PMID- 35476528 OWN - NLM STAT- MEDLINE DCOM- 20220429 LR - 20240214 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 119 IP - 18 DP - 2022 May 3 TI - Dromedary camel nanobodies broadly neutralize SARS-CoV-2 variants. PG - e2201433119 LID - 10.1073/pnas.2201433119 [doi] LID - e2201433119 AB - The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike is a trimer of S1/S2 heterodimers with three receptor-binding domains (RBDs) at the S1 subunit for human angiotensin-converting enzyme 2 (hACE2). Due to their small size, nanobodies can recognize protein cavities that are not accessible to conventional antibodies. To isolate high-affinity nanobodies, large libraries with great diversity are highly desirable. Dromedary camels (Camelus dromedarius) are natural reservoirs of coronaviruses like Middle East respiratory syndrome CoV (MERS-CoV) that are transmitted to humans. Here, we built large dromedary camel VHH phage libraries to isolate nanobodies that broadly neutralize SARS-CoV-2 variants. We isolated two VHH nanobodies, NCI-CoV-7A3 (7A3) and NCI-CoV-8A2 (8A2), which have a high affinity for the RBD via targeting nonoverlapping epitopes and show broad neutralization activity against SARS-CoV-2 and its emerging variants of concern. Cryoelectron microscopy (cryo-EM) complex structures revealed that 8A2 binds the RBD in its up mode with a long CDR3 loop directly involved in the ACE2 binding residues and that 7A3 targets a deeply buried region that uniquely extends from the S1 subunit to the apex of the S2 subunit regardless of the conformational state of the RBD. At a dose of >/=5 mg/kg, 7A3 efficiently protected transgenic mice expressing hACE2 from the lethal challenge of variants B.1.351 or B.1.617.2, suggesting its therapeutic use against COVID-19 variants. The dromedary camel VHH phage libraries could be helpful as a unique platform ready for quickly isolating potent nanobodies against future emerging viruses. FAU - Hong, Jessica AU - Hong J AD - Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20891. FAU - Kwon, Hyung Joon AU - Kwon HJ AUID- ORCID: 0000-0001-7846-8779 AD - Division of Viral Products, Office of Vaccines Research and Review, Center for Biologics Evaluation and Research, United States Food and Drug Administration, Silver Spring, MD 20993. FAU - Cachau, Raul AU - Cachau R AD - Data Science and Information Technology Program, Leidos Biomedical Research, Inc., Frederick, MD 21702. FAU - Chen, Catherine Z AU - Chen CZ AUID- ORCID: 0000-0002-6900-6553 AD - National Center for Advancing Translational Sciences, NIH, Rockville, MD 20850. FAU - Butay, Kevin John AU - Butay KJ AD - Molecular Microscopy Group, National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709. FAU - Duan, Zhijian AU - Duan Z AD - Antibody Engineering Program, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20891. FAU - Li, Dan AU - Li D AD - Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20891. FAU - Ren, Hua AU - Ren H AD - Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20891. FAU - Liang, Tianyuzhou AU - Liang T AD - Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20891. FAU - Zhu, Jianghai AU - Zhu J AD - Data Science and Information Technology Program, Leidos Biomedical Research, Inc., Frederick, MD 21702. FAU - Dandey, Venkata P AU - Dandey VP AD - Molecular Microscopy Group, National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709. FAU - Martin, Negin P AU - Martin NP AUID- ORCID: 0000-0003-3166-8989 AD - Viral Vector Core, National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709. FAU - Esposito, Dominic AU - Esposito D AUID- ORCID: 0000-0002-9987-1687 AD - Protein Expression Laboratory, NCI RAS Initiative, Frederick National Laboratory for Cancer Research, Frederick, MD 21702. FAU - Ortega-Rodriguez, Uriel AU - Ortega-Rodriguez U AD - Division of Viral Products, Office of Vaccines Research and Review, Center for Biologics Evaluation and Research, United States Food and Drug Administration, Silver Spring, MD 20993. FAU - Xu, Miao AU - Xu M AD - National Center for Advancing Translational Sciences, NIH, Rockville, MD 20850. FAU - Borgnia, Mario J AU - Borgnia MJ AUID- ORCID: 0000-0001-9159-1413 AD - Molecular Microscopy Group, National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709. FAU - Xie, Hang AU - Xie H AUID- ORCID: 0000-0001-8318-5554 AD - Division of Viral Products, Office of Vaccines Research and Review, Center for Biologics Evaluation and Research, United States Food and Drug Administration, Silver Spring, MD 20993. FAU - Ho, Mitchell AU - Ho M AUID- ORCID: 0000-0002-9152-5405 AD - Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20891. AD - Antibody Engineering Program, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20891. LA - eng GR - ZIA ES103341/ImNIH/Intramural NIH HHS/United States GR - 75N91019D00024/CA/NCI NIH HHS/United States GR - ZIA BC011943/ImNIH/Intramural NIH HHS/United States GR - ZIC BC011891/ImNIH/Intramural NIH HHS/United States GR - ZIA BC010891/ImNIH/Intramural NIH HHS/United States GR - Z01 BC010891/ImNIH/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural DEP - 20220427 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Single-Domain Antibodies) RN - SARS-CoV-2 variants SB - IM UOF - bioRxiv. 2021 Oct 29;:. PMID: 34751270 MH - Animals MH - *COVID-19 MH - Camelus MH - Humans MH - Mice MH - SARS-CoV-2/genetics MH - *Single-Domain Antibodies/genetics PMC - PMC9170159 OTO - NOTNLM OT - SARS-CoV-2 OT - cryo-EM OT - dromedary camel nanobody VHH OT - neutralizing antibody OT - single-domain antibody COIS- Competing interest statement: M.H. and J.H. are inventors on provisional patent application no. US 63/105,769 assigned to the NIH, "Single domain antibodies targeting SARS coronavirus spike protein and uses thereof." EDAT- 2022/04/28 06:00 MHDA- 2022/04/30 06:00 PMCR- 2022/04/27 CRDT- 2022/04/27 17:04 PHST- 2022/04/27 17:04 [entrez] PHST- 2022/04/28 06:00 [pubmed] PHST- 2022/04/30 06:00 [medline] PHST- 2022/04/27 00:00 [pmc-release] AID - 202201433 [pii] AID - 10.1073/pnas.2201433119 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2022 May 3;119(18):e2201433119. doi: 10.1073/pnas.2201433119. Epub 2022 Apr 27.