[PDF][PDF] Longitudinal isolation of potent near-germline SARS-CoV-2-neutralizing antibodies from COVID-19 patients

C Kreer, M Zehner, T Weber, MS Ercanoglu… - Cell, 2020 - cell.com
C Kreer, M Zehner, T Weber, MS Ercanoglu, L Gieselmann, C Rohde, S Halwe, M Korenkov
Cell, 2020cell.com
The SARS-CoV-2 pandemic has unprecedented implications for public health, social life,
and the world economy. Because approved drugs and vaccines are limited or not available,
new options for COVID-19 treatment and prevention are in high demand. To identify SARS-
CoV-2-neutralizing antibodies, we analyzed the antibody response of 12 COVID-19 patients
from 8 to 69 days after diagnosis. By screening 4,313 SARS-CoV-2-reactive B cells, we
isolated 255 antibodies from different time points as early as 8 days after diagnosis. Of …
Summary
The SARS-CoV-2 pandemic has unprecedented implications for public health, social life, and the world economy. Because approved drugs and vaccines are limited or not available, new options for COVID-19 treatment and prevention are in high demand. To identify SARS-CoV-2-neutralizing antibodies, we analyzed the antibody response of 12 COVID-19 patients from 8 to 69 days after diagnosis. By screening 4,313 SARS-CoV-2-reactive B cells, we isolated 255 antibodies from different time points as early as 8 days after diagnosis. Of these, 27 potently neutralized authentic SARS-CoV-2 with IC100 as low as 0.04 μg/mL, showing a broad spectrum of variable (V) genes and low levels of somatic mutations. Interestingly, potential precursor sequences were identified in naive B cell repertoires from 48 healthy individuals who were sampled before the COVID-19 pandemic. Our results demonstrate that SARS-CoV-2-neutralizing antibodies are readily generated from a diverse pool of precursors, fostering hope for rapid induction of a protective immune response upon vaccination.
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