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9V0N

Cryo-EM structure of RSV pre-F in complex with antibody CNR2042

Summary for 9V0N
Entry DOI10.2210/pdb9v0n/pdb
EMDB information64666
DescriptorRSV Pre-fusion Protein, CNR2042 Heavy Chain, CNR2042 Light Chain (3 entities in total)
Functional Keywordsrsv, fusion protein, antibody, viral protein
Biological sourceRespiratory syncytial virus A2
More
Total number of polymer chains9
Total formula weight260289.94
Authors
Zhai, H.,Deng, J.,Yu, W. (deposition date: 2025-05-18, release date: 2025-12-31, Last modification date: 2026-03-04)
Primary citationZhai, H.,Yu, W.,Wang, J.,Deng, J.,Lei, S.,Zhou, T.,Li, Y.,Xu, K.,Ma, M.,Feng, R.,Hu, Y.,Ren, L.,Cao, Y.,Liu, E.,Wang, X.
Antibody cocktails based on the occupationally acquired immunity of pediatricians neutralize and confer protection against RSV and hMPV.
Sci Transl Med, 18:eadz4170-eadz4170, 2026
Cited by
PubMed Abstract: Human respiratory syncytial virus (RSV) and human metapneumovirus (hMPV) are major causes of severe respiratory infections in young children, older adults, and immunocompromised individuals. Here, we isolated RSV fusion (F) protein-specific B cells from pediatricians who are routinely exposed to these viruses. We then derived monoclonal antibodies (mAbs) from those B cells to characterize their binding and neutralization profiles. Among the isolated mAbs, we found that CNR2056 and CNR2053 (targeting site Ø of the pre-F protein) potently neutralized diverse RSV A and B strains; another mAb, CNR2047 (targeting site III), uniquely exhibited cross-neutralization capacity against both RSV and hMPV variants. In vivo, prophylactic administration of CNR2056 and CNR2053 controlled lung viral loads and pathology in RSV A2- and B9320-challenged cotton rats. Moreover, a prophylactic dose of 0.5 milligrams per kilogram of CNR2047 resulted in complete protection against hMPV in the lungs of BALB/c mice. Structural analysis revealed unique binding modes for the three mAbs, supporting the potential for rational mAb cocktail design. Deep mutational scanning for RSV F further demonstrated that mutations required to evade CNR2053 and CNR2056 were primarily in evolutionarily constrained sites, suggesting a fitness cost to immune escape. Rationally combining site Ø- and site III-directed mAbs (e.g., CNR2056-CNR2047) into cocktails conferred additive effects, expanding coverage to hMPV and minimizing risk of escape variants. Thus, rationally designed cocktails of CNR2056, CNR2053, and CNR2047 may offer a versatile immunoprophylactic agent against a range of pneumoviruses with potential to protect against both current and future variants.
PubMed: 41706868
DOI: 10.1126/scitranslmed.adz4170
PDB entries with the same primary citation
Experimental method
ELECTRON MICROSCOPY (3.75 Å)
Structure validation

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