Neutralizing antibodies (nAbs) elicited against the receptor-binding
site (RBS) of the spike protein of wild-type SARS-CoV-2 are generally less
effective against recent variants of concern. RBS residues E484, K417 and
N501 are mutated in variants first described in South Africa (B.1.351) and
Brazil (P.1). We analyzed their effects on ACE2 binding and K417N and E484K
mutations on nAbs isolated from COVID-19 patients. Binding and
neutralization of the two most frequently elicited antibody families
(IGHV3-53/3-66 and IGHV1-2), which can both bind the RBS in alternate
binding modes, are abrogated by K417N, E484K, or both. These effects can be
structurally explained by their extensive interactions with RBS nAbs.
However, nAbs to the more conserved, cross-neutralizing CR3022 and S309
sites were largely unaffected. The results have implications for
next-generation vaccines and antibody therapies.