RT Journal Article SR Electronic T1 Potent Neutralizing Antibodies Directed to Multiple Epitopes on SARS-CoV-2 Spike JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.17.153486 DO 10.1101/2020.06.17.153486 A1 Lihong Liu A1 Pengfei Wang A1 Manoj S. Nair A1 Jian Yu A1 Micah Rapp A1 Qian Wang A1 Yang Luo A1 Jasper F-W. Chan A1 Vincent Sahi A1 Amir Figueroa A1 Xinzheng V. Guo A1 Gabriele Cerutti A1 Jude Bimela A1 Jason Gorman A1 Tongqing Zhou A1 Zhiwei Chen A1 Kwok-Yung Yuen A1 Peter D. Kwong A1 Joseph G. Sodroski A1 Michael T. Yin A1 Zizhang Sheng A1 Yaoxing Huang A1 Lawrence Shapiro A1 David D. Ho YR 2020 UL http://biorxiv.org/content/early/2020/07/16/2020.06.17.153486.abstract AB The SARS-CoV-2 pandemic rages on with devasting consequences on human lives and the global economy1,2. The discovery and development of virus-neutralizing monoclonal antibodies could be one approach to treat or prevent infection by this novel coronavirus. Here we report the isolation of 61 SARS-CoV-2-neutralizing monoclonal antibodies from 5 infected patients hospitalized with severe disease. Among these are 19 antibodies that potently neutralized the authentic SARS-CoV-2 in vitro, 9 of which exhibited exquisite potency, with 50% virus-inhibitory concentrations of 0.7 to 9 ng/mL. Epitope mapping showed this collection of 19 antibodies to be about equally divided between those directed to the receptor-binding domain (RBD) and those to the N-terminal domain (NTD), indicating that both of these regions at the top of the viral spike are immunogenic. In addition, two other powerful neutralizing antibodies recognized quaternary epitopes that are overlapping with the domains at the top of the spike. Cryo-electron microscopy reconstructions of one antibody targeting RBD, a second targeting NTD, and a third bridging two separate RBDs revealed recognition of the closed, “all RBD-down” conformation of the spike. Several of these monoclonal antibodies are promising candidates for clinical development as potential therapeutic and/or prophylactic agents against SARS-CoV-2.Competing Interest StatementA provisional patent application has been filed for the monoclonal antibodies described in the manuscript. L.L. and D.D.H. are inventors.