Evidence map›Paper›PMID 38900807›Full record

ArticlePLoS pathogens2024

Non-neutralizing SARS-CoV-2 N-terminal domain antibodies protect mice against severe disease using Fc-mediated effector functions.

Camille N Pierre, Lily E Adams, Jaclyn S Higgins, Kara Anasti, Derrick Goodman, Dieter Mielke, Sherry Stanfield-Oakley, John M Powers, Dapeng Li, Wes Rountree and 8 more

Abstract read
In one paragraph

Article in PLoS pathogens, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. Analysis of Antibody Markers as Immune Correlates of Risk of Severe COVID-19 in the PREVENT-19 Efficacy Trial of the NVX-CoV2373 Recombinant Protein Vaccine.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Camille N PierreDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Lily E AdamsDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Jaclyn S HigginsDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Kara AnastiDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Derrick GoodmanDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Dieter MielkeDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, United States of America.
Sherry Stanfield-OakleyDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, United States of America.
John M PowersDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Dapeng LiDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Wes RountreeDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Yunfei WangDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Robert J EdwardsDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
S Munir AlamDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Guido FerrariDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Georgia D TomarasDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Barton F HaynesDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.
Ralph S BaricDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Kevin O SaundersDuke Human Vaccine Institute, Duke University School of Medicine, Durham, North Carolina, United States of America.ORCID 0000-0001-7399-7954

Funding

Project 4: Computational panbetaCoV immunogen designP01AI158571 · NIAID · DUKE UNIVERSITY · PI HAYNES, BARTON F. · 2021 to 2023
$28.0M
Regional Biocontainment Laboratory (RBL)UC6AI058607 · NIAID · DUKE UNIVERSITY · PI WILLIAMS, R SANDERS · 2003 to 2005
$16.3M
NIAID NIH HHS P01 AI158571NIAID NIH HHS UC6 AI058607
6 · The paper itself

Abstract

Antibodies perform both neutralizing and non-neutralizing effector functions that protect against certain pathogen-induced diseases. A human antibody directed at the SARS-CoV-2 Spike N-terminal domain (NTD), DH1052, was recently shown to be non-neutralizing, yet it protected mice and cynomolgus macaques from severe disease. The mechanisms of NTD non-neutralizing antibody-mediated protection are unknown. Here we show that Fc effector functions mediate NTD non-neutralizing antibody (non-nAb) protection against SARS-CoV-2 MA10 viral challenge in mice. Though non-nAb prophylactic infusion did not suppress infectious viral titers in the lung as potently as neutralizing antibody (nAb) infusion, disease markers including gross lung discoloration were similar in nAb and non-nAb groups. Fc functional knockout substitutions abolished non-nAb protection and increased viral titers in the nAb group. Fc enhancement increased non-nAb protection relative to WT, supporting a positive association between Fc functionality and degree of protection from SARS-CoV-2 infection. For therapeutic administration of antibodies, non-nAb effector functions contributed to virus suppression and lessening of lung discoloration, but the presence of neutralization was required for optimal protection from disease. This study demonstrates that non-nAbs can utilize Fc-mediated mechanisms to lower viral load and prevent lung damage due to coronavirus infection.

Indexed as

Antibodies, NeutralizingAntibodies, ViralCOVID-19Immunoglobulin Fc FragmentsSARS-CoV-2Spike Glycoprotein, CoronavirusAnimalsFemaleHumansLungMiceProtein DomainsViral LoadAntibodies, NeutralizingAntibodies, ViralImmunoglobulin Fc FragmentsSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID38900807
PMCPMC11218955

What OpenQuestion holds

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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.