusion assay, 47D11 was shown to impair SARS-S and SARS2-S mediated syncytia formation (Suppl.Fig.7). Our data show that 47D11 neutralizes SARS-CoV and SARS-CoV-2 through a yet unknown mechanism that is different from receptor binding interference. Alternative mechanisms of coronavirus neutralization by RBD-targeting antibodies have been reported including spike inactivation through antibody-induced destabilization of its prefusion structure15, which may also apply for 47D11.
The SARS2-S1B receptor binding domain (residues 338-506) consists of a core domain and a receptor binding subdomain (residues 438-498) looping out from the antiparallel betasheet core domain structure that directly engages the receptor. Compared to the S1B core domain, the protein sequence identity of the S1B receptor interacting subdomain of SARS-S and SARS2-S is substantially lower (46.7% versus 86.3%; Suppl.Fig.8 and Fig.2c). Potent neutralizing antibodies often target this receptor binding subdomain. However, due to common variations in this subdomain, these antibodies are often virus-specific and bind and neutralize related viruses poorly16, 17. The cross-reactive nature of 47D11 indicates that the antibody is more likely to target the conserved core structure of the S1B receptor binding domain. S1B binding by 47D11 further away from the receptor binding interface explains its inability to compromise spike-receptor interaction.
In conclusion, this is the first report on a (human) monoclonal antibody that neutralizes SARS-CoV-2. 47D11 binds a conserved epitope on the spike receptor binding domain explaining its ability to cross-neutralize SARS-CoV and SARS-CoV-2, using a mechanism that is independent of receptor binding inhibition. This antibody will be useful for development of antigen detection tests and serological assays targeting SARS-CoV-2. Neutralizing antibodies can alter the course of infection in the infected host supporting virus clearance or protect an uninfected host that is exposed to the virus4. Hence, this antibody offers the potential to prevent and/or treat COVID-19, and possibly also other future emerging diseases in humans caused by viruses from the Sarbecovirus subgenus.
Author Contributions
B.J.B. designed and coordinated the study. C.W., W.L., N.M.A.O., R.v.H. and D.D conducted the experiments. D.D., B.L.H. and B.J.B. supervised part of the experiments. All authors contributed to the interpretations and conclusions presented. B.J.B. wrote the manuscript, B.L.H., F.J.M.K., A.D.M.E.O. and F.G. participated in editing the manuscript.
Materials and Methods
Expression and purification of coronavirus spike proteins
Coronavirus spike ectodomains (Secto) of SARS-CoV (residues 1–1,182; strain CUHK-W1; GenBank: AAP13567.1) and SARS-CoV-2 (residues 1–1,213; strain Wuhan-Hu-1; GenBank: QHD43416.1) were expressed transiently in HEK-293T cells with a C-terminal trimerization motif and Strep-tag using the pCAGGS expression plasmid. Similarly, pCAGGS expression vectors encoding S1 or its subdomains of SARS-CoV (S1, residues 1-676; S1A, residues 1-302; S1B, residues, 325-533), and SARS-CoV-2 (S1, residues 1-682; S1A, residues 1-294; S1B, residues 329-538) C-terminally tagged with Fc domain of human or mouse IgG or Strep-tag were generated as described before19. Recombinant proteins were expressed transiently in HEK-293T cells and affinity purified from the culture supernatant by protein-A sepharose beads (GE Healthcare) or streptactin beads (IBA) purification. Purity and integrity of all purified recombinant proteins was checked by coomassie stained SDS-PAGE.
Generation of H2L2 mAbs
H2L2 mice were sequentially immunized in two weeks intervals with purified Secto of different CoVs in the following order: HCoV-OC43, SARS-CoV, MERS-CoV, HCoV-OC43, SARS-CoV and MERS-CoV. Antigens were injected at 20-25 μg/mouse using Stimune Adjuvant (Prionics) freshly prepared according to the manufacturer instruction for first injection, while boosting was done using Ribi (Sigma) adjuvant. Injections were done subcutaneously into the left and right groin each (50 μl) and 100 μl intraperitoneally. Four days after the last injection, spleen and lymph nodes are harvested, and hybridomas made by standard method using SP 2/0 myeloma cell line (ATCC#CRL-1581) as a fusion partner. Hybridomas were screened in antigen-specific ELISA and those selected for further development, subcloned and produced on a small scale (100 ml of medium). For this purpose, hybridomas are cultured in serum- and protein-free medium for hybridoma culturing (PFHM-II (1X), Gibco) with addition of non-essential amino acids 100X NEAA, Biowhittaker Lonza, Cat BE13-114E). H2L2 antibodies were purified from hybridoma culture supernatants using Protein-A affinity chromatography. Purified antibodies were stored at 4°C until use.
Production of human monoclonal antibody 47D11
For recombinant human mAb production, the cDNA’s encoding the 47D11 H2L2 mAb variable regions of the heavy and light chains were cloned into expression plasmids containing the human IgG1 heavy chain and Ig kappa light chain constant regions, respectively (InvivoGen). Both plasmids contain the interleukin-2 signal sequence to enable efficient secretion of recombinant antibodies. Recombinant human 47D11 mAb and previously described Isotype-control (anti-Streptag mAb) or 7.7G6 mAb were produced in HEK-293T cells following transfection with pairs of the IgG1 heavy and light chain expression plasmids according to protocols from InvivoGen. Human antibodies were purified from cell culture supernatants using Protein-A affinity chromatography. Purified antibodies were stored at 4°C until use.
Immunofluorescence microscopy
Antibody binding to cell surface spike proteins of SARS-CoV, SARS-CoV-2 and MERS-CoV was measured by immunofluoresence microscopy. HEK-293T cells seeded on glass slides were transfected with plasmids encoding SARS-S, SARS2-S or MERS-S - C-terminally fused to the green fluorescence protein (GFP) - using Lipofectamine 2000 (Invitrogen). Two days post transfection, cells were fixed by incubation with 2% paraformaldehyde in PBS for 20 min at room temperature and stained for nuclei with 4,6-diamidino-2-phenylindole (DAPI). Cells were subsequently incubated with mAbs at a concentration of 10 μg/ml for 1 h at room temperature, followed by incubation with Alexa Fluor 594 conjugated goat anti-human IgG antibodies (Invitrogen, Thermo Fisher Scientific) for 45 min at room temperature. The fluorescence images were recorded using a Leica SpeII confocal microscope.
Flow cytometry-based receptor binding inhibition assay
Antibody interference of S1B binding to human ACE2 receptor on the cell surface was measured by flow cytometry. HEK-293T cells were seeded at a density of 2.5×105 cells per ml in a T75 flask. After reaching 70~80% confluency, cells were transfected with an expression plasmid encoding human ACE2 - C-terminally fused to the GFP - using Lipofectamine 2000 (Invitrogen). Two days post transfection, cells were dissociated by cell dissociation solution (Sigma-aldrich, Merck KGaA; cat. no. C5914). 2.5 μg/ml of human Fc tagged SARS-S1B and SARS2-S1B was preincubated with mAb at the indicated mAb:S1B molar ratios for 1 hour on ice and subjected to flow cytometry. Single cell suspensions in FACS buffer were centrifuged at 400×g for 10 min. Cells were subsequently incubated with S1B and mAb mixture for 1 h on ice, followed by incubation with Alexa Fluor 594 conjugated goat anti-human IgG antibodies (Invitrogen, Thermo Fisher Scientific) for 45 min at room temperature. Cells were subjected to flow cytometric analysis with a CytoFLEX Flow Cytometer (Beckman Coulter). The results were analysed by FlowJo (version 10).
Pseudotyped virus neutralization assay
Production of VSV pseudotyped with SARS-S and SARS2-S was performed as described previously with some adaptations11. Briefly, HEK-293T cells were transfected with pCAGGS expression vectors encoding SARS-S or SARS2-S carrying a 28- or 18-a.a. cytoplasmic tail truncation, respectively. One day post transfection, cells were infected with the VSV-G pseudotyped VSVΔG bearing the firefly (Photinus pyralis) luciferase reporter gene. Twenty-four hours later, supernatants containing SARS-S/SARS2-S pseudotyped VSV particles were harvested and titrated on African green monkey kidney VeroE6 cells. In the virus neutralization assay, mAbs were serially diluted at two times the desired final concentration in DMEM supplemented with 1% fetal calf serum (Bodinco), 100 U/ml Penicillin and 100 μg/ml Streptomycin. Diluted mAbs were incubated with an equal volume of pseudotyped VSV particles for 1 hour at room temperature, inoculated on confluent VeroE6 monolayers in 96-well plated, and further incubated at 37°C for 24 hours. Luciferase activity was measured on a Berthold Centro LB 960 plate luminometer using D-luciferin as a substrate (Promega). The percentage of infectivity was calculated as ratio of luciferase readout in the presence of mAbs normalized to luciferase readout in the absence of mAb. The half maximal inhibitory concentrations (IC50) were determined using 4-parameter logistic regression (GraphPad Prism version 8).
Virus neutralization assay
Neutralization of authentic SARS-CoV and SARS-CoV-2 was performed using a plaque reduction neutralization test (PRNT) as described earlier, with some modifications20. In brief, mAbs were two-fold serially diluted and mixed with SARS-CoV or SARS-CoV-2 for 1 hour. The mixture was then added to VeroE6 cells and incubated for 1 hr, after which the cells were washed and further incubated in medium for 8 hrs. The cells were then fixed and stained using a rabbit anti-SARS-CoV serum (Sino Biological) and a secondary peroxidase-labelled goat anti-rabbit IgG (Dako). The signal was developed using a precipitate forming TMB substrate (True Blue, KPL) and the number of infected cells per well were counted using the ImmunoSpot® Image analyzer (CTL Europe GmbH). The half maximal inhibitory concentrations (IC50) were determined using 4-parameter logistic regression (GraphPad Prism version 8).
ELISA analysis of antibody binding to CoV spike antigens
NUNC Maxisorp plates (Thermo Scientific) were coated with equimolar antigen amounts at 4°C overnight. Plates were washed three times with Phosphate Saline Buffer (PBS) containing 0.05% Tween-20 and blocked with 3% Bovine Serum Albumin (BSA) in PBS containing 0.1% Tween-20 at room temperature for 2 hours. Four-folds serial dilutions of mAbs starting at 10 μg/ml (diluted in blocking buffer) were added and plates were incubated for 1 hour at room temperature. Plates were washed three times and incubated with HRP-conjugated goat anti-human secondary antibody (ITK Southern Biotech) diluted 1:2000 in blocking buffer for 1 hour at room temperature. An HRP-conjugated anti-StrepMAb (IBA, Cat.no: 2-1509-001) antibody was used to corroborate equimolar coating of the Strep-tagged spike antigens. HRP activity was measured at 450 nanometer using tetramethylbenzidine substrate (BioFX) and an ELISA plate reader (EL-808, Biotek). Half-maximum effective concentration (EC50) binding values were calculated by non-linear regression analysis on the binding curves using GraphPad Prism (version 8).
Acknowledgements
We thank dr. Yoshiharu Matsuura (Osaka University, Japan) for the provision of the luciferase-encoding VSV-G pseudotyped VSVΔG-luc virus, and Yongle Yang, Michael van der Reijden and Rick Janssens for technical support. We thank Christian Drosten (Charité Universitätsmedizin Berlin, Germany) for provision of the SARS-CoV-2 virus. This study was done within the framework of National Centre for One Health (NCOH) and the Innovative Medicines Initiative (IMI) Zoonotic Anticipation and Preparedness Initiative [ZAPI project; grant agreement no. 115760]. The mice used in this study were provided by Harbour Antibodies BV, a daughter company of Harbour Biomed (http://www.harbourbiomed.com). C. Wang was supported by a grant from the Chinese Scholarship Council (file number CSC201708620178).