New variants of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)appear rapidly every few months.They have showed powerful adaptive ability to circumvent the immune system.To further understand SARS-CoV-2's adaptability so as to seek for strategies to mitigate the emergence of new variants,herein we investigated the viral adaptation in the presence of broadly neutralizing antibodies and their combinations.First,we selected four broadly neutralizing antibodies,including pan-sarbecovirus and pan-betacoronavirus neutralizing antibodies that recognize distinct conserved regions on receptor-binding domain(RBD)or conserved stem-helix region on S2 subunit.Through binding competition analysis,we demonstrated that they were capable of simultaneously binding.Thereafter,a replication-competent vesicular stomatitis virus pseudotyped with SARS-CoV-2 spike protein was employed to study the viral adaptation.Twenty consecutive passages of the virus under the selective pressure of individual antibodies or their combinations were performed.It was found that it was not hard for the virus to adapt to broadly neutralizing antibodies,even for pan-sarbecovirus and pan-betacoronavirus antibodies.The virus was more and more difficult to escape the combinations of two/three/four antibodies.In addition,mutations in the viral population revealed by high-throughput sequencing showed that under the selective pressure of three/four combinational antibodies,viral mutations were not prone to present in the highly conserved region across beta-coronaviruses(stem-helix region),while this was not true under the selective pressure of single/two antibodies.Importantly,combining neutralizing antibodies targeting RBD conserved regions and stem helix synergistically prevented the emergence of escape mutations.These studies will guide future vaccine and therapeutic development efforts and provide a rationale for the design of RBD-stem helix tandem vaccine,which may help to impede the generation of novel variants.

Haoneng Tang;Yong Ke;Yunji Liao;Yanlin Bian;Yunsheng Yuan;Ziqi Wang;Li Yang;Hang Ma;Tao Sun;Baohong Zhang;Xiaoju Zhang;Mingyuan Wu;Jianwei Zhu

Engineering Research Center of Cell and Therapeutic Antibody,Ministry of Education,Shanghai,200240,China;School of Pharmacy,Shanghai Jiao Tong University,Shanghai,200240,China;Department of Respiratory and Critical Care Medicine,Zhengzhou University People's Hospital/Henan Provincial People's Hospital,Zhengzhou,450003,China;School of Aviculture and Biology,Shanghai Jiao Tong University,Shanghai,200240,China;Shanghai Municipal Veterinary Key Laboratory,Shanghai,200240,China;Jecho Institute,Shanghai,200240,China

中国病毒学

[1]Haoneng Tang;Yong Ke;Yunji Liao;Yanlin Bian;Yunsheng Yuan;Ziqi Wang;Li Yang;Hang Ma;Tao Sun;Baohong Zhang;Xiaoju Zhang;Mingyuan Wu;Jianwei Zhu-.Mutational escape prevention by combination of four neutralizing antibodies that target RBD conserved regions and stem helix)[J].中国病毒学,2022(06):860-873

sarbecovirus,betacoronavirus,pseudotyped

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