PT - JOURNAL ARTICLE AU - Philip J.M. Brouwer AU - Tom G. Caniels AU - Karlijn van der Straten AU - Jonne L. Snitselaar AU - Yoann Aldon AU - Sandhya Bangaru AU - Jonathan L. Torres AU - Nisreen M.A. Okba AU - Mathieu Claireaux AU - Gius Kerster AU - Arthur E.H. Bentlage AU - Marlies M. van Haaren AU - Denise Guerra AU - Judith A. Burger AU - Edith E. Schermer AU - Kirsten D. Verheul AU - Niels van der Velde AU - Alex van der Kooi AU - Jelle van Schooten AU - Mariëlle J. van Breemen AU - Tom P. L. Bijl AU - Kwinten Sliepen AU - Aafke Aartse AU - Ronald Derking AU - Ilja Bontjer AU - Neeltje A. Kootstra AU - W. Joost Wiersinga AU - Gestur Vidarsson AU - Bart L. Haagmans AU - Andrew B. Ward AU - Godelieve J. de Bree AU - Rogier W. Sanders AU - Marit J. van Gils TI - Potent neutralizing antibodies from COVID-19 patients define multiple targets of vulnerability AID - 10.1101/2020.05.12.088716 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.05.12.088716 4099 - http://biorxiv.org/content/early/2020/05/12/2020.05.12.088716.short 4100 - http://biorxiv.org/content/early/2020/05/12/2020.05.12.088716.full AB - The rapid spread of SARS-CoV-2 has a significant impact on global health, travel and economy. Therefore, preventative and therapeutic measures are urgently needed. Here, we isolated neutralizing antibodies from convalescent COVID-19 patients using a SARS-CoV-2 stabilized prefusion spike protein. Several of these antibodies were able to potently inhibit live SARS-CoV-2 infection at concentrations as low as 0.007 µg/mL, making them the most potent human SARS-CoV-2 antibodies described to date. Mapping studies revealed that the SARS-CoV-2 spike protein contained multiple distinct antigenic sites, including several receptor-binding domain (RBD) epitopes as well as previously undefined non-RBD epitopes. In addition to providing guidance for vaccine design, these mAbs are promising candidates for treatment and prevention of COVID-19.Competing Interest StatementAmsterdam UMC has filed a patent application on COVID-19 monoclonal antibodies.