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Comprehensive mapping of mutations to the SARS-CoV-2 receptor-binding domain that affect recognition by polyclonal human serum antibodies
Open accessPreprint — published as 10.1016/j.chom.2021.02.003 · Paper page
Abstract
The evolution of SARS-CoV-2 could impair recognition of the virus by human antibody-mediated immunity. To facilitate prospective surveillance for such evolution, we map how convalescent serum antibodies are impacted by all mutations to the spike’s receptor-binding domain (RBD), the main target of serum neutralizing activity. Binding by polyclonal serum antibodies is affected by mutations in three main epitopes in the RBD, but there is substantial variation in the impact of mutations both among individuals and within the same individual over time. Despite this inter- and intra-person heterogeneity, the mutations that most reduce antibody binding usually occur at just a few sites in the RBD’s receptor binding motif. The most important site is E484, where neutralization by some sera is reduced >10-fold by several mutations, including one in emerging viral lineages in South Africa and Brazil. Going forward, these serum escape maps can inform surveillance of SARS-CoV-2 evolution.
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“The E484K mutation has been reported to abolish or substantially reduce neutralization by multiple potent monoclonal antibodies and polyclonal convalescent sera in both wild-type and pseudo-virus neutralization assays.12,13,17,18,22”
From Efficacy of NVX-CoV2373 Covid-19 Vaccine against the B.1.351 Variant (2021) · cites this paper as [13]
In the citing paper
“The B.1.351 variant is characterized by three deleterious mutations at key antigenic sites in the RBD, including N501Y, K417N, and E484K, with the latter two having particular functional impact.”
From Efficacy of NVX-CoV2373 Covid-19 Vaccine against the B.1.351 Variant (2021) · cites this paper as [13]
In the citing paper
“From a biological point of view, the breakthrough cases observed in this study might be due to immune evasion, mediated by particular alterations present in these strains 9,[23][24][25][26][27] .”
From Evidence for increased breakthrough rates of SARS-CoV-2 variants of concern in BNT162b2-mRNA-vaccinated individuals (2021) · cites this paper as [23]
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“A large number of these are linked to evasion of receptor-binding domain (RBD)- or N-terminal domain (NTD)-directed neutralizing antibodies (10, 12, 15, 16, 28), or enhanced binding to the angiotensin-converting enzyme 2 receptor (14, 17–19, 22).”
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“and vaccine efficacy [13, 16-20], was not detected in viral genomes from sewage.”
BackgroundmRNA-1273 protects against SARS-CoV-2 beta infection in nonhuman primates
Corbett, K. S., Werner, A. P., Connell, S. O., Gagné, M., Lai, L., Moliva, J. I., Flynn, B. J., Choi, A., Koch, M., Foulds, K. E., et al. (2021) · Nature Immunology · doi:10.1038/s41590-021-01021-0 · Cited by 57
Evolution of SARS-CoV-2: Review of Mutations, Role of the Host Immune System
Banoun, H. (2021) · The Nephron journals/Nephron journals · doi:10.1159/000515417 · Cited by 77
The landscape of antibody binding affinity in SARS-CoV-2 Omicron BA.1 evolution
Moulana, A., Dupic, T., Phillips, A. M., Chang, J., Roffler, A. A., Greaney, A. J., Starr, T. N., Bloom, J. D., & Desai, M. M. (2023) · eLife · doi:10.7554/elife.83442 · Cited by 62
Self-citationThe effect of COVID-19 vaccination in Italy and perspectives for living with the virus
Marziano, V., Guzzetta, G., Mammone, A., Riccardo, F., Poletti, P., Trentini, F., Manica, M., Siddu, A., Bella, A., Stefanelli, P., et al. (2021) · Nature Communications · doi:10.1038/s41467-021-27532-w · Cited by 55
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A Structural Landscape of Neutralizing Antibodies Against SARS-CoV-2 Receptor Binding Domain
Niu, L., Wittrock, K. N., Clabaugh, G. C., Srivastava, V., & Cho, M. W. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.647934 · Cited by 62
The ins and outs of SARS-CoV-2 variants of concern (VOCs)
Salehi-Vaziri, ., Fazlalipour, M., Khorrami, S. M. S., Azadmanesh, K., Pouriayevali, M. H., Jalali, T., Shoja, Z., & Maleki, A. (2022) · Archives of Virology · doi:10.1007/s00705-022-05365-2 · Cited by 61
“S477N RBD May increase ACE2 binding and reduce neutralization by antibodies and convalescent sera [161, 162]”
BackgroundFeldman, J. E., Bals, J., Altomare, C. G., Denis, K. S., Lam, E. C., Hauser, B. M., Ronsard, L., Sangesland, M., Moreno, T. B., Okonkwo, V., et al. (2021) · Science Immunology · doi:10.1126/sciimmunol.abl5842 · Cited by 60
“Having BCRs within the naive repertoire that recognize distinct or partially overlapping epitopes across the RBM may be advantageous in eliciting protective responses to variants of SARS-CoV-2 ( 61-64 ).”
Moubarak, M., Kasozi, K. I., Hetta, . F., Shaheen, H. M., Rauf, A., Al-Kuraishy, H. M., Qusti, S. Y., Alshammari, E. M., Ayikobua, E. T., Ssempijja, F., et al. (2021) · Life · doi:10.3390/life11080734 · Cited by 57
“Severe diseases in COVID-19 cases are seen in around 20% of cases [60], and severe cases of COVID-19 are associated with high death rates (over 50% of cases).”
BackgroundSARS-CoV-2: is there neuroinvasion?
McQuaid, C., Brady, M., & Deane, R. (2021) · Fluids and Barriers of the CNS · doi:10.1186/s12987-021-00267-y · Cited by 72
“This raise concerns that these mutations could pose a greater risk to the population because it may be better at reinfecting people and some vaccines might not be as efficacious [36].”
BackgroundUnderstanding the Secret of SARS-CoV-2 Variants of Concern/Interest and Immune Escape
Lou, F., Li, M., Pang, Z., Jiang, L., Guan, L., Tian, L., Hu, J., Fan, J., & Fan, H. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.744242 · Cited by 54
“As one of the most important amino acid sites in S protein, E484 mutates to K, Q, or P, the antibody neutralization titer decreases more than 10-fold (69).”
BackgroundVerkhivker, G. M., & Paola, L. D. (2021) · The Journal of Physical Chemistry B · doi:10.1021/acs.jpcb.1c00395 · Cited by 55
Inhalable nanocatchers for SARS-CoV-2 inhibition
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“7 to hACE2 receptor is increased by 1,000 times, and it exhibits 70% more transmissible ability than the previously discovered SARS-CoV-2 (14).”
BackgroundThe impact of Spike mutations on SARS-CoV-2 neutralizationPreprint
Rees-Spear, C., Muir, L., Griffith, S. A., Heaney, J., Aldon, Y., Snitselaar, J. L., Pataillot-Meakin, T., Graham, C., Seow, J., Lee, N., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.01.15.426849 · Cited by 45
“Notably, binding analysis has suggested mutations in this loop can reduce RBD binding by Spike-specific sera (Greaney et al., 2021).”
BackgroundResultInfluentialFédry, J., Hurdiss, D. L., Wang, C., Li, W., Obal, G., Drulyte, I., Du, W., Howes, S. C., van Kuppeveld, F. J. M., Förster, F. G., et al. (2021) · Science Advances · doi:10.1126/sciadv.abf5632 · Cited by 54
“2) (38, 39)] harbor mutations in the RBM (K417N/T, E484K, and N501Y), which could facilitate viral escape from monoclonal antibodies (mAbs) binding to this region (40–42), as well as some polyclonal sera dominated by this class of antibodies (43).”
BackgroundNarowski, T. M., Raphel, K., Adams, L. E., Huang, J., Vielot, N. A., Jadi, R., de Silva, A. M., Baric, R. S., Lafleur, J., & Premkumar, L. (2022) · Cell Reports · doi:10.1016/j.celrep.2022.110336 · Cited by 53
“Recently, Greaney et al. (2021b) reported thatmRNA-1273elicitedRBD-focusedantibody response that targeted a broader range of epitopes than those produced by natural infection, suggesting one possible basis for the observed difference.”
BackgroundMuñoz-Alía, M. Á., Nace, R. A., Zhang, L., & Russell, S. J. (2021) · Cell Reports Medicine · doi:10.1016/j.xcrm.2021.100225 · Cited by 60
Bamlanivimab does not neutralize two SARS-CoV-2 variants carrying E484K in vitro
Widera, M., Wilhelm, A., Hoehl, S., et al. (2021) · medRxiv · doi:10.1101/2021.02.24.21252372 · Cited by 49
“Further studies have shown that of E484 represents an immunodominant site on the RBD since E484K reduced naturalization capacity of human convalescent sera by >100fold.(3) These amino acid substitutions have also been observed to evade the antibody response elicited by an infection with other SARS-CoV-2 variants, or v…”
BackgroundHsiao, W. W., Sharma, N., Le, T., Cheng, Y.-Y., Lee, C., Vo, D., Hui, Y. Y., Chang, H., & Chiang, W. (2022) · Analytica Chimica Acta · doi:10.1016/j.aca.2022.340389 · Cited by 56
Selenium (Se) plays a key role in the biological effects of some viruses: Implications for COVID-19
Liu, Q., Zhao, X., Ma, J., Mu, Y., Wang, Y., Yang, S., Wu, Y., Wu, F., & Zhou, Y. (2021) · Environmental Research · doi:10.1016/j.envres.2021.110984 · Cited by 56
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Self-citationStructural and functional insights into the spike protein mutations of emerging SARS-CoV-2 variants
Gupta, D., Sharma, P., Singh, M., Kumar, M., Ethayathulla, A. S., & Kaur, P. (2021) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-021-04008-0 · Cited by 56
“However, this mutation is a milder substitution that causes a three to fivefold reduction in neutralization activity [99].”
BackgroundThe challenges of COVID‐19 Delta variant: Prevention and vaccine development
He, X., He, C., Hong, W., Zhang, K., & Wei, X. (2021) · MedComm · doi:10.1002/mco2.95 · Cited by 52
Lim, C. T., Tan, K. W., Wu, M., Ulferts, R., Armstrong, L. A., Ozono, E., Drury, L. S., Milligan, J. C., Zeisner, T. U., Zeng, J., et al. (2021) · Biochemical Journal · doi:10.1042/bcj20210244 · Cited by 58
“However, new variants of the virus are emerging, and it is unclear how long vaccines will remain effective [5, 6].”
BackgroundResende, P. C., Naveca, F. G., Lins, R. D., Dezordi, F. Z., Ferraz, M. V. F., Moreira, E. G., Coêlho, D. F., Motta, F. C., Paixão, A. C. D., Appolinario, L., et al. (2021) · Virus Evolution · doi:10.1093/ve/veab069 · Cited by 47
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“Finally, as prevalent circulating variants of SARS-CoV-2 have emerged to evade clinical antibodies and wane vaccine-elicited serologic responses (43-47), this proof-of-concept study will shed light on the use of stable, multi-epitope and multivalent Nb constructs, in combination with PiN-21, as a novel aerosol cocktai…”
BackgroundMuecksch, F., Weisblum, Y., Barnes, C. O., Schmidt, F., Schaefer-Babajew, D., Lorenzi, J. C. C., Flyak, A. I., DeLaitsch, A. T., Huey-Tubman, K. E., Hou, S., et al. (2021) · doi:10.1101/2021.03.07.434227 · Cited by 39
“…resistance to class 1, 2 and 3 antibodies in cell culture has repeatedly identified K417, E484 and N501 substitutions, with E484K giving the most pervasive effects against polyclonal plasma (Baum et al., 2020; Greaney et al., 2021; Liu et al., 2021; Wang et al., 2021; Weisblum et al., 2020).”
BackgroundUnderstanding Mutations in Human SARS-CoV-2 Spike Glycoprotein: A Systematic Review & Meta-Analysis
Kumar, R., Srivastava, Y., Muthuramalingam, P., Singh, S. K., Verma, G., Tiwari, S., Tandel, N., Beura, S. K., Panigrahi, A. R., Maji, S., et al. (2023) · Viruses · doi:10.3390/v15040856 · Cited by 57
“The latter could be manifest in E484K mutants due to more robust interaction between RBD-hACE2 and reduced antibody-led neutralization [63,68].”
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The SARS-CoV-2 spike protein is vulnerable to moderate electric fields
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Nucleocapsid protein of SARS‐CoV‐2 is a potential target for developing new generation of vaccine
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“Most neutralizing antibodies target the receptor-binding domain (RBD) of SARS-CoV-2 spike (S) and prevent binding to the host angiotensin-converting enzyme 2 (ACE2) receptor (Yuan et al., 2021).”
InfluentialResende, P. C., Gräf, T., Paixão, A. C. D., Appolinario, L., Lopes, R. S., Mendonça, A. C. D. F., da Rocha, A. S. B., Motta, F. C., Neto, L. G. L., Khouri, R., et al. (2021) · Viruses · doi:10.3390/v13050724 · Cited by 45
SARS-CoV-2 Variants and Their Relevant Mutational Profiles: Update Summer 2021
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“This mutation is located in the tip of the receptor binding domain and can increase the binding affinity for ACE2 (35, 46, 54), thus contributing to an increase in SARS-CoV-2 infectivity as shown in a murine model (53).”
BackgroundInfluentialShen, L., Triche, T. J., Bard, J. D., Biegel, J. A., Judkins, A. R., & Gai, X. (2021) · medRxiv · doi:10.1101/2021.09.12.21263475 · Cited by 50
“Host immune response to SARS-CoV-2 infection is primarily characterized by antibodies directed against the spike protein, specifically the N-terminal domain (NTD) and the receptor-binding domain (RBD), with the latter being the focus of mRNA vaccines (6, 7).”
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Flores-Alanis, A., Cruz‐Rangel, A., Rodríguez‐Gómez, F., González, J., Torres-Guerrero, C. A., Delgado, G., Cravioto, A., & Morales-Espinosa, R. (2021) · Pathogens · doi:10.3390/pathogens10020184 · Cited by 40
Immune Escape Associated with RBD Omicron Mutations and SARS-CoV-2 Evolution Dynamics
Kudriavtsev, A. V., Vakhrusheva, A., Novoseletsky, V. N., Bozdaganyan, M. E., Шайтан, К. В., Kirpichnikov, M. P., & Sokolova, O. S. (2022) · Viruses · doi:10.3390/v14081603 · Cited by 52
“Deep mutagenesis has identified the E484 mutation as the most significant, which reduces neutralizing titers by an order of magnitude [41].”
BackgroundImmunity to SARS-CoV-2: Lessons Learned
FERGIE, J. E., & Srivastava, A. K. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.654165 · Cited by 46
Huang, S., & Wang, S. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22063060 · Cited by 50
“The E484K mutation, located in the RBD, not only enhanced binding with ACE2, it also exhibited strong or moderate resistance to several human neutralizing antibodies and human convalescent sera [52,76,78,80,82,83], which indicates this mutation is important in the viral evolution to escape neutralizing antibodies.”
Background
Metadata
- Authors
- Greaney, A. J., Loes, A. N., Crawford, K. H. D., Starr, T. N., Malone, K. D., Chu, H. Y., & Bloom, J. D.
- Affiliations
- University of Washington (US)
- Howard Hughes Medical Institute (US)
- Fred Hutch Cancer Center (US)
- Corresponding author
- Bloom, Jesse D.
- ORCID
- Venue
- Cell Host & Microbe
- Publisher
- openRxiv
- Published
- 2021-01-04
- Volume
- 29
- Issue
- 3
- Pages
- 463-476.e6
- ISSN
- 1931-3128 (ISSN-L)
- PMC
- PMC7869748
- OpenAlex
- W3127852352
- Cited by
- 1,178
- References
- 58
- Citations by year
- 2026: 43 · 2025: 64 · 2024: 79 · 2023: 158 · 2022: 361 · 2021: 459
- FWCI
- 83.77
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cell Host & Microbe (publishedVersion)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Howard Hughes Medical Institute
- Bill and Melinda Gates Foundation (INV-004949)
- Damon Runyon Cancer Research Foundation (DRG-2381-19)
- Washington Research Foundation
- Vanderbilt University
- University of Washington
- National Institutes of Health (1s10od028685-01)
- National Institute of Allergy and Infectious Diseases (R01AI127893, T32AI083203, F30AI149928, R01AI140891, R01AI141707)
- Office of Research Infrastructure Programs, National Institutes of Health (S10OD028685)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › vaccines and immunoinformatics approaches
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 detection and testing
- Keywords
- SARS-CoV-2, spike protein receptor-binding domain, antibody escape mutations, neutralizing antibodies, E484K mutation, antibody epitopes, convalescent plasma, humoral immunity
- MeSH terms
- Protein Domains, COVID-19, SARS-CoV-2, Adult, Aged, Antibodies, Monoclonal, Antibodies, Viral, Binding Sites, Cell Line, Female, Humans, Male, Middle Aged, Mutation, Prospective Studies, Protein Binding, Receptors, Virus, Young Adult, Antibodies, Neutralizing, Spike Glycoprotein, Coronavirus
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