RT Journal Article SR Electronic T1 A Novel Monoclonal Antibody Targeting a Large Surface of the Receptor Binding Motif Shows Pan-neutralizing SARS-CoV-2 Activity Including BQ.1.1 Variant JF bioRxiv FD Cold Spring Harbor Laboratory SP 2023.01.20.524748 DO 10.1101/2023.01.20.524748 A1 Leire de Campos-Mata A1 Benjamin Trinité A1 Andrea Modrego A1 Sonia Tejedor Vaquero A1 Edwards Pradenas A1 Natalia Rodrigo Melero A1 Diego Carlero A1 Silvia Marfil A1 Anna Pons-Grífols A1 María Teresa Bueno-Carrasco A1 César Santiago A1 Ferran Tarrés-Freixas A1 Victor Urrea A1 Nuria Izquierdo A1 Eva Riveira-Muñoz A1 Ester Ballana A1 Mónica Pérez A1 Júlia Vergara-Alert A1 Joaquim Segalés A1 Carlo Carolis A1 Rocío Arranz A1 Julià Blanco A1 Giuliana Magri YR 2023 UL http://biorxiv.org/content/early/2023/01/23/2023.01.20.524748.abstract AB In the present study we report the functional and structural characterization of 17T2, a new highly potent pan-neutralizing SARS-CoV-2 human monoclonal antibody (mAb) isolated from a convalescent COVID-19 individual infected during the first wave of the COVID-19 pandemic. 17T2 is a class 1 VH1-58/κ3-20 antibody, derived from a receptor binding domain (RBD)-specific IgA memory B cell and developed as a human recombinant IgG1. Functional characterization revealed that 17T2 mAb has a high and exceptionally broad neutralizing activity against all SARS-CoV-2 spike variants tested, including BQ.1.1. Moreover, 17T2 mAb has in vivo prophylactic activity against Omicron BA.1.1 infection in K18-hACE2 transgenic mice. 3D reconstruction from cryogenic-electron microscopy (cryo-EM) showed that 17T2 binds the Omicron BA.1 spike protein with the RBD domains in “up” position and recognizes an epitope overlapping with the receptor binding motif, as it is the case for other structurally similar neutralizing mAbs, including S2E12. Yet, unlike S2E12, 17T2 retained its high neutralizing activity against all Omicron sublineages tested, probably due to a larger contact area with the RBD, which could confer a higher resilience to spike mutations. These results highlight the impact of small structural antibody changes on neutralizing performance and identify 17T2 mAb as a potential candidate for future therapeutic and prophylactic interventions.Competing Interest StatementUnrelated to the submitted work, J.B. is founder and shareholder of AlbaJuna Therapeutics, S.L; J.B. reports institutional grants from HIPRA, NESAPOR Europe, and MSD. The authors declare no other competing conflicts of interests. This work is protected by intellectual property rights through the patent EP22382940, published by G.M., S.T.V., L.D.C.-M., C.C., J.B.A., B.T., E.P. (co-authors of this work).