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ScFvR105W for COVID-19

ScFvR105W has been reported as potentially beneficial for treatment of COVID-19. We have not reviewed these studies. See all other treatments.
Bubphamanee et al., Development of an Antibody Targeting Variants of the SARS-CoV-2 Spike Protein, Journal of Health Science and Medical Research, doi:10.31584/jhsmr.20251152
Objective: The novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which enters human cells through its spike protein binding the human receptor (ACE2), has evolving variants of concern (VOCs). This in silico study aimed to enhance the binding efficacy of a fragment in the SARS-CoV-2 antibody, by designing single-chain variable fragments (scFv) to block ACE2 from binding various receptor binding domain (RBD) variants. Material and Methods: The modified scFv structures were derived from the regdanvimab (CT-P59) IgG antibody. The binding interactions between the scFv and RBD of VOC variants were characterized using molecular docking and molecular dynamic (MD) simulations. Additionally, computational mutagenesis was also performed to optimize the scFv binding efficacy against the RBD variants.Results: The unmodified CT-P59 scFv exhibited stronger binding affinities to VOC variants as compared to those of the Fab fragment; except for the Beta and Omicron XBB.1.5 variants. The docking results of the mutated antibody revealed that the R105W mutation in the scFv exhibited the most significant improvement in binding affinity across all VOCs. Additional MD simulation showed that the R105W mutation resulted in stronger binding affinity and stability than those of the wild-type CT-P59 Fab fragment; particularly against the Delta and Omicron variants. The R105W mutation induced binding by consistently interacting with virus-conserved residues Y452, F486, and Y489 on the RBD.Conclusion: This study successfully highlights the potential of the scFv with R105W mutation, targeting conserved RBD regions. This suggests that scFvR105W is a promising therapeutic candidate against SARS-CoV-2. Additionally, it provides a framework for developing potent therapeutic antibodies against COVID-19 and potential future pandemics; emphasizing the importance of adaptive strategies in response to viral mutations.
Please send us corrections, updates, or comments. c19early involves the extraction of 100,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. FLCCC and WCH provide treatment protocols.
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