RT Journal Article SR Electronic T1 Humanized Single Domain Antibodies Neutralize SARS-CoV-2 by Targeting Spike Receptor Binding Domain JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.04.14.042010 DO 10.1101/2020.04.14.042010 A1 Xiaojing Chi A1 Xiuying Liu A1 Conghui Wang A1 Xinhui Zhang A1 Lili Ren A1 Qi Jin A1 Jianwei Wang A1 Wei Yang YR 2020 UL http://biorxiv.org/content/early/2020/04/15/2020.04.14.042010.abstract AB Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread across more than 200 countries and regions, leading to an unprecedented medical burden and live lost. SARS-CoV-2 specific antivirals or prophylactic vaccines are not available. Neutralizing antibodies provide efficient blockade for viral infection and are a promising category of biological therapies. Using SARS-CoV-2 spike RBD as a bait, we have discovered a panel of humanized single domain antibodies (sdAbs). These sdAbs revealed binding kinetics with the equilibrium dissociation constant (KD) of 0.7~33 nM. The monomeric sdAbs showed half maximal inhibitory concentration (IC50) of 0.003~0.3 μg/mL in pseudotyped particle neutralization assay, and 0.23~0.50 μg/mL in authentic SARS-CoV-2 neutralization assay. Competitive ligand-binding data suggested that the sdAbs either completely blocked or significantly inhibited the association between SARS-CoV-2 RBD and viral entry receptor ACE2. Finally, we showed that fusion of the human IgG1 Fc to sdAbs improved their neutralization activity by tens of times. These results reveal the novel SARS-CoV-2 RBD targeting sdAbs and pave a road for antibody drug development.Competing Interest StatementThe authors have declared no competing interest.