TY - JOUR T1 - An Engineered Antibody with Broad Protective Efficacy in Murine Models of SARS and COVID-19 JF - bioRxiv DO - 10.1101/2020.11.17.385500 SP - 2020.11.17.385500 AU - C. Garrett Rappazzo AU - Longping V. Tse AU - Chengzi I. Kaku AU - Daniel Wrapp AU - Mrunal Sakharkar AU - Deli Huang AU - Laura M. Deveau AU - Thomas J. Yockachonis AU - Andrew S. Herbert AU - Michael B. Battles AU - Cecilia M. O’Brien AU - Michael E. Brown AU - James C. Geoghegan AU - Jonathan Belk AU - Linghang Peng AU - Linlin Yang AU - Trevor D. Scobey AU - Dennis R. Burton AU - David Nemazee AU - John M. Dye AU - James E. Voss AU - Bronwyn M. Gunn AU - Jason S. McLellan AU - Ralph S. Baric AU - Lisa E. Gralinski AU - Laura M. Walker Y1 - 2020/01/01 UR - http://biorxiv.org/content/early/2020/11/17/2020.11.17.385500.abstract N2 - 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. ER -