2021
DOI: 10.1016/j.immuni.2021.06.003
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Analysis of SARS-CoV-2 variant mutations reveals neutralization escape mechanisms and the ability to use ACE2 receptors from additional species

Abstract: SARS-CoV-2 variants continue to emerge during the global pandemic and may facilitate escape from current antibody therapies and vaccine protection. Here, we showed that the South African variant B.1.351 was the most resistant to current monoclonal antibodies and convalescent plasma from COVID-19-infected individuals, followed by the Brazilian variant P.1 and the UK variant B.1.1.7. This resistance hierarchy corresponded with Y144del and 242-244del mutations in the N-terminal domain and K417N/T, E484K and N501Y… Show more

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Cited by 204 publications
(218 citation statements)
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“…However, the overrepresentation of functionally important spike mutations including NTD deletions ΔH69-V70 and ΔY144 together with RBD mutations K417X, S477X, E484X, and N501X as well as P681X (near the S1/S2 interface) in the absence of a clear elevation of VOCs or VOIs may indicate a starting sieve effect at individual or combinations of functional mutations. Spike mutations and deletions reported to confer neutralization escape in vitro 23,43,44 might thus be responsible for a sieve effect in a real-life situation, i.e., among vaccinated individuals.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…However, the overrepresentation of functionally important spike mutations including NTD deletions ΔH69-V70 and ΔY144 together with RBD mutations K417X, S477X, E484X, and N501X as well as P681X (near the S1/S2 interface) in the absence of a clear elevation of VOCs or VOIs may indicate a starting sieve effect at individual or combinations of functional mutations. Spike mutations and deletions reported to confer neutralization escape in vitro 23,43,44 might thus be responsible for a sieve effect in a real-life situation, i.e., among vaccinated individuals.…”
Section: Discussionmentioning
confidence: 99%
“…The B.1.1.7 variant, e.g., through the RBD N501Y mutation but also through NTD deletions, acquired an enhanced affinity to ACE2, higher infectivity and virulence [54][55][56][57] , while maintaining sensitivity to neutralization though with slightly impaired nAb titers 54,[58][59][60] . The B.1.526 variant and its derivatives were designated VOI because of the presence of RBD mutations such as E484K or S477N that favor immune evasion 23,25 .…”
Section: Discussionmentioning
confidence: 99%
“…In addition, the reducing in neutralizing was observed in variants with mutations in NTD region and convalescent plasma. Although the results could not necessarily equivalent to natural infection and transmission, these mutations probably cause advantage to the virus (Wang et al, 2021) .…”
Section: Discussionmentioning
confidence: 86%
“…To date (mid-2021), B.1.351 and P.1 are the most resistant variants to anti-SARS-CoV-2 nAb responses, and notably, they also acquired the ability to use ACE from other species, thus extending the host range to mice and minks [ 397 , 398 ]. As shown for P.1 variants in Brazil, VOCs may also facilitate coinfections with different SARS-CoV-2 lineages [ 399 ].…”
Section: Humoral Immune Responsesmentioning
confidence: 99%