Evidence map›Paper›PMID 42818197›Full record

ArticlebioRxiv : the preprint server for biology2026

Dissociation kinetics and avidity gate SARS-CoV-2 neutralization by HR2 stem helix antibodies.

Virginia Crivelli, Concetta Guerra, Morgan E Abernathy, Jacopo Sgrignani, Giada Zoppi, Mia L Greeson, Annalisa Sanga, Patrizia Locatelli, Jasmine Cantergiani, Benedetta Cena and 19 more

Abstract readPreprint
In one paragraph

Article in bioRxiv : the preprint server for biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

29 authors.

Virginia CrivelliInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.ORCID 0000-0003-2494-7242
Concetta GuerraInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Morgan E AbernathyDepartment of Biology, Stanford University, Stanford, CA, USA.
Jacopo SgrignaniInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Giada ZoppiInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Mia L GreesonDepartment of Molecular and Cellular Physiology, Stanford University, Stanford, CA, USA.
Annalisa SangaDepartment of Biomedicine, University of Basel, Basel, Switzerland.
Patrizia LocatelliInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Jasmine CantergianiInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Benedetta CenaInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Tomás Cervantes RincónInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Yu E LeeDepartment of Biology, Stanford University, Stanford, CA, USA.
Michael EsoDepartment of Biology, Stanford University, Stanford, CA, USA.
David JarrossayInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Maira BiggiogeroClinical Research Unit, Clinica Luganese Moncucco, Lugano, Switzerland.
Veronica CalvarusoClinical Research Unit, Clinica Luganese Moncucco, Lugano, Switzerland.
Alessandra Franzetti PellandaClinical Research Unit, Clinica Luganese Moncucco, Lugano, Switzerland.
Christian GarzoniInternal Medicine and Infectious Diseases, Clinica Luganese Moncucco, Lugano, Switzerland.
Elia TamagniniInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Sara LestaniInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Luca VaraniInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Sina SommerStructural Virology Unit, FlavImmunity Group, Université Paris Cité, Institut Pasteur, Paris, France.
Daniel FernandezMacromolecular Structure Group, Nucleus at Sarafan ChEM-H, Stanford University, Stanford, CA, USA.
Giovanna Barba-SpaethStructural Virology Unit, FlavImmunity Group, Université Paris Cité, Institut Pasteur, Paris, France.
Emily G NiejadlikLaboratory of Molecular Genetics and Immunology, The Rockefeller University, New York, NY, USA.
Stylianos BournazosLaboratory of Molecular Genetics and Immunology, The Rockefeller University, New York, NY, USA.
Davide F RobbianiInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.
Christopher O BarnesDepartment of Biology, Stanford University, Stanford, CA, USA.ORCID 0000-0003-2754-5951
Andrea CavalliInstitute for Research in Biomedicine, Università della Svizzera italiana, Bellinzona, Switzerland.

Funding

A Synchrotron Radiation Structural Biology ResourcesP30GM133894 · NIGMS · STANFORD UNIVERSITY · PI Clyde Smith · 2020 to 2026
$43.3M
Understanding B cell memory in response to diverse virus infectionsU19AI111825 · NIAID · ROCKEFELLER UNIVERSITY · PI RAVETCH, JEFFREY VICTOR · 2014 to 2023
$26.0M
University of Washington Arboviral Research Network (UWARN)U01AI151698 · NIAID · UNIVERSITY OF WASHINGTON · PI Michael Gale, PETER MACGARR RABINOWITZ · 2020 to 2026
$13.3M
Virology CoreP01AI138938 · NIAID · ROCKEFELLER UNIVERSITY · PI NUSSENZWEIG, MICHEL C · 2018 to 2022
$8.4M
NIAID NIH HHS P01 AI138938NIAID NIH HHS U01 AI151698NIAID NIH HHS U19 AI111825NIGMS NIH HHS P30 GM133894
6 · The paper itself

Abstract

SARS-CoV-2 evolution has reduced the efficacy of clinical monoclonal antibodies, underscoring the need for therapeutics targeting conserved viral regions. The Spike (S) heptad repeat 2 (HR2) stem helix is highly conserved across SARS-CoV-2 variants and related betacoronaviruses. Although neutralizing antibodies to this region have been identified, the evolution of humoral responses to HR2 and the determinants of effective neutralization at this site remain poorly understood. We previously identified human neutralizing antibodies to a conserved peptide within this region (HR2 coldspot). Here, longitudinal analysis over 30 months shows that HR2-specific antibodies persist and undergo somatic hypermutation, yet antibodies isolated at later time points did not surpass the breadth or potency of hr2.016, which emerged shortly after primary infection. Crystal structures of four HR2 stem-helix antibodies revealed convergent recognition across distinct antibody lineages. However, comparison of hr2.016 with its non-neutralizing clonal relative hr2.086 showed that adopting this shared binding mode is not sufficient for effective neutralization. Characterization of this antibody pair through surface plasmon resonance and molecular dynamics simulations revealed that robust neutralization requires slow intrinsic dissociation reinforced by avidity. Together, these findings show that continued evolution of HR2-specific responses does not necessarily enhance antibody breadth or potency and that, despite convergent epitope recognition, effective neutralization requires slow intrinsic dissociation reinforced by avidity, highlighting kinetic stability as a key criterion for antibody discovery and vaccine design against viral epitopes.

Indexed as

antibody evolutionBiological Sciencesbroadly neutralizing antibodiesdissociation kineticsHR2 stem helixImmunology and InflammationSARS-CoV-2

Identifiers

PMID42818197
PMCPMC13622405

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Registered trials

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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.