A Molecule That Can Help Covid-19 Virus Evade Antibodies: St
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A new study has found that a natural molecule can effectively block the binding of a subset of human antibodies to SARS-CoV-2. The discovery may help explain why some Covid-19 patients can become severely ill despite having high levels of antibodies against the virus, researchers said. They found that biliverdin and bilirubin can suppress the binding of antibodies to the coronavirus spike protein.

As more and more coronavirus vaccines are rolled out, it is critically important to understand immunity to SARS-CoV-2 and also how the virus evades antibodies. The ability of the immune system to control the infection, and the quality of the antibody response, are highly variable between individuals. The researchers discovered that the SARS-CoV-2 spike protein strongly binds to biliverdin.

On the other hand, they found, the same natural molecule reduced antibody binding to the spike. They used blood sera and antibodies from people who were previously infected with SARS-CoV-2 and found that biliverdin could suppress the binding of human antibodies to the spike by as much as 30-50%, with some antibodies becoming ineffective at neutralising the virus.

The team used cryo-Em and X-ray crystallography to look in detail at the interactions between the spike, the antibodies and biliverdin. They found that biliverdin attaches to the spike N-terminal domain and stabilises it, so that the spike is not able to open up and expose parts of its structure. This means that some antibodies are not able to access their target sites and so cannot bind to and neutralise the virus.

Researcher said: “When SARS-CoV-2 infects a patient’s lungs it damages blood vessels and causes a rise in the number immune cells. Both of these effects may contribute to increasing the levels of biliverdin and bilirubin in the surrounding tissues. And with more of these molecules available, the virus has more opportunity to hide from certain antibodies. This is a really striking process, as the virus may be benefiting from a side-effect of the damage it has already caused.”