AUTHOR=Harrison Neale , Richardson Lauren , Pallini Chiara , Morano Ines , Jinks Elizabeth , Cowley Jamie , Chan Hujo , Hill Harriet J. , Tuekprakhon Aekkachai , Li Zhi , Matas de las Heras Cristina , Teodosio Ana , Lavado Andrea S. , Moring Robert , Ashraf Ayesha , Dafforn Timothy R. , Grammatopoulos Dimitris K. , Gordon John , Brady Catherine A. , Young Lawrence S. , Barnes Nicholas M. , Stamataki Zania , Qureshi Omar S. TITLE=A cell-based, SARS-CoV-2 spike protein interaction assay to inform the neutralising capacity of recombinant and patient sera antibodies JOURNAL=Frontiers in Virology VOLUME=3 YEAR=2023 URL=https://www.frontiersin.org/journals/virology/articles/10.3389/fviro.2023.1163385 DOI=10.3389/fviro.2023.1163385 ISSN=2673-818X ABSTRACT=Introduction

The engagement of the SARS-CoV-2 spike protein with ACE2 is a critical step for viral entry to human cells, and, therefore, blocking this interaction is a major determinant of the efficacy of monoclonal antibody therapeutics and vaccine elicited serum antibodies. The emergence of SARS-CoV-2 variants has necessitated the development of adaptable assays that can be applied to assess the effectiveness of antibody-based therapeutics.

Methods

Through the testing of a range of recombinant spike proteins, we have developed a cell-based, ACE2/spike protein interaction assay that characterises monoclonal anti-spike protein antibodies and neutralising antibodies in donor serum. The assay uses high-content imaging to quantify cell-bound spike protein fluorescence.

Results

Using spike proteins from the original “Wuhan” SARS-CoV-2 strain and the Delta and Omicron variants, we identified differential blocking activity of three monoclonal antibodies directed against the spike receptor-binding domain. Importantly, biological activity in the spike interaction assay translated to efficacy in a SARS-CoV-2 infection assay.

Discussion

The spike protein interaction assay can be used to monitor anti-spike antibodies against the major known SARS-CoV-2 variants and is readily adaptable for quantification of the impact of antibodies against new and emerging SARS-CoV-2 variants.