RT Journal Article SR Electronic T1 Genetic and structural basis for recognition of SARS-CoV-2 spike protein by a two-antibody cocktail JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.01.27.428529 DO 10.1101/2021.01.27.428529 A1 Jinhui Dong A1 Seth J. Zost A1 Allison J. Greaney A1 Tyler N. Starr A1 Adam S. Dingens A1 Elaine C. Chen A1 Rita E. Chen A1 James Brett Case A1 Rachel E. Sutton A1 Pavlo Gilchuk A1 Jessica Rodriguez A1 Erica Armstrong A1 Christopher Gainza A1 Rachel S. Nargi A1 Elad Binshtein A1 Xuping Xie A1 Xianwen Zhang A1 Pei-Yong Shi A1 James Logue A1 Stuart Weston A1 Marisa E. McGrath A1 Matthew B. Frieman A1 Tyler Brady A1 Kevin Tuffy A1 Helen Bright A1 Yueh-Ming Loo A1 Patrick McTamney A1 Mark Esser A1 Robert H. Carnahan A1 Michael S. Diamond A1 Jesse D. Bloom A1 James E. Crowe, Jr. YR 2021 UL http://biorxiv.org/content/early/2021/03/01/2021.01.27.428529.abstract AB The SARS-CoV-2 pandemic has led to an urgent need to understand the molecular basis for immune recognition of SARS-CoV-2 spike (S) glycoprotein antigenic sites. To define the genetic and structural basis for SARS-CoV-2 neutralization, we determined the structures of two human monoclonal antibodies COV2-2196 and COV2-21301, which form the basis of the investigational antibody cocktail AZD7442, in complex with the receptor binding domain (RBD) of SARS-CoV-2. COV2-2196 forms an “aromatic cage” at the heavy/light chain interface using germline-encoded residues in complementarity determining regions (CDRs) 2 and 3 of the heavy chain and CDRs 1 and 3 of the light chain. These structural features explain why highly similar antibodies (public clonotypes) have been isolated from multiple individuals1–4. The structure of COV2-2130 reveals that an unusually long LCDR1 and HCDR3 make interactions with the opposite face of the RBD from that of COV2-2196. Using deep mutational scanning and neutralization escape selection experiments, we comprehensively mapped the critical residues of both antibodies and identified positions of concern for possible viral escape. Nonetheless, both COV2-2196 and COV2-2130 showed strong neutralizing activity against SARS-CoV-2 strain with recent variations of concern including E484K, N501Y, and D614G substitutions. These studies reveal germline-encoded antibody features enabling recognition of the RBD and demonstrate the activity of a cocktail like AZD7442 in preventing escape from emerging variant viruses.Competing Interest StatementT.B., K.T., H.B., Y.M-L., P.M., and M.E. are employees of and may own stock in AstraZeneca. M.S.D. is a consultant for Inbios, Vir Biotechnology, NGM Biopharmaceuticals, and Carnival Corporation and on the Scientific Advisory Boards of Moderna and Immunome. The Diamond laboratory has received funding support in sponsored research agreements from Moderna, Vir Biotechnology, and Emergent BioSolutions. All other authors declare no competing interests. J.E.C. has served as a consultant for Eli Lilly, GlaxoSmithKline and Luna Biologics, is a member of the Scientific Advisory Boards of CompuVax and Meissa Vaccines and is Founder of IDBiologics. The Crowe laboratory at Vanderbilt University Medical Center has received sponsored research agreements from IDBiologics and AstraZeneca. Vanderbilt University has applied for patents concerning antibodies that are related to this work.