2020
DOI: 10.1101/2020.12.28.424451
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SARS-CoV-2 escapein vitrofrom a highly neutralizing COVID-19 convalescent plasma

Abstract: To investigate the evolution of SARS-CoV-2 in the immune population, we co-incubated authentic virus with a highly neutralizing plasma from a COVID-19 convalescent patient. The plasma fully neutralized the virus for 7 passages, but after 45 days, the deletion of F140 in the spike N-terminal domain (NTD) N3 loop led to partial breakthrough. At day 73, an E484K substitution in the receptor-binding domain (RBD) occurred, followed at day 80 by an insertion in the NTD N5 loop containing a new glycan sequon, which g… Show more

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Cited by 298 publications
(328 citation statements)
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“…For the time being, we do not know if the N501Y alone could counterbalance the predicted unfavorable Spike K417N and E484K amino acid replacements. Considering the clinical observations about the South African strain and potentials greater risks relative to the UK strain, as it is definitively unclear that the affinity between the Spike and ACE2 is significantly enhanced (according to our predictions), then, danger is due to some amino acid changes (e.g., Spike residue 484 in this region of the protein and possibly elsewhere) that impede recognition by neutralizing antibodies [39,40]. For the UK strain, could it be that the enhanced affinity to ACE2 not only increases transmissibility but also disease severity (not only due the increased number of infected individuals) as suggested after comparisons between SARS-CoV-2 and other human coronaviruses [41]?…”
Section: Discussionmentioning
confidence: 78%
“…For the time being, we do not know if the N501Y alone could counterbalance the predicted unfavorable Spike K417N and E484K amino acid replacements. Considering the clinical observations about the South African strain and potentials greater risks relative to the UK strain, as it is definitively unclear that the affinity between the Spike and ACE2 is significantly enhanced (according to our predictions), then, danger is due to some amino acid changes (e.g., Spike residue 484 in this region of the protein and possibly elsewhere) that impede recognition by neutralizing antibodies [39,40]. For the UK strain, could it be that the enhanced affinity to ACE2 not only increases transmissibility but also disease severity (not only due the increased number of infected individuals) as suggested after comparisons between SARS-CoV-2 and other human coronaviruses [41]?…”
Section: Discussionmentioning
confidence: 78%
“…Circulating SARS-CoV-2 mutant variants represent a major ongoing challenge to natural immunity and vaccination. In particular, a lot of attention has been focused on RBD mutation E484K, which has emerged in multiple independently SARS-CoV-2 lineages 63, 64 and can alter the antigenicity of the spike protein [65][66][67] . Another naturally occurring RBD mutation, K417N, which has emerged in South Africa and Brazil (B.1.351 lineage and B.1.1.28, respectively) 63, 64,68 , has recently been shown to also alter antigenicity of the spike protein 66,[69][70][71] .…”
Section: Discussionmentioning
confidence: 99%
“…6a, and Table 5 and 7,8 ). To examine memory B cell antibodies for binding to circulating SARS-CoV-2 variants and antibody resistant mutants we performed ELISAs using mutant RBDs 12,15,[28][29][30][31] . Twenty-two (26%) of the 84 antibodies tested showed at least 5-fold decreased binding to at least one of the mutant RBDs (Extended data Fig.…”
Section: Vaccine-elicited Sars-cov-2 Rbd-specific Monoclonal Antibodiesmentioning
confidence: 99%