RT Journal Article SR Electronic T1 Structural basis of a two-antibody cocktail exhibiting highly potent and broadly neutralizing activities against SARS-CoV-2 variants including diverse Omicron sublineages JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.05.27.493682 DO 10.1101/2022.05.27.493682 A1 Xiaoman Li A1 Yongbing Pan A1 Qiangling Yin A1 Zejun Wang A1 Sisi Shan A1 Laixing Zhang A1 Jinfang Yu A1 Yuanyuan Qu A1 Lina Sun A1 Fang Gui A1 Jia Lu A1 Zhaofei Jing A1 Wei Wu A1 Tao Huang A1 Xuanling Shi A1 Jiandong Li A1 Xinguo Li A1 Dexin Li A1 Shiwen Wang A1 Maojun Yang A1 Linqi Zhang A1 Kai Duan A1 Mifang Liang A1 Xiaoming Yang A1 Xinquan Wang YR 2022 UL http://biorxiv.org/content/early/2022/05/27/2022.05.27.493682.abstract AB SARS-CoV-2 variants of concern (VOCs), especially the latest Omicron, have exhibited severe antibody evasion. Broadly neutralizing antibodies with high potency against Omicron are urgently needed for understanding working mechanisms and developing therapeutic agents. In this study, we characterized previously reported F61, which was isolated from convalescent patients infected with prototype SARS-CoV-2, as a broadly neutralizing antibody against all VOCs including Omicron BA.1, BA.1.1, BA.2, BA.3 and BA.4 sublineages by utilizing antigen binding and cell infection assays. We also identified and characterized another broadly neutralizing antibody D2 with epitope distinct from that of F61. More importantly, we showed that a combination of F61 with D2 exhibited synergy in neutralization and protecting mice from SARS-CoV-2 Delta and Omicron BA.1 variants. Cryo-EM structures of the spike-F61 and spike-D2 binary complexes revealed the distinct epitopes of F61 and D2 at atomic level and the structural basis for neutralization. Cryo-EM structure of the Omicron-spike-F61-D2 ternary complex provides further structural insights into the synergy between F61 and D2. These results collectively indicated F61 and F61-D2 cocktail as promising therapeutic antibodies for combating SARS-CoV-2 variants including diverse Omicron sublineages.Competing Interest StatementThe authors have declared no competing interest.