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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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“1) VOC, occur within the spike protein, which mediates 87 viral attachment and entry into host cells via the ACE2 receptor (25,26).”
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A SARS-CoV-2 Variant with L452R and E484Q Neutralization Resistance Mutations
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“Changes in the E at position 484 to K, Q, or A reduced the neutralizing activity of antibodies by more than 10-fold (40, 41).”
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Three SARS-CoV-2 reinfection cases by the new Variant of Concern (VOC) P.1/501Y.V3Preprint
Naveca, F. G., da Costa, C. F., do Nascimento, V. A., de Souza, V. C., Corado, A. D. L. G., Nascimento, F., Costa, Á., Duarte, D., Silva, G., Mejía, M., et al. (2021) · Research Square · doi:10.21203/rs.3.rs-318392/v1 · Cited by 83
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“7 caused a decrease in vaccine efficacy (5-8).”
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Antigenic evolution of SARS coronavirus 2
Mykytyn, A. Z., Fouchier, R. A. M., & Haagmans, B. L. (2023) · Current Opinion in Virology · doi:10.1016/j.coviro.2023.101349 · Cited by 36
Waning and boosting of antibody Fc-effector functions upon SARS-CoV-2 vaccination
Tong, X., McNamara, R. P., Avendaño, M. J., Serrano, E. F., García‐Salum, T., Pardo‐Roa, C., Bertera, H. L., Chicz, T. M., Lévican, J., Poblete, E., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-39189-8 · Cited by 38
Taus, E., Hofmann, C., Ibarrondo, F. J., Hausner, M. A., Fulcher, J. A., Krogstad, P. A., Ferbas, K. G., Tobin, N. H., Rimoin, A. W., Aldrovandi, G. M., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.835830 · Cited by 31
Evolution of the SARS-CoV-2 genome and emergence of variants of concern
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Kuzmina, A., Wattad, S., Khalaila, Y., Ottolenghi, A., Rosental, B., Engel, S., Rosenberg, E., & Taube, R. (2021) · iScience · doi:10.1016/j.isci.2021.103467 · Cited by 33
“Among these, E484K and K417N are key for antibody escape and reduced sensitivity to administrated vaccines (Greaney et al., 2021; Kuzmina et al., 2021; Starr et al., 2020; Xie et al., 2021) (Baum et al., 2020; Ku et al., 2021; Weisblum et al., 2020; Wibmer et al., 2021) (Andreano et al., 2021; Xie…”
BackgroundRole of SARS-CoV-2 and ACE2 variations in COVID-19
Antony, P., & Vijayan, R. (2021) · Biomedical Journal · doi:10.1016/j.bj.2021.04.006 · Cited by 32
“The E484K mutation has been identified as a neutralizing antibody escape mutation, which suggest a change in antigenicity [85].”
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COVID-19: vaccines, efficacy and effects on variants
Rudan, I., Adeloye, D., & Sheikh, A. (2022) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0000000000000868 · Cited by 34
Milligan, J. C., Zeisner, T. U., Papageorgiou, G., Joshi, D., Soudy, C., Ulferts, R., Wu, M., Lim, C. T., Tan, K. W., Weissmann, F., et al. (2021) · Biochemical Journal · doi:10.1042/bcj20210197 · Cited by 66
How will emerging SARS-CoV-2 variants impact herd immunity?
Lippi, G., & Henry, B. M. (2021) · Annals of Translational Medicine · doi:10.21037/atm-21-893 · Cited by 33
“Beside the previously mentioned enhanced transmissibility of viral variants containing the N501Y mutations, additional concern has been raised that the E484K mutation within the receptor biding domain (RBD) of the spike protein may enable the virus to partially escape recognition by the host immune system, as attested…”
BackgroundLiu, Z., Wu, H., Egland, K. A., Gilliland, T. C., Dunn, M. D., Luke, T. C., Sullivan, E. J., Klimstra, W. B., Bausch, C. L., & Whelan, S. P. J. (2021) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2021.1940652 · Cited by 26
Improving family access to dying patients during the COVID-19 pandemic
Downar, J., & Kekewich, M. (2021) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(21)00025-4 · Cited by 35
Macioła, A. K., Raja, M. L., Pacenti, M., Salata, C., Silvestro, G. D., Rosato, A., & Pasqual, G. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.830710 · Cited by 31
The Variation of SARS-CoV-2 and Advanced Research on Current Vaccines
Jiang, Y., Wu, Q. Y., Song, P., & You, C. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2021.806641 · Cited by 34
“It is worth noting that the nucleotide substitution of G23012A in the Beta variant participated in the E484Kmutation, considered to involve in altering viral antigenicity and in turn causing low efficacy of vaccines (44, 47, 48).”
BackgroundSaliu, T. P., Umar, H. I., Ogunsile, O. J., Okpara, M. O., Yanaka, N., & Elekofehinti, O. O. (2021) · Journal of Genetic Engineering and Biotechnology · doi:10.1186/s43141-021-00273-5 · Cited by 32
“1; and the other emerging variants are complicating the global burden of COVID19 [4, 5].”
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Graninger, M., Jani, C. M., Reuberger, E., Prüger, K., Gaspar, P., Springer, D. N., Borsodi, C., Weidner, L., Rabady, S., Puchhammer‐Stöckl, E., et al. (2023) · Microbiology Spectrum · doi:10.1128/spectrum.02314-22 · Cited by 29
Variable loss of antibody potency against SARS-CoV-2 B.1.1.529 (Omicron)Preprint
Sheward, D. J., Kim, C., Ehling, R. A., Pankow, A. P., Dopico, X. C., Martin, D. P., Reddy, S. T., Dillner, J., Hedestam, G. B. K., Albert, J., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.12.19.473354 · Cited by 17
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Khan, R. U., Almakdi, S., Alshehri, M. S., Kumar, R., Ali, I., Hussain, S. M., Haq, A. U., Khan, I. U., Ullah, A., & Uddin, M. I. (2022) · Diagnostics · doi:10.3390/diagnostics12102539 · Cited by 29
Interpreting the B-cell receptor repertoire with single-cell gene expression using Benisse
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Ready-to-use public infrastructure for global SARS-CoV-2 monitoring
Maier, W., Bray, S. A., van den Beek, M., Bouvier, D., Coraor, N., Miladi, M., Singh, B., Rambla, J., Baker, D., Roach, N. P., et al. (2021) · Nature Biotechnology · doi:10.1038/s41587-021-01069-1 · Cited by 25
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“Furthermore, these mutations can lead to immune escape, as shown in several in vitro studies [35,43,44].”
BackgroundTsai, K., Lee, Y.-C., & Tseng, T.-S. (2021) · Frontiers in Microbiology · doi:10.3389/fmicb.2021.698365 · Cited by 32
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“Indeed, several results are being published, 60 which demonstrated reduced neutralization capacity of convalescent plasma, vaccine sera, 61 and monoclonal antibodies against these variants (6)(7)(8)(9).”
BackgroundTran, T. T., Vaage, E. B., Mehta, A., Chopra, A., Tietze, L., Kolderup, A., Anthi, A. K., König, M. S. S., Nygaard, G. O., Lind, A., et al. (2022) · npj Vaccines · doi:10.1038/s41541-022-00586-7 · Cited by 47
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“In contrast, the E484K (Beta) mutation is of great concern, since it enhances binding affinity with ACE2 and reduces the binding interactions with neutralizing antibodies [37] and polyclonal serum antibodies [38] compromising the neutralization.”
BackgroundThe Genetic Variant of SARS-CoV-2: Would it matter for Controlling the Devastating Pandemic?
Guo, S., Liu, K., & Zheng, J. (2021) · International Journal of Biological Sciences · doi:10.7150/ijbs.59137 · Cited by 46
“Indeed, a single mutation in reside 484 was previously shown to significantly reduce the neutralization by several monoclonal antibodies and sera [73, 79].”
BackgroundNkosi, T., Chasara, C., Mbatha, A., Nsimbi, M., Papadopoulos, A. O., Nguni, T. L., Karim, F., Moosa, M. Y. S., Gazy, I., Jambo, K., et al. (2022) · eLife · doi:10.7554/elife.78374 · Cited by 31
“These mutations have been shown to directly affect ACE2 receptor binding affinity, infectivity, viral load, and transmissibility (40-42).”
BackgroundA tale of three SARS-CoV-2 variants with independently acquired P681H mutations in New York StatePreprint
Lasek‐Nesselquist, E., Pata, J. D., Schneider, E., & George, K. S. (2021) · medRxiv · doi:10.1101/2021.03.10.21253285 · Cited by 22
Ortega, J. T., Pujol, F. H., Jastrzębska, B., & Rangel, H. R. (2021) · EXCLI journal · doi:10.17179/excli2021-3471 · Cited by 26
Liu, H., Yuan, M., Huang, D.-L., Bangaru, S., Lee, C. D., Peng, L., Zhu, X.-Y., Nemazee, D., van Gils, M. V., Sanders, R., et al. (2021) · bioRxiv · doi:10.1101/2021.02.11.430866 · Cited by 24
“The RBS is also prone to naturally occurring mutations, similar to the N-terminal domain (NTD), where insertions and deletions have also been found (Greaney et al., 2021b; Kemp et al., 2021; Liu et al., 2021; McCarthy et al., 2020; Starr et al., 2020; Tegally et al., 2020; Van Egeren et al., 2020;…”
BackgroundInfluentialImmunoinformatics Study: Multi-Epitope Based Vaccine Design from SARS-CoV-2 Spike Glycoprotein
Umitaibatin, R., Harisna, A. H., Jauhar, M. M., Syaifie, P. H., Arda, A. G., Nugroho, D., Ramadhan, D., Mardliyati, E., Shalannanda, W., & Anshori, I. (2023) · Vaccines · doi:10.3390/vaccines11020399 · Cited by 26
“Several studies reported that these mutations can evade monoclonal antibodies [56,61] and influence polyclonal antibody recognition [62,63].”
BackgroundSertraline Is an Effective SARS-CoV-2 Entry Inhibitor Targeting the Spike Protein
Chen, Y., Wu, Y., Chen, S., Zhan, Q., Wu, D., Yang, C., He, X., Qiu, M., Zhang, N., Li, Z., et al. (2022) · Journal of Virology · doi:10.1128/jvi.01245-22 · Cited by 27
Impact of SARS-CoV-2 Variants on the Analytical Sensitivity of rRT-PCR Assays
Chen, Y., Han, Y., Yang, J., Ma, Y., Li, J., & Zhang, R. (2022) · Journal of Clinical Microbiology · doi:10.1128/jcm.02374-21 · Cited by 24
“The E484K mutation presented in the Beta and Gamma variants can facilitate evasion from the host immune system (8), thereby reducing the neutralization activity of the vaccine against the variants (9).”
BackgroundAnwar, M. Z., Lodhi, M. S., Khan, M. T., Khan, M. I., & Sharif, S. (2022) · Genes · doi:10.3390/genes13030552 · Cited by 21
Functional Effects of Receptor-Binding Domain Mutations of SARS-CoV-2 B.1.351 and P.1 Variants
Bayarri‐Olmos, R., Jarlhelt, I., Johnsen, L. B., Hansen, C. B., Helgstrand, C., Bjelke, J. R., Matthiesen, F., Nielsen, S. D., Iversen, K. K., Ostrowski, S. R., et al. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.757197 · Cited by 25
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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