Monoclonal antibodies against human TMPRSS2 prevent infection by any SARS-CoV-2 variant

The transmembrane serine protease 2 (TMPRSS2) plays a critical role in SARS-CoV-2 infection by priming the viral Spike (S) protein for host cell entry and thus represents a potential target for COVID-19 therapy. Here monoclonal antibodies (mAbs) against human TMPRSS2 were established for therapeutic application. <i>In vitro</i> infection by SARS-CoV-2 of cell lines and human lung organoids was strongly inhibited by the TMPRSS2 mAbs. These mAbs inhibited infection of all SARS-CoV-2 variants tested including omicron. mAbs recognized epitopes different from the enzymatic active site and did not inhibit protease activity, suggesting blockade of steric interactions of S protein-ACE2/TMPRSS2. The inhibitory activity of the mAbs <i>in vivo</i> was examined in human <i>ACE2</i>/<i>TMPRSS2</i>-double knock-in mouse and macaque models. Analysis of viral titers and histopathological analysis of the lung in these infected animals indicated that the TMPRSS2 mAb effectively suppressed viral titers and induction of inflammation <i>in vivo</i>.

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Publication Details

Journal
iScience
Published
2025-08-22
DOI
https://doi.org/10.1016/j.isci.2025.113424
Primary Topic
SARS-CoV-2 and COVID-19 Research
Type
article
Field-Weighted Citation Impact
0.00

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Monoclonal antibodies against human TMPRSS2 prevent infection by any SARS-CoV-2 variant

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Monoclonal antibodies against human TMPRSS2 prevent infection by any SARS-CoV-2 variant

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article en

Abstract

The transmembrane serine protease 2 (TMPRSS2) plays a critical role in SARS-CoV-2 infection by priming the viral Spike (S) protein for host cell entry and thus represents a potential target for COVID-19 therapy. Here monoclonal antibodies (mAbs) against human TMPRSS2 were established for therapeutic application. <i>In vitro</i> infection by SARS-CoV-2 of cell lines and human lung organoids was strongly inhibited by the TMPRSS2 mAbs. These mAbs inhibited infection of all SARS-CoV-2 variants tested including omicron. mAbs recognized epitopes different from the enzymatic active site and did not inhibit protease activity, suggesting blockade of steric interactions of S protein-ACE2/TMPRSS2. The inhibitory activity of the mAbs <i>in vivo</i> was examined in human <i>ACE2</i>/<i>TMPRSS2</i>-double knock-in mouse and macaque models. Analysis of viral titers and histopathological analysis of the lung in these infected animals indicated that the TMPRSS2 mAb effectively suppressed viral titers and induction of inflammation <i>in vivo</i>.

iScienceVol. 28(9)
Chiba University (JP), Shiga University of Medical Science (JP), Kyoto University (JP), National Institute of Infectious Diseases (JP), RIKEN Center for Sustainable Resource Science (JP), Kazusa DNA Research Institute (JP), RIKEN Center for Integrative Medical Sciences (JP), The University of Tokyo (JP)
Japan Agency for Medical Research and Development, Japanese Respiratory Society
Good health and well-being
Openalex Percentile: Top 74%
SARS-CoV-2 and COVID-19 Research
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