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作者: van Schooten, Jelle ; Marlin, Romain ; Aldon, Yoann ; Brinkkemper, Mitch ; Marc, Aurélien ; Bontjer, Ilja ; Diry, Ségolène ; Gonçalves, Antonio ; van der Werf, Sylvie ; Poniman, Meliawati ; de Bree, Godelieve J ; Mire, Chad E ; Relouzat, Francis ; Liu, Hejun ; Montefiori, David C ; Rathnasinghe, Raveen ; Maisonnasse, Pauline ; Iershov, Anton ; Ginoux, Eric ; Kuzmina, Natalia A ; Yuan, Meng ; Lemaître, Julien ; Snitselaar, Jonne L ; Freyn, Alec W ; Bukreyev, Alexander ; Kahlaoui, Nidhal ; Wilson, Ian A ; Ho Tsong Fang, Raphaël ; García-Sastre, Adolfo ; Coughlan, Lynda ; Chesnais, Virginie ; Osei-Twum, Mary ; Sanders, Rogier W ; Jangra, Sonia ; Naninck, Thibaut ; van Breemen, Mariëlle J ; Ronk, Adam J ; Guedj, Jérémie ; Brouwer, Philip J M ; Bijl, Tom P L ; Dereuddre-Bosquet, Nathalie ; van Gils, Marit J ; Schotsaert, Michael ; Chapon, Catherine ; Contreras, Vanessa ; Caniels, Tom G ; St-Amant, Natalie ; McDanal, Charlene ; Burger, Judith A ; Le Grand, Roger ; Gagnon, Luc
AbstractEffective treatments against Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) are urgently needed. Monoclonal antibodies have shown promising results in patients. Here, we evaluate the in vivo prophylactic and therapeutic effect of COVA1-18, a neutralizing antibody highly potent against the B.1.1.7 isolate. In both prophylactic and therapeutic settings, SARS-CoV-2 remains undetectable in the lungs of treated hACE2 mice. Therapeutic treatment also causes a reduction in viral loads in the lungs of Syrian hamsters. When administered at 10 mg kg-1 one day prior to a high dose SARS-CoV-2 challenge in cynomolgus macaques, COVA1-18 shows very strong antiviral activity in the upper respiratory compartments. Using a mathematical model, we estimate that COVA1-18 reduces viral infectivity by more than 95% in these compartments, preventing lymphopenia and extensive lung lesions. Our findings demonstrate that COVA1-18 has a strong antiviral activity in three preclinical models and could be a valuable candidate for further clinical evaluation.