Evidence map›Paper›PMID 34329642›Full record

ArticleJournal of molecular biology2021

Tetravalent SARS-CoV-2 Neutralizing Antibodies Show Enhanced Potency and Resistance to Escape Mutations.

Shane Miersch, Zhijie Li, Reza Saberianfar, Mart Ustav, James Brett Case, Levi Blazer, Chao Chen, Wei Ye, Alevtina Pavlenco, Maryna Gorelik and 18 more

Abstract read
In one paragraph

Article in Journal of molecular biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Shane MierschThe Donnelly Centre, University of Toronto, Toronto, Canada.
Zhijie LiDepartment of Molecular Genetics, University of Toronto, Toronto, Canada.
Reza SaberianfarThe Donnelly Centre, University of Toronto, Toronto, Canada.
Mart UstavIcosagen, Ōssu, Estonia.
James Brett CaseDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Levi BlazerThe Donnelly Centre, University of Toronto, Toronto, Canada.
Chao ChenThe Donnelly Centre, University of Toronto, Toronto, Canada.
Wei YeThe Donnelly Centre, University of Toronto, Toronto, Canada.
Alevtina PavlencoThe Donnelly Centre, University of Toronto, Toronto, Canada.
Maryna GorelikThe Donnelly Centre, University of Toronto, Toronto, Canada.
Julia Garcia PerezThe Donnelly Centre, University of Toronto, Toronto, Canada.
Suryasree SubramaniaThe Donnelly Centre, University of Toronto, Toronto, Canada.
Serena SinghThe Donnelly Centre, University of Toronto, Toronto, Canada.
Lynda PloderThe Donnelly Centre, University of Toronto, Toronto, Canada.
Safder GanaieDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Rita E ChenDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Daisy W LeungDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Pier Paolo PandolfiRenown Institute for Cancer, Nevada System of Higher Education, Reno, NV, USA; Department of Molecular Biotechnologies & Health Sciences, Molecular Biotechnology Center, University of Turin, Italy.
Giuseppe NovelliDepartment of Biomedicine and Prevention, Tor Vergata University of Rome, 00133 Rome, Italy.
Giulia MatusaliLaboratory of Virology, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Francesca ColavitaLaboratory of Virology, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Maria R CapobianchiLaboratory of Virology, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Suresh JainVirna Therapeutics, West Roxbury, MA, USA.
J B GuptaVirna Therapeutics, West Roxbury, MA, USA.
Gaya K AmarasingheDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.
Michael S DiamondDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA; Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA; Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.
James RiniDepartment of Molecular Genetics, University of Toronto, Toronto, Canada; Department of Biochemistry, University of Toronto, Toronto, Canada. Electronic address: james.rini@utoronto.ca.
Sachdev S SidhuThe Donnelly Centre, University of Toronto, Toronto, Canada. Electronic address: sachdev.sidhu@utoronto.ca.

Funding

Virology BSL4 CoreP01AI120943 · NIAID · WASHINGTON UNIVERSITY · PI Gaya K. Amarasinghe · 2016 to 2026
$30.2M
Human antibody-based countermeasures against the Wuhan Coronavirus SARS-CoV-2R01AI157155 · NIAID · WASHINGTON UNIVERSITY · PI BARIC, RALPH S, CROWE, JAMES E · 2020 to 2024
$6.0M
Multi-platform High Throughput Screens for Filoviral Replication InhibitorsR01AI123926 · NIAID · WASHINGTON UNIVERSITY · PI AMARASINGHE, GAYA K. · 2016 to 2018
$2.1M
STRUCTURAL BASIS FOR IMMUNE EVASION BY RSV NON-STRUCTURAL PROTEINSR01AI107056 · NIAID · WASHINGTON UNIVERSITY · PI LEUNG, DAISY W · 2013 to 2017
$1.9M
NIAID NIH HHS P01 AI120943NIAID NIH HHS R01 AI107056NIAID NIH HHS R01 AI123926NIAID NIH HHS R01 AI157155
6 · The paper itself

Abstract

Neutralizing antibodies (nAbs) hold promise as therapeutics against COVID-19. Here, we describe protein engineering and modular design principles that have led to the development of synthetic bivalent and tetravalent nAbs against SARS-CoV-2. The best nAb targets the host receptor binding site of the viral S-protein and tetravalent versions block entry with a potency exceeding bivalent nAbs by an order of magnitude. Structural studies show that both the bivalent and tetravalent nAbs can make multivalent interactions with a single S-protein trimer, consistent with the avidity and potency of these molecules. Significantly, we show that the tetravalent nAbs show increased tolerance to potential virus escape mutants and an emerging variant of concern. Bivalent and tetravalent nAbs can be produced at large-scale and are as stable and specific as approved antibody drugs. Our results provide a general framework for enhancing antiviral therapies against COVID-19 and related viral threats, and our strategy can be applied to virtually any antibody drug.

Indexed as

COVID-19 Drug TreatmentMutationAngiotensin-Converting Enzyme 2AnimalsAntibodies, NeutralizingAntibodies, ViralAntiviral AgentsBinding SitesChlorocebus aethiopsCOVID-19HEK293 CellsHumansImmunoglobulin GModels, MolecularProtein BindingProtein EngineeringACE2 protein, humanAngiotensin-Converting Enzyme 2Antibodies, NeutralizingAntibodies, ViralAntiviral AgentsImmunoglobulin GSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2anti-viralneutralizingRBD-bindingsynthetictetravalent

Identifiers

PMID34329642
PMCPMC8316672

What OpenQuestion holds

Textmetadata
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.