Evidence map›Paper›PMID 33571304›Full record

ArticlePLoS pathogens2021

Multi-clonal SARS-CoV-2 neutralization by antibodies isolated from severe COVID-19 convalescent donors.

Michael Mor, Michal Werbner, Joel Alter, Modi Safra, Elad Chomsky, Jamie C Lee, Smadar Hada-Neeman, Ksenia Polonsky, Cameron J Nowell, Alex E Clark and 18 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
  2. Monoclonal antibodies from COVID-19 convalescent patients target cryptic epitopes for broad SARS-CoV-2 neutralization.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  7. Intranasal Multiepitope PD-L1-siRNA-Based Nanovaccine: The Next-Gen COVID-19 Immunotherapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 7 institutions in 2 countries.

Michael MorSackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.ORCID 0000-0003-1361-4151
Michal WerbnerAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
Joel AlterAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
Modi SafraAlexander Kofkin Faculty of Engineering, Bar Ilan University, Ramat Gan, Israel.
Elad ChomskyImmunAi, New York, New York, United States of America.ORCID 0000-0003-3028-5425
Jamie C LeeSchool of Medicine, University of California San Diego, La Jolla, California, United States of America.
Smadar Hada-NeemanGeorge S. Wise Life sciences Faculty, Tel Aviv University, Tel-Aviv, Israel.
Ksenia PolonskySackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.ORCID 0000-0003-0748-9008
Cameron J NowellMonash Institute of Pharmaceutical Sciences, Parkville, Victoria, Australia.ORCID 0000-0002-8662-9840
Alex E ClarkSchool of Medicine, University of California San Diego, La Jolla, California, United States of America.ORCID 0000-0003-1687-416X
Anna Roitburd-BermanGeorge S. Wise Life sciences Faculty, Tel Aviv University, Tel-Aviv, Israel.
Noam Ben-ShalomSackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
Michal NavonSackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
Dor RafaelSackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.ORCID 0000-0002-5653-8817
Hila SharimImmunAi, New York, New York, United States of America.
Evgeny KinerImmunAi, New York, New York, United States of America.
Eric R GriffisNikon Imaging Center, University of California San Diego, California, United States of America.ORCID 0000-0002-2832-6649
Jonathan M GershoniGeorge S. Wise Life sciences Faculty, Tel Aviv University, Tel-Aviv, Israel.ORCID 0000-0002-6118-6051
Oren KobilerSackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
Sandra Lawrynowicz LeibelSchool of Medicine, University of California San Diego, La Jolla, California, United States of America.
Oren ZimhonyKaplan Medical Center, Rehovot, Israel.
Aaron F CarlinSchool of Medicine, University of California San Diego, La Jolla, California, United States of America.ORCID 0000-0002-1669-8066
Gur YaariAlexander Kofkin Faculty of Engineering, Bar Ilan University, Ramat Gan, Israel.ORCID 0000-0001-9311-9884
Moshe DessauAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.ORCID 0000-0002-1954-3625
Meital Gal-TanamyAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.ORCID 0000-0001-7831-6847
David HaginIchilov Hospital, Tel-Aviv, Israel.ORCID 0000-0003-2702-1031
Ben A CrokerSchool of Medicine, University of California San Diego, La Jolla, California, United States of America.ORCID 0000-0002-0885-3599
Natalia T FreundSackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.ORCID 0000-0002-5386-502X
Tel Aviv University · ILBar-Ilan University · ILUniversity of California San Diego · USImmunai (United States) · USKaplan Medical Center · ILNikon (United States) · USTel Aviv Sourasky Medical Center · IL

Funding

Defining the roles of RIPK1 and RIPK3 in emergency hematopoiesisR01HL124209 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CROKER, BEN ADAM · 2015 to 2019
$2.2M
NHLBI NIH HHS R01 HL124209Wellcome Trust
6 · The paper itself

Abstract

The interactions between antibodies, SARS-CoV-2 and immune cells contribute to the pathogenesis of COVID-19 and protective immunity. To understand the differences between antibody responses in mild versus severe cases of COVID-19, we analyzed the B cell responses in patients 1.5 months post SARS-CoV-2 infection. Severe, and not mild, infection correlated with high titers of IgG against Spike receptor binding domain (RBD) that were capable of ACE2:RBD inhibition. B cell receptor (BCR) sequencing revealed that VH3-53 was enriched during severe infection. Of the 22 antibodies cloned from two severe donors, six exhibited potent neutralization against authentic SARS-CoV-2, and inhibited syncytia formation. Using peptide libraries, competition ELISA and mutagenesis of RBD, we mapped the epitopes of the neutralizing antibodies (nAbs) to three different sites on the Spike. Finally, we used combinations of nAbs targeting different immune-sites to efficiently block SARS-CoV-2 infection. Analysis of 49 healthy BCR repertoires revealed that the nAbs germline VHJH precursors comprise up to 2.7% of all VHJHs. We demonstrate that severe COVID-19 is associated with unique BCR signatures and multi-clonal neutralizing responses that are relatively frequent in the population. Moreover, our data support the use of combination antibody therapy to prevent and treat COVID-19.

Indexed as

Antibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralConvalescenceCOVID-19SARS-CoV-2Spike Glycoprotein, CoronavirusAdultAgedAnimalsChlorocebus aethiopsCloning, MolecularEpitope MappingEpitopesFemaleHumansAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralEpitopesImmunoglobulin GSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID33571304
PMCPMC7877634
OpenAlexW3128750441

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.