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SARS-CoV-2 neutralizing human antibodies protect against lower respiratory tract disease in a hamster model

View ORCID ProfileBart L. Haagmans, View ORCID ProfileDanny Noack, View ORCID ProfileNisreen M.A. Okba, View ORCID ProfileWentao Li, Chunyan Wang, Theo Bestebroer, View ORCID ProfileRory de Vries, View ORCID ProfileSander Herfst, Dennis de Meulder, Peter van Run, Mart M. Lamers, View ORCID ProfileBart Rijnders, Casper Rokx, Frank van Kuppeveld, Frank Grosveld, View ORCID ProfileDubravka Drabek, Corine GeurtsvanKessel, Marion Koopmans, View ORCID ProfileBerend Jan Bosch, View ORCID ProfileThijs Kuiken, View ORCID ProfileBarry Rockx
doi: https://doi.org/10.1101/2020.08.24.264630
Bart L. Haagmans
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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  • For correspondence: b.haagmans@erasmusmc.nl
Danny Noack
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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  • ORCID record for Danny Noack
Nisreen M.A. Okba
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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Wentao Li
5Virology Section, Infectious Diseases and Immunology Division, Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands
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Chunyan Wang
5Virology Section, Infectious Diseases and Immunology Division, Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands
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Theo Bestebroer
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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Rory de Vries
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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  • ORCID record for Rory de Vries
Sander Herfst
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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  • ORCID record for Sander Herfst
Dennis de Meulder
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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Peter van Run
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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Mart M. Lamers
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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Bart Rijnders
2Department of Medical Microbiology & Infectious Diseases, Erasmus Medical Center, Rotterdam, the Netherlands
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Casper Rokx
2Department of Medical Microbiology & Infectious Diseases, Erasmus Medical Center, Rotterdam, the Netherlands
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Frank van Kuppeveld
5Virology Section, Infectious Diseases and Immunology Division, Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands
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Frank Grosveld
3Department of Cell Biology, Erasmus Medical Center, Rotterdam, the Netherlands
4Harbour BioMed, Rotterdam, the Netherlands
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Dubravka Drabek
3Department of Cell Biology, Erasmus Medical Center, Rotterdam, the Netherlands
4Harbour BioMed, Rotterdam, the Netherlands
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Corine GeurtsvanKessel
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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Marion Koopmans
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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Berend Jan Bosch
5Virology Section, Infectious Diseases and Immunology Division, Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands
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Thijs Kuiken
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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Barry Rockx
1Department of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands
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  • ORCID record for Barry Rockx
  • For correspondence: b.haagmans@erasmusmc.nl
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ABSTRACT

Effective clinical intervention strategies for COVID-19 are urgently needed. Although several clinical trials have evaluated the use of convalescent plasma containing virus-neutralizing antibodies, the effectiveness has not been proven. We show that hamsters treated with a high dose of human convalescent plasma or a monoclonal antibody were protected against weight loss showing reduced pneumonia and pulmonary virus replication compared to control animals. However, a ten-fold lower dose of convalescent plasma showed no protective effect. Thus, variable and relatively low levels of virus neutralizing antibodies in convalescent plasma may limit their use for effective antiviral therapy, favouring concentrated, purified (monoclonal) antibodies.

Competing Interest Statement

A patent application has been filed for antibody 47D11 targeting SARS-CoV-2 (United Kingdom patent application no. 2003632.3; patent applicants: Utrecht University, Erasmus Medical Center and Harbour BioMed). Others declare no competing interests.

Copyright 
The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license.
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Posted August 24, 2020.
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SARS-CoV-2 neutralizing human antibodies protect against lower respiratory tract disease in a hamster model
Bart L. Haagmans, Danny Noack, Nisreen M.A. Okba, Wentao Li, Chunyan Wang, Theo Bestebroer, Rory de Vries, Sander Herfst, Dennis de Meulder, Peter van Run, Mart M. Lamers, Bart Rijnders, Casper Rokx, Frank van Kuppeveld, Frank Grosveld, Dubravka Drabek, Corine GeurtsvanKessel, Marion Koopmans, Berend Jan Bosch, Thijs Kuiken, Barry Rockx
bioRxiv 2020.08.24.264630; doi: https://doi.org/10.1101/2020.08.24.264630
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SARS-CoV-2 neutralizing human antibodies protect against lower respiratory tract disease in a hamster model
Bart L. Haagmans, Danny Noack, Nisreen M.A. Okba, Wentao Li, Chunyan Wang, Theo Bestebroer, Rory de Vries, Sander Herfst, Dennis de Meulder, Peter van Run, Mart M. Lamers, Bart Rijnders, Casper Rokx, Frank van Kuppeveld, Frank Grosveld, Dubravka Drabek, Corine GeurtsvanKessel, Marion Koopmans, Berend Jan Bosch, Thijs Kuiken, Barry Rockx
bioRxiv 2020.08.24.264630; doi: https://doi.org/10.1101/2020.08.24.264630

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