RT Journal Article SR Electronic T1 Selection, biophysical and structural analysis of synthetic nanobodies that effectively neutralize SARS-CoV-2 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.23.165415 DO 10.1101/2020.06.23.165415 A1 Tânia F. Custódio A1 Hrishikesh Das A1 Daniel J Sheward A1 Leo Hanke A1 Samuel Pazicky A1 Joanna Pieprzyk A1 Michèle Sorgenfrei A1 Martin Schroer A1 Andrey Gruzinov A1 Cy Jeffries A1 Melissa Graewert A1 Dmitri Svergun A1 Nikolay Dobrev A1 Kim Remans A1 Markus A. Seeger A1 Gerald M McInerney A1 Ben Murrell A1 B. Martin Hällberg A1 Christian Löw YR 2020 UL http://biorxiv.org/content/early/2020/06/23/2020.06.23.165415.abstract AB The coronavirus SARS-CoV-2 is the cause of the ongoing COVID-19 pandemic. Therapeutic neutralizing antibodies constitute a key short-to-medium term approach to tackle COVID-19. However, traditional antibody production is hampered by long development times and costly production. Here, we report the rapid isolation and characterization of nanobodies from a synthetic library, known as sybodies (Sb), that target the receptor-binding domain (RBD) of the SARS-CoV-2 spike protein. Several binders with low nanomolar affinities and efficient neutralization activity were identified of which Sb23 displayed high affinity and neutralized pseudovirus with an IC50 of 0.6 µg/ml. A cryo-EM structure of the spike bound to Sb23 showed that Sb23 binds competitively in the ACE2 binding site. Furthermore, the cryo-EM reconstruction revealed a novel conformation of the spike where two RBDs are in the ‘up’ ACE2-binding conformation. The combined approach represents an alternative, fast workflow to select binders with neutralizing activity against newly emerging viruses.Competing Interest StatementThe authors have declared no competing interest.