[PDF][PDF] A potent bispecific nanobody protects hACE2 mice against SARS-CoV-2 infection via intranasal administration

X Wu, L Cheng, M Fu, B Huang, L Zhu, S Xu, H Shi… - Cell reports, 2021 - cell.com
X Wu, L Cheng, M Fu, B Huang, L Zhu, S Xu, H Shi, D Zhang, H Yuan, W Nawaz, P Yang…
Cell reports, 2021cell.com
The dramatically expanding coronavirus disease 2019 (COVID-19) needs multiple effective
countermeasures. Neutralizing nanobodies (Nbs) are a potential therapeutic strategy for
treating COVID-19. Here, we characterize several receptor binding domain (RBD)-specific
Nbs isolated from an Nb library derived from an alpaca immunized with the severe acute
respiratory syndrome coronavirus 2 (SARS-CoV-2) spike glycoprotein (S); among them,
three Nbs exhibit picomolar potency against SARS-CoV-2 live virus, pseudotyped viruses …
Summary
The dramatically expanding coronavirus disease 2019 (COVID-19) needs multiple effective countermeasures. Neutralizing nanobodies (Nbs) are a potential therapeutic strategy for treating COVID-19. Here, we characterize several receptor binding domain (RBD)-specific Nbs isolated from an Nb library derived from an alpaca immunized with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike glycoprotein (S); among them, three Nbs exhibit picomolar potency against SARS-CoV-2 live virus, pseudotyped viruses, and circulating SARS-CoV-2 variants. To improve their efficacy, various configurations of Nbs are engineered. Nb15-NbH-Nb15, a trimer constituted of three Nbs, is constructed to be bispecific for human serum albumin (HSA) and RBD of SARS-CoV-2. Nb15-NbH-Nb15 exhibits single-digit ng/ml neutralization potency against the wild-type and Delta variants of SARS-CoV-2 with a long half-life in vivo. In addition, we show that intranasal administration of Nb15-NbH-Nb15 provides effective protection for both prophylactic and therapeutic purposes against SARS-CoV-2 infection in transgenic hACE2 mice. Nb15-NbH-Nb15 is a potential candidate for both the prevention and treatment of SARS-CoV-2 through respiratory administration.
cell.com