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Potent neutralizing antibodies from COVID-19 patients define multiple targets of vulnerability.

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TLDR
It is shown that the patients had strong immune responses against the viral spike protein, a complex that binds to receptors on the host cell, and monoclonal antibodies isolated here are promising candidates for COVID-19 treatment and prevention.
Abstract
The rapid spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has had a large impact on global health, travel, and economy. Therefore, preventative and therapeutic measures are urgently needed. Here, we isolated monoclonal antibodies from three convalescent coronavirus disease 2019 (COVID-19) patients using a SARS-CoV-2 stabilized prefusion spike protein. These antibodies had low levels of somatic hypermutation and showed a strong enrichment in VH1-69, VH3-30-3, and VH1-24 gene usage. A subset of the antibodies was able to potently inhibit authentic SARS-CoV-2 infection at a concentration as low as 0.007 micrograms per milliliter. Competition and electron microscopy studies illustrate that the SARS-CoV-2 spike protein contains multiple distinct antigenic sites, including several receptor-binding domain (RBD) epitopes as well as non-RBD epitopes. In addition to providing guidance for vaccine design, the antibodies described here are promising candidates for COVID-19 treatment and prevention.

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Versatile, Multivalent Nanobody Cocktails Efficiently Neutralize SARS-CoV-2

TL;DR: This work used camelid immunization and proteomics to identify a large repertoire of highly potent neutralizing nanobodies to the SARS-CoV-2 spike (S) protein receptor-binding domain (RBD) and determined a crystal structure of such an elite neutralizing Nb in complex with RBD.
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Structural basis of a public antibody response to SARS-CoV-2

TL;DR: IGHV3-53 represents a versatile public VH in neutralizing SARS-CoV-2 antibodies, where their specific germline features and minimal affinity maturation provide important insights for vaccine design and assessing outcomes.
Journal ArticleDOI

A pathophysiological model for COVID-19: Critical importance of transepithelial sodium transport upon airway infection

TL;DR: A pathophysiological model is proposed that defines the possible role of apical sodium transport mediated by the epithelial sodium channel (ENaC) during the early phases of the infection in the airways and how it triggers innate and native immunity.
Journal ArticleDOI

Relative Ratios of Human Seasonal Coronavirus Antibodies Predict the Efficiency of Cross-Neutralization of SARS-CoV-2 Spike Binding to ACE2

TL;DR: In this paper, the authors performed a cross-sectional analysis of cross-reactivity and cross-neutralization to SARS-CoV-2 antigens (S-RBD, S-trimer, N) using pre-pandemic sera from four different groups: pediatrics and adolescents, older than 70 years of age, and individuals living with HCV or HIV.
References
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Journal ArticleDOI

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TL;DR: The outbreak of the 2019 novel coronavirus disease (COVID-19) has induced a considerable degree of fear, emotional stress and anxiety among individuals around the world.
Journal ArticleDOI

Enzymatic assembly of DNA molecules up to several hundred kilobases

TL;DR: An isothermal, single-reaction method for assembling multiple overlapping DNA molecules by the concerted action of a 5′ exonuclease, a DNA polymerase and a DNA ligase is described.
Journal ArticleDOI

Cryo-EM structure of the 2019-nCoV spike in the prefusion conformation.

TL;DR: The authors show that this protein binds at least 10 times more tightly than the corresponding spike protein of severe acute respiratory syndrome (SARS)–CoV to their common host cell receptor, and test several published SARS-CoV RBD-specific monoclonal antibodies found that they do not have appreciable binding to 2019-nCoV S, suggesting that antibody cross-reactivity may be limited between the two RBDs.
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How successful are antibody infusions for Covid?

In addition to providing guidance for vaccine design, the antibodies described here are promising candidates for COVID-19 treatment and prevention.