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Orphan broadly RBD-binding antibodies annotate three remaining conserved RBD epitopes along SARS-CoV-2 evolution

Antibody cloning using heterogenous double-bait sorting strategy

Our previous finding showed a negative correlation of neutralizing activities against SARS-CoV-1 and SARS-CoV-2 Omicron for broad neutralizing antibodies (bnAbs) against RBD (Supplementary Fig. 1a)21. Therefore, to isolate a minority of broadly binding antibodies (bbAbs) against RBDs, we proposed to utilize the cross-reactivity against SARS-CoV-1 and one of Omicron variants, XBB (Fig. 1a). To do so, we adopted a heterogenous double-bait single-B-cell sorting strategy by using phycoerythrin (PE)-conjugated SARS-CoV-1 RBD and Allophycocyanin (APC)-conjugated XBB RBD proteins as the two heterogenous bait proteins (Fig. 1b and Supplementary Fig. 1b). Since none of these donors have been exposed to SARS-CoV-1 or XBB at the time of blood donation, the two heterogenous bait proteins could be considered as the unexposed or the future variants of SARS-CoV-2.

Fig. 1: Identification of broadly RBD-binding antibodies by heterogenous double-bait single-cell sorting strategy.
figure 1

a Phylogenetic tree of the RBD proteins. The RBD proteins of SARS-CoV-1 and XBB, both highlighted, were used in this study as bait proteins for single B cell sorting. b Diagram of the heterogeneous double-bait sorting strategy used in this study. Two heterogenous bait proteins were used to sort single B cells recognizing phycoerythrin (PE)-conjugated SARS-CoV-1 RBD and allophycocyanin (APC)-conjugated XBB RBD proteins. c Immunization history of four donors. The four recruited convalescent donors experienced vaccination of inactivated vaccines, BA.5 breakthrough infection and blood donation. d Frequency of human B cells recognizing heterogenous bait proteins, PE-conjugated SARS-CoV-1 RBD and APC-conjugated XBB RBD, in donor M, N, O, and P. e Initial screening for mAbs with binding activity against both SARS-CoV-1 RBD and XBB RBD. Each pie chart represents a donor with the number indicating the isolated mAbs with naturally paired heavy and light chains. ELISA categorized these mAbs into four types: red, binders against both SARS-CoV-1 RBD and XBB RBD; orange, antibodies binding only XBB RBD; green, antibodies binding only SARS-CoV-1 RBD; and white, mAbs with weak/no binding activity against both RBDs or mAbs with low expression level. f Broad ELISA binding activity. Representative antibodies (each line) isolated from the four BA.5 BTI donors have their ELISA activities against 18 types of RBD proteins and 14 distinct S proteins calculated and shown as half maximal effective concentration (EC50) values. EC50 value is illustrated by different colors: red, <0.05 μg/ml; orange, 0.05–0.5 μg/ml; yellow, 0.5–5 μg/ml; light green, 5–10 μg/ml; and green, >10 μg/ml. Source data are provided as a Source Data file.

The first four volunteers (donor M, N, O, and P) we recruited have been fully vaccinated by inactivated SARS-CoV-2 WT vaccine and experienced BTI during a wave of BA.5 infections from December 2022 to January 2023 in Shanghai after adjustment of the zero-COVID policy (Fig. 1c and Supplementary Fig. 1c)22. Among these donors, donor P received a fourth booster dose of RBD dimer-based protein vaccine23 prior to the BTI (Fig. 1c and Supplementary Fig. 1c). All four individuals donated their blood within around one month after their BTIs. Their sera exhibited potent S- and RBD-binding capacity and in vitro neutralizing activity (Supplementary Fig. 2 and Supplementary Table 1).

The percentages of double-positive cells in these four donors, as shown by flow cytometry, were around 0.014%, 0.028%, 0.087%, and 0.046%, respectively (Fig. 1d). These sorted single cells were subjected to the single-B cell-based antibody cloning, and in total 122 mAbs (22, 18, 55, and 27 mAbs from each donor, respectively) with naturally paired heavy and light chains were finally amplified. Together, by using heterogenous double-bait proteins, SARS-CoV-1 RBD and XBB RBD, to both of which the donors have never been exposed, we sorted a unique population of B cells and cloned 122 natural human mAbs.

Broad binding capacity against RBDs

To characterize these cloned mAbs, designated as XGi antibodies (Supplementary Table 2), we expressed them and performed ELISA against the two RBD bait proteins. Among the 122 mAbs, 54 (44.3%) mAbs (11/22, 7/18, 18/55, and 18/27 from each donor, respectively) showed binding activity against both RBD bait proteins, SARS-CoV-1 RBD and XBB RBD (the red slices in Fig. 1e). Meanwhile, the remaining isolated mAbs showed low expression level or weak binding activity against one or both of the tested RBD proteins (Fig. 1e).

We further determined the binding breadth of these RBD-binding antibodies against S or RBD proteins of 27 major SARS-CoV-2 variants, including WT, Alpha, Beta, Delta, Kappa, Lambda, Omicron, BA.1, BA.2.12.1, BA.2.38.1, BA.4/5, BF.7, BA.2.75, BQ.1.1, CH.1.1, XBB, XBB.1.5, XBB.1.16, XBB.2.3, EG.5, EG.5.1, HK.3, BA.2.86, BA.2.87.1, JN.1, KP.2 and KP.39,24,25,26. Among the 54 SARS-CoV-1/XBB-binding mAbs, most exhibited broad binding activity (Fig. 1f). Moreover, mAbs ELISA against RBD proteins of SARS-CoV-1, WIV1, SHC014, RaTG13, and Pangolin-GD further demonstrated their broad binding activity against sarbecoviruses (Fig. 1f). Importantly, anti-RBD bbAbs were identified in all of these four donors, such as XGi-048 and XGi-201 from donor M, XGi-091 and XGi-100 from donor N, XGi-106 and XGi-113 from donor O, and XGi-074 and XGi-082 from donor P. These bbAbs exhibited half maximal effective concentration (EC50) values lower than 0.1 μg/ml against most tested antigen proteins (Fig. 1f).

Taken together, the XGi antibodies isolated by a heterogeneous double-bait sorting strategy from BTI donors showed broad RBD-binding capacity against SARS-CoV-2, SARS-CoV-2 sublineages, SARS-CoV-1, and other sarbecoviruses.

Persistence of broadly RBD-binding antibodies after convalescence

Since the first recruited four donors had their blood draw around one month after their BTIs, we then would like to ask whether the memory B cells encoding bbAbs against RBD are persistent in vivo. To do this, we recruited an individual (donor Q) who experienced a BTI during the wave of BA.2 outbreak in spring 2022 in Shanghai27,28 and collected the donor’s PBMCs 10 months after recovery (Fig. 2a and Supplementary Fig. 1c). By using the same heterogenous double-bait sorting strategy, we also identified a small population (0.045%) of double-positive memory B cells recognizing both SARS-CoV-1 RBD and XBB RBD (Fig. 2b). Among the 41 mAbs cloned from these single sorted B cells (Supplementary Table 2), 14 (34.1%) mAbs exhibited binding activity against both SARS-CoV-1 RBD and XBB RBD (the red slice in Fig. 2c). ELISA results showed their broad RBD-binding activity, such as XGi-168, XGi-171 and XGi-185 mAbs (Fig. 2d). Together, these results suggested that the memory B cells encoding bbAbs against SARS-CoV-2 RBD could last for 10 months after convalescence.

Fig. 2: Broadly RBD-binding antibodies are persistent and primary vaccine-inducible.
figure 2

a Immunization history for donor Q and R. Donor Q donated her blood ten months after her breakthrough infection of BA.2. Donor R received two doses of inactivated CoronaVac vaccines and experienced no breakthrough infection before blood donation. b Frequency of human B cells recognizing heterogenous bait proteins, PE-conjugated SARS-CoV-1 RBD and APC-conjugated XBB RBD, in donor Q and R. c Initial screening for mAbs (donor Q and R) with binding activity against both SARS-CoV-1 RBD and XBB RBD. Each pie chart represents a donor and the number indicates the isolated mAbs with naturally paired heavy and light chains from that donor. Four categorized mAbs based on ELISAs: red, binders against both SARS-CoV-1 RBD and XBB RBD; orange, antibodies binding only XBB RBD; green, antibodies binding only SARS-CoV-1 RBD; and white, mAbs with weak/no binding activity against both RBDs or mAbs with low expression level. d Broad ELISA binding activity. EC50 values of representative mAbs (each line) isolated from donor Q and R were calculated based on ELISAs against 18 types of RBD proteins and 14 distinct S proteins. The gradient color represents the EC50 values: red, <0.05 μg/ml; orange, 0.05-0.5 μg/ml; yellow, 0.5–5 μg/ml; light green, 5–10 μg/ml; and green, >10 μg/ml. Source data are provided as a Source Data file.

Vaccination-induced broadly RBD-binding antibodies

Anti-RBD bbAbs could be isolated from BTI donors, leading us to investigate whether vaccination only is sufficient to induce such bbAb against RBDs. To answer this question, we investigated a donor (donor R)29 who received only two doses of inactivated vaccines (Fig. 2a and Supplementary Fig. 1c). Flow cytometry using the same B cell sorting strategy showed that the fraction of the double-positive B cells recognizing both SARS-CoV-1 RBD and XBB RBD was around 0.013% in donor R (Fig. 2b), lower than the comparable fractions (0.014-0.087% for donor M-Q) in BTI individuals. Among the 40 mAbs cloned mAbs (Supplementary Table 2), 20 (50%) could bind with the two bait RBD proteins (the red slice in Fig. 2c). Further ELISA showed that these mAbs exhibited broad binding activities against all the tested RBD and S proteins, though their binding potency was lower than those of BTI mAbs (Fig. 2d). Therefore, we concluded that the primary vaccination only was sufficient to induce a variety of broad-spectrum RBD-binding antibodies.

Anti-RBD bbAbs are non-clonally expanded

We then characterized the genetic features of our cloned XGi mAbs by analyzing their immunoglobulin heavy chain V gene (IGHV) and light chain V gene (IGLV) repertoires. Among their IGHV, a preferred IGHV usage was observed, with 34% dominated by IGHV3-7, IGHV3-30, IGHV3-53, IGHV1-18, and IGHV3-48 (Supplementary Fig. 3a). The general IGHV usage frequency for XGi mAbs was similar to that of our previously cloned mAbs from inactivated vaccinated or convalescent individuals by using the dual-color one-bait sorting approach (Supplementary Fig. 3b)29,30. Moreover, a preferential usage of IGHV was also shared among donors (Supplementary Fig. 3c). For example, IGHV3-53 was overrepresented in donors O and P; while IGHV3-7, IGHV1-18, and IGHV3-30 dominated in donors M and N.

We then identified expanded clones of memory B cells encoding closely related XGi antibodies, which shared the same IGHV/IGLV and highly similar CDR3 sequences. In each donor, only a small proportion of XGi mAbs, 0/22 (0%), 3/18 (16.7%), 4/55 (7.3%), 3/27 (11.1%), 0/41 (0%), and 2/40 (5%), respectively, were clonally expanded, while the rest were singlets (Fig. 3a). We then performed a series of comparisons with previously isolated mAbs, including XG2v/XGv mAbs from donors receiving two/three doses of inactivated vaccines29,31, mAbs from donors receiving their two/three doses of mRNA vaccines32,33, and mAbs from convalescent donors 1.3 or 12 months after their recovery34,35. The percentages of clonally expanded XGi mAbs, ranging from 0%-16.7%, were statistically significantly lower than those of previously cloned mAbs (Fig. 3b). For example, 46/84 (54.8%), 78/129 (60.5%), 25/56 (44.6%), and 72/153 (47.1%) XGv antibodies were clonally expanded in each of the four three-dose vaccinees29,36.

Fig. 3: Low clonality and high V-gene mutation frequency for broadly RBD-binding mAbs.
figure 3

a Antibody pie charts for six donors. Each pie chart represents a donor, with the number inside indicating the number of cloned XGi mAbs for this donor. Antibodies with the same IGHV/IGLV usage and closely related CDR3 sequences (see more details in Supplementary Table 2) are grouped together and represented as light purple slice with their percentages shown; while the white slice represents antibody singlets. b Percentage comparisons of antibody clonality. The percentages of antibody clonalities (y-axis) were compared among donors with distinct immunization history. Each dot represents an individual donor. The number above each column indicates the average percentage of antibody clonality. c, d Numbers of somatic nucleotide mutations (y-axis) in the IGHV (c) and IGLV (d) for antibodies from donors with distinct immunization history. Each dot represents a mAb, and the number above each violin column indicates the average number of somatic nucleotide mutations. e, f Amino acid lengths (y-axis) of CDRH3 (e) and CDRL3 (f). Each dot represents a mAb, and the number above each violin column indicates the average amino acid length. Antibodies analyzed includes: XGi mAbs isolated from six donors in this study using heterogeneous double-bait sorting strategy; antibodies isolated from vaccinees after receiving two or three doses of inactivated vaccines29,31; antibodies isolated from mRNA vaccine recipients (two doses of mRNA vaccine, 1.3 months after two doses of mRNA vaccine, 5 months after two doses of mRNA vaccine, and three doses boost vaccination with mRNA vaccine)32,33; antibodies isolated from COVID-19 convalescent donors at 1.3 or 12 months after infection34,35. Data are represented as mean ± SEM. Statistical significance was determined using one-way ANOVA with Dunnett’s multiple comparisons test. Source data are provided as a Source Data file.

Moreover, our selected XGi mAbs (in total 88 among 203 mAbs) with broad RBD-binding activity against both SARS-CoV-1 RBD and XBB RBD exhibited significantly higher levels of IGHV/IGLV nucleotide mutations (Fig. 3c, d) and slightly shorter IGHV CDR3 sequences (Fig. 3e, f).

Taken together, compared with those mAbs previously isolated by using only one type of bait protein, our anti-RBD XGi mAbs identified by using heterogenous double-RBD-bait strategy constituted only a small population among all anti-RBD antibodies in these donors, exhibited broad-spectrum of RBD binding activity, harbored more IGHV/IGLV mutations, and importantly, were barely clonally expanded.

In vitro neutralizing activity

Many previously reported neutralizing antibodies have partially, if not fully, lost their neutralizing capacity against the newly emerged SARS-CoV-2 variants, such as XBB, XBB.1.5, EG.5, BA.2.86, JN.1, KP.2, and KP.39,10,13,24,37,38. To determine the neutralizing activity of our cloned XGi bbAbs, we performed a screening using the pseudovirus-based in vitro neutralization assays against four pseudoviruses, SARS-CoV-1, SARS-CoV-2 WT, BA.2, and XBB (Fig. 4a and Supplementary Fig. 4a). Many of the tested XGi bbAbs exhibited neutralizing activity (IC50 < 10 μg/ml) against each pseudovirus, respectively, but only a few (4 mAbs for SARS-CoV-1, 15 mAbs for SARS-CoV-2 WT, 8 mAbs for BA.2, and 2 mAbs for XBB) showed potent neutralizing activity (IC50 < 0.1 μg/ml) (Supplementary Fig. 4a). In each of the six recruited donors, there are anti-RBD bbAbs broadly neutralizing all four tested pseudoviruses (light purple slices in Fig. 4a).

Fig. 4: In vitro neutralizing activity against SARS-CoV-1/2 and their related variants.
figure 4

a In vitro neutralizing activity against pseudotyped SARS-CoV-1, SARS-CoV-2 wildtype (WT), BA.2, and XBB. Each column in the heatmap represents a XGi mAb with broad RBD-binding activity. The gradient color in the heatmap represents IC50 values. The six pie charts below the heatmap correspond to the six donors, and the number of tested antibodies from each donor is indicated inside each pie chart. Antibodies with distinct neutralization breadth are groups into slices of different colors. b In vitro neutralization breadth of the 12 selected XGi antibodies. IC50 values were calculated based on the in vitro neutralization assays against pseudotyped viruses of 13 SARS-CoV-2 variants. c In vitro neutralizing activity against SARS-CoV-1 and SARS-CoV-1/2-related variants, including Pangolin-GD, RaTG13, WIV1 and SHC014. Source data are provided as a Source Data file.

We then selected 12 XGi mAbs and further performed more pseudovirus-based in vitro neutralization assays (Supplementary Fig. 4b, c). Among them, most maintained potent neutralizing activity against Delta and several early Omicron subvariants, such as BA.1, BA.2, BA.4/5 and BF.7 (Fig. 4b). As for the three recent SARS-CoV-2 variants (HK.3, BA.2.86, and JN.1) with remarkable antibody evasion capacity, some XGi mAbs showed drastic reduction of neutralizing activity ( > 10 times compared with the SARS-CoV-2 WT), while others, such as XGi-082, XGi-198, and XGi-199, still neutralized potently (Fig. 4b).

Several XGi bnAbs were identified (Fig. 4b and Supplementary Fig. 4d). XGi-198 and XGi-199 from donor Q exhibited broad neutralizing activity against all 13 tested pseudoviruses of SARS-CoV-2 subvariants, with IC50 values ranging from 0.001-0.009 μg/ml and 0.003-0.268 μg/ml, respectively (Fig. 4b), even though they showed minimal neutralization against SARS-CoV-1 and its related variant WIV1 (IC50 > 10 μg/ml) (Fig. 4c). Meanwhile, XGi-082 (donor P) and XGi-091 (donor N) were highly potent and broad neutralizers, with their IC50 values lower than 1 μg/ml against most of the tested pseudoviruses, including SARS-CoV-1 and several closely-related sarbecoviruses (Fig. 4b, c).

In conclusion, most of our cloned XGi anti-RBD bbAbs were not potent neutralizers, but a few of them exhibited excellent and broad neutralizing activity in vitro.

Three conserved non-overlapping RBD epitopes

The broad RBD-binding activity of our cloned XGi bbAbs suggested that their RBD epitopes were conserved across SARS-CoV-2 variants and even sarbecoviruses, such as SARS-CoV-1. To determine their conserved RBD epitopes, we performed competition ELISAs using 20 representative XGi mAbs. As expected, all of the tested 1st non-biotinylated XGi antibodies efficiently blocked the binding of the 2nd biotinylated version of themselves (yellow rectangles, Fig. 5a). Three groups of non-overlapping epitopes on RBD were identified (red rectangles, Fig. 5a), suggesting three non-competing super-conserved RBD epitopes, SCORE-A, -B and -C.

Fig. 5: Three major non-overlapping RBD epitopes recognized by XGi mAbs.
figure 5

a Competition ELISA among XGi mAbs with broad RBD-binding activity. The antibodies in the x-axis are the 1st non-biotinylated antibody for epitope blocking, while the antibodies in the y-axis are the 2nd biotinylated antibody for signal detection by using streptavidin-HRP. The reference for each 2nd detection antibody used for normalization (100%) is in the right-most lane by using phosphate-buffered saline (PBS) to substitute the 1st blocking antibody. The percentage of 2nd antibody binding: 0-50% in black; 51-75% in gray; and >75% in white. The efficient blocking for all tested XGi mAbs by their own biotinylated versions is marked by yellow rectangles, and three identified non-overlapping XGi antibody groups are marked by red rectangles. b Competition ELISA by using biotinylated S309, SA58, SA55, ADG20, CR3022 or ACE2 as the 2nd antibody for streptavidin-HRP-dependent detection. Three non-competing super-conserved RBD epitopes, SCORE-A, -B, and -C, are labeled.

The non-competing binding capacity between antibodies recognizing distinct SCOREs were further verified by using biolayer interferometry (BLI) competition assays (Supplementary Fig. 5). For example, low levels of competition were observed between XGi-091 (SCORE-A) and XGi-198 (SCORE-B) (Supplementary Fig. 5a), XGi-183 (SCORE-A) and XGi-203 (SCORE-B) (Supplementary Fig. 5b), XGi-203 (SCORE-B) and XGi-171 (SCORE-C) (Supplementary Fig. 5c), and XGi-183 (SCORE-A) and XGi-171 (SCORE-C) (Supplementary Fig. 5d).

Moreover, based on further competition ELISAs, these three identified non-overlapping SCOREs correlated with the epitopes of several well-characterized mAbs, S30939 and SA5816,40 for SCORE-A, SA5516,40 and ADG2041 for SCORE-B, and CR302242 for SCORE-C, respectively (Fig. 5b). Importantly, only the SCORE-B-binding, but not SCORE-A/C-binding, mAbs efficiently blocked the ACE2 binding, highlighting that the RBD/ACE2 interface overlapped with the SCORE-B (Fig. 5b).

Among SCORE-A-binding mAbs, some, such as XGi-091, exhibited potent in vitro neutralizing activity (Fig. 4b, c); while others, such as XGi-183, barely neutralized in our assay (IC50 > 10 μg/ml). Similarly, some SCORE-B-recognizing mAbs, such as XGi-082, XGi-198 and XGi-199, were potent neutralizers (Fig. 4b, c), while others like XGi-203 were not. For SCORE-C-binding mAbs, such as XGi-171 and XGi-185, almost no neutralizing activity was detected in our assay (IC50 > 10 μg/ml).

Taken together, our competition ELISA results suggested three non-competing super-conserved RBD epitopes, SCORE-A, -B and -C, for broad anti-RBD antibody binding.

High-resolution structural characterization of broadly RBD-binding mAbs

To reveal the structural details of the three non-overlapping SCOREs within RBD, we performed structural analysis and first investigated three broadly RBD-binding but not neutralizing mAbs, XGi-183 (SCORE-A), XGi-203 (SCORE-B), and XGi-171 (SCORE-C). We utilized cryo-electron microscopy (Cryo-EM) to determine the high-resolution structures of mAbs in complex with the ectodomain of prefusion-stabilized EG.5.1 S-trimer. Initial negative staining EM revealed that incubation XGi-183 with S-trimer destroyed the S-trimer, whereas XGi-203 and XGi-171 did not. The purified S/mAb complexes for XGi-183 (Supplementary Figs. 6 and 7), XGi-203 (Supplementary Figs. 8 and 9), and XGi-171 (Supplementary Figs. 10 and 11) were used for Cryo-EM structural study.

During the cryo-EM data processing of S/XGi-183 (SCORE-A) complex, very few S trimers were observed (Supplementary Fig. 6). The final density map only contains the N-terminal domain (NTD) and RBD of the S protein and the Fab region of XGi-183 (Fig. 6a). The RBD and Fab regions were locally refined, and the resolution was finally improved to be 3.4 Å (Supplementary Fig. 6a). Superimposition of the RBD/XGi-183 complex with the S-trimer in the prefusion state showed that XGi-183 clashed with the NTD of the adjacent protomer, which explains how XGi-183 binding disrupts the integrity of the S-trimer (Supplementary Fig. 7d). To accommodate XGi-183 binding, the RBD undergoes a slight rotation, which likely perturbs the integrity of the prefusion S-trimer. This conformational adjustment may lead to partial opening of the S1 subunit while the S2 region remains intact. Additionally, dimeric complexes were observed in 2D classification (Supplementary Fig. 7e). The XGi-183 binds to the lateral side of the RBD, with a buried surface area (BSA) of 1232 Å2 involving 22 amino acid residues, almost all of which are highly conserved among sarbecoviruses (Fig. 6b and Supplementary Fig. 7c). The paratope of XGi-183 was primarily located on the light chain, creating an extensive network of hydrogen bonds with the RBD. In the framework of 20 hydrogen bonds, T345 demonstrates a robust interaction with the N27 residue on the CDR1 of XGi-183 light chain (Fig. 6b).

Fig. 6: Structural details of four XGi bbAbs complexed with Omicron EG.5.1 S trimer.
figure 6

a–h Cryo-EM structures of EG.5.1 S trimer in complex with four XGi bbAbs, and their hydrogen bond interactions or salt bridges. Tested mAbs include XGi-183 (a, b), XGi-203 (c, d), XGi-171 (e, f), and XGi-198 (g, h). The hydrogen bond interactions or salt bridges are illustrated as dotted lines. i Epitopes of XGi-183, XGi-203 and XGi-171 on the EG.5.1 RBD.

XGi-183, as a SCORE-A mAb, exhibited a weak neutralizing but broad RBD-binding activity against SARS-CoV-2 variants (Supplementary Fig. 4a). Sequence alignment revealed that the epitope residues targeted by XGi-183 (orange circle in Supplementary Fig. 12) were highly conserved across SARS-CoV-2 variants except in SARS-CoV-1 and certain sarbecoviruses from bat, particularly at A348, N354, R357, K462, T470, and E471 residues (Supplementary Fig. 12). Moreover, XGi-183 had a diminished binding affinity towards BA.2.86, JN.1, KP.2 and KP.3 variants (EC50 > 10 μg/ml in Fig. 2d), likely due to the K356T escape mutation in the S protein (Supplementary Fig. 12), which disrupts the salt bridge between K356 and D57 of XGi-183. Notably, another SCORE-A mAb S309 shares a similar epitope with XGi-183, yet exhibits significantly stronger neutralizing activity. Structural analyses reveal that S309 could stabilize spike in the inactive 1-up-2-down or 3-down conformation via binding to the conserved N343 glycan39,43, probably explaining S309’s superior neutralizing capacity than XGi-183. However, distinct from XGi-183, several XGi mAbs with a similar RBD epitope landscape (SCORE-A), such as XGi-091, XGi-100, XGi-106, and XGi-176, maintained their efficient RBD binding activity against BA.2.86 and its descendant variants (Fig. 1f).

In the S/XGi-203 (SCORE-B) complex, the S-trimer was characterized by two up-RBDs and one down-RBD, each interacting with an XGi-203 Fab (Fig. 6c and Supplementary Fig. 8). The S-trimer/XGi-203-Fab was determined at a resolution of 2.95 Å and the down-RBD/XGi-203 Fab was locally refined to 3.28 Å (Supplementary Fig. 8a). The Fc region was not visible in the final structure due to its intrinsic flexibility. The BSA for RBD/XGi-203 is 781 Å2, encompassing 12 residues (Fig. 6d and Supplementary Fig. 9c). The epitope of XGi-203 was located at the top of the RBD with significant overlap with the RBM region (Supplementary Fig. 9d), and half of the RBD residues for XGi-203 binding (green triangle in Supplementary Fig. 12) were involved in ACE2 interaction. These findings were consistent with our competition ELISA (Fig. 5b) that SCORE-B overlapped with the ACE2-binding epitope on RBD. Interestingly, a di-trimer-like structure was observed in cryo-EM data 2D classification, but not in 3D classification, suggesting weak binding between the trimers (Supplementary Fig. 9e).

Sequence conservation analysis on the XGi-203-binding RBD residues (green triangle in Supplementary Fig. 12) revealed that the Omicron variants harbored unique mutations, including S375F, N440K, and Q498R, while the V445P mutation is predominantly found in XBB and its descendants (Supplementary Fig. 12). However, these mutations failed to decrease the RBD-binding affinity of XGi-203 across different Omicron variants (Fig. 2d). Conversely, XGi-203 lost its efficient binding against the S proteins of SARS-CoV-1 and WIV1 (EC50 > 10 μg/ml in Fig. 2d), possibly due to the presence of mutation residues within its RBD epitope, A372 and R498 in EG.5.1 SARS-CoV-2 (T359 and Y484 in SARS-CoV-1) (Supplementary Fig. 12). Since N439/K440 formed strong hydrogen bonds with the Y66 residue of IGHV CDR2 of XGi-203, and R498, along with P445, contributed to a hydrophobic pocket involving V112/N114 of IGHV CDR3 as well as N109/L112 of IGLV CDR3, the corresponding RBD substitutions in SARS-CoV-1 and WIV1 might potentially disrupt both hydrogen bonding and hydrophobic interaction essential for XGi-203 binding.

The structure of the S-trimer/XGi-171 (SCORE-C) complex was resolved to a resolution of 3.18 Å (Supplementary Fig. 10), with each one of up RBDs interacting with one XGi-171 Fab (Fig. 6e). A locally refined structure of the up-RBD in complex with the XGi-171 Fab was determined to a resolution of 3.65 Å (Supplementary Fig. 10a). The epitope for XGi-171 (blue square in Supplementary Fig. 12) resided within a cryptic region of RBD, permitting its exclusive binding to the up-RBD conformation. The interaction between XGi-171 and the RBD buried a surface area of 781 Å2 and involves 15 RBD residues (Fig. 6f and Supplementary Fig. 11c), all of which were highly conserved across sarbecoviruses except for P384 and T385 (Supplementary Fig. 12). P384 and T385, alongside residues Y369 and S383, were involved in hydrophobic interactions with Y66 of IGHV CDR2, W113 of IGHV CDR3, and M113 of IGLV CDR3. Therefore, due to the high level of sequence conservation of XGi-171-binding epitope across various sarbecoviruses, XGi-171 showed ultra-broad RBD binding activity for all the tested RBD or S proteins of SARS-CoV-2 variants as well as sarbecoviruses (Fig. 2d).

Moreover, the binding of XGi-171 induces an outward rotation of the up-RBD by approximately 16° compared to the apo state of the S-trimer (PDB: 7WVP) (Supplementary Fig. 11e), which might lead to the instability and disassembly of the S-trimer. Consistent with our speculation, we indeed observed a small portion of depolymerized S trimers in the 2D classification (Supplementary Fig. 11f) and a weak neutralizing activity against SARS-CoV-2 WT in vitro (Supplementary Fig. 4a). These observations suggested that, given sufficient time, XGi-171 might promote the dissociation of S-trimer, implying its slow-acting neutralizing activity. Notably, the di-trimer-like structure was observed in negative staining EM and cryo-EM 2D classification (Supplementary Fig. 11a, b and f), suggesting disruption of the di-trimer conformation during the freezing process. Interestingly, another SCORE-C mAb, CR3022, exhibits weak neutralizing activity as XGi-171. Similar to XGi-171, CR3022 binds a cryptic epitope adjacent to the RBD core, inducing conformational flexibility that accelerates Fab-antigen disengagement (half-life <5 min)44. Similarly, CR3022 binding is made possible by the dissociation of the S-trimer into monomers45. This mechanistic parallel supports the model whereby cryptic-epitope antibodies exert weak neutralization primarily through allosteric destabilization rather than direct RBD blockade.

In contrast to the aforementioned mAbs with weak neutralizing capacity, XGi-198, a SCORE-B mAb, exhibited a very broad and potent neutralizing activity (IC50 < 0.01 μg/ml) against all of the tested SARS-CoV-2 variants, including the recent BA.2.86 and JN.1 variants (Fig. 4b). The S/XGi-198 (SCORE-B) complex structure showed that XGi-198 cross-linked two S-trimers into a di-trimer (Fig. 6g and Supplementary Fig. 13). Using masks, two S-trimers were individually refined to the resolutions of 2.98 Å and 3.43 Å, respectively, while the up-RBD associated with the XGi-198 Fab was locally refined to a resolution of 3.24 Å (Supplementary Fig. 13a). Both S-trimers exhibited a conformation characterized by two up-RBDs and one down-RBD, with each RBD engaging an XGi-198 Fab (Fig. 6g).

The RBD epitope of XGi-198 was SCORE-B, similar to that of XGi-203, with both being primarily localized within the RBM region and competing for ACE2 binding (Fig. 6h and Supplementary Fig. 14c). The BSA for RBD/XGi-198 was 681 Å2, involving 13 residues (pink triangle in Supplementary Fig. 12), ten of which were also recognized by XGi-203 (green triangle in Supplementary Fig. 12). Moreover, three residues (P373, H505, and Q506) on the XGi-198 epitope were not recognized by XGi-203, while two residues (A372 and F375) within the XGi-203 epitope were not recognized by XGi-198. Among these residues, Q506 was highly conserved across all analyzed sarbecoviruses, and played a crucial role in stabilizing RBD/XGi-198 interaction by facilitating hydrogen bonding and hydrophobic interactions. This difference on Q506 binding might explain why XGi-198, but not XGi-203, could rapidly crosslink two S trimers to form one di-trimer, providing an explanation for the potent in vitro neutralizing activity of XGi-198.

Cryo-EM and negative staining EM analyses showed that XGi-198, but not XGi-203, efficiently induced di-trimer formation (Supplementary Fig. 19a). Mechanistically, three XGi-198 Fabs binding on one S-trimer establish a stronger cooperative network with three additional interfaces: one of up-RBD-bound XGi-198 Fab forms a 317 Å2 interface with a neighboring down-RBD; while the down-RBD-bound XGi-198 Fab bridges two neighboring up-RBDs with interfaces of 580 Å2 and 348 Å2. Collectively, these additional interactions stabilize the spike in a rigid 2-up-1-down (2u1d) conformation (Supplementary Fig. 19b). In contrast, similar but weaker interactions were observed in XGi-203, explaining its reduced cross-linking capacity. Moreover, functional studies of Fab fragments supported this cryo-EM observation. Both Fab fragments exhibited significant reductions in binding affinity (Supplementary Fig. 19c) and neutralizing activity (Supplementary Fig. 19d) compared to their full-length IgG counterparts. However, XGi-198 exhibited more dramatic reductions of neutralization (70-100-fold for WT, BA.5 and XBB) than XGi-203 (2-54-fold) (Supplementary Fig. 19e), suggesting that XGi-198’s potent neutralization critically depends on efficient cross-linking of S-trimer.

Neither XGi-198 nor XGi-203 exhibited detectable binding to SARS-CoV-1 or WIV-1. To explain this, we compared them with SA55, a mAb with a similar epitope yet exhibiting potent SARS-CoV-1 neutralization (Supplementary Fig. 12). Detailed structural analysis showed that SA55 engaged a cluster of residues highly conserved among SARS-CoV-2, SARS-CoV-1 and WIV-1, including F374, S375, T376, D405, V407, R408, N437, G502, G504, and Y508. In contrast, XGi-198 and XGi-203 interacted with fewer conserved residues (N437, N440, T500, G502, Y505, and Q506 for XGi-198; and S375, N437, N440, T500, and G502 for XGi-203), probably accounting for their weaker binding against SARS-CoV-1 and WIV-1.

In addition to the Cryo-EM structural analysis of four representative mAbs, we also used AlphaFold 3 and performed structure prediction of 23 more XGi mAbs in complex with EG.5 RBD (Supplementary Fig. 15). As shown, the epitopes of seven XGi antibodies (XGi-061, XGi-091, XGi-092, XGi-100, XGi-106, XGi-112 and XGi-176) were mainly overlapped with SCORE-A; fourteen antibodies (XGi-072, XGi-073, XGi-074, XGi-075, XGi-076, XGi-079, XGi-082, XGi-127, XGi-129, XGi-182, XGi-199, XGi-200, XGi-201 and XGi-202) had their epitopes overlapping with SCORE-B; and the rest two of them (XGi-168 and XGi-185) possessed epitopes resembling SCORE-C. These prediction results were consistent with our epitope mapping data determined by competition ELISAs (Fig. 5a and b).

Collectively, XGi-183 (SCORE-A) targeted an epitope on the lateral side of the RBD, disrupting the integrity of the S trimer. XGi-203 (SCORE-B) bound to an epitope overlapping with the RBM, effectively competing for the ACE2 interaction. XGi-171 (SCORE-C) interacted with a cryptic region of the RBD, binding exclusively to the up-RBD conformation. Additionally, XGi-198 (SCORE-B) exhibited potent and broad neutralizing activity, potentially due to its unique ability to robustly cross-link two S-trimers into a di-trimer. Taken together, by studying the cryo-EM structures of four representative bbAbs and predicting 23 antigen-antibody structures by AlphaFold 3, we preliminarily characterized the three non-overlapping highly conserved RBD epitopes, SCORE-A, -B, and -C.

Unbalanced distribution of the three super-conserved RBD epitopes (SCOREs)

To further investigate the identified three non-overlapping SCORE epitopes and deeply explain their conserved molecular basis for broad antibody binding across variants, we first analyzed the binding modes and specificities of several more SCORE-A/B/C-binding mAbs and compared their binding footprints with the level of sequence conservation of their RBD epitopes (Fig. 7a–e).

Fig. 7: RBD epitope landscape and three super-conserved RBD epitopes (SCOREs).
figure 7

a Footprints of representative antibodies targeting SCORE-A (RBD-5B). For comparison, the antibody footprints are superimposed onto the same RBD (PDB 6W41) and shown with the same view and angle. On the RBD surface, the SCORE-A is outlined by green lines, and the RBD residues are highlighted according to their degree of sequence conservation among 30 SARS-CoV-2 variants and sarbecoviruses (Supplementary Fig. 12) on a scale from red (highly conserved) to white (weakly conserved). b Footprints of representative antibodies targeting SCORE-B (RBD-3). c Footprint of viral receptor ACE2 on an RBD surface plot. d Footprints of representative antibodies targeting SCORE-C (RBD-7). e Representative mAbs targeting the three super-conserved RBD epitopes, SCORE-A, -B, and -C. XGi-183 (SCORE-A), XGi-203 (SCORE-B), and XGi-171 (SCORE-C) exhibit three different and non-overlapping binding orientations. fi Footprints of representative antibodies targeting RBD-1, RBD-2 (f), RBD-4, RBD-5A (g), RBD-6 (h), and RBD-8 (i). Each RBD epitope is illustrated by green lines on the RBD. Sequence conservation level of each RBD residue is highlighted based on 30 SARS-CoV-2 variants and sarbecoviruses (Supplementary Fig. 12) on a scale from red (highly conserved) to white (weakly conserved). j Graph-based unsupervised clustering of a series of previously reported mAbs and XGi bbAbs from this study in a variant-dependent manner. Each dot represents an antibody, with distinct RBD epitopes marked by different colors. As new mutations emerge from WT to Omicron subvariants, BA.4/5, XBB, and JN.1, antibodies were gradually evaded, and only three remaining RBD epitopes are still conserved and highly immunogenic. k Graphic summary of RBD epitope landscape. A two-dimensional projection of RBD surface (produced by RIVEM) showed nine RBD epitopes. Based on their immunogenicity (evaluated based on the prevalence of elicited mAbs) and sequence conservation, these epitopes could be into four types: 1) highly conserved and highly immunogenic (RBD-5B and RBD-7); 2) partially mutated but structurally conserved for mAb binding, and highly immunogenic (RBD-3, overlapping with ACE2 binding motif); 3) highly mutated epitopes (RBD-1, RBD-2, RBD-4 and RBD-5A); and 4) highly conserved but lowly immunogenic (RBD-6 and RBD-8).

Consistent with our competition ELISA results (Fig. 5a, b), two previously well-characterized mAbs, S30939 and SA5840, had their epitope footprints overlapped with SCORE-A (Fig. 7a). Their RBD epitopes were characterized as RBD-5B10. Comparing the RBD residues for XGi-183 (orange circle in Supplementary Fig. 12), SA58 (purple circle in Supplementary Fig. 12) and S309 (deep blue circle in Supplementary Fig. 12) revealed two antigenic residues, E340 and T345, were shared and highly conserved across SARS-CoV-2 variants. Combined with the AlphaFold 3-predicted RBD epitopes (Supplementary Fig. 15a) and ELISA results (Fig. 1f and Fig. 2d) for other SCORE-A-binding mAbs, such as XGi-091, XGi-100, XGi-106, and XGi-176, we concluded that the SCORE-A was a relatively conserved region on RBD (Fig. 7a), and that SCORE-A mAbs were commonly induced after SARS-CoV-2 infection or vaccination and exhibited broad binding activity against RBDs of numerous SARS-CoV-2 variants.

Our cloned SCORE-B-binding mAbs, such as XGi-198 and XGi-203, shared a similar RBD epitope and approach angle with a previously isolated mAbs, SA5540, which recognized the RBD-3 epitope (Fig. 7b). In contrast to XGi-198 and XGi-203, monoclonals SA55 and several other SCORE-B mAbs, such as XGi-082, XGi-127, and XGi-201 maintained their potent binding affinity against SARS-CoV-1 RBD. Comparison among XGi-198 (pink triangle in Supplementary Fig. 12), XGi-203 (green triangle in Supplementary Fig. 12) and SA55 (red triangle in Supplementary Fig. 12) revealed shared binding residues on RBD, including N437, N439, P499, N501, G502, and V503, most of which were highly conserved across SARS-CoV-2 variants, and also participated in ACE2 binding (Supplementary Fig. 12). However, according to the epitope footprints of SCORE-B-binding mAbs (Fig. 7b and Supplementary Fig. 15b), the amino acid residues within SCORE-B were only partially conserved (Fig. 7b). Some residues such as N440, V445, Q498, and N501 were highly mutated across SARS-CoV-2 variants and sarbecoviruses (Supplementary Fig. 12). This seemed to resemble the situation of ACE2 binding, during which the SCORE-B residues were highly mutated but perfectly maintained their binding affinity with ACE2 throughout all SARS-CoV-2 variants and all sarbecoviruses (Fig. 7c)46. Therefore, we concluded that, despite being highly mutated, the SCORE-B maintained its structural conservation for ACE2 binding and also for broad antibody recognition.

Besides our cloned XGi-171, XGi-168, and XGi-185, a well-characterized neutralizing antibody targeting RBDs of both SARS-CoV-1 and -2, CR302247, also showed ELISA competition and had its epitope footprint overlapped with SCORE-C (Figs. 5b and 7d). The epitope of CR3022 (yellow square in Supplementary Fig. 12) was highly overlapped with that of XGi-171 (blue square in Supplementary Fig. 12), and was also highly conserved, such as residues Y369, F374, F377, C379, Y380, G381, V382, S383, K386, D427, D428, and F429. Structural comparisons showed the SCORE-C was on the inner RBD surface with no overlap with the ACE2 binding site (Supplementary Fig. 11d). Protein sequence conservation analysis suggested that the amino acid residues within SCORE-C were highly conserved (Fig. 7d), which perfectly explained why the SCORE-C-binding mAbs showed ultra-broad binding affinity against SARS-CoV-2 variants and even sarbecoviruses (Figs. 1f and 2d).

RBD could induce highly potent neutralizing antibodies48,49. On the surface of RBD, many distinct non-overlapping epitopes have been reported50,51. To understand why our cloned XGi mAbs with broad RBD-binding activity mainly targeted these three RBD epitopes (SCORE-A, -B, and -C), we characterized the binding footprints of a series of representative mAbs targeting the other six RBD epitopes (Supplementary Fig. 16) and compared their RBD-binding breadth and epitope sequence conversation level.

A series of previously isolated mAbs targeting RBD-1 (CB6, BD-704, S2K146 and CT-P59 in Fig. 7f) and RBD-2 (XGv347, XGv051 and REGN10933 in Fig. 7f) drastically lost their binding activity against almost all Omicron subvariants (Supplementary Fig. 16). This could be explained by the fact that both RBD-1 and RBD-2 epitopes overlapped with RBM and showed high mutation frequencies and low levels of sequence conservation (Fig. 7f). For example, monoclonal CB6 recognizing RBD-1 showed no binding affinity with BA.2 S protein due to its K417N and Q493R mutations.

Similarly, RBD-4-targeting mAbs (P2B-2F6 and XGv-282 in Fig. 7g) and RBD-5A-targeting mAbs (LY-CoV1404, XG005, REGN10987, XGv264, XGv265, COV2-2130 in Fig. 7g) were evaded by BQ.1.1 and XBB, consistent with the fact that both RBD-4 and RBD-5A epitopes covered amino acid residues highly mutated in Omicron subvariants (Fig. 7g). For example, R346T and V445P substitutions on BQ.1.1 and XBB partially evaded the antibody binding of XGv282 and LY-CoV1404.

In contrast, RBD-6-binding mAbs (COVA1-16, G32Q4, and DH1047 in Fig. 7h) and RBD-8-binding mAbs (BIOLS56, IMCAS74, and S2H97 in Fig. 7i) retained their binding to the RBDs of Omicron subvariants. Adjacent to the SCORE-C (RBD-7 epitope), both RBD-6 and RBD-8 epitopes were also on the inner RBD surface and the amino acid residues within these epitopes were highly conserved (Fig. 7h, i). However, in our study, we did not isolate any XGi mAbs targeting RBD-6 and RBD-8, and even the number of previously isolated RBD-6- and RBD-8-targeting mAbs was very few10. Moreover, we found some amino acid residues on the surface of RBD, such as R355, K378, C379, Y396, R466, S514, F515, and L518, which were highly conserved across SARS-CoV-2 variants and even sarbecoviruses but did not participate in any antibody recognition (Supplementary Fig. 17). These observations implied a low level of immunogenicity of some highly conserved RBD residues, such as RBD-6 and RBD-8, resulting in a less efficient selection of corresponding B cells from repertoire during antibody maturation.

In summary, as new variants emerged, the RBD-binding antibodies were gradually evaded (Fig. 7j), especially for mAbs targeting RBD-1, RBD-2, RBD-4, and RBD-5A epitopes due to the low sequence conservation of these epitopes (Fig. 7k). However, although new RBD epitopes appeared and induced Omicron subvariant-specific RBD-binding antibodies, there were still three remaining super-conserved RBD epitopes to induce a broad antibody response from the original WT to the most recent KP.2/3 variants. These RBD epitopes included two highly sequence-conserved epitopes, RBD-5A and RBD-7, and one partially mutated but structurally conserved RBD epitope (overlapped with the ACE2-binding motif), RBD-3 (Fig. 7j and k). Meanwhile, RBD-6, RBD-8 and some other RBD residues were highly conserved but exhibited low immunogenicity (Fig. 7k).

In vivo protection by broadly RBD-binding mAbs

To determine whether our isolated anti-RBD bbAbs could prevent infection in vivo, we utilized the Syrian golden hamster model and injected them with a single XGi antibody or only phosphate-buffered saline (PBS) as a negative control before infection with SARS-CoV-2 Omicron EG.5.1 authentic virus (Fig. 8a, b). Four days after virus inoculation, the hamster lung tissue and nasal turbinate were harvested to measure the viral subgenomic E (sgE) transcript levels and infectious virus titers by using quantitative reverse transcription polymerase chain reaction (qRT-PCR) and 50% tissue culture infectious dose (TCID50) assay, respectively (Fig. 8c, d).

Fig. 8: Both neutralizing and non-neutralizing XGi antibodies are protective against SARS-CoV-2 Omicron EG.5.1 in vivo.
figure 8

a Diagram of prophylaxis protocols for male golden Syrian hamsters intranasally (i.n.) challenged with Omicron EG.5.1 eight h after antibody injection (20 mg/kg for each mAb) through intraperitoneal injection (i.p.). Nasal turbinate (NT) and lung tissues were collected at day 4 post-viral challenge to measure the viral load and viral antigen expression. b List of five broadly RBD-binding XGi antibodies tested against Omicron EG.5.1 in golden Syrian hamsters. c, d SARS-CoV-2 viral sgE gene copies and infectious virus titers (n = 5). Quantitative reverse transcription polymerase chain reaction (qRT-PCR) was used to quantify Omicron EG.5.1 viral mRNA load (c), while the infectious virus titer was determined by TCID50 assay (d). e Immunofluorescence staining for viral nucleocapsid (N) protein (n = 3). SARS-CoV-2 N protein in hamster lungs was stained with the specific antibody and visualized under fluorescence microscopy. Cell nuclei are stained with DAPI. Scale bar, 200 μm. Bar graph represents fluorescent intensity of viral N protein expression quantified using ImageJ. f Histopathological staining of hamster lungs after mono-prophylaxis (n = 5). Representative manifestation of lung damages including multi-focal inflammation, alveolar wall congestion, proteinaceous exudation, epithelial damage, and alveolar wall collapse were denoted by different symbols as indicated. Scale bar, 200 μm. Bar graph represents lung pathological changes quantified by a semi-quantitative histology scoring system as previously reported64,65. Each data point represents one biological repeat. Data represents mean ± SEM from the indicated number of biological repeats. Statistical significance was determined using one-way ANOVA with Dunnett’s multiple comparisons test. Source data are provided as a Source Data file.

We first tested two bnAbs, XGi-082 and XGi-198, both recognizing SCORE-B and exhibiting potent and broad neutralizing activity, with their IC50 values ranging from 0.007-0.712 μg/ml and 0.001-0.009 μg/ml, respectively (Fig. 4b). Compared with the PBS control, pre-exposure prophylaxis with either XGi-082 or XGi-198 significantly decreased the viral sgE expression and infectious virus titer in hamster lungs and nasal turbinates (Fig. 8c, d). Especially, XGi-198 robustly suppressed the viral replication in vivo, with two logs lower viral sgE expression in lung and one log lower viral sgE expression in nasal turbinate compared with those of XGi-082 (Fig. 8c).

To determine whether the bbAbs but not bnAbs could also provide protection against infections in vivo, we chose three XGi antibodies, XGi-183 (SCORE-A), XGi-203 (SCORE-B), and XGi-185 (SCORE-C) and evaluated their four-day outcome for mono-prophylaxis. The five hamsters that received XGi-183 showed reduced viral sgE expression and infectious virus titers in lung of hamsters (Fig. 8c, d). Similar results were observed in hamsters receiving XGi-203 (Fig. 8c, d). However, animals that received XGi-185 mAb had comparable levels of viral sgE and infectious virus as negative control of PBS only (Fig. 8c, d). Together, these results suggested that broadly binding mAbs, XGi-183 and XGi-203, but not XGi-185, could provide antiviral effect against Omicron EG.5.1 in vivo.

We further performed immunofluorescence staining of the infected hamster lungs against the viral nucleocapsid (N) protein and showed that all tested XGi antibodies, except XGi-203 and XGi-185, significantly reduced the level of the viral N protein in hamster lungs compared with the PBS control (Fig. 8e). The expression of viral N protein was marginally detected in the XGi-198-treated lung samples (Fig. 8e), further confirming the robust viral suppression capacity of XGi-198.

In addition, Hematoxylin and Eosin (H&E) staining was conducted to reveal the histopathological changes in hamster lungs. In the PBS controls, typical virus-induced lung damages were observed, including multifocal inflammation, collapse or congestion of the alveolar wall, proteinaceous exudation in the alveolar cavity, and epithelial damage in small bronchioles (Fig. 8f). On the contrary, in mono-prophylaxis groups (except XGi-185), these histopathological changes in hamster lungs were significantly attenuated (Fig. 8f).

Combined with the results that these mAbs showed low polyreactivity and autoreactivity (Supplementary Fig. 18), we concluded that our cloned XGi mAbs with broad RBD-binding activity could confer antiviral protection in vivo and reduce virus-induced lung damages, regardless of their neutralizing capacities.

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