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bio-Rxiv: An infectivity-enhancing site on the SARS-CoV-2 spike protein is targeted by COVID-19 patient antibodies

sharon sanders

Editor-in-Chief & President
An infectivity-enhancing site on the SARS-CoV-2 spike protein is targeted by COVID-19 patient antibodies

Yafei Liu, Wai Tuck Soh, Asa Tada, Akemi Arakawa, Sumiko Matsuoka , Emi E Nakayama, Songling Li, Chikako Ono, Shiho Torii, Kazuki Kishida, Hui Jin, Wataru Nakai, Noriko Ara se, Atsushi Nakagawa, Yasuhiro Shindo, Masako Kohy ama, Hironori Nakagami, Keisuke Tomii, Koichiro Oh mura, Shiro Ohshima, Masato Okada, View ORCID ProfileYoshiharu Matsuura, Daron M Standley, Tatsuo Shioda, View ORCID ProfileHisashi Arase
doi: https://doi.org/10.1101/2020.12.18.423358
This article is a preprint and has not been certified by peer review [what does this mean?].
Abstract


SARS-CoV-2 infection causes severe symptoms in a subset of patients, suggesting the presence of certain unknown risk factors. Although antibodies against the receptor-binding domain (RBD) of the SARS-CoV-2 spike have been shown prevent SARS-CoV-2 infection, the effects of antibodies against other spike protein domains are largely unknown. Here, we screened a series of anti-spike monoclonal antibodies from COVID-19 patients, and found that some of antibodies against the N-terminal domain (NTD) dramatically enhanced the binding capacity of the spike protein to ACE2, and thus increased SARS-CoV2 infectivity. Surprisingly, mutational analysis revealed that all the infectivity-enhancing antibodies recognized a specific site on the surface of the NTD. The antibodies against this infectivity-enhancing site were detected in all samples of hospitalized COVID-19 patients in the study. However, the ratio of infectivity-enhancing antibodies to neutralizing antibodies differed among patients. Furthermore, the antibodies against the infectivity-enhancing site were detected in 3 out of 48 uninfected donors, albeit at low levels. These findings suggest that the production of antibodies against SARS-CoV-2 infectivity-enhancing site could be considered as a possible exacerbating factors for COVID-19 and that a spike protein lacking such antibody epitopes may be required for safe vaccine development, especially for individuals with pre-existing enhancing antibodies.

https://www.biorxiv.org/content/10.1101/2020.12.18.423358v1
 
Can our collective hive mind dissect this paper please and consider the implications? Especially in relation to current vaccines under development?
 
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