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Conversion of Monoclonal Igg to Dimeric and Secretory Iga Restores Neutralizing Ability and Prevents Infection of Omicron Lineages Publisher Pubmed



Marcotte H1 ; Cao Y2, 3 ; Zuo F1 ; Simonelli L4 ; Sammartino JC5 ; Pedotti M4 ; Sun R1 ; Cassaniti I5 ; Hagbom M6 ; Piralla A5 ; Yang J7 ; Du L1 ; Percivalle E5 ; Bertoglio F8 Show All Authors
Authors
  1. Marcotte H1
  2. Cao Y2, 3
  3. Zuo F1
  4. Simonelli L4
  5. Sammartino JC5
  6. Pedotti M4
  7. Sun R1
  8. Cassaniti I5
  9. Hagbom M6
  10. Piralla A5
  11. Yang J7
  12. Du L1
  13. Percivalle E5
  14. Bertoglio F8
  15. Schubert M8
  16. Abolhassani H1
  17. Sherina N1
  18. Guerra C4
  19. Borte S9, 10
  20. Rezaei N11
  21. Kumagaibraesch M12
  22. Xue Y13
  23. Su C14
  24. Yan Q15
  25. He P15
  26. Gronwall C16
  27. Klareskog L16, 17
  28. Calzolai L18
  29. Cavalli A4
  30. Wang Q19
  31. Robbiani DF4
  32. Hust M8
  33. Shi Z20
  34. Feng L15
  35. Svensson L6, 21
  36. Chen L22
  37. Bao L23, 24
  38. Baldanti F5, 25
  39. Xiao J2, 14
  40. Qin C23, 24
  41. Hammarstrom L1
  42. Yang X7
  43. Varani L4
  44. Xie XS2, 3
  45. Panhammarstrom Q1
Show Affiliations
Authors Affiliations
  1. 1. Division of Immunology, Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, 17165, Sweden
  2. 2. Changping Laboratory, Beijing, 102206, China
  3. 3. School of Life Sciences, Biomedical Pioneering Innovation Center, Peking University, Beijing, 100871, China
  4. 4. Institute for Research in Biomedicine, Universita della Svizzera italiana, Bellinzona, 6500, Switzerland
  5. 5. Microbiology and Virology Department, Fondazione Istituto di ricovero e cura a carattere scientifico (IRCCS) Policlinico San Matteo, Pavia, 27100, Italy
  6. 6. Division of Molecular Medicine and Virology, Department of Biomedical and Clinical Sciences, Linkoping University, Linkoping, 58185, Sweden
  7. 7. Yunnan Key Laboratory of Biodiversity Information, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, 650023, China
  8. 8. Department of Medical Biotechnology, Institute of Biochemistry Biotechnology and Bioinformatics, Technische Universitat Braunschweig, Braunschweig, 38106, Germany
  9. 9. Department of Laboratory Medicine, Hospital St. Georg, Leipzig, 04129, Germany
  10. 10. ImmunoDeficiencyCenter Leipzig, Jeffrey Modell Diagnostic and Research Center for Primary Immunodeficiency Diseases, Hospital St. Georg, Leipzig, 04129, Germany
  11. 11. Research Center for Immunodeficiencies, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, 14194, Iran
  12. 12. Division of Transplantation Surgery, Department of Clinical Science Intervention and Technology, Karolinska Institutet, Stockholm, 14186, Sweden
  13. 13. Department of Immunology, Peking University Health Science Center, Beijing, 100191, China
  14. 14. State Key Laboratory of Protein and Plant Gene Research, School of Life Sciences, Peking-Tsinghua Center for Life Sciences, Peking University, Beijing, 100871, China
  15. 15. State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Chinese Academy of Sciences, Guangzhou, 510530, China
  16. 16. Division of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, 17176, Sweden
  17. 17. Rheumatology Unit, Karolinska University Hospital, Stockholm, 17176, Sweden
  18. 18. European Commission, Joint Research Centre, Ispra, 21027, Italy
  19. 19. Key Laboratory of Medical Molecular Virology, Ministry of Education, National Health Commission, Chinese Academy of Medical Sciences, Shanghai Institute of Infectious Disease and Biosecurity, School of Basic Medical Sciences, Fudan University, Shanghai, 200032, China
  20. 20. State Key laboratory of Virology, Wuhan Institute of Virology, Chinese Academy of Sciences, Wuhan, Hubei, 430071, China
  21. 21. Division of Infectious Diseases, Department of Medicine, Karolinska Institute, Stockholm, 17177, Sweden
  22. 22. Guangzhou Laboratory, Guangzhou, 510005, China
  23. 23. Beijing Key Laboratory for Animal Models of Emerging and Remerging Infectious Diseases, National Health Commission Key Laboratory of Human Disease Comparative Medicine, Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences and Comparative Medicine Center, Peking Union Medical College, Beijing, 100021, China
  24. 24. National Center of Technology Innovation for Animal Model, Beijing, 102206, China
  25. 25. Department of Clinical Surgical Diagnostic and Paediatric Sciences, University of Pavia, Pavia, 27100, Italy

Source: Proceedings of the National Academy of Sciences of the United States of America Published:2024


Abstract

The emergence of Omicron lineages and descendent subvariants continues to present a severe threat to the effectiveness of vaccines and therapeutic antibodies. We have previously suggested that an insufficient mucosal immunoglobulin A (IgA) response induced by the mRNA vaccines is associated with a surge in breakthrough infections. Here, we further show that the intramuscular mRNA and/or inactivated vaccines cannot sufficiently boost the mucosal secretory IgA response in uninfected individuals, particularly against the Omicron variant. We thus engineered and characterized recombinant monomeric, dimeric, and secretory IgA1 antibodies derived from four neutralizing IgG monoclonal antibodies (mAbs 01A05, rmAb23, DXP-604, and XG014) targeting the receptor-binding domain of the spike protein. Compared to their parental IgG antibodies, dimeric and secretory IgA1 antibodies showed a higher neutralizing activity against different variants of concern (VOCs), in part due to an increased avidity. Importantly, the dimeric or secretory IgA1 form of the DXP-604 antibody significantly outperformed its parental IgG antibody, and neutralized the Omicron lineages BA.1, BA.2, and BA.4/5 with a 25-to 75-fold increase in potency. In human angiotensin converting enzyme 2 (ACE2) transgenic mice, a single intranasal dose of the dimeric IgA DXP-604 conferred prophylactic and therapeutic protection against Omicron BA.5. Thus, dimeric or secretory IgA delivered by nasal administration may potentially be exploited for the treatment and prevention of Omicron infection, thereby providing an alternative tool for combating immune evasion by the current circulating subvariants and, potentially, future VOCs. © 2024 the Author(s).