Evidence map›Paper›PMID 33667349›Full record

ArticleCell2021

Extremely potent human monoclonal antibodies from COVID-19 convalescent patients.

Emanuele Andreano, Emanuele Nicastri, Ida Paciello, Piero Pileri, Noemi Manganaro, Giulia Piccini, Alessandro Manenti, Elisa Pantano, Anna Kabanova, Marco Troisi and 25 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 155 papers.

0numbers the graph read from it
0cells of the map it votes in
155citing papers in PubMed
13.5field-weighted citation impact, top 1% 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

155 citing papers in PubMed, 237 citations in OpenAlex.

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  12. Molecular mechanisms of SARS-CoV-2 entry: implications for biomedical strategies.Microbiology and molecular biology reviews : MMBR · 2025
    Review
  13. A multifunctional anti-O-Antigen human monoclonal antibody protects againstProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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95 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

35 authors at 9 institutions in 3 countries.

Emanuele AndreanoMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy.
Emanuele NicastriNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Ida PacielloMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy.
Piero PileriMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy.
Noemi ManganaroMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy.
Giulia PicciniVisMederi S.r.l, Siena, Italy.
Alessandro ManentiVisMederi S.r.l, Siena, Italy; VisMederi Research S.r.l., Siena, Italy.
Elisa PantanoMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy.
Anna KabanovaMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy; Tumour Immunology Unit, Fondazione Toscana Life Sciences, Siena, Italy.
Marco TroisiMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy; Department of Biotechnology, Chemistry and Pharmacy, University of Siena, Siena, Italy.
Fabiola VaccaMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy; Department of Biotechnology, Chemistry and Pharmacy, University of Siena, Siena, Italy.
Dario CardamoneMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy; University of Turin, Turin, Italy.
Concetta De SantiMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy.
Jonathan L TorresDepartment of Integrative Structural and Computational Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Gabriel OzorowskiDepartment of Integrative Structural and Computational Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Linda BenincasaVisMederi Research S.r.l., Siena, Italy.
Hyesun JangCenter for Vaccines and Immunology, University of Georgia, Athens, GA 30602, USA.
Cecilia Di GenovaViral Pseudotype Unit, Medway School of Pharmacy, University of Kent, Chatham, UK.
Lorenzo DepauMedBiotech Hub and Competence Center, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
Jlenia BrunettiMedBiotech Hub and Competence Center, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
Chiara AgratiNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Maria Rosaria CapobianchiNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Concetta CastillettiNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Arianna EmiliozziDepartment of Medical Biotechnologies, University of Siena, Siena, Italy; Department of Medical Sciences, Infectious and Tropical Diseases Unit, University Hospital of Siena, Siena, Italy.
Massimiliano FabbianiDepartment of Medical Sciences, Infectious and Tropical Diseases Unit, University Hospital of Siena, Siena, Italy.
Francesca MontagnaniDepartment of Medical Biotechnologies, University of Siena, Siena, Italy; Department of Medical Sciences, Infectious and Tropical Diseases Unit, University Hospital of Siena, Siena, Italy.
Luisa BracciMedBiotech Hub and Competence Center, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
Giuseppe SauttoCenter for Vaccines and Immunology, University of Georgia, Athens, GA 30602, USA.
Ted M RossCenter for Vaccines and Immunology, University of Georgia, Athens, GA 30602, USA; Department of Infectious Diseases, University of Georgia, Athens, GA 30602, USA.
Emanuele MontomoliVisMederi S.r.l, Siena, Italy; VisMederi Research S.r.l., Siena, Italy; Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy.
Nigel TempertonViral Pseudotype Unit, Medway School of Pharmacy, University of Kent, Chatham, UK.
Andrew B WardDepartment of Integrative Structural and Computational Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Claudia SalaMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy.
Giuseppe IppolitoNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Rino RappuoliMonoclonal Antibody Discovery (MAD) Lab, Fondazione Toscana Life Sciences, Siena, Italy; Faculty of Medicine, Imperial College, London, UK. Electronic address: rino.r.rappuoli@gsk.com.
Toscana Life Sciences · ITUniversity of Siena · ITVisMederi Research · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITScripps Research Institute · USUniversity of Georgia · USIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITUniversity of Kent · GBImperial College London · GB

Funding

European Research Council
6 · The paper itself

Abstract

Human monoclonal antibodies are safe, preventive, and therapeutic tools that can be rapidly developed to help restore the massive health and economic disruption caused by the coronavirus disease 2019 (COVID-19) pandemic. By single-cell sorting 4,277 SARS-CoV-2 spike protein-specific memory B cells from 14 COVID-19 survivors, 453 neutralizing antibodies were identified. The most potent neutralizing antibodies recognized the spike protein receptor-binding domain, followed in potency by antibodies that recognize the S1 domain, the spike protein trimer, and the S2 subunit. Only 1.4% of them neutralized the authentic virus with a potency of 1-10 ng/mL. The most potent monoclonal antibody, engineered to reduce the risk of antibody-dependent enhancement and prolong half-life, neutralized the authentic wild-type virus and emerging variants containing D614G, E484K, and N501Y substitutions. Prophylactic and therapeutic efficacy in the hamster model was observed at 0.25 and 4 mg/kg respectively in absence of Fc functions.

Indexed as

ConvalescenceCOVID-193T3 CellsAnimalsAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralB-LymphocytesChlorocebus aethiopsDisease Models, AnimalFemaleHEK293 CellsHumansImmunoglobulin Fc FragmentsMaleMiceAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralImmunoglobulin Fc FragmentsSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2COVID-19emerging variantsFc functions absencemonoclonal antibodiesprophylaxisSARS-CoV-2therapy

Identifiers

PMID33667349
PMCPMC7901298
OpenAlexW3131871667

What OpenQuestion holds

Textmetadata
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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.