PT - JOURNAL ARTICLE AU - Clara G. Altomare AU - Daniel C. Adelsberg AU - Juan Manuel Carreno AU - Iden A. Sapse AU - Fatima Amanat AU - Ali H. Ellebedy AU - Viviana Simon AU - Florian Krammer AU - Goran Bajic TI - Structure of a germline-like human antibody defines a neutralizing epitope on the SARS-CoV-2 spike NTD AID - 10.1101/2021.07.08.451649 DP - 2021 Jan 01 TA - bioRxiv PG - 2021.07.08.451649 4099 - http://biorxiv.org/content/early/2021/07/08/2021.07.08.451649.short 4100 - http://biorxiv.org/content/early/2021/07/08/2021.07.08.451649.full AB - Structural characterization of infection- and vaccination-elicited antibodies in complex with antigen provides insight into the evolutionary arms race between the host and the pathogen and informs rational vaccine immunogen design. We isolated a germline-like monoclonal antibody (mAb) from plasmablasts activated upon mRNA vaccination against SARS-CoV-2 and determined its structure in complex with the spike glycoprotein by cryo-EM. We show that the mAb engages a previously uncharacterized neutralizing epitope on the spike N-terminal domain (NTD). The high-resolution structure reveals details of the intermolecular interactions and shows that the mAb inserts its HCDR3 loop into a hydrophobic NTD cavity previously shown to bind a heme metabolite, biliverdin. We demonstrate direct competition with biliverdin and that - because of the conserved nature of the epitope – the mAb maintains binding to viral variants B.1.1.7 and B.1.351. Our study illustrates the feasibility of targeting the NTD to achieve broad neutralization against SARS-CoV-2 variants.Competing Interest StatementThe authors have declared no competing interest.