This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
1. Introduction
Following the first reported cases of unexplained pneumonia in December 2019 in Wuhan, China [1, 2], severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has since been confirmed to be the pathogen of a novel infectious respiratory disease, namely, coronavirus disease 2019 (COVID-19) [3–5]. In March 2020, the World Health Organization (WHO) declared COVID-19 a global pandemic [6]. At present, the counts of COVID-19 stand at above 37 million confirmed cases including over 1 million recorded deaths worldwide. As COVID-19 continues to rage in some parts of the world and threatens new waves of infection in others with devastating consequences for people’s lives and livelihoods as well as global economy [7], all-round scientific effort towards effective disease management and treatment is urgently needed. Repurposing approved drugs and developing specific vaccines are two main strategies to combat SARS-CoV-2 infection. So far, several repurposed drugs such as remdesivir, an adenosine nucleoside triphosphate analog previously tested for treating Ebola virus disease [8, 9], and chloroquine/hydroxychloroquine, a commonly used antimalaria drug, have produced unsatisfactory results in several COVID-19 clinical trials [10–12]. Despite the fast progress on developing vaccines for SARS-CoV-2 [13–15], we are still faced with uncertainty about the effectiveness and mass production of COVID-19 vaccines [16]. Passive immunization by introducing pregenerated antibodies/immunoglobulins is another old-fashioned treatment being eyed with renewed interest for fighting COVID-19, particularly for patients with immunodeficient conditions [17]. For example, convalescent plasma transfusion has been shown to help improve the clinical outcome of severe COVID-19 [18, 19], but issues regarding supply, safety, and clinical efficacy need to be further addressed in randomized controlled trials [20]. Moreover, several human monoclonal antibodies could neutralize SARS-CoV-2 and inhibit its infectious ability in cultured systems [21–24]. Apart from human antibodies, chicken immunoglobulin Y (IgY) from egg yolk has proved able to neutralize pathogens in the respiratory tract of mice [25–27]. Because of its high specificity and avidity, low risk of adverse immune responses, low manufacture cost, and ease of storage, chicken IgY raised against SARS-CoV-2 is waiting to be tapped into for potential therapeutic application in treating COVID-19 [28, 29].
SARS-CoV-2 belongs to the coronavirus family, which is a large family of enveloped, single-stranded positive-sense RNA viruses, comprised of alpha, beta, gamma, and delta four subgroups [30]. To date, seven coronaviruses have been identified as being able to infect human and four of them (HCoV-NL63, HCoV-229E, HCoV-OC43, and HCoV-HKU1) have been linked to mild colds, whereas the other three [Middle East respiratory syndrome coronavirus (MERS-CoV), SARS-CoV, and SARS-CoV-2] can lead to severe respiratory infection. MERS-CoV, SARS-CoV, SARS-CoV-2, HCoV-OC43, and HCoV-HKU1 are members of the beta subgroup of coronaviruses. Coronavirus genome encodes four structural proteins, i.e., the spike (S), envelope (E), membrane (M), and nucleocapsid (N) proteins [31]. The highly glycosylated homotrimeric S protein can be cleaved into two subunits, S1 and S2, via host-dependent proteolytic cleavage; the S1 subunit contains a receptor-binding domain (RBD), mediating host receptor recognition, while the S2 subunit anchors the spike in the viral envelope, facilitating virus-cell membrane fusion and viral cell entry [32–34]. Upon interaction between the S1 subunit and its host receptor, conformational changes trigger further cleavage of S2 subunit at the S2
2. Materials and Methods
2.1. IgY-S Generation in Hens
Full-length extracellular domain of SARS-CoV-2 S protein (1-1,213 amino acids; GenBank No. YP_009724390), fused with a polyhistidine tag at the C-terminus, was expressed with the baculovirus-insect cell expression system (Sino Biological, Beijing). 100 μg purified protein was emulsified with an equal volume of Freund’s complete adjuvant (Sigma-Aldrich, MO) and intramuscularly injected into the thigh of laying hens at 5 sites. Two booster injections of 50 μg purified protein mixed with an equal volume of incomplete Freund’s adjuvant were administered at two-week intervals. One week after the final injection, eggs were collected and stored at 4°C. Hens injected with only adjuvant in parallel were used for acquiring control IgY (IgY-C).
2.2. IgY Isolation
The egg yolk was carefully separated from the white, rinsed twice with phosphate-buffered saline (PBS), transferred into an equal volume of 5.33% PEG6000 solution, mixed thoroughly for 15 minutes, and centrifuged at 7,000 × g for 7 minutes at 4°C. The supernatant was carefully transferred, and an equal volume of 40% PEG6000 was slowly added to it. After thorough mixing for 15 minutes, the mixture was centrifuged at 7,000 × g for 7 minutes at 4°C. After removal of the supernatant, the pellet was dissolved into 10 ml PBS with vortexing, followed by centrifugation at 7,000 × g for 7 minutes at 4°C; then, the supernatant was collected and filtered with a 0.22 μm filter. The extracted IgY concentration was determined by the Bradford Reagent (Bio-Rad Laboratories, Shanghai). IgY was freeze-dried for storage at −20°C or stored at 1 mg/ml at −20°C.
2.3. Enzyme-Linked Immunosorbent Assay (ELISA)
MaxiSorb 96-well plates (Thermo Fisher Scientific, Guangzhou) were coated with 100 μl per well of the recombinant extracellular S protein of SARS-CoV-2 at 1.5 μg/ml for 2 hours at 37°C, washed 3 times, and saturated with blocking buffer (5% nonfat dried milk in PBS) for 2 hours at 37°C. IgY stock solution (1 mg/ml) was diluted in blocking buffer to make 1 : 500 dilution, followed by a two-fold serial dilution. The plates were washed, and then 100 μl of serially diluted IgY-S or IgY-C was added in triplicate to the wells and incubated for 1.5 hours at 37°C. The plates were washed and incubated with 100 μl per well of 1 : 2,000 HRP-conjugated goat anti-chicken IgY (Santa Cruz Biotechnology, CA) for 1 hour at 37°C. After washing, 100 μl TMB substrate solution (Hongxiang Biotech, Guangzhou) was added to the wells and incubated for 3 minutes at 37°C; then, the reaction was terminated with 50 μl of 2M H2SO4. The plates were scanned on a multiwell spectrophotometer, and optical density was read at 450 nm.
2.4. Epitope Mapping
IgY-S epitope mapping was performed using the PEPperPRINT peptide microarray system (PEPperPRINT GmbH, Heidelberg). IgY-C was used as mapping control. Microarray assays were conducted using the SARS-CoV-2 Proteome Microarray made up by duplicated spots of 4,883 different peptides, the SARS-CoV Antigen Microarray composed of duplicated spots of 998 different peptides, and the MERS-CoV Proteome Microarray consisting of duplicated spots of 3,818 different peptides. Hemagglutinin (HA) peptides framing the peptide microarrays were used as internal quality control to monitor assay quality and amino acid integrity. Briefly, to investigate background interactions, microarrays were prestained with 0.2 μg/ml DyLight680-conjugated goat anti-chicken IgY (H+L) secondary antibody (Thermo Fisher Scientific) and 0.5 μg/ml DyLight800-conjugated mouse monoclonal anti-HA (12CA5) control antibody (Thermo Fisher Scientific) in incubation buffer at room temperature for 45 minutes. Subsequently, sets of microarrays were incubated with IgY-S and IgY-C at concentrations of 1 μg/ml and 10 μg/ml in incubation buffer for 16 hours at 4°C with shaking at 140 rpm. After washing, the microarrays were incubated with goat anti-chicken secondary antibody and mouse anti-HA control antibody in incubation buffer for 45 minutes at room temperature. Stained microarrays were scanned with the LI-COR Odyssey imaging system (Li-cor Biosciences, Bad Homburg) with parameters set as: scanning offset 0.65 mm, resolution 21 μm and scanning intensities 7/7 (
3. Results
3.1. IgY-S Immunoreactivity
IgY-S isolated from egg yolk of immunized chickens was evaluated for reactivity with recombinant S protein of SARS-CoV-2 by ELISA. Compared to IgY-C control, IgY-S displayed significantly elevated ability to bind to the antigen, even at the greatest dilution (1: 32,000)/lowest concentration (0.03125 μg/ml) tested (
[figure omitted; refer to PDF]
Taken all, the above data demonstrate that IgY-S can cross-react with SARS-CoV S via two cross-reactive epitopes between SARS-CoV-2 S and SARS-CoV S, but its epitopes QIYKTPP and AIHADQL appear specific to SARS-CoV-2 S. In addition, IgY-S did not show cross-reactivity with MERS S in a peptide microarray assay using the MERS-CoV Proteome Microarray (data not shown).
3.4. IgY-S Epitope Locations in SARS-CoV-2 S
Similar to SARS-CoV S, the extracellular region of SARS-CoV-2 S contains from N- to C-terminus, signal sequence (SS), N-terminal domain (NTD), RBD, subdomains 1 and 2 (SD1 and SD2), S1/S2 cleavage region, S2
[figures omitted; refer to PDF]
4. Discussion
Passive immunization is an important approach to tackling SARS-CoV-2 infection [39]. In this study, we raised antibody in chickens against recombinant extracellular S protein of SARS-CoV-2 and obtained egg yolk IgY-S with high immunoreactivity. By epitope mapping, we identified five linear epitopes of IgY-S in SARS-CoV-2 S protein (Figures 2 and 3), two of which are cross-reactive with SARS-CoV S (Figure 4).
The SIIAYTMSL epitope, which showed the second highest fluorescence intensity in peptide microarray analysis, is a conserved sequence between SARS-CoV S and SARS-CoV-2 S and overlaps the S1/S2 cleavage region in both S proteins. With the help of the published 3D structure of SARS-CoV-2 S [37], we found that this epitope is located on the surface of S homotrimer, close to the S1/S2 cleavage site (Figure 5), hinting that antibody binding at this location could physically block the access of proteolytic enzymes to the cleavage site. Given the importance of S1/S2 proteolytic cleavage to subsequent membrane fusion and viral cell invasion, it is possible that IgY-S binding to epitope SIIAYTMSL could prevent virus infection [38]. The spatial locations of the other four epitopes are either inside S trimer or difficult to identify with current resolution for the 3D structure. Nevertheless, neutralizing experiments in cultured human cells have been planned to evaluate whether to use IgY-S as a whole or to acquire epitope-specific IgY by affinity purification with each epitope.
As egg yolk IgY can be produced quickly (5 weeks of immunization period) with high yield (40-80 mg per egg) [40], neutralizing IgY has unique advantages as a potential passive immunization therapy for infections by new pathogens, e.g., SARS-CoV-2 with a new mutated form of S protein, which is possible because RNA viruses are known for their high mutation rates [41]. An easy and noninvasive way to deliver agents locally for respiratory tract infection is by intranasal or oral administration. In animal models, egg yolk IgY isolated from immunized chickens has been tested for treating viral respiratory infections by influenza A subtypes H1N1, H3N2, and H5N1 [25–27] and influenza B [42] via intranasal delivery. As chicken eggs are a dietary staple for human, IgY is well tolerated in human [28]. Moreover, because purified IgY does not contain the allergenic egg albumin, it can also be safely used by patients with egg allergy [28]. In a double-blind, randomized, placebo-controlled trial, a specific IgY antibody was effective in treating patients with acute and chronic pharyngitis when administered by oral spray [43], suggesting that IgY could be a safe and effective agent against respiratory infection. Therefore, our IgY-S has the potential to be safely used as a nasal or oral spray to prevent/treat SARS-CoV-2 infection [44]. If our planned in vitro neutralizing assays produce positive results, we will be encouraged to conduct an early-phase clinical trial with IgY-S. In addition, IgY does not interact with mammalian Fc receptors or activate the mammalian complement system, so it can avoid triggering antibody-dependent enhancement (ADE) of disease and complement-mediated adverse inflammatory responses [45]. Therefore, it could be beneficial to administer neutralizing IgY intravascularly to treat SARS-CoV-2 infection, especially to patients with severe symptoms.
Although the great potential of chicken IgY for COVID-19 treatment has been proposed by several labs [29, 44, 46], so far, no follow-up data or epitopes of SARS-CoV-2 targeted by IgY have been published. A previous study on chicken IgY produced against SARS-CoV implied that a dominant epitope existed in the “Se-e” fragment located between amino acid residues 456–650 of SARS-CoV S [47]. The AIHADQL epitope identified in our study is located in the counterpart of “Se-e” fragment in SARS-CoV-2 S. Although AIHADQL is found in “Se-e” fragment of SARS-CoV, it was not recognized by IgY-S in the SARS-CoV peptide microarray assay. The reason could lie in the neighbouring amino acids, which are dissimilar between SARS-CoV and SARS-CoV-2 and may play a role in antibody-epitope binding. In addition, continued search for neutralizing epitopes/antibodies has been conducted using convalescent sera of COVID-19 patients, with the focus on RBD of SARS-CoV-2 S protein [23, 24, 48–52]. Neutralizing epitopes in other domains of S1 subunit such as NTD, as well as domains of S2 subunit, have also been reported [53–56]. However, none of these epitopes are identical to epitopes identified by IgY-S. Interestingly, peptides/epitopes in RBD were found to have less interaction with convalescent sera in a SARS-CoV-2 peptide screening study [57]. The reason behind this could be that RBD epitopes are conformational epitopes or glycosylated, and this is a common limitation to most epitope mapping analyses, ours included.
5. Conclusions
In this study, chicken IgY-S was generated with high immunoreactivity against SARS-CoV-2 S protein and five epitopes of IgY-S were identified. Our work provides a new potential therapeutic tool for COVID-19 treatment. Our study is the first to explore using chicken egg IgY for neutralizing SARS-CoV-2.
Authors’ Contributions
Yan Lu and Yajun Wang contributed equally.
Acknowledgments
We thank Dr. Ling Zhang and Dr. Cheng Yang for their kind help and discussion. Li’s Lab is supported by BBSRC (BB/S000844/1 and BB/S008934/1) and Shenzhen Sanming Project of Medicine (SZSM201911003); Yajun Wang is a Newton International Fellow (NIF003/1003).
[1] C. Huang, Y. Wang, X. Li, L. Ren, J. Zhao, Y. Hu, L. Zhang, G. Fan, J. Xu, X. Gu, Z. Cheng, T. Yu, J. Xia, Y. Wei, W. Wu, X. Xie, W. Yin, H. Li, M. Liu, Y. Xiao, H. Gao, L. Guo, J. Xie, G. Wang, R. Jiang, Z. Gao, Q. Jin, J. Wang, B. Cao, "Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China," The Lancet, vol. 395 no. 10223, pp. 497-506, DOI: 10.1016/S0140-6736(20)30183-5, 2020.
[2] C. Wang, P. W. Horby, F. G. Hayden, G. F. Gao, "A novel coronavirus outbreak of global health concern," The Lancet, vol. 395 no. 10223, pp. 470-473, DOI: 10.1016/S0140-6736(20)30185-9, 2020.
[3] R. Lu, X. Zhao, J. Li, P. Niu, B. Yang, H. Wu, W. Wang, H. Song, B. Huang, N. Zhu, Y. Bi, X. Ma, F. Zhan, L. Wang, T. Hu, H. Zhou, Z. Hu, W. Zhou, L. Zhao, J. Chen, Y. Meng, J. Wang, Y. Lin, J. Yuan, Z. Xie, J. Ma, W. J. Liu, D. Wang, W. Xu, E. C. Holmes, G. F. Gao, G. Wu, W. Chen, W. Shi, W. Tan, "Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding," Lancet, vol. 395 no. 10224, pp. 565-574, DOI: 10.1016/S0140-6736(20)30251, 2020.
[4] F. Wu, S. Zhao, B. Yu, Y. M. Chen, W. Wang, Z. G. Song, Y. Hu, Z. W. Tao, J. H. Tian, Y. Y. Pei, M. L. Yuan, Y. L. Zhang, F. H. Dai, Y. Liu, Q. M. Wang, J. J. Zheng, L. Xu, E. C. Holmes, Y. Z. Zhang, "A new coronavirus associated with human respiratory disease in China," Nature, vol. 579 no. 7798, pp. 265-269, DOI: 10.1038/s41586-020-2008-3, 2020.
[5] P. Zhou, X. L. Yang, X. G. Wang, B. Hu, L. Zhang, W. Zhang, H. R. Si, Y. Zhu, B. Li, C. L. Huang, H. D. Chen, J. Chen, Y. Luo, H. Guo, R. D. Jiang, M. Q. Liu, Y. Chen, X. R. Shen, X. Wang, X. S. Zheng, K. Zhao, Q. J. Chen, F. Deng, L. L. Liu, B. Yan, F. X. Zhan, Y. Y. Wang, G. F. Xiao, Z. L. Shi, "A pneumonia outbreak associated with a new coronavirus of probable bat origin," Nature, vol. 579 no. 7798, pp. 270-273, DOI: 10.1038/s41586-020-2012-7, 2020.
[6] M. S. Green, "Did the hesitancy in declaring COVID-19 a pandemic reflect a need to redefine the term?," The Lancet, vol. 395 no. 10229, pp. 1034-1035, DOI: 10.1016/S0140-6736(20)30630-9, 2020.
[7] The Lancet Infectious Diseases, "COVID-19: endgames," The Lancet Infectious Diseases, vol. 20 no. 5,DOI: 10.1016/s1473-3099(20)30298-x, 2020.
[8] E. Check Hayden, "Experimental drugs poised for use in Ebola outbreak," Nature, vol. 557 no. 7706, pp. 475-476, DOI: 10.1038/d41586-018-05205-x, 2018.
[9] S. Mulangu, L. E. Dodd, Davey RT Jr, O. Tshiani Mbaya, M. Proschan, D. Mukadi, M. Lusakibanza Manzo, D. Nzolo, A. Tshomba Oloma, A. Ibanda, R. Ali, S. Coulibaly, A. C. Levine, R. Grais, J. Diaz, H. C. Lane, J. J. Muyembe-Tamfum, PALM Writing Group, B. Sivahera, M. Camara, R. Kojan, R. Walker, B. Dighero-Kemp, H. Cao, P. Mukumbayi, P. Mbala-Kingebeni, S. Ahuka, S. Albert, T. Bonnett, I. Crozier, M. Duvenhage, C. Proffitt, M. Teitelbaum, T. Moench, J. Aboulhab, K. Barrett, K. Cahill, K. Cone, R. Eckes, L. Hensley, B. Herpin, E. Higgs, J. Ledgerwood, J. Pierson, M. Smolskis, Y. Sow, J. Tierney, S. Sivapalasingam, W. Holman, N. Gettinger, D. Vallée, J. Nordwall, PALM Consortium Study Team, "A randomized, controlled trial of Ebola virus disease therapeutics," The New England Journal of Medicine, vol. 381 no. 24, pp. 2293-2303, DOI: 10.1056/NEJMoa1910993, 2019.
[10] J. Geleris, Y. Sun, J. Platt, J. Zucker, M. Baldwin, G. Hripcsak, A. Labella, D. K. Manson, C. Kubin, R. G. Barr, M. E. Sobieszczyk, N. W. Schluger, "Observational study of hydroxychloroquine in hospitalized patients with Covid-19," The New England Journal of Medicine, vol. 382 no. 25, pp. 2411-2418, DOI: 10.1056/NEJMoa2012410, 2020.
[11] W. Tang, Z. Cao, M. Han, Z. Wang, J. Chen, W. Sun, Y. Wu, W. Xiao, S. Liu, E. Chen, W. Chen, X. Wang, J. Yang, J. Lin, Q. Zhao, Y. Yan, Z. Xie, D. Li, Y. Yang, L. Liu, J. Qu, G. Ning, G. Shi, Q. Xie, "Hydroxychloroquine in patients with mainly mild to moderate coronavirus disease 2019: open label, randomised controlled trial," BMJ, vol. 369,DOI: 10.1136/bmj.m1849, 2020.
[12] Y. Wang, D. Zhang, G. du, R. du, J. Zhao, Y. Jin, S. Fu, L. Gao, Z. Cheng, Q. Lu, Y. Hu, G. Luo, K. Wang, Y. Lu, H. Li, S. Wang, S. Ruan, C. Yang, C. Mei, Y. Wang, D. Ding, F. Wu, X. Tang, X. Ye, Y. Ye, B. Liu, J. Yang, W. Yin, A. Wang, G. Fan, F. Zhou, Z. Liu, X. Gu, J. Xu, L. Shang, Y. Zhang, L. Cao, T. Guo, Y. Wan, H. Qin, Y. Jiang, T. Jaki, F. G. Hayden, P. W. Horby, B. Cao, C. Wang, "Remdesivir in adults with severe COVID-19: a randomised, double-blind, placebo-controlled, multicentre trial," Lancet, vol. 395 no. 10236, pp. 1569-1578, DOI: 10.1016/S0140-6736(20)31022-9, 2020.
[13] T. Thanh le, Z. Andreadakis, A. Kumar, R. Gómez Román, S. Tollefsen, M. Saville, S. Mayhew, "The COVID-19 vaccine development landscape," Nature Reviews. Drug Discovery, vol. 19 no. 5, pp. 305-306, DOI: 10.1038/d41573-020-00073-5, 2020.
[14] N. van Doremalen, T. Lambe, A. Spencer, S. Belij-Rammerstorfer, J. N. Purushotham, J. R. Port, V. A. Avanzato, T. Bushmaker, A. Flaxman, M. Ulaszewska, F. Feldmann, E. R. Allen, H. Sharpe, J. Schulz, M. Holbrook, A. Okumura, K. Meade-White, L. Pérez-Pérez, N. J. Edwards, D. Wright, C. Bissett, C. Gilbride, B. N. Williamson, R. Rosenke, D. Long, A. Ishwarbhai, R. Kailath, L. Rose, S. Morris, C. Powers, J. Lovaglio, P. W. Hanley, D. Scott, G. Saturday, E. de Wit, S. C. Gilbert, V. J. Munster, "ChAdOx1 nCoV-19 vaccine prevents SARS-CoV-2 pneumonia in rhesus macaques," Nature,DOI: 10.1038/s41586-020-2608-y, 2020.
[15] Q. Gao, L. Bao, H. Mao, L. Wang, K. Xu, M. Yang, Y. Li, L. Zhu, N. Wang, Z. Lv, H. Gao, X. Ge, B. Kan, Y. Hu, J. Liu, F. Cai, D. Jiang, Y. Yin, C. Qin, J. Li, X. Gong, X. Lou, W. Shi, D. Wu, H. Zhang, L. Zhu, W. Deng, Y. Li, J. Lu, C. Li, X. Wang, W. Yin, Y. Zhang, C. Qin, "development of an inactivated vaccine candidate for SARS-CoV-2," Science, vol. 369 no. 6499, pp. 77-81, DOI: 10.1126/science.abc1932, 2020.
[16] C. Arnold, "A vaccine is still a long way off," New Scientist, vol. 246 no. 3280,DOI: 10.1016/S0262-4079(20)30831-9, 2020.
[17] L. Hammarström, H. Abolhassani, F. Baldanti, H. Marcotte, Q. Pan-Hammarström, "Development of passive immunity against SARS-CoV-2 for management of immunodeficient patients - a perspective," The Journal of Allergy and Clinical Immunology, vol. 146 no. 1, pp. 58-60, DOI: 10.1016/j.jaci.2020.04.043, 2020.
[18] C. Shen, Z. Wang, F. Zhao, Y. Yang, J. Li, J. Yuan, F. Wang, D. Li, M. Yang, L. Xing, J. Wei, H. Xiao, Y. Yang, J. Qu, L. Qing, L. Chen, Z. Xu, L. Peng, Y. Li, H. Zheng, F. Chen, K. Huang, Y. Jiang, D. Liu, Z. Zhang, Y. Liu, L. Liu, "Treatment of 5 critically ill patients with COVID-19 with convalescent plasma," Journal of the American Medical Association, vol. 323 no. 16, pp. 1582-1589, DOI: 10.1001/jama.2020.4783, 2020.
[19] K. Duan, B. Liu, C. Li, H. Zhang, T. Yu, J. Qu, M. Zhou, L. Chen, S. Meng, Y. Hu, C. Peng, M. Yuan, J. Huang, Z. Wang, J. Yu, X. Gao, D. Wang, X. Yu, L. Li, J. Zhang, X. Wu, B. Li, Y. Xu, W. Chen, Y. Peng, Y. Hu, L. Lin, X. Liu, S. Huang, Z. Zhou, L. Zhang, Y. Wang, Z. Zhang, K. Deng, Z. Xia, Q. Gong, W. Zhang, X. Zheng, Y. Liu, H. Yang, D. Zhou, D. Yu, J. Hou, Z. Shi, S. Chen, Z. Chen, X. Zhang, X. Yang, "Effectiveness of convalescent plasma therapy in severe COVID-19 patients," Proceedings of the National Academy of Sciences of the United States of America, vol. 117 no. 17, pp. 9490-9496, DOI: 10.1073/pnas.2004168117, 2020.
[20] J. D. Roback, J. Guarner, "Convalescent plasma to treat COVID-19," Journal of the American Medical Association, vol. 323 no. 16,DOI: 10.1001/jama.2020.4940, 2020.
[21] X. Chen, R. Li, Z. Pan, C. Qian, Y. Yang, R. You, J. Zhao, P. Liu, L. Gao, Z. Li, Q. Huang, L. Xu, J. Tang, Q. Tian, W. Yao, L. Hu, X. Yan, X. Zhou, Y. Wu, K. Deng, Z. Zhang, Z. Qian, Y. Chen, L. Ye, "Human monoclonal antibodies block the binding of SARS-CoV-2 spike protein to angiotensin converting enzyme 2 receptor," Cellular & Molecular Immunology, vol. 17 no. 6, pp. 647-649, DOI: 10.1038/s41423-020-0426-7, 2020.
[22] C. Wang, W. Li, D. Drabek, N. M. A. Okba, R. van Haperen, A. D. M. E. Osterhaus, F. J. M. van Kuppeveld, B. L. Haagmans, F. Grosveld, B. J. Bosch, "A human monoclonal antibody blocking SARS-CoV-2 infection," Nature Communications, vol. 11 no. 1,DOI: 10.1038/s41467-020-16256-y, 2020.
[23] Y. Wu, F. Wang, C. Shen, W. Peng, D. Li, C. Zhao, Z. Li, S. Li, Y. Bi, Y. Yang, Y. Gong, H. Xiao, Z. Fan, S. Tan, G. Wu, W. Tan, X. Lu, C. Fan, Q. Wang, Y. Liu, C. Zhang, J. Qi, G. F. Gao, F. Gao, L. Liu, "A noncompeting pair of human neutralizing antibodies block COVID-19 virus binding to its receptor ACE2," Science, vol. 368 no. 6496, pp. 1274-1278, DOI: 10.1126/science.abc2241, 2020.
[24] Y. Cao, B. Su, X. Guo, W. Sun, Y. Deng, L. Bao, Q. Zhu, X. Zhang, Y. Zheng, C. Geng, X. Chai, R. He, X. Li, Q. Lv, H. Zhu, W. Deng, Y. Xu, Y. Wang, L. Qiao, Y. Tan, L. Song, G. Wang, X. du, N. Gao, J. Liu, J. Xiao, X. D. Su, Z. du, Y. Feng, C. Qin, C. Qin, R. Jin, X. S. Xie, "Potent neutralizing antibodies against SARS-CoV-2 identified by high-throughput single-cell sequencing of convalescent patients’ B cells," Cell, vol. 182 no. 1, pp. 73-84.e16, DOI: 10.1016/j.cell.2020.05.025, 2020.
[25] M. G. Wallach, R. J. Webby, F. Islam, S. Walkden-Brown, E. Emmoth, R. Feinstein, K. O. Gronvik, "Cross-protection of chicken immunoglobulin Y antibodies against H5N1 and H1N1 viruses passively administered in mice," Clinical and Vaccine Immunology, vol. 18 no. 7, pp. 1083-1090, DOI: 10.1128/CVI.05075-11, 2011.
[26] M. Tsukamoto, S. Hiroi, K. Adachi, H. Kato, M. Inai, I. Konishi, M. Tanaka, R. Yamamoto, M. Sawa, E. Handharyani, Y. Tsukamoto, "Antibodies against swine influenza virus neutralize the pandemic influenza virus A/H1N1," Molecular Medicine Reports, vol. 4 no. 2, pp. 209-214, DOI: 10.3892/mmr.2011.410, 2011.
[27] Y. E. Yang, J. Wen, S. Zhao, K. Zhang, Y. Zhou, "Prophylaxis and therapy of pandemic H1N1 virus infection using egg yolk antibody," Journal of Virological Methods, vol. 206, pp. 19-26, DOI: 10.1016/j.jviromet.2014.05.016, 2014.
[28] A. T. Abbas, S. A. el-Kafrawy, S. S. Sohrab, E. I. A. Azhar, "IgY antibodies for the immunoprophylaxis and therapy of respiratory infections," Human Vaccines & Immunotherapeutics, vol. 15 no. 1, pp. 264-275, DOI: 10.1080/21645515.2018.1514224, 2019.
[29] C. Constantin, M. Neagu, T. Supeanu, V. Chiurciu, D. Spandidos, "IgY - turning the page toward passive immunization in COVID-19 infection (review)," Experimental and Therapeutic Medicine, vol. 20 no. 1, pp. 151-158, DOI: 10.3892/etm.2020.8704, 2020.
[30] Coronaviridae Study Group of the International Committee on Taxonomy of Viruses, "The species severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2," Nature Microbiology, vol. 5 no. 4, pp. 536-544, DOI: 10.1038/s41564-020-0695-z, 2020.
[31] Y. Chen, Q. Liu, D. Guo, "Emerging coronaviruses: genome structure, replication, and pathogenesis," Journal of Medical Virology, vol. 92 no. 4, pp. 418-423, DOI: 10.1002/jmv.25681, 2020.
[32] P. M. Colman, M. C. Lawrence, "The structural biology of type I viral membrane fusion," Nature Reviews. Molecular Cell Biology, vol. 4 no. 4, pp. 309-319, DOI: 10.1038/nrm1076, 2003.
[33] B. J. Bosch, R. van der Zee, C. A. de Haan, P. J. M. Rottier, "The coronavirus spike protein is a class I virus fusion protein: structural and functional characterization of the fusion core complex," Journal of Virology, vol. 77 no. 16, pp. 8801-8811, DOI: 10.1128/JVI.77.16.8801-8811.2003, 2003.
[34] S. Belouzard, V. C. Chu, G. R. Whittaker, "Activation of the SARS coronavirus spike protein via sequential proteolytic cleavage at two distinct sites," Proceedings of the National Academy of Sciences of the United States of America, vol. 106 no. 14, pp. 5871-5876, DOI: 10.1073/pnas.0809524106, 2009.
[35] K. F. Sykes, J. B. Legutki, P. Stafford, "Immunosignaturing: a critical review," Trends in Biotechnology, vol. 31 no. 1, pp. 45-51, DOI: 10.1016/j.tibtech.2012.10.012, 2013.
[36] D. Wrapp, N. Wang, K. S. Corbett, J. A. Goldsmith, C. L. Hsieh, O. Abiona, B. S. Graham, J. S. McLellan, "Cryo-EM structure of the 2019-nCoV spike in the prefusion conformation," Science, vol. 367 no. 6483, pp. 1260-1263, DOI: 10.1126/science.abb2507, 2020.
[37] A. C. Walls, Y. J. Park, M. A. Tortorici, A. Wall, A. T. McGuire, D. Veesler, "Structure, function, and antigenicity of the SARS-CoV-2 spike glycoprotein," Cell, vol. 181 no. 2, pp. 281-292.e6, DOI: 10.1016/j.cell.2020.02.058, 2020.
[38] M. Hoffmann, H. Kleine-Weber, S. Pohlmann, "A multibasic cleavage site in the spike protein of SARS-CoV-2 is essential for infection of human lung cells," Molecular Cell, vol. 78 no. 4, pp. 779-784.e5, DOI: 10.1016/j.molcel.2020.04.022, 2020.
[39] A. Casadevall, L. A. Pirofski, "The convalescent sera option for containing COVID-19," The Journal of Clinical Investigation, vol. 130 no. 4, pp. 1545-1548, DOI: 10.1172/JCI138003, 2020.
[40] D. Pauly, P. A. Chacana, E. G. Calzado, B. Brembs, R. Schade, "IgY technology: extraction of chicken antibodies from egg yolk by polyethylene glycol (PEG) precipitation," Journal of Visualized Experiments, vol. no. 51, article e3084,DOI: 10.3791/3084, 2011.
[41] S. Duffy, "Why are RNA virus mutation rates so damn high?," PLoS Biology, vol. 16 no. 8, article e3000003,DOI: 10.1371/journal.pbio.3000003, 2018.
[42] J. Wen, S. Zhao, D. He, Y. Yang, Y. Li, S. Zhu, "Preparation and characterization of egg yolk immunoglobulin Y specific to influenza B virus," Antiviral Research, vol. 93 no. 1, pp. 154-159, DOI: 10.1016/j.antiviral.2011.11.005, 2012.
[43] M. Q. Xie, Y. X. Meng, Z. H. Li, Y. Q. Li, K. X. Zhang, X. M. Zhao, G. J. Xiong, Y. M. Chen, "Effect of specific immunoglobulin Y in the treatment of acute and chronic pharyngitis," Zhonghua Er Bi Yan Hou Ke Za Zhi, vol. 39 no. 2, pp. 112-115, 2004.
[44] J. M. Pérez de la Lastra, V. Baca-González, P. Asensio-Calavia, S. González-Acosta, A. Morales-delaNuez, "Can immunization of hens provide oral-based therapeutics against COVID-19?," Vaccines, vol. 8 no. 3,DOI: 10.3390/vaccines8030486, 2020.
[45] J. Kovacs-Nolan, Y. Mine, "Egg yolk antibodies for passive immunity," Annual Review of Food Science and Technology, vol. 3 no. 1, pp. 163-182, DOI: 10.1146/annurev-food-022811-101137, 2012.
[46] R. Somasundaram, A. Choraria, M. Antonysamy, "An approach towards development of monoclonal IgY antibodies against SARS CoV-2 spike protein (S) using phage display method: a review," International Immunopharmacology, vol. 85, article 106654,DOI: 10.1016/j.intimp.2020.106654, 2020.
[47] Y. C. Lee, S. J. Leu, H. C. Hung, H. H. Wu, I. J. Huang, W. S. Hsieh, W. T. Chiu, M. S. Hsieh, T. F. Cheng, Y. Y. Yang, "A dominant antigenic epitope on SARS-CoV spike protein identified by an avian single-chain variable fragment (scFv)-expressing phage," Veterinary Immunology and Immunopathology, vol. 117 no. 1-2, pp. 75-85, DOI: 10.1016/j.vetimm.2007.02.001, 2007.
[48] J. Hansen, A. Baum, K. E. Pascal, V. Russo, S. Giordano, E. Wloga, B. O. Fulton, Y. Yan, K. Koon, K. Patel, K. M. Chung, A. Hermann, E. Ullman, J. Cruz, A. Rafique, T. Huang, J. Fairhurst, C. Libertiny, M. Malbec, W. Y. Lee, R. Welsh, G. Farr, S. Pennington, D. Deshpande, J. Cheng, A. Watty, P. Bouffard, R. Babb, N. Levenkova, C. Chen, B. Zhang, A. Romero Hernandez, K. Saotome, Y. Zhou, M. Franklin, S. Sivapalasingam, D. C. Lye, S. Weston, J. Logue, R. Haupt, M. Frieman, G. Chen, W. Olson, A. J. Murphy, N. Stahl, G. D. Yancopoulos, C. A. Kyratsous, "Studies in humanized mice and convalescent humans yield a SARS-CoV-2 antibody cocktail," Science, vol. 369 no. 6506, pp. 1010-1014, DOI: 10.1126/science.abd0827, 2020.
[49] D. F. Robbiani, C. Gaebler, F. Muecksch, J. C. C. Lorenzi, Z. Wang, A. Cho, M. Agudelo, C. O. Barnes, A. Gazumyan, S. Finkin, T. Hägglöf, T. Y. Oliveira, C. Viant, A. Hurley, H. H. Hoffmann, K. G. Millard, R. G. Kost, M. Cipolla, K. Gordon, F. Bianchini, S. T. Chen, V. Ramos, R. Patel, J. Dizon, I. Shimeliovich, P. Mendoza, H. Hartweger, L. Nogueira, M. Pack, J. Horowitz, F. Schmidt, Y. Weisblum, E. Michailidis, A. W. Ashbrook, E. Waltari, J. E. Pak, K. E. Huey-Tubman, N. Koranda, P. R. Hoffman, A. P. West, C. M. Rice, T. Hatziioannou, P. J. Bjorkman, P. D. Bieniasz, M. Caskey, M. C. Nussenzweig, "Convergent antibody responses to SARS-CoV-2 in convalescent individuals," Nature, vol. 584 no. 7821, pp. 437-442, DOI: 10.1038/s41586-020-2456-9, 2020.
[50] D. Zhou, H. M. E. Duyvesteyn, C. P. Chen, C. G. Huang, T. H. Chen, S. R. Shih, Y. C. Lin, C. Y. Cheng, S. H. Cheng, Y. C. Huang, T. Y. Lin, C. Ma, J. Huo, L. Carrique, T. Malinauskas, R. R. Ruza, P. N. M. Shah, T. K. Tan, P. Rijal, R. F. Donat, K. Godwin, K. R. Buttigieg, J. A. Tree, J. Radecke, N. G. Paterson, P. Supasa, J. Mongkolsapaya, G. R. Screaton, M. W. Carroll, J. Gilbert-Jaramillo, M. L. Knight, W. James, R. J. Owens, J. H. Naismith, A. R. Townsend, E. E. Fry, Y. Zhao, J. Ren, D. I. Stuart, K. Y. A. Huang, "Structural basis for the neutralization of SARS-CoV-2 by an antibody from a convalescent patient," Nature Structural & Molecular Biology, vol. 27 no. 10, pp. 950-958, DOI: 10.1038/s41594-020-0480-y, 2020.
[51] M. Yuan, N. C. Wu, X. Zhu, C. C. D. Lee, R. T. Y. So, H. Lv, C. K. P. Mok, I. A. Wilson, "A highly conserved cryptic epitope in the receptor binding domains of SARS-CoV-2 and SARS-CoV," Science, vol. 368 no. 6491, pp. 630-633, DOI: 10.1126/science.abb7269, 2020.
[52] R. Shi, C. Shan, X. Duan, Z. Chen, P. Liu, J. Song, T. Song, X. Bi, C. Han, L. Wu, G. Gao, X. Hu, Y. Zhang, Z. Tong, W. Huang, W. J. Liu, G. Wu, B. Zhang, L. Wang, J. Qi, H. Feng, F. S. Wang, Q. Wang, G. F. Gao, Z. Yuan, J. Yan, "A human neutralizing antibody targets the receptor-binding site of SARS-CoV-2," Nature, vol. 584 no. 7819, pp. 120-124, DOI: 10.1038/s41586-020-2381-y, 2020.
[53] C. O. Barnes, A. P. West, K. E. Huey-Tubman, M. A. G. Hoffmann, N. G. Sharaf, P. R. Hoffman, N. Koranda, H. B. Gristick, C. Gaebler, F. Muecksch, J. C. C. Lorenzi, S. Finkin, T. Hägglöf, A. Hurley, K. G. Millard, Y. Weisblum, F. Schmidt, T. Hatziioannou, P. D. Bieniasz, M. Caskey, D. F. Robbiani, M. C. Nussenzweig, P. J. Bjorkman, "Structures of human antibodies bound to SARS-CoV-2 spike reveal common epitopes and recurrent features of antibodies," Cell, vol. 182 no. 4, pp. 828-842.e16, DOI: 10.1016/j.cell.2020.06.025, 2020.
[54] X. Chi, R. Yan, J. Zhang, G. Zhang, Y. Zhang, M. Hao, Z. Zhang, P. Fan, Y. Dong, Y. Yang, Z. Chen, Y. Guo, J. Zhang, Y. Li, X. Song, Y. Chen, L. Xia, L. Fu, L. Hou, J. Xu, C. Yu, J. Li, Q. Zhou, W. Chen, "A neutralizing human antibody binds to the N-terminal domain of the spike protein of SARS-CoV-2," Science, vol. 369 no. 6504, pp. 650-655, DOI: 10.1126/science.abc6952, 2020.
[55] P. J. M. Brouwer, T. G. Caniels, K. van der Straten, J. L. Snitselaar, Y. Aldon, S. Bangaru, J. L. Torres, N. M. A. Okba, M. Claireaux, G. Kerster, A. E. H. Bentlage, M. M. van Haaren, D. Guerra, J. A. Burger, E. E. Schermer, K. D. Verheul, N. van der Velde, A. van der Kooi, J. van Schooten, M. J. van Breemen, T. P. L. Bijl, K. Sliepen, A. Aartse, R. Derking, I. Bontjer, N. A. Kootstra, W. J. Wiersinga, G. Vidarsson, B. L. Haagmans, A. B. Ward, G. J. de Bree, R. W. Sanders, M. J. van Gils, "Potent neutralizing antibodies from COVID-19 patients define multiple targets of vulnerability," Science, vol. 369 no. 6504, pp. 643-650, DOI: 10.1126/science.abc5902, 2020.
[56] C. M. Poh, G. Carissimo, B. Wang, S. N. Amrun, C. Y. P. Lee, R. S. L. Chee, S. W. Fong, N. K. W. Yeo, W. H. Lee, A. Torres-Ruesta, Y. S. Leo, M. I. C. Chen, S. Y. Tan, L. Y. A. Chai, S. Kalimuddin, S. S. G. Kheng, S. Y. Thien, B. E. Young, D. C. Lye, B. J. Hanson, C. I. Wang, L. Renia, L. F. P. Ng, "Two linear epitopes on the SARS-CoV-2 spike protein that elicit neutralising antibodies in COVID-19 patients," Nature Communications, vol. 11 no. 1,DOI: 10.1038/s41467-020-16638-2, 2020.
[57] Z. Yi, Y. Ling, X. Zhang, J. Chen, K. Hu, Y. Wang, W. Song, T. Ying, R. Zhang, H. Z. Lu, Z. Yuan, "Functional mapping of B-cell linear epitopes of SARS-CoV-2 in COVID-19 convalescent population," Emerging Microbes & Infections, vol. 9 no. 1, pp. 1988-1996, DOI: 10.1080/22221751.2020.1815591, 2020.
You have requested "on-the-fly" machine translation of selected content from our databases. This functionality is provided solely for your convenience and is in no way intended to replace human translation. Show full disclaimer
Neither ProQuest nor its licensors make any representations or warranties with respect to the translations. The translations are automatically generated "AS IS" and "AS AVAILABLE" and are not retained in our systems. PROQUEST AND ITS LICENSORS SPECIFICALLY DISCLAIM ANY AND ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES FOR AVAILABILITY, ACCURACY, TIMELINESS, COMPLETENESS, NON-INFRINGMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Your use of the translations is subject to all use restrictions contained in your Electronic Products License Agreement and by using the translation functionality you agree to forgo any and all claims against ProQuest or its licensors for your use of the translation functionality and any output derived there from. Hide full disclaimer
Copyright © 2020 Yan Lu et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0/
Abstract
This new decade has started with a global pandemic of COVID-19 caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), precipitating a worldwide health crisis and economic downturn. Scientists and clinicians have been racing against time to find therapies for COVID-19. Repurposing approved drugs, developing vaccines and employing passive immunization are three major therapeutic approaches to fighting COVID-19. Chicken immunoglobulin Y (IgY) has the potential to be used as neutralizing antibody against respiratory infections, and its advantages include high avidity, low risk of adverse immune responses, and easy local delivery by intranasal administration. In this study, we raised antibody against the spike (S) protein of SARS-CoV-2 in chickens and extracted IgY (called IgY-S) from egg yolk. IgY-S exhibited high immunoreactivity against SARS-CoV-2 S, and by epitope mapping, we found five linear epitopes of IgY-S in SARS-CoV-2 S, two of which are cross-reactive with SARS-CoV S. Notably, epitope SIIAYTMSL, one of the identified epitopes, partially overlaps the S1/S2 cleavage region in SARS-CoV-2 S and is located on the surface of S trimer in 3D structure, close to the S1/S2 cleavage site. Thus, antibody binding at this location could physically block the access of proteolytic enzymes to S1/S2 cleavage site and thereby impede S1/S2 proteolytic cleavage, which is crucial to subsequent virus-cell membrane fusion and viral cell entry. Therefore, the feasibility of using IgY-S or epitope SIIAYTMS-specific IgY as neutralizing antibody for preventing or treating SARS-CoV-2 infection is worth exploring.
You have requested "on-the-fly" machine translation of selected content from our databases. This functionality is provided solely for your convenience and is in no way intended to replace human translation. Show full disclaimer
Neither ProQuest nor its licensors make any representations or warranties with respect to the translations. The translations are automatically generated "AS IS" and "AS AVAILABLE" and are not retained in our systems. PROQUEST AND ITS LICENSORS SPECIFICALLY DISCLAIM ANY AND ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES FOR AVAILABILITY, ACCURACY, TIMELINESS, COMPLETENESS, NON-INFRINGMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Your use of the translations is subject to all use restrictions contained in your Electronic Products License Agreement and by using the translation functionality you agree to forgo any and all claims against ProQuest or its licensors for your use of the translation functionality and any output derived there from. Hide full disclaimer
Details








1 Huamin Medicine Co Ltd., Zhuhai, China
2 Wolfson Institute for Biomedical Research, University College London, London, UK
3 Joint Center for Life Sciences, School of Life Sciences, Tsinghua University, Beijing, China
4 School of Chemical Engineering and Technology, Sun Yat-sen University, Zhuhai, China
5 School of Pharmaceutical Sciences, Sun Yat-sen University, Shenzhen, China
6 Levi Regenerative Medicine Technologies, Zhuhai, China
7 Guangzhou Hongxiang Biological Medicine Technology Co Ltd., Guangzhou, China