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Cited by 413

The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.

Delta spike P681R mutation enhances SARS-CoV-2 fitness over Alpha variant

Open access
Liu, Yang, Liu, Jianying, Johnson, Bryan A., Xia, Hongjie, Ku, Zhiqiang, Schindewolf, Craig, Widen, Steven G., An, Zhiqiang, Weaver, Scott C., Menachery, Vineet D., Xie, Xuping, Shi, Pei-Yong·2022·Cell Reports

Abstract

SARS-CoV-2 Delta variant has rapidly replaced the Alpha variant around the world. The mechanism that drives this global replacement has not been defined. Here we report that Delta spike mutation P681R plays a key role in the Alpha-to-Delta variant replacement. In a replication competition assay, Delta SARS-CoV-2 efficiently outcompeted the Alpha variant in human lung epithelial cells and primary human airway tissues. Delta SARS-CoV-2 bearing the Alpha-spike glycoprotein replicated less efficiently than the wild-type Delta variant, suggesting the importance of Delta spike in enhancing viral replication. The Delta spike has accumulated mutation P681R located at a furin cleavage site that separates the spike 1 (S1) and S2 subunits. Reverting the P681R mutation to wild-type P681 significantly reduced the replication of Delta variant, to a level lower than the Alpha variant. Mechanistically, the Delta P681R mutation enhanced the cleavage of the full-length spike to S1 and S2, leading to increased infection via cell surface entry. In contrast, the Alpha spike also has a mutation at the same amino acid (P681H), but the spike cleavage from purified Alpha virions was reduced compared to the Delta spike. Collectively, our results indicate P681R as a key mutation in enhancing Delta variant replication via increased S1/S2 cleavage. Spike mutations that potentially affect furin cleavage efficiency must be closely monitored for future variant surveillance.

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Metadata

Authors
Liu, Y., Liu, J., Johnson, B. A., Xia, H., Ku, Z., Schindewolf, C., Widen, S. G., An, Z., Weaver, S. C., Menachery, V. D., Xie, X., & Shi, P.-Y.
Venue
Cell Reports
Publisher
Elsevier BV
Published
2022-05
Volume
39
Issue
7
Pages
110829
ISSN
2211-1247 (ISSN-L)
OpenAlex
W4226064398
Cited by
413
References
14
FWCI
39.01
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Delta spike P681R mutation enhances SARS-CoV-2 fitness over Alpha variant. https://app.cochat.ai/papers/10.1016/j.celrep.2022.110829
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Liu, Y., Liu, J., Johnson, B. A., Xia, H., Ku, Z., Schindewolf, C., Widen, S. G., An, Z., Weaver, S. C., Menachery, V. D., Xie, X., & Shi, P.-Y. (2022). Delta spike P681R mutation enhances SARS-CoV-2 fitness over Alpha variant. Cell Reports. https://doi.org/10.1016/j.celrep.2022.110829

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