RT Journal Article SR Electronic T1 Disruption of Adaptive Immunity Enhances Disease in SARS-CoV-2 Infected Syrian Hamsters JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.19.161612 DO 10.1101/2020.06.19.161612 A1 Rebecca L. Brocato A1 Lucia M. Principe A1 Robert K. Kim A1 Xiankun Zeng A1 Janice A. Williams A1 Yanan Liu A1 Rong Li A1 Jeffrey M. Smith A1 Joseph W. Golden A1 Dave Gangemi A1 Sawsan Youssef A1 Zhongde Wang A1 Jacob Glanville A1 Jay W. Hooper YR 2020 UL http://biorxiv.org/content/early/2020/06/19/2020.06.19.161612.abstract AB Animal models recapitulating human COVID-19 disease, especially with severe disease, are urgently needed to understand pathogenesis and evaluate candidate vaccines and therapeutics. Here, we develop novel severe disease animal models for COVID-19 involving disruption of adaptive immunity in Syrian hamsters. Cyclophosphamide (CyP) immunosuppressed or RAG2 knockout (KO) hamsters were exposed to SARS-CoV-2 by the respiratory route. Both the CyP-treated and RAG2 KO hamsters developed clinical signs of disease that were more severe than in immunocompetent hamsters, notably weight loss, viral loads, and fatality (RAG2 KO only). Disease was prolonged in transiently immunosuppressed hamsters and uniformly lethal in RAG2 KO hamsters. We evaluated the protective efficacy of a neutralizing monoclonal antibody and found that pretreatment, even in immunosuppressed animals, limited infection. Our results suggest that functional B and/or T cells are not only important for the clearance of SARS-CoV-2, but also play an early role in protection from acute disease.One Sentence Summary An antibody targeting the spike protein of SARS-CoV-2 limits infection in immunosuppressed Syrian hamster models.Competing Interest StatementThe authors have declared no competing interest.