Antibodies to neutralising epitopes synergistically block the interaction of the receptor-binding domain of SARS-CoV-2 to ACE 2

Abstract Objectives A major COVID-19 vaccine strategy is to induce antibodies that prevent interaction between the Spike protein's receptor-binding domain (RBD) and angiotensin-converting enzyme 2 (ACE2) These vaccines will also induce T-cell responses However, concerns were raised that aberrant vaccine-induced immune responses may exacerbate disease We aimed to identify minimal epitopes on the RBD that would induce antibody responses that block the interaction of the RBD and ACE2 as a strategy leading to an effective vaccine with reduced risk of inducing immunopathology Methods We procured a series of overlapping 20-amino acid peptides spanning the RBD and asked which were recognised by plasma from COVID-19 convalescent patients Identified epitopes were conjugated to diphtheria-toxoid and used to vaccinate mice Immune sera were tested for binding to the RBD and for their ability to block the interaction of the RBD and ACE2 Results Seven putative vaccine epitopes were identified Memory B-cells (MBCs) specific for one of the epitopes were identified in the blood of convalescent patients When used to vaccinate mice, six induced antibodies that bound recRBD and three induced antibodies that could partially block the interaction of the RBD and ACE2 However, when the sera were combined in pairs, we observed significantly enhanced inhibition of binding of RBD to ACE2 Two of the peptides were located in the main regions of the RBD known to contact ACE2 Of significant importance to vaccine development, two of the peptides were in regions that are invariant in the UK and South African strains Conclusion COVID-19 convalescent patients have SARS-CoV-2-specific antibodies and MBCs, the specificities of which can be defined with short peptides Epitope-specific antibodies synergistically block RBD?ACE2 interaction