2022
DOI: 10.1016/j.cell.2022.03.009
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Broad neutralization of SARS-CoV-2 variants by an inhalable bispecific single-domain antibody

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Cited by 91 publications
(100 citation statements)
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“…Previously, we have demonstrated that nanobodies, when in divalent forms, can protect hamsters from viral infection and lift symptoms (Li et al, 2021a ). This observation was corroborated by several other studies (Huo et al, 2021 ; Nambulli et al, 2021 ; Pymm et al, 2021 ; Ye et al, 2021 ; Li et al, 2022 ). Such previous results warrant a more thorough investigation of the therapeutic potential of DL28 in the future.…”
Section: Discussionsupporting
confidence: 84%
“…Previously, we have demonstrated that nanobodies, when in divalent forms, can protect hamsters from viral infection and lift symptoms (Li et al, 2021a ). This observation was corroborated by several other studies (Huo et al, 2021 ; Nambulli et al, 2021 ; Pymm et al, 2021 ; Ye et al, 2021 ; Li et al, 2022 ). Such previous results warrant a more thorough investigation of the therapeutic potential of DL28 in the future.…”
Section: Discussionsupporting
confidence: 84%
“…The most recent study reported that a novel circRNA vaccine showed robust protection against SARS-CoV-2 infection in a mouse model and rhesus macaques. In this study, the researchers also found the circRNARBD-Delta vaccine showed a protective effect not only from the Delta mutation but also against the Omicron variant, which provides an advantage over the circRNARBD-Omicron vaccine that is only effective on the Omicron variant [ 86 ]. These results provide an optimistic insight into further investigation of the circRNA vaccine against virus infection.…”
Section: Vaccine Approach To Prevent Infectionmentioning
confidence: 99%
“…In addition, due to its small size, bn03 was able to bind to the most conserved cryptic epitopes in the deeper binding site. Moreover, the team verified that inhalation is the best method for bn03 delivery compared with other delivery paths [ 86 ]. Although there are some limitations such as limited sample numbers, this well-designed study still provides us positive inspiration for using a similar approach to engineer antibodies for virus treatment.…”
Section: Antiviral Antibodiesmentioning
confidence: 99%
“…Structural basis for potent antibody neutralization of the Omicron variant was examined in an illuminating investigation in which multiple cryo-EM structures of antibodies bound to the S Omicron protein were revealed. 64 This study provided a systematic structural analysis of several major classes of antibodies revealing potential mechanisms of antibody neutralization, escape and retained potency. This study showed that in the context of S trimers, Omicron mutations provide only a moderate alteration in binding affinity to ACE2, showing that affinity improving changes are used to compensate for mutations required for immune escape.…”
Section: Introductionmentioning
confidence: 99%
“…This structural study claimed that variant evolution may be driven not by the optimization of ACE2 binding but primarily by immune pressure. 64 The cryo-EM studies identified recently two highly conserved regions on the Omicron variant RBD, including a part of the lateral surface and the cryptic site inside the trimeric interface, recognized by broadly neutralizing antibodies. 65 A bispecific single-domain antibody was designed to simultaneously and synergistically bind these two regions as revealed by cryo-EM structures and showing that this bispecific antibody can exhibit significant neutralization breadth and therapeutic efficacy in mouse models of SARS-CoV-2 infections.…”
Section: Introductionmentioning
confidence: 99%