2022
DOI: 10.1038/s41467-022-28287-8
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SARS-CoV-2 genomes from Saudi Arabia implicate nucleocapsid mutations in host response and increased viral load

Abstract: Monitoring SARS-CoV-2 spread and evolution through genome sequencing is essential in handling the COVID-19 pandemic. Here, we sequenced 892 SARS-CoV-2 genomes collected from patients in Saudi Arabia from March to August 2020. We show that two consecutive mutations (R203K/G204R) in the nucleocapsid (N) protein are associated with higher viral loads in COVID-19 patients. Our comparative biochemical analysis reveals that the mutant N protein displays enhanced viral RNA binding and differential interaction with ke… Show more

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Cited by 47 publications
(54 citation statements)
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“…In total, 37 SARS-CoV-2 isolates had 5’-UTR-derived sequences in their N gene, in contrast to ∼336,000 isolates with either R203K or G204K as per NCBI Virus (mutations in SARS-CoV-2 SRA data); most were isolates of the variant of concern gamma GR/501Yv3 (P1) lineage (first detected in Brazil and Japan) from Brazil, Chile, and Peru, but also alpha (B.1.1.7; first detected in Great Britain) from USA and Canada (Supplemental legend to Figure 4). The R203K/G204R co-mutation has been associated with B.1.1.7 (alpha) lineage emergence, which along with variants with the co-mutation including the P1 (gamma) lineage (Franco-Muñoz et al 2020), possess a replication advantage over the preceding lineages and show increased nucleocapsid phosphorylation, infectivity, replication, virulence, fitness, and pathogenesis as documented in a hamster model, human cells, and COVID-19 patients including an analysis of association between COVID-19 severity and sample frequency of R203K/G204R co-mutations (Johnson et al 2021; Mourier et al 2022; Wu et al 2021).…”
Section: Resultsmentioning
confidence: 99%
“…In total, 37 SARS-CoV-2 isolates had 5’-UTR-derived sequences in their N gene, in contrast to ∼336,000 isolates with either R203K or G204K as per NCBI Virus (mutations in SARS-CoV-2 SRA data); most were isolates of the variant of concern gamma GR/501Yv3 (P1) lineage (first detected in Brazil and Japan) from Brazil, Chile, and Peru, but also alpha (B.1.1.7; first detected in Great Britain) from USA and Canada (Supplemental legend to Figure 4). The R203K/G204R co-mutation has been associated with B.1.1.7 (alpha) lineage emergence, which along with variants with the co-mutation including the P1 (gamma) lineage (Franco-Muñoz et al 2020), possess a replication advantage over the preceding lineages and show increased nucleocapsid phosphorylation, infectivity, replication, virulence, fitness, and pathogenesis as documented in a hamster model, human cells, and COVID-19 patients including an analysis of association between COVID-19 severity and sample frequency of R203K/G204R co-mutations (Johnson et al 2021; Mourier et al 2022; Wu et al 2021).…”
Section: Resultsmentioning
confidence: 99%
“…Earlier examinations of emerging mutations in N proteins (6, 14, 61–63), going back to June 2020, were necessarily more limited in scope, and while sufficient to examine hot spots and identify key replacements such as R203K/G204R (6, 10, 14, 64), it was not yet possible to draw conclusions from a survey of the entire mutational landscape. Due to the orders of magnitude larger coverage that has become available through the global genomic epidemiology efforts since then, we believe that the observed data now approaches the limits of possible mutations for functioning N-protein, and therefore reflects its biophysical properties.…”
Section: Discussionmentioning
confidence: 99%
“…A persistent concern is viral escape through evolution of therapeutic and immunological targets. Most attention in this regard is devoted to the viral spike protein that facilitates viral entry (6,7), though recent data additionally point to the importance of viral packaging by the nucleocapsid (N) protein modulating viral loads and thereby infectivity (8)(9)(10).…”
Section: Introductionmentioning
confidence: 99%
“…The R203K(Arginine→Lysine)+G204R(Glycine→Arginine) substitutions occur most frequently during N protein evolution [ 86 ]. The mutations together show more significant inhibition of RNA-induced interferon expression, and they can increase SARS-CoV-2 replication, pathogenicity, and fitness by modulating host-virus interactions [ 87 , 88 ].…”
Section: Structural Proteinsmentioning
confidence: 99%