SARS-CoV-2变体KP.1.1、LB.1和KP3.3从获批的单克隆抗体中逃逸。

Q1 Medicine Pathogens and Immunity Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI:10.20411/pai.v10i1.752
Delphine Planas, Isabelle Staropoli, Cyril Planchais, Emilie Yab, Banujaa Jeyarajah, Yannis Rahou, Matthieu Prot, Florence Guivel-Benhassine, Frederic Lemoine, Vincent Enouf, Etienne Simon-Loriere, Hugo Mouquet, Marie-Anne Rameix-Welti, Olivier Schwartz
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引用次数: 0

摘要

背景:用于免疫功能低下患者预防或治疗的第一代抗SARS-CoV-2单克隆抗体(mAbs)因出现耐药的Omicron变种而被撤销。2024 年,2 种新型 mAbs(VYD222/Pemivibart 和 AZD3152/Sipavibart)获得卫生部门批准,但它们对当代 JN.1 亚系的活性特征尚不明确:我们分离了真实的 JN.1.1、KP.1.1、LB.1 和 KP.3.3 病毒,并在 2 个靶细胞系中评估了这些 mAbs 中和病毒的敏感性:结果:与祖先毒株相比,VYD222/Pemivibart对JN.1亚变体仍有中度活性,但50%抑制浓度(IC50)大幅提高,对KP3.3的抑制浓度高达3至15微克/毫升。AZD3152/Sipavibart中和了JN.1.1,但对KP.1.1、LB.1和KP3.3失去了抗病毒效果:我们的研究结果凸显了对 VYD222/Pemivibart 进行密切临床监测的必要性,并引发了对 AZD3152/Sipavibart 临床疗效的担忧。
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Escape of SARS-CoV-2 Variants KP.1.1, LB.1, and KP3.3 From Approved Monoclonal Antibodies.

Background: First-generation anti-SARS-CoV-2 monoclonal antibodies (mAbs) used for prophylaxis or therapeutic purposes in immunocompromised patients have been withdrawn because of the emergence of resistant Omicron variants. In 2024, 2 novel mAbs, VYD222/Pemivibart and AZD3152/Sipavibart, were approved by health authorities, but their activity against contemporary JN.1 sublineages is poorly characterized.

Methods: We isolated authentic JN.1.1, KP.1.1, LB.1, and KP.3.3 viruses and evaluated their sensitivity to neutralization by these mAbs in 2 target cell lines.

Results: Compared to ancestral strains, VYD222/Pemivibart remained moderately active against JN.1 subvariants, with a strong increase of 50% Inhibitory Concentration (IC50), reaching up to 3 to 15 µg/mL for KP3.3. AZD3152/Sipavibart neutralized JN.1.1 but lost antiviral efficacy against KP.1.1, LB.1, and KP3.3.

Conclusions: Our results highlight the need for a close clinical monitoring of VYD222/Pemivibart and raise concerns about the clinical efficacy of AZD3152/Sipavibart.

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来源期刊
Pathogens and Immunity
Pathogens and Immunity Medicine-Infectious Diseases
CiteScore
10.60
自引率
0.00%
发文量
16
审稿时长
10 weeks
期刊最新文献
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