PIIS0092867421008849
PIIS0092867421008849
PIIS0092867421008849
Correspondence
[email protected]
In brief
Unbiased charting of memory B cell
receptor-encoded antibodies from
COVID-19 convalescent subjects
identifies seven major antibody
competition groups recognizing epitopic
regions with group assignment
correlating with cross-CoV-reactivity
breadth and neutralization potency.
SARS-CoV-2 variants tend to escape
antibodies from groups with the most
potent neutralizers, but many retain
affinity, showing that redundant
components of a primary immune
Highlights response establish durable protection
d Seven major epitopic regions of SARS-CoV-2 spike are from evolving pathogens.
consistently targeted by human Abs
Article
Memory B cell repertoire for recognition
of evolving SARS-CoV-2 spike
Pei Tong,1,14 Avneesh Gautam,1,14 Ian W. Windsor,2,5,9,14 Meghan Travers,1 Yuezhou Chen,1 Nicholas Garcia,1
Noah B. Whiteman,1 Lindsay G.A. McKay,3,4 Nadia Storm,3,4 Lauren E. Malsick,3,4 Anna N. Honko,3,4 Felipe J.N. Lelis,1
Shaghayegh Habibi,1 Simon Jenni,2 Yongfei Cai,5 Linda J. Rennick,6,7 W. Paul Duprex,6,7 Kevin R. McCarthy,6,7
Christy L. Lavine,8 Teng Zuo,1 Junrui Lin,1 Adam Zuiani,1 Jared Feldman,9 Elizabeth A. MacDonald,2 Blake M. Hauser,9
Anthony Griffths,3,4 Michael S. Seaman,8 Aaron G. Schmidt,9,10,11 Bing Chen,5,11 Donna Neuberg,12 Goran Bajic,2,5,15
Stephen C. Harrison,2,5,11,13 and Duane R. Wesemann1,11,16,*
1Department of Medicine, Division of Allergy and Immunology, Division of Genetics, Brigham and Women’s Hospital, Harvard Medical School,
*Correspondence: [email protected]
https://doi.org/10.1016/j.cell.2021.07.025
SUMMARY
Memory B cell reserves can generate protective antibodies against repeated SARS-CoV-2 infections, but
with unknown reach from original infection to antigenically drifted variants. We charted memory B cell recep-
tor-encoded antibodies from 19 COVID-19 convalescent subjects against SARS-CoV-2 spike (S) and found
seven major antibody competition groups against epitopes recurrently targeted across individuals. Inclusion
of published and newly determined structures of antibody-S complexes identified corresponding epitopic re-
gions. Group assignment correlated with cross-CoV-reactivity breadth, neutralization potency, and conver-
gent antibody signatures. Although emerging SARS-CoV-2 variants of concern escaped binding by many
members of the groups associated with the most potent neutralizing activity, some antibodies in each of
those groups retained affinity—suggesting that otherwise redundant components of a primary immune
response are important for durable protection from evolving pathogens. Our results furnish a global atlas
of S-specific memory B cell repertoires and illustrate properties driving viral escape and conferring robust-
ness against emerging variants.
Cell 184, 4969–4980, September 16, 2021 ª 2021 Elsevier Inc. 4969
ll
Article
affinity maturation (Victora and Nussenzweig, 2012) and genera- most potent neutralizers, while the S2-1 group had the greatest
tion of both antibody-secreting plasma cells (PCs) and memory recognition breadth across CoVs. The emerging SARS-CoV-2
B cells. Higher avidity interactions encourage terminal differenti- variants, particularly B.1.351, escaped binding by many RBD-2
ation of B cells into PCs; memory B cells frequently have lower and NTD-1 antibodies. Nonetheless, because mutations in those
avidity but more cross-reactive specificities (Akkaya et al., 2020). variants had varying effects on the affinity of antibodies within
Both PC-derived secreted antibody and memory B cells sup- a competition group, we conclude that the presence in an indi-
ply immune memory to prevent repeat infection, but with non- vidual of otherwise redundant, memory B cells for a given epit-
redundant roles. Secreted antibodies can prophylactically opic region can confer recognition breadth for dynamically
thwart pathogen invasion with fixed recognition capability, while mutating S.
memory B cells harbor expanded pathogen recognition capacity
and can differentiate quickly into PCs to contribute dynamically RESULTS
to the secreted antibody repertoire (Akkaya et al., 2020). More-
over, memory B cells retain plasticity to adapt to viral variants Anti-S antibody general subunit reactivity and breadth
through GC re-entry and SHM-mediated evolution (Turner across individuals
et al., 2020). To identify the general pattern of SARS-CoV-2 S recognition by
The viral spike (S) glycoprotein binds ACE2 on host cells and memory B cells in convalescent subjects, we sorted single
mediates viral fusion with the host (Li et al., 2003). Its fusogenic CD19+ CD27+ IgG+ B cells recognizing soluble prefusion-stabi-
activity depends on a furin-mediated cleavage, resulting in lized S trimer (Figures 1A, S1A, and S1B) from 19 individuals
N-terminal S1 and C-terminal S2 fragments (Xia et al., 2020) 24 (median) days (range 13–63 days) following recovery from
and on a subsequent cleavage of S2 mediated either by cathep- COVID-19 (Data S1). We also sorted S-reactive B cells that did
sins or by a serine protease, TMPRSS2 (Hoffmann et al., 2020). not bind RBD from three individuals because less is known about
The S glycoprotein is the principal neutralizing antibody target these antibodies. S-reactive B cells made up 0.2% (0.07%–
and the focus of most vaccines. Secreted SARS-CoV-2 S anti- 0.4%) of the total B cell population (Figure 1A, left panel), with
bodies available in serum can decline with time (Chen et al., RBD-binding cells representing about a quarter of S-reactive
2020; Dan et al., 2021) and lose reactivity to emerging variants IgG+ B cells (Figure 1A, right panel). We cloned and expressed
(Garcia-Beltran et al., 2021; Wang et al., 2021a). Antibodies Ig-heavy (H) and -light (L) chains from individual, sorted memory
cloned from memory B cells target the S glycoprotein in both B cells into human IgG1 and k or l vectors. We detected IgG in
distinct and redundant ways—complementary and competitive 255 of the culture supernatants, which we used to screen for
recognition, respectively (Brouwer et al., 2020; Dejnirattisai binding to SARS-CoV-2 S (Figures 1B, 1C, and S1C–S1E). Of
et al., 2021; Graham et al., 2021; Hansen et al., 2020; Liu et al., the 255 IgGs, 217 bound SARS-CoV-2 S and/or RBD, as
2020; Wang et al., 2021b). Many of these antibodies have been assayed by flow cytometry (157 from the S+ sorting with an
identified and characterized; their positions within the distribu- additional 1 that bound to RBD but not S, and 59 from
tion of practical, complementary recognition of SARS-CoV-2 S S+/RBD sorting) (Figure 1C); 166 of the 217 bound recombinant
in the human memory B cell repertoire have not. Moreover, the SARS-CoV-2 S, as assayed by ELISA (116 from S+ sorting and
recognition reach of memory B cells induced by one SARS- 50 from S+RBD sorting).
CoV-2 strain toward evolving stains across the major epitopic re- We estimated, by ELISA and, where possible, yeast display of
gions is not yet clear. the subdomains (Figures S1D and S1E), the proportion of mAbs
We present here an unbiased global assessment of the distri- that bound to RBD, NTD, and S2. Recombinant and yeast-dis-
bution of memory B cell-encoded antibodies among cooperative played S2 protein could have any of several conformations,
and competitive recognition clusters on the SARS-CoV-2 S and all or parts of the polypeptide chain might be disordered;
glycoprotein and examine features that direct their collaborative mAbs that bound S2 on ELISA plates might therefore tend
robustness against emerging SARS-CoV-2 variants. In a to recognize linear epitopes or even the S2 post-fusion
comprehensive competition analysis of 152 monoclonal anti- conformation. Indeed, most of the S2-binding mAbs had rela-
bodies (mAbs) from 19 subjects for binding with trimeric S ecto- tively low ELISA-determined affinities for intact, recombinant,
domain, we have identified seven recurrently targeted competi- prefusion S, although a few bound more tightly to S expression
tion groups—three for antibodies with epitopes on the receptor- on the surface of 293T cells (Figure S1F). Of the 157 S-reactive
binding domain (RBD), two for epitopes on the N-terminal mAbs sorted with SARS-CoV-2-stabilized S trimer, a total of
domain (NTD), and two for S2 epitopes. We show that these 36 (23%) were RBD specific as assayed by ELISA, by yeast
groups represent the major practical antibody footprints, with display, or both (Figure 1B). We detected 16 (10%) mAbs that
rare antibodies outside them. We map the clusters onto S by bound the NTD and 49 (31%) that bound S2 (Figure 1C). Eleven
including previously characterized antibodies and new, cryo- of the 49 S2 binders bound cell-surface-expressed, but not
genic electron microscopy (cryo-EM)-determined structures. Ig ELISA-based, SARS-CoV-2 S.
repertoire analysis indicates both divergent and convergent We also assessed mAbs by ELISA for cross-reactivity to other
clones with the competition groups. CoV S glycoproteins. Those of SARS, MERS, and common cold
Antibodies mapped to groups we named based on the S b-CoVs HKU1 and OC43 have sequences with 75.8%, 28.6%,
domain (i.e., RBD, NTD, and S2) followed by a number corre- 25.1%, and 25.5% amino-acid identity, respectively, with
sponding to the abundance, within our population, of mAbs SARS-CoV-2 S; the more distantly related common cold
that bind the designated domain. RBD-2 and NTD-1 were the a-CoVs, NL63 and 229E, just 18.3% and 20.2%. Of the 157 S
ectodomain-sorted mAbs, 47 (29.9%) bound to SARS-CoV S up to 100-fold differences in affinity. We also included 15 pub-
and 8 to other b-CoV S glycoproteins. These 8 cross-reactive lished mAbs with known structures as references (Figure S2A).
mAbs have higher mutation levels than do RBD, NTD, and the We identified seven major clusters of competing mAbs (Fig-
other S2-binding mAbs from our cohort (Figures 1C and 1D). Af- ure S2A). The three RBD clusters overlapped to varying extents,
finities of mAbs derived from the two individuals that donated as expected for sites on a relatively small domain. Asymmetric
twice to this study (G32 and C41) did not differ between time competition (one mAb blocks binding of another, but the second
points (spaced 31 and 33 days apart, respectively; the two does not block the first) occurred when one had much higher af-
time points were combined in the analysis) (Figure S1G). Among finity than the other—e.g., S309 (Pinto et al., 2020), which binds
the 59 S-binding mAbs cloned from the S+RBD sorted memory more tightly than do most of the RBD-1 mAbs we isolated. The
B cells, ELISA detected 23 (39%) mAbs that bound NTD (11 of clusters define relatively broad epitopic regions, as the footprints
which also bound NTD on yeast), and 14 (23.7%) that bound of two mAbs within a cluster might not overlap with each other
S2, of which 7 (11.9%) cross-reacted with SARS-CoV S. One but both might overlap with the footprint of a third (e.g.,
mAb bound RBD (Figure 1C). REGN10933 and REGN10987, both of which competed with
C12A2, although they have completely distinct footprints at
Unbiased global competition analysis defines seven S either end of the RBD receptor-binding motif (RBM). Some
epitopic regions crosstalk between clusters is also evident (e.g., C93D9, which
We used a competition ELISA to determine pairwise overlaps of bound the RBD, blocked both RBD-2 and NTD-1 mAbs). The
the 105 mAbs in our panel for which we could detect signal at published 4-8, 4A8, and COVA1-22 mAbs (Brouwer et al.,
1 mg/mL. By adding a biotinylated version of each mAb together 2020; Chi et al., 2020; Liu et al., 2020), which have been shown
with excess of each of the other mAbs individually into ELISA to bind the NTD, compete with each other and map to NTD-1.
plates pre-coated with pre-fusion-stabilized SARS-CoV-2 S NTD-2 mAbs cluster distinctly from NTD-1, indicating minimal
(Wrapp et al., 2020), we could detect competition of mAbs with spatial overlap of these two NTD regions. One NTD-1 mAb
(C81H11) competed strongly with mAbs from S2-1, and a sec- bound MERS S. Thus, S2-1 mAbs appear to recognize a region
ond could be assigned on the basis of competition either to of S2 conserved among SARS-CoV-2, SARS-CoV, MERS,
NTD-1 or to S2-1, suggesting structural adjacency of at least HKU1, and OC43, as shown previously for S2 mAbs (Ng et al.,
some sites in these two clusters (Figure S2A). Several segments 2020; Song et al., 2020). Isolation of a single mAb (C12B3) that
of S2 are in contact with either RBD or NTD, some with differen- bound S2 but did not map to any of the seven major clusters sug-
tial exposure depending on whether the RBD is ‘‘up’’ or ‘‘down.’’ gests that the immune system may target additional regions of
Inclusion of common mAbs shared among studies reveals S2 but that those responses are subdominant.
how epitopic regions determined here directly by analysis of
the competition matrix relate to other classifications, particularly Memory B cells dominant across individuals in natural
for RBD. For instance, RBD-2 roughly corresponds to recently infection
described class 1 and class 2 (Barnes et al., 2020), RBS-A, B, We probed the relative distribution of epitopes recognized by
and C mAbs (Yuan et al., 2021), and RBD-A (Rogers et al., 2020). SARS-CoV-2-specific memory B cells in the population repre-
Thirty-six mAbs in the ELISA competition analysis cross-re- sented by our cohort by ELISA-based and cell-surface-based
acted with SARS-CoV. These mapped mostly to the RBD-1 (11 assays. We clustered all the S+ mAbs (Figure 2) and S+RBD-
mAbs) and S2-1 (17 mAbs) clusters. Four mAbs that mapped mAbs from a separate sorting step (Figures S2B and S2C). In
to S2-1 (C15C3, C7A4, C7A9, and G32Q1) also bound the com- the former set, comprising 73 mAbs that bound strongly enough
mon cold b-CoVs, and two of these (C7A9 and C15C3) also for the ELISA competition assay, the order of epitopic region
respectively, account between them for over 30% of the mAbs chains of ‘‘natural antibodies,’’ also associates strongly with
in RBD-1, and for 16 of the 19 mAbs in S2-2. The VH1 and VH4 polyreactivity. VH and VL somatic mutation levels were gener-
families are co-dominant with VH3 in NTD-1 and NTD-2, ally, but not significantly, greater in S2-1 (Figure S5A)
respectively (Figure 5A). VH1-69-encoded mAbs are enriched IgH and IgL variable regions each have three complementary
in S2-1, which contains most of the cross-reactive mAbs to determining regions (CDRs), which are the principal contact sites
other CoVs. VH1-69-encoded mAbs are frequently observed for antigen. CDRs 1 and 2 for H and L chain are encoded within
in antiviral responses to influenza virus, HCV, and HIV-1 the VH and VL gene segments, respectively. Diverse, non-tem-
(Chen et al., 2019), and previous work reported that SARS- plated sequences produced by VDJH junctions encode CDRH3
CoV-2 S-specific mAbs isolated from SARS-CoV-infected pa- regions, which have dominant roles in most Ab-antigen interac-
tients also showed an enriched VH1-69 gene segment usage tions. CDRL3 is also diverse due to VJL junctional heterogeneity,
(Wec et al., 2020). VH1-69, which is well represented in H but it has fewer non-templated sequence additions. Intracluster
mAb CDR3 sequence comparisons showed little sequence sim- Finally, we note that antibody C93D9 represents a striking
ilarity (Figure S5B). NTD-2 contained a subcluster of identical example of structural convergence (Figures S5C and S5D). All
CDRL3 sequences that were associated with the same VH but two of the 20 mAbs from the literature shown in Figure S5E
and VL segments from two different individuals (C81 and have the same VH and a non-random selection of VL but diver-
C12) (Figure 5B). S2-1 had a small subcluster of CDRH3 and gent CDRH3 sequences and lengths. Nonetheless, all 20, as
CDRL3 sequence similarities from five different study partici- well as C93D9, bind the RBM in almost identical poses—consis-
pants (C83, C102, C163, C12, and C53) (Figure 5B). These tent with germline-encoded CDRs as the principal binding con-
data indicate substantial intracluster CDR3 diversity with rare tacts (Yuan et al., 2020).
instances of CDR3 sequence similarity between different
individuals. Escape from RBD-2 and NTD-1 mAbs by viral variants
We also asked whether we could find evidence of sequence Emergence of SARS CoV-2 variants that enhance transmissi-
convergence with other COVID-19 datasets for which paired bility, such as the variant B.1.1.7 (Rambaut et al., 2020), and in
IgH and IgL sequence data are available. Convergent sequence some cases reduce the neutralization titers of convalescent
criteria of (1) same VH and VL, and (2) no less than 50% CDRH3 sera, such as the variant B.1.351 (Tegally et al., 2021), indicates
and CDRL3 identity (Croote et al., 2018), revealed rare se- more rapid evolution of the virus than expected from the error-
quences very similar to representatives from RBD-1, RBD-2, correcting properties of CoV RNA-dependent RNA polymerases.
and NTD-1 in independent datasets for SARS-CoV-2 (Kreer In the case of B.1.351 in particular, the clusters of three substitu-
et al., 2020; Liu et al., 2020; Robbiani et al., 2020), but not for tions and one deletion in the NTD and three substitutions in the
mAbs against Zika (Robbiani et al., 2017) or influenza (Wrammert RBD concentrate at contacts of the most potent of the many
et al., 2011) viruses (Figures 5C and 5D). We also found conver- well-characterized neutralizing mAbs (Figure 6A). Moreover,
gent pairs within our own dataset representing both S2-1 and recurrent deletions in loops of the NTD appear to accelerate
S2-2 (Figure 5D). SARS CoV-2 antigenic evolution (McCarthy et al., 2021).
We examined the effects of naturally occurring mutant S pro- the pandemic. Immune responses in these SARS-CoV-2-naive
tein on binding of mAbs in each competition group (Figures 6B donors were to early and relatively homogeneous variants circu-
and 6C). B.1.1.7 had lower affinity for various mAbs in the lating well before emergence of the B.1.1.7 and B.1.351 strains
RBD-1 and NTD-1 cluster. None of the RBD-1 mAbs lost binding first reported in December 2020, and probably before the spread
completely, and testing a variant with just the deletion at position in New England of the D614G variant that did not substantially
144 in the NTD showed that this single mutation caused loss of alter antigenicity (Muik et al., 2021; Xie et al., 2021). This set of
binding by nearly two-thirds of the mAbs in the NTD-1 cluster. BCR sequences and corresponding mAbs thus represents
Mutations in B.1.351 S had more pronounced effects, particu- responses to a relatively homogeneous infectious virus and pro-
larly on mAbs in the RBD-2 and NTD-1 clusters, as expected vides a valuable tool for examining the degree to which these an-
from the positions of the sequence changes. In addition to the tibodies retain recognition of emerging variants and for studying
N501Y substitution also present in the variant B.1.1.7, an the extent to which loss of neutralizing titer correlates with loss of
E484K mutation lies at the center of the epitope for many of longer-term protection.
the most potent RBD-2 neutralizing mAbs (Figure 6A). About Finding that the same regions of S are targeted across multiple
one-third of the RBD-2 mAbs retained modest to high affinity, individuals may confer pressure for viral escape. This may be a
but the variant S failed to bind any of the NTD-1 cluster downside of what appears to be a consistent and robust repre-
(excluding C81C10—a peripheral NTD-1 member as discussed sentation of germline antibodies against neutralizing SARS-
above), with the marginal exception of 4A8. The P.1 variant CoV-2 targets in the human antibody repertoire. The fact that
escaped RBD-2 mAbs in a manner mirroring B.1.351, but with mAbs that lose reactivity to emerging variants tend to be mem-
much less escape from NTD-1 mAbs (Figures 6B and S6A). bers of the most potent neutralizing mAb clusters is consistent
mAbs in S2-related groups were not affected by B.1.1.7, with in vivo protection by these antibody groups.
B.1.351, or P.1, despite the presence of some mutations within The competition clusters we have identified are roughly anal-
S2. One exception is the singleton S2-3 mAb C12B3, an S2 ogous to genetic complementation groups. Competition can
binder that loses binding to B.1.1.7 (Figure 6B). Loss of neutral- result from overlapping binding footprints or non-overlapping
ization potency tracked with loss of binding (Figures 6B, 6C, but neighboring footprints that lead to mutual exclusion of IgGs
S6B, and S6C). bound at the two adjacent epitopes. Competition can also result
Differential effects on antibodies with overlapping but still from stabilization by one antibody of a conformation (e.g., the
distinct epitopes illustrate the potential importance of a redun- up-down conformational isomerism of the RBD) that excludes
dant, polyclonal response. Although C12C9, C12C11, and 4A8 or lowers affinity of the other. Any of these mechanisms may
all contact the 140–160 loop (Figure 3) and all are sensitive to contribute to the clusters we have mapped, but the outcome in
the recurrent multi-position deletions at D141-144 and D243- all cases is an apparent redundancy of binding capacity in a
244, only the latter two are sensitive to the recurrent single-posi- broadly polyclonal response that may nonetheless impart recog-
tion deletions at 144 or 146 (Figures 6B and S6A). Moreover, nition breadth toward an evolving pathogen within a single
although they are in the same convergent structural class whose individual.
members bind the RBM in nearly identical poses (Figures S5C Complementary recognition of non-overlapping viral targets
and S5D), CC12.1 (Yuan et al., 2021) nearly fails to recognize by non-competing antibodies in the repertoire can reduce the
B.1.351 (7%) while C93D9 retains some marginal affinity likelihood of viral escape (Keeffe et al., 2018). Our data suggest
(29%) (Figure 6B). Thus, apparently redundant memory B cell an additional mechanism for preventing viral escape: competing
clones can have non-redundant functional roles. antibodies may help retain recognition of a rapidly evolving anti-
gen by their differential sensitivity to specific mutations. The po-
DISCUSSION tential dynamic reach of otherwise redundant mAb recognition,
illustrated by selective retention of affinity for variants by some
Our results illustrate the landscape of memory B cell coverage of antibodies within a cluster but not by others, may give selective
the SARS-CoV-2 S glycoprotein in convalescent donors. Unlike advantage to immune mechanisms that yield multiple competing
the terminally differentiated plasma cells that determine the pro- antibodies to critical epitopes, as those that retain adequate af-
file of serum antibodies, memory B cells clonally expand upon finity can then re-activate, expand, and potentially undergo
re-exposure to antigen, some differentiating into fresh anti- further affinity maturation. The presence of some antibodies
body-secreting cells and others re-entering GCs to undergo that retain cross-strain neutralizing activity suggests that protec-
further SHM-mediated diversification and affinity maturation. tion from variants may depend upon robustness of B cell re-
These outcomes offer a layer of flexibility for adaptation to drifted sponses to parent S. Escape from neutralization is a likely feature
or related viral strains, if available secreted antibodies fail to pre- of variant emergence. It will be important to determine the de-
vent initial infection. Loss of protection against overt or severe gree to which antibodies with retained affinity for immunodomi-
disease is not an inevitable consequence of a waning serum anti- nant neutralizing S protein targets influence protection from
body titer. This atlas of B cell memory therefore maps, systemat- variant-driven clinical disease.
ically, a crucial component of the long-term immune response to
SARS-CoV-2 infection. Limitations of study
The donors for this study experienced COVID-19 symptom The participants in this study suffered from mild COVID-19.
onset between March 3 and April 1, 2020, and blood draws While this represents the majority of cases, it will be important
analyzed here were between April 2 and May 13, 2020, early in for future studies to examine the degree to which antigen
recognition may differ in cases of more severe disease. In addi- and Prevention), and SARS-CoV-2, Isolate hCoV-19/South Africa/KRISP-
tion, our study only includes adults. Inclusion of children in future K005325/2020, NR-54009 (contributed by Alex Sigal and Tulio de Oliveira).
The SARS-CoV-2 S model in the graphical abstract is from PBD (ID:6XR8).
studies will illuminate how SARS-CoV-2 S recognition may differ
in this age group.
AUTHOR CONTRIBUTIONS
STAR+METHODS D.R.W. designed the study. P.T. and A. Gautam conducted ELISA and FACS
experiments. I.W.W., S.J., and G.B. conducted cryo-EM experiments. P.T.,
M.T., A. Gautam, Y. Chen, A.Z., T.Z., and J.L. performed single-cell sorting
Detailed methods are provided in the online version of this paper
and antibody cloning. P.T. and J.F. prepared yeast expression constructs.
and include the following: P.T., K.R.M., W.P.D., L.J.R., and Y. Cai prepared S variant expression con-
structs. P.T., A. Gautam, I.W.W., G.B., N.G., N.B.W., D.N., S.C.H., and
d KEY RESOURCES TABLE D.R.W. analyzed data. S.H., M.T., F.J.N.L., and A. Gautam recruited patients
d RESOURCE AVAILABILITY and processed samples. P.T., C.L.L., M.T., and M.S.S. performed pseudovirus
B Lead contact neutralization assays and analysis. L.G.A.M., A.N.H., L.E.M., N.S., and A. Grif-
B Materials availability fiths performed authentic virus neutralization assays and analysis. M.T.,
B Data and code availability I.W.W., E.A.M., G.B., J.F., B.M.H., A.G.S., Y. Cai, and B.C. contributed recom-
binant protein. N.G., N.B.W., and P.T. prepared the first draft. S.C.H. and
d EXPERIMENTAL MODEL AND SUBJECT DETAILS
D.R.W. supervised research and wrote the paper.
B Human study participants
d METHOD DETAILS DECLARATION OF INTERESTS
B SARS-CoV-2 S-specific single B cell sorting
B Antibody cloning and production The authors declare no competing interests.
B Monoclonal antibody screening with ELISA
B Cell surface binding assays Received: March 23, 2021
B ELISA-based antibody competition Revised: June 14, 2021
Accepted: July 15, 2021
B Cell-based antibody competition
Published: July 23, 2021
B Antibody binding to S variants
B Pseudovirus production and neutralization assay REFERENCES
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and the Commonwealth of Pennsylvania, Department of Community and Eco-
Dong, Y., Yang, Y., et al. (2020). A neutralizing human antibody binds to the
nomic Development. Work in the laboratories of A.G.S., B.C., S.C.H., and
N-terminal domain of the Spike protein of SARS-CoV-2. Science 369,
D.R.W. was funded by the Massachusetts Consortium on Pathogenesis Read-
650–655.
iness. D.R.W. acknowledges support from Fast Grant funding for COVID-19
science, the Ragon Institute, and the Mark and Lisa Schwartz and the Croote, D., Darmanis, S., Nadeau, K.C., and Quake, S.R. (2018). High-affinity
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Support for the Harvard Cryo-EM Center for Structural Biology came from the tomes. Science 362, 1306–1309.
Nancy Lurie Marks Family Foundation. The following reagents were obtained Dan, J.M., Mateus, J., Kato, Y., Hastie, K.M., Yu, E.D., Faliti, C.E., Grifoni, A.,
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STAR+METHODS
Continued
REAGENT or RESOURCE SOURCE IDENTIFIER
Bovine serum albumin (BSA) Sigma Cat# A2153
Triton X-100 Fisher Scientific Cat# 9002-93-1
10x phosphate buffered saline (PBS) Boston BioProducts Cat# BM-220-10XS
Glycine Sigma-Aldrich Cat# G7126
Zinc chloride Sigma-Aldrich Cat# 793523
Magnesium chloride Sigma-Aldrich Cat# M0250
Tween-20 Sigma-Aldrich Cat# P1379
Ficoll-Paque PLUS Cytiva Cat# 17144003
4’,6-diamidino-2-phenylindole, Thermo Fisher Scientific Cat# D1306
dihydrochloride (DAPI)
Dithiothreitol (DTT) Thermo Fisher Scientific Cat# R0861
RNaseOUT Thermo Fisher Scientific Cat# 10777-019
Random hexamer primer Thermo Fisher Scientific Cat# FERSO142
10 mM dNTPs Promega Cat# U1515
IGEPAL CA-630 Sigma-Aldrich Cat# I8896
SuperScript III reverse transcriptase Thermo Fisher Scientific Cat# 18080085
HotStarTaq DNA polymerase QIAGEN Cat# 203205
Protein A agarose beads Thermo Fisher Scientific Cat# 20334
Papain resin Thermo Fisher Scientific Cat# 20341
Talon cobalt resin Takara bio Cat# 635503
Strep-Tactin Sepharose resin IBA Life Sciences Cat# 2-1201-010
4-20 % Tris-Glycine SDS-PAGE Thermo Fisher Scientific Cat# XP04200BOX
1M Tris-HCl (pH8.0) Boston BioProducts Cat# BBT-80-500
Gentian Violet RICCA Chemicals Cat# 3233-4
Deposited data
Primary data This paper Mendeley Data: https://doi.org/
10.17632/tfvsfg47c7.1
Heavy and light chain sequences This paper GenBank:
MW718328-MW718631
Atomic structure This paper PDB:
7N62 and 7N64
Cryo-EM structure This paper EMDB:
EMD-24192 to EMD-24194 and
EMD-24196 to EMD-24198
Critical commercial assays
Fab preparation kit Thermo Fisher Scientific Cat# 44985
Lipofectamine 3000 transfection reagent Thermo Fisher Scientific Cat# L3000008
ExpiFectamine Kit Thermo Fisher Scientific Cat# A14525
ONE-Glo luciferase assay system Promega Cat# E6120
EZ-Link Sulfo-NHS-LC-Biotin Thermo Fisher Scientific CAT# 21338
Experimental models: Cell lines
HEK293T ATCC Cat# CRL-3216
VERO C1008 (E6) BEI Resources Cat# NR-596
EBY100 S. cerevisiae Strain Thermo Fisher Scientific Cat# C83900
ACE2/TMPRSS2-expressing HEK293T Obtained from the lab of Dr. Marc Johnson N/A
Expi293F Thermo Fisher Scientific Cat# A14527
ACE2-expressing TZM.bl Obtained from the lab of N/A
Dr. Michael S. Seaman
(Continued on next page)
Continued
REAGENT or RESOURCE SOURCE IDENTIFIER
Oligonucleotides
Primer set for Ig PCR (Tiller et al., 2008) IDT DNA N/A
Recombinant DNA
pCHA vector Obtained from the lab of Dr. K. Dane Wittrup N/A
pmaxGFP Lonza Cat#: VDC-1040
Plasmid encoding 2p Obtained from the lab of Dr. Jason McLellan N/A
Plasmid encoding hexapro Obtained from the lab of Dr. Jason McLellan N/A
HDM-SARS2-spike-delta21-D614G Addgene Cat# 158762
HDM-SARS2-spike-D69-70-delta21-D614G Obtained from the lab of Dr. W. Paul Duprex N/A
HDM-SARS2-spike-D141-144-delta21-D614G Obtained from the lab of Dr. W. Paul Duprex N/A
HDM-SARS2-spike-D144-delta21-D614G Obtained from the lab of Dr. W. Paul Duprex N/A
HDM-SARS2-spike-D146-delta21-D614G Obtained from the lab of Dr. W. Paul Duprex N/A
HDM-SARS2-spike-D210-delta21-D614G Obtained from the lab of Dr. W. Paul Duprex N/A
HDM-SARS2-spike-D243-244-delta21-D614G Obtained from the lab of Dr. W. Paul Duprex N/A
HDM-SARS2-spike-A222V-delta21-D614G This paper N/A
HDM-SARS2-spike-D 69-70 Y453F- This paper N/A
delta21-D614G
HDM-SARS2-spike-B.1.1.7-delta21-D614G This paper N/A
(Pseudovirus)
HDM-SARS2-spike-B.1.351-delta21-D614G This paper N/A
(Pseudovirus)
HDM-SARS2-spike-P.1-delta21-D614G This paper N/A
(Pseudovirus)
Plasmid encoding B.1.1.7 (Flow cytometry) Obtained from the lab of Dr. Bing Chen N/A
Plasmid encoding B.1.351 (Flow cytometry) Obtained from the lab of Dr. Bing Chen N/A
Plasmid encoding P.1 (Flow cytometry) Obtained from the lab of Dr. Bing Chen N/A
HDM-SARS2-Spike-delta21 Addgene Cat#155130
pLenti CMV Puro LUC (w168-1) Addgene Cat#17477
psPAX2 Addgene Cat#12260
Software and algorithms
GraphPad Prism 8 and 9 GraphPad Software https://www.graphpad.com/scientific-
software/prism/
IgBLAST NCBI https://www.ncbi.nlm.nih.gov/igblast/
Clustal Omega EMBL-EBI https://www.ebi.ac.uk/Tools/msa/
clustalo/
R Free Software Foundation/GNU R v4.0.0
Bioconductor software in R Bioconductor https://www.bioconductor.org/
MEGAX Molecular Evolutionary Genetics Analysis https://www.megasoftware.net/
FlowJo 9.9.6 and 10.7.1 BD https://www.flowjo.com/
UCSF Chimera UCSF https://www.cgl.ucsf.edu/chimera/
RESOURCE AVAILABILITY
Lead contact
Further information and requests for resources and reagents should be directed to and will be fulfilled by the Lead Contact, Duane R.
Wesemann. [email protected]
Materials availability
Reagents and materials presented in this study are available upon request, in some cases after completion of a material transfer
agreement.
METHOD DETAILS
with PBS supplemented with 0.05% Tween-20 (PBST). Anti-human IgG-alkaline phosphatase (Southern Biotech, Birmingham, AL) at
a final concentration of 1 mg/mL in 1% BSA and 0.05% Tween-20 was added at 50 ml/well and incubated for 1 h at room temperature.
Plates were washed three times with PBST. Developing solution (0.1 M lycine, pH 10.4, with 1 mM MgCl2 and 1 mM ZnCl2, containing
alkaline phosphatase substrate p-nitrophenyl phosphate (Sigma-Aldrich) at final concentration of 1.6 mg/mL) was then added to the
plates at 100 ml/well, and incubated for 2 h at room temperature. Absorbance was measured at 405 nm by microplate reader (Biotek
Synergy H1).
For median effective concentration (EC50) and area under curve (AUC) analysis of antibody binding by ELISA, 5-fold serial dilutions
were produced from an initial concentration of 10 mg/mL of purified antibody in the ELISA procedure described above. EC50 and AUC
were calculated with GraphPad Prism 9.
D80A, D215G, D242-244, K417N, E484K, N501Y, A701V) and P.1 (L18F, T20N, P26S, D138Y, R190S, K417T, E484K, N501Y, H655Y,
T1027I, D1176F). We note that plasmids with D144 and D145 have the same coding sequence due to the presence of tyrosine at both
sites. All variants contain D614G. For binding, 10 mg/mL of antibody were incubated with cells, with goat anti-human IgG as second-
ary antibody for detection by flow cytometry (BD Canto II). S+ cells were gated on DAPi-GFP+. Data were analyzed by FlowJo 10.7.1.
Binding for each mAb was first normalized (‘‘normalized IgG MFI’’) by dividing the MFI for that mAb by the MFI for GFP. The normal-
ized MFI for binding the D614G spike was used as a reference (normalized D614G spike IgG MFI). The relative binding intensities of
the tested mAbs for each variant, calculated as the ratio of the normalized variant IgG MFI and the normalized D614G spike IgG MFI.
Relative binding signal > 1 was treated as no loss of binding and set to 1.
Fab preparation
Fab fragments were expressed with a His-tag heavy chain expression vector and co-transfected with a light chain vector in Expi293F
cells. Fab fragments were also produced by papain digestion with a Fab preparation kit (ThermoFisher, Cat. 44985) according to
manufacturer’s protocol. In brief, 0.5-1.0 mg of IgG1 antibodies were mixed with 125 mL papain resin (ThermoFisher, Cat. 20341)
for 5 h in the digestion buffer provided, containing 20 mM cysteine, pH 7.4. Undigested antibody and Fc fragments were removed
by incubating digested products with a protein A column overnight at 4 C, then collecting the Fab-containing flow-through. Fabs
were analyzed by 4%–20% Tris-Glycine SDS-PAGE (ThermoFisher, Cat. XP04200BOX). C12C9 and C12A2 Fabs were prepared
by expressing Fabs with a 3C-cleavable histag that was removed using 3C protease (Pierce) following Talon resin purification, as
described (Schmidt et al., 2015).
Statistical analysis
Competition clusters were processed in two steps. The mAbs were first grouped based on binding to SARS-CoV-2 subdomains
(RBD, NTD, S2). These mAbs, together with ungrouped mAbs, were then clustered based on competition in ELISA or in the cell-based
assay, taking reduction of signal by 30% as the competition threshold.
In order to determine the presence of epitope dependent, VH-segment preferential usage, we used resampling to bootstrap
p values. For each cluster with size n, we resampled n VH segments from the observed VH segments in our dataset m times with
replacement. P values were generated by counting the number of resampled clusters for which the frequency of a VH-segment
matched or exceeded the frequency observed in the 167 S binders in Data S2, dividing the quantity of these instances by the number
of trials m, and performing a Bonferroni correction (e.g., multiplying the p value by the number of unique VH-segments) (Nielsen et al.,
2020). For these data, the 7 clusters range from 5 to 39 members, and 1 million resampled clusters were generated for each cluster.
We also used the same methods to compare the VH-segment composition of each cluster to the VH-segment composition of the
general human PBMC repertoire, exchanging the weights of the unique VH-segments with their representation in the averaged gen-
eral repertoire from 10 healthy controls (Briney et al., 2019).
Public clones were screened from previously reported clones with a total of 616 SARS-CoV-2 related clones (Chi et al., 2020; Kreer
et al., 2020; Liu et al., 2020; Robbiani et al., 2020). We also screened 133 Zika (Robbiani et al., 2017) and 98 Flu (H1N1) (Wrammert
et al., 2011) related clones. Public clones converged on identical VH and VL alleles, with at least 50% identity in CDRL3 and 50%
identity in CDRH3.
Other analysis
Phylogenetic analysis of CoV spikes was done comparing pairwise identity using Clustal Omega. GenBank accession numbers used
are the following: SARS (MN985325.1), MERS (JX869059.2), HKU1 (Q0ZME7.1), OC43 (AAT84362.1), NL63 (AAS58177.1), and 229E
(AAK32191.1). MEGA X was used for pairwise distance analysis of CDRH3 and CDRL3s. For CDR3s that exceeded the MEGA X
range, we manually set them to the maximum value of 3.
microscope operated at 200 keV with a Gatan K2 Summit direct electron detector. Automated recording was with Serial EM (Mas-
tronarde, 2005) in all cases. Specifications and statistics for images from each of these complexes are in Table S1.
Supplemental figures
Figure S1. Sorting strategy for SARS-CoV-2-specific memory B cells and characterization of monoclonal antibodies, related to Figure 1
(A) Representative flow cytometry plots showing CD19+, CD27+, SARS-CoV-2 S-binding B cells from a convalescent subject (C12, top row) and a pre-pandemic
control (bottom row). PBMCs were pre-enriched with CD19 magnetic beads then gated on live IgD IgM-IgG+CD27+ and finally on S (B) Representative flow
cytometry plots showing S-positive, RBD-negative B cells for three convalescent subjects and a pre-pandemic control, sorted as in (A) except for the S gate. (C)
Representative flow plot of mAb supernatant bound to SARS-CoV-2 S on HEK293T cells. Cells were gated on DAPI GFP+ population. (D) Representative flow
plot of mAb supernatant bound to SARS-CoV-2 RBD on yeast. cMyc tag indicated yeast that expressed RBD. (E) Representative flow plot of mAb supernatant
(legend continued on next page)
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bound to SARS-CoV-2 NTD on yeast. cMyc tag indicated yeast that expressed NTD. See Figure 1C for the screening color scheme. (F) Bar graph of Log10(EC50) of
antibodies targeting RBD, NTD and S2 using ELISA and cell-based assay. EC50 (mg/mL), RBD (n = 23), NTD clusters (n = 15) and S2 (n = 15). ***p < 0.001, ****p <
0.0001; Paired nonparametric Wilcoxon test. Data are mean values ± SEM (G) Dot plot of Log10(EC50) of antibodies in the indicated bins by cell-based assay.
Antibodies are from subjects G32 and C41, sorted with S. Each dot represents one monoclonal antibody. EC50 (mg/mL), 13-39 days (n = 13), 40-63 days (n = 8). No
significance; nonparametric Mann-Whitney test. Data are mean values ± SEM.
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Figure S2. Competition mapping including antibodies from S+RBD sort and antibodies with published structures, related to Figure 2
(A) Cross competition matrix by ELISA-based competition. Including antibodies from cells gated as S+RBD increased representation of NTD and S2 clusters.
Color and shading scheme, groups defined by hierarchical clustering, and recombinant protein binding as in Fig 2A. Arrows designate antibodies described in the
text, including those reported here (green) and those from published work by others (blue). (B) Cross competition matrix for mAbs from S+RBD sort by ELISA-
based competition. (C) Competition in cell-based assay, for antibodies with binding in ELISA format too weak for reliable blocking measurement. See Figure 2B
for procedures, heat-map color scheme, etc.
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Figure S3. Cell-based competition assay and comparison with ELISA, related to Figure 2
(A) Representative flows plot for competition, by 20 blocking antibodies representing each of the seven principal clusters (from ELISA: Figure S2A), for binding
cell-surface expressed S protein by 3 biotinylated antibodies. A non-COVID-19 related antibody and a self-blocking antibody were used as negative and positive
controls. (B) Heatmap of 19 mAbs with hierarchical clustering from cell-based competition assay with 118 blocking antibodies. See Figure 2B for procedures,
heat-map color scheme, etc. (C) Heatmap of 17 mAbs with hierarchical clustering from ELISA-based (left panel) and cell-surface (right panel) cross-competition.
See Figure 2B for procedures, heat-map color scheme, etc. (D) Heatmap of polyclonal IgG with hierarchical clustering from ELISA-based competition with
12 blocking antibodies and a non-COVID-19 control antibody. Intensity of color shows binding intensity of detection polyclonal antibodies, from 0 signal
(complete blocking) to 100% full signal.
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Figure S4. Neutralization profiles for monoclonal antibodies of seven clusters, related to Figure 4
(A) Authentic virus (WA1) neutralization profiles of 9 antibodies. (B) Pseudovirus neutralization profiles in two cell lines for antibodies from NTD-1 cluster. Left
panel: neutralization profiles in 293FT cells co-expressing hACE2 and TMPRSS2 as target cells (n = 39). Right panel: neutralization profiles in TZM.bl cells
expressing hACE2 as target cells (n = 13). (C) Pseudovirus neutralization profiles in 293FT cells co-expressing hACE2 and TMPRSS2 for antibodies from RBD-1
(n = 22), RBD-2 (n = 23), RBD-3 (n = 5), NTD-2 (n = 16), S2-1 (n = 32) and S2-2 (n = 19) clusters. Data are mean values ± SD for authentic virus assays and
pseudovirus assays using 293FT/hACE2/TMPRSS2 cells. Data are mean values ± SEM for assays using TZM.bl/hACE2 cells.
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Figure S5. Diversity of antibody sequences and convergent C93D9 class of antibodies, related to Figure 5
(A) V(D)J and VJ mutation levels in each of the 7 principal competition groups. Mutations in VH and VL (excluding CDR3) counted by IgBLAST. (B) Maps of pairwise
distances of CDRH3 (lower left triangle) and CDRL3 (upper right triangle) for the RBD-1, RBD-2, RBD-3, NTD-1 and S2-2 cluster antibodies related to Figure 5B.
(C) Two views of 20 Fab structures, listed in (E), bound with SARS-CoV-2 RBD. Structures all superposed on the RBD; heavy-and light-chains of each Fab in a
distinct color. The figure includes only the RBD from 6YZ5 (not one of the 20), with the RBM in light orange and the rest of the chain in gray. (D) View as in the right-
hand panel in (C), but showing only the Fab from 7B3O (the closest in sequence to C93D9), with CDRs labeled. The most intimate contacts with RBM residues are
from CDRH1, CDRH2 and CDRL1, many with residues constrained in potential variability by ACE2 interaction. (E) Maps of pairwise distances of CDRH3 (lower left
triangle) and CDRL3 (upper right triangle) for the 21 C93D9 class antibodies in (C) and (D). Pairwise distances analyzed by MEGA X. Intensity of color shows the
distance, from 0 (identical) to 1 (no identity). The VH and VL genes encoding the antibodies are shown in the indicated groups. Differences in CDR3s from the
reference sequences (bold) are in red; dashes indicate missing amino acids; dots represent identical amino acids. IGHV3-66 and IGHV3-53 are very similar VH
gene segments, differing by only one encoded amino-acid residue.
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Figure S6. Representative flow plots for mAb binding and neutralization of indicated variants, related to Figure 6
Flow plots for binding of 7 mAbs to Nextstrain cluster 20A.EU1 (A222V), Danish mink variant (D69-70 and Y453F), B.1.1.7 (D69-70, D144, N501Y, A570D, P681H,
T716I, S982A, D1118H), B.1.351 (L18F, D80A, D215G, D241-243, K417N, E484K, N501Y, A701V), P.1 (L18F, T20N, P26S, D138Y, R190S, K417T, E484K, N501Y,
H655Y, T1027I, D1176F) and NTD deletion variants. All variants contain the D614G mutation. Plasmids with variant S co-expressed with pmaxGFP in HEK293T
cells. Cells were gated on DAPi GFP+. mAb C81E2 was used as positive control, and PBS, as negative control. (B) Authentic B.1.1.7 virus neutralization profiles
for 6 antibodies. (C) Authentic B.1.351 virus neutralization profiles for 6 antibodies. Data are mean values ± SD for authentic virus assays.