Intra-host non-synonymous diversity at a neutralizing antibody epitope of SARS-CoV-2 spike protein N-terminal domain

Copyright © 2020 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved..

OBJECTIVES: SARS-CoV-2 has evolved rapidly into several genetic clusters. However, data on mutations during the course of infection are scarce. This study aims to determine viral genome diversity in serial samples of COVID-19 patients.

METHODS: Targeted deep sequencing of the spike gene was performed on serial respiratory specimens from COVID-19 patients using nanopore and Illumina sequencing. Sanger sequencing was then performed to confirm the single nucleotide polymorphisms.

RESULTS: A total of 28 serial respiratory specimens from 12 patients were successfully sequenced using nanopore and Illumina sequencing. A 75-year-old patient with severe disease had a mutation, G22017T, identified in the second specimen. The frequency of G22017T increased from ≤5% (nanopore: 3.8%; Illumina: 5%) from the first respiratory tract specimen (sputum) to ≥60% (nanopore: 67.7%; Illumina: 60.4%) in the second specimen (saliva; collected 2 days after the first specimen). The difference in G22017T frequency was also confirmed by Sanger sequencing. G22017T corresponds to W152L amino acid mutation in the spike protein which was only found in <0.03% of the sequences deposited into a public database. Spike amino acid residue 152 is located within the N-terminal domain, which mediates the binding of a neutralizing antibody.

DISCUSSION: A spike protein amino acid mutation W152L located within a neutralizing epitope has appeared naturally in a patient. Our study demonstrated that monitoring of serial specimens is important in identifying hotspots of mutations, especially those occurring at neutralizing epitopes which may affect the therapeutic efficacy of monoclonal antibodies.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases - 27(2021), 9 vom: 05. Sept., Seite 1350.e1-1350.e5

Sprache:

Englisch

Beteiligte Personen:

Ip, Jonathan Daniel [VerfasserIn]
Kok, Kin-Hang [VerfasserIn]
Chan, Wan-Mui [VerfasserIn]
Chu, Allen Wing-Ho [VerfasserIn]
Wu, Wai-Lan [VerfasserIn]
Yip, Cyril Chik-Yan [VerfasserIn]
To, Wing-Kin [VerfasserIn]
Tsang, Owen Tak-Yin [VerfasserIn]
Leung, Wai-Shing [VerfasserIn]
Chik, Thomas Shiu-Hong [VerfasserIn]
Chan, Kwok-Hung [VerfasserIn]
Hung, Ivan Fan-Ngai [VerfasserIn]
Yuen, Kwok-Yung [VerfasserIn]
To, Kelvin Kai-Wang [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Neutralizing
Antibodies, Viral
COVID-19
Epitopes
Illumina sequencing
Immunoglobulin G
Intra-host diversity
Journal Article
Nanopore sequencing
Neutralizing antibody
Non-synonymous mutation
Spike
Spike Glycoprotein, Coronavirus
Spike protein, SARS-CoV-2

Anmerkungen:

Date Completed 15.09.2021

Date Revised 15.09.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.cmi.2020.10.030

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM31712465X