RT Journal Article SR Electronic T1 An Engineered Antibody with Broad Protective Efficacy in Murine Models of SARS and COVID-19 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.11.17.385500 DO 10.1101/2020.11.17.385500 A1 C. Garrett Rappazzo A1 Longping V. Tse A1 Chengzi I. Kaku A1 Daniel Wrapp A1 Mrunal Sakharkar A1 Deli Huang A1 Laura M. Deveau A1 Thomas J. Yockachonis A1 Andrew S. Herbert A1 Michael B. Battles A1 Cecilia M. O’Brien A1 Michael E. Brown A1 James C. Geoghegan A1 Jonathan Belk A1 Linghang Peng A1 Linlin Yang A1 Trevor D. Scobey A1 Dennis R. Burton A1 David Nemazee A1 John M. Dye A1 James E. Voss A1 Bronwyn M. Gunn A1 Jason S. McLellan A1 Ralph S. Baric A1 Lisa E. Gralinski A1 Laura M. Walker YR 2020 UL http://biorxiv.org/content/early/2020/11/17/2020.11.17.385500.abstract AB The recurrent zoonotic spillover of coronaviruses (CoVs) into the human population underscores the need for broadly active countermeasures. Here, we employed a directed evolution approach to engineer three SARS-CoV-2 antibodies for enhanced neutralization breadth and potency. One of the affinity-matured variants, ADG-2, displays strong binding activity to a large panel of sarbecovirus receptor binding domains (RBDs) and neutralizes representative epidemic sarbecoviruses with remarkable potency. Structural and biochemical studies demonstrate that ADG-2 employs a unique angle of approach to recognize a highly conserved epitope overlapping the receptor binding site. In murine models of SARS-CoV and SARS-CoV-2 infection, passive transfer of ADG-2 provided complete protection against respiratory burden, viral replication in the lungs, and lung pathology. Altogether, ADG-2 represents a promising broad-spectrum therapeutic candidate for the treatment and prevention of SARS-CoV-2 and future emerging SARS-like CoVs.Competing Interest StatementC.G.R, C.I.K, M.S., L.M.D., M.B.B., M.E.B., J.C.G., and L.M.W. are employees of Adimab, LLC and may hold shares in Adimab, LLC. L.M.W. is an employee of Adagio Therapeutics Inc. and holds shares in Adagio Therapeutics Inc. D.R.B. is on the SAB of Adimab, LLC and Adagio Therapeutics Inc. and holds shares in Adimab, LLC.