Neutralizing antibody 5-7 defines a distinct site of vulnerability in SARS-CoV-2 spike N-terminal domain

Antibodies that potently neutralize SARS-CoV-2 target mainly the receptor-binding domain or the N-terminal domain (NTD). Over a dozen potently neutralizing NTD-directed antibodies have been studied structurally, and all target a single antigenic supersite in NTD (site 1). Here, we report the cryo-EM structure of a potent NTD-directed neutralizing antibody 5-7, which recognizes a site distinct from other potently neutralizing antibodies, inserting a binding loop into an exposed hydrophobic pocket between the two sheets of the NTD β sandwich. Interestingly, this pocket was previously identified as the binding site for hydrophobic molecules, including heme metabolites, but we observe that their presence does not substantially impede 5-7 recognition. Mirroring its distinctive binding, antibody 5-7 retains neutralization potency with many variants of concern (VOCs). Overall, we reveal that a hydrophobic pocket in NTD proposed for immune evasion can be used by the immune system for recognition. [Display omitted] •Cryo-EM structure of neutralizing antibody 5-7 in complex with SARS-CoV-2 spike•5-7 recognizes NTD outside of the previously identified antigenic supersite•5-7 binds to a site known to accommodate numerous hydrophobic ligands•Structural basis of 5-7 neutralization tolerance to some variants of concern Cerutti et al. report the cryo-EM structure of potent neutralizing antibody 5-7 bound to SARS-CoV-2 spike. While most NTD-directed neutralizing antibodies target the NTD supersite, 5-7 binds to a conserved hydrophobic pocket on NTD and neutralizes many variants of concern.