Evidence map›Paper›PMID 41537598›Full record

ArticleJournal of medical virology2026

Structural Adaptability of IgA and IgM Supports Broad SARS-CoV-2 Variant Neutralization.

Yalcin Pisil, Hisatoshi Shida, Sandra Morales Ruiz, Kyunghak Cho, Metehan Gungor, Zafer Yazici, Tomoyuki Miura

Abstract read
In one paragraph

Article in Journal of medical virology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Yalcin PisilLaboratory of Primate Model, Research Center for Infectious Diseases, Institute for Life and Medical Science, Kyoto University, Kyoto, Japan.ORCID https://orcid.org/0000-0003-3017-4127
Hisatoshi ShidaLaboratory of Primate Model, Research Center for Infectious Diseases, Institute for Life and Medical Science, Kyoto University, Kyoto, Japan.
Sandra Morales RuizLaboratory of Primate Model, Research Center for Infectious Diseases, Institute for Life and Medical Science, Kyoto University, Kyoto, Japan.ORCID https://orcid.org/0000-0003-0986-0798
Kyunghak ChoLaboratory of Primate Model, Research Center for Infectious Diseases, Institute for Life and Medical Science, Kyoto University, Kyoto, Japan.
Metehan GungorTurkish Aerospace Industries Inc. Academy, Ankara, Türkiye.ORCID https://orcid.org/0000-0003-4409-2229
Zafer YaziciDepartment of Virology, Faculty of Veterinary Medicine, 19 Mayis University, Samsun, Türkiye.ORCID https://orcid.org/0000-0002-2806-7878
Tomoyuki MiuraLaboratory of Primate Model, Research Center for Infectious Diseases, Institute for Life and Medical Science, Kyoto University, Kyoto, Japan.ORCID https://orcid.org/0000-0002-1956-2180

Funding

Scientific Research (JSPS-KAKENHI) 24K18274
6 · The paper itself

Abstract

Neutralizing emerging SARS-CoV-2 variants requires antibodies effective not only against epitope mutations but also under variable antigenic presentations. We assessed the neutralization capacity of the same anti-RBD monoclonal antibody (8A5) expressed as IgG, IgA, or IgM against 18 variants, identifying three neutralization classes: variants susceptible to all isotypes, variants resistant to IgG but sensitive to IgA/IgM, and variants resistant to all isotypes. Mutation analysis revealed that S371L-S373P-S375F disrupted IgG binding while partially preserving IgA/IgM activity, whereas L371F induced conformational changes abolishing all antibody interactions. Notably, some variants lacking these mutations still escaped IgG, suggesting geometric factors contribute to differential efficacy. To explore this, we performed negative-stain electron microscopy, which showed heterogeneous spike distributions across virion surfaces. ELISA assays with decreasing spike concentrations revealed that IgG binding declined sharply under low antigen density, while IgA and IgM maintained strong binding, reflecting their extended architecture and multivalency. These findings indicate that spatial adaptability, in addition to affinity, contributes to effective neutralization. IgA and IgM can engage antigens under sparse or conformationally altered conditions, suggesting potential advantages over IgG against certain variants. These insights may support the rational design of IgA- and IgM-based antibody therapeutics, highlighting their potential role in combating SARS-CoV-2 variants and other emerging viral pathogens.

Indexed as

Antibodies, NeutralizingAntibodies, ViralCOVID-19Immunoglobulin AImmunoglobulin MSARS-CoV-2Antibodies, MonoclonalEpitopesHumansImmunoglobulin GMutationNeutralization TestsSpike Glycoprotein, CoronavirusAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralEpitopesImmunoglobulin AImmunoglobulin GImmunoglobulin MSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2IgAIgGIgMmAbneutralizationSARS‐CoV‐2

Identifiers

PMID41537598
PMCPMC12805870

What OpenQuestion holds

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LicenceCC BY-NC
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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.