Article
Author: Donofrio, Gina C ; Modjarrad, Kayvon ; Laing, Eric D ; Krebs, Shelly J ; Bai, Hongjun ; Zemil, Michelle ; de Val, Natalia ; Broder, Christopher C ; Dussupt, Vincent ; King, Jocelyn ; Wieczorek, Lindsay ; Loo, Yueh Ming ; Rajan, Saravanan ; Joyce, M Gordon ; Paquin-Proulx, Dominic ; Sankhala, Rajeshwer S ; Choe, Misook ; Yan, Lianying ; Gromowski, Gregory D ; Lal, Kerri G ; McTamney, Patrick M ; Michael, Nelson L ; Corbitt, Courtney ; Mendez-Rivera, Letzibeth ; Chang, William C ; Green, Ethan C ; Rolland, Morgane ; Rees, Phyllis A ; Esser, Mark T ; van Dyk, Dewald ; Soman, Sandrine ; Swafford, Isabella ; Currier, Jeffrey R ; Townsley, Samantha M ; Peterson, Caroline E ; Sterling, Spencer L ; Britton, Zachary ; Martinez, Elizabeth J ; Smith, Clayton ; Tran, Ursula ; Hajduczki, Agnes ; Jensen, Jaime L ; Kuklis, Caitlin ; Chen, Wei-Hung ; Polonis, Victoria R
Given the continuous emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern (VoCs), immunotherapeutics that target conserved epitopes on the spike (S) glycoprotein have therapeutic advantages. Here, we report the crystal structure of the SARS-CoV-2 S receptor-binding domain (RBD) at 1.95 Å and describe flexibility and distinct conformations of the angiotensin-converting enzyme 2 (ACE2)-binding site. We identify a set of SARS-CoV-2-reactive monoclonal antibodies (mAbs) with broad RBD cross-reactivity including SARS-CoV-2 Omicron subvariants, SARS-CoV-1, and other sarbecoviruses and determine the crystal structures of mAb-RBD complexes with Ab246 and CR3022 mAbs targeting the class IV site, WRAIR-2134, which binds the recently designated class V epitope, and WRAIR-2123, the class I ACE2-binding site. The broad reactivity of class IV and V mAbs to conserved regions of SARS-CoV-2 VoCs and other sarbecovirus provides a framework for long-term immunotherapeutic development strategies.