1区 · 生物学
Article
作者: Richter, Anja  ; Bertzbach, Luca D  ; Dietert, Kristina  ; Hoffmann, Julius  ; Wilson, Ian A  ; Homeyer, Marie A  ; Jeworowski, Lara Maria  ; Sander, Leif E  ; Gruber, Achim D  ; Schwarz, Tatjana  ; van Hoof, Scott  ; Suttorp, Norbert  ; Skriner, Karl  ; Corman, Victor Max  ; Liu, Hejun  ; Stöffler, Laura  ; Yuan, Meng  ; Barthel, Paula Charlotte  ; Kurth, Florian  ; Li, Lucie Y  ; Hocke, Andreas C  ; Endres, Matthias  ; Schmitz, Dietmar  ; von Wardenburg, Niels  ; Abdelgawad, Azza  ; Schmidt, Marie Luisa  ; Wu, Nicholas C  ; Trimpert, Jakob  ; Reincke, S Momsen  ; Vladimirova, Daria  ; Witzenrath, Martin  ; Osterrieder, Nikolaus  ; Prüss, Harald  ; Kreye, Jakob  ; Müller, Marcel Alexander  ; Hippenstiel, Stefan  ; Drosten, Christian  ; Höltje, Markus  ; Zhu, Xueyong  ; Sánchez-Sendin, Elisa  ; Kornau, Hans-Christian  ; Wendisch, Daniel  ; Franke, Christiana  ; Lee, Chang-Chun D 
The emergence of SARS-CoV-2 led to pandemic spread of coronavirus disease 2019 (COVID-19), manifesting with respiratory symptoms and multi-organ dysfunction. Detailed characterization of virus-neutralizing antibodies and target epitopes is needed to understand COVID-19 pathophysiology and guide immunization strategies. Among 598 human monoclonal antibodies (mAbs) from 10 COVID-19 patients, we identified 40 strongly neutralizing mAbs. The most potent mAb, CV07-209, neutralized authentic SARS-CoV-2 with an IC50 value of 3.1 ng/mL. Crystal structures of two mAbs in complex with the SARS-CoV-2 receptor-binding domain at 2.55 and 2.70 Å revealed a direct block of ACE2 attachment. Interestingly, some of the near-germline SARS-CoV-2-neutralizing mAbs reacted with mammalian self-antigens. Prophylactic and therapeutic application of CV07-209 protected hamsters from SARS-CoV-2 infection, weight loss, and lung pathology. Our results show that non-self-reactive virus-neutralizing mAbs elicited during SARS-CoV-2 infection are a promising therapeutic strategy.