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Escape of SARS-CoV-2 501Y.V2 from neutralization by convalescent plasma
Open accessPreprint — published as 10.1038/s41586-021-03471-w · Paper page
Abstract
SARS-CoV-2 variants of concern (VOC) have arisen independently at multiple locations and may reduce efficacy of current vaccines targeted at the spike glycoprotein. We re-cently described the emergence of VOC in South Africa (501Y.V2 or PANGO lineage B.1.351) with mutations in the spike receptor-binding domain (RBD) and N-terminal domain (NTD). Here, using a live virus neutralization assay (LVNA), we compared neutralization of a first wave virus (B.1.1.117) versus the 501Y.V2 variant using plasma collected from adults hospitalized with COVID-19 from two South African infection waves, with the second wave dominated by 501Y.V2 infections. Sequencing demonstrated that infections in first wave plasma donors were with viruses harbouring none of the 501Y.V2-defining RBD or NTD mutations, except for one with E484K. 501Y.V2 virus was effectively neutralized by plasma from second wave infections and first wave virus was effectively neutralized by first wave plasma. In cross-neutralization, 501Y.V2 virus was poorly neutralized by first wave plasma, with an 8.4-fold drop in neutralization relative to first wave virus and a 15.1-fold drop relative to 501Y.V2 neutralization by second wave plasma. In contrast, second wave plasma neutralization of first wave virus was more effective, showing 4.1-fold decline relative to 501Y.V2 virus neutralization and 2.3-fold decline relative to first wave plasma neutralization. While we only tested one plasma elicited by E484K alone, this potently neutralized both variants. The observed effective neutralization of first wave virus by 501Y.V2 infection elicited plasma provides preliminary evidence that vaccines based on VOC sequences could retain activity against other circulating SARS-CoV-2 lineages.
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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 [12]
In the citing paper
“A recent report using infectious B.1.351virus showed that plasma samples from six convalescent donors were strongly attenuated against this strain, with half-maximal inhibitory concentration (IC 50 ) values 6-to 200-fold higher than ancestral virus 29 .”
From Sensitivity of infectious SARS-CoV-2 B.1.1.7 and B.1.351 variants to neutralizing antibodies (2021) · cites this paper as [29]
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“(7,8) The United Kingdom reported increased hospitalisation and mortality rates in people infected with”
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Focosi, D., Tuccori, M., Baj, A., & Maggi, F. (2021) · Viruses · doi:10.3390/v13071211 · Cited by 37
Butera, Y., Mukantwari, E., Artesi, M., Umuringa, J. D., O’Toole, Á., Hill, V., Rooke, S., Hong, S. L., Dellicour, S., Majyambere, O., et al. (2021) · Nature Communications · doi:10.1038/s41467-021-25985-7 · Cited by 36
Douglas, J., Geoghegan, J. L., Hadfield, J., Bouckaert, R., Storey, M., Ren, X., de Ligt, J., French, N. P., & Welch, D. (2021) · Emerging infectious diseases · doi:10.3201/eid2709.211097 · Cited by 37
“20248640v) (31), no secondary infections were reported, including in case-patient A’s traveling companion.”
BackgroundThe localized rise of a B.1.526 SARS-CoV-2 variant containing an E484K mutation in New York StatePreprint
Lasek‐Nesselquist, E., Lapierre, P., Schneider, E., George, K. S., & Pata, J. D. (2021) · medRxiv · doi:10.1101/2021.02.26.21251868 · Cited by 38
SARS-COV-2 antibody responses to AZD1222 vaccination in West Africa
Abdullahi, A., Oladele, D. A., Owusu, M., Kemp, S. A., James, A. B., Salako, A. O., Fink, D., Ige, F. A., Ferreira, I. A. T. M., Meng, B., et al. (2022) · Nature Communications · doi:10.1038/s41467-022-33792-x · Cited by 30
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
Hussey, H., Zinyakatira, N., Morden, E., Ismail, M., Paleker, M., Bam, J.-L., London, L., Boulle, A., & Davies, M.-A. (2021) · Gates Open Research · doi:10.12688/gatesopenres.13288.1 · Cited by 27
“However, the science on re-infection is still very unclear, and particularly in the context of emerging variants, this should be interpreted cautiously 23 .”
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
Pattabiraman, C., Prasad, P., George, A., et al. (2021) · medRxiv · doi:10.1101/2021.03.17.21253810 · Cited by 24
Ferreira, I. A. T. M., Lee, C. Y. C., Foster, W. S., Abdullahi, A., Dratva, L. M., Tuong, Z. K., Stewart, B. J., Ferdinand, J. R., Guillaume, S. M., Potts, M., et al. (2023) · Cell Reports · doi:10.1016/j.celrep.2023.112991 · Cited by 30
Vaccination with SARS-CoV-2 variants of concern protects mice from challenge with wild-type virus
Amanat, F., Strohmeier, S., Meade, P. S., Dambrauskas, N., Mühlemann, B., Smith, D. J., Vigdorovich, V. I., Sather, D. N., Coughlan, L., & Krammer, F. (2021) · PLoS Biology · doi:10.1371/journal.pbio.3001384 · Cited by 20
Hospital mortality in COVID-19 patients in Belgium treated with statins, ACE inhibitors and/or ARBs
Byttebier, G., Belmans, L., Alexander, M., Saxberg, B. E. H., Spiegeleer, B. M. J. D., Spiegeleer, A. D., Devreker, N., Praet, J. T. V., Vanhove, K., Reybrouck, R., et al. (2021) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2021.1920271 · Cited by 19
“7) jeopardizes the future effectiveness of antibody treatments (and even vaccines) that target the spike protein of the virus [35-37].”
BackgroundSkelly, D. T., Harding, A. C., Gilbert-Jaramillo, J., Knight, M. L., Longet, S., Brown, A., Adele, S., Adland, E., Brown, H., Team, M. L., et al. (2021) · doi:10.21203/rs.3.rs-226857/v2 · Cited by 216
Self-citationGabitzsch, E., Safrit, J. T., Verma, M., Rice, A., Sieling, P. A., Zakin, L., Shin, A., Morimoto, B., Adisetiyo, H., Wong, R. M. H., et al. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.12.08.416297 · Cited by 17
“Page 3 INTRODUCTION 47 To address the ongoing COVID-19 pandemic (1, 2), particularly in the face of viral evolution 48 and evidence of viral variant resistance to antibodies and convalescent plasma (3-6), we have 49 developed a vaccine anticipated to protect individuals from SARS-CoV-2 that has the potential to 50 not…”
BackgroundFocosi, D., Franchini, M., Joyner, M. J., & Casadevall, A. (2022) · Vox Sanguinis · doi:10.1111/vox.13239 · Cited by 15
Horspool, A. M., Ye, C., Wong, T. Y., Russ, B. P., Lee, K. S., Winters, M. T., Bevere, J. R., Kieffer, T. W., Martínez, I., Sourimant, J., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.05.05.442784 · Cited by 22
“CP exhibited some beneficial effects early in the pandemic for critically ill patients (Bloch, 2020; Bloch et al., 2020; Chen et al., 2020), but its utility has recently been called into question (Casadevall et al., 2021; Cele et al., 2021; NIH, 2021; Zhao and He, 2020).”
BackgroundMethodWurtzer, S., Waldman, P., Levert, M., Mouchel, J., Gorgé, O., Boni, M., Maday, Y., Maréchal, V., & Moulin, L. (2021) · medRxiv · doi:10.1101/2021.03.10.21253291 · Cited by 16
Wagner, R., Meißner, J., Grabski, E., Sun, Y., Vieths, S., & Hildt, E. (2021) · Allergy · doi:10.1111/all.14868 · Cited by 25
Sun, D., Sang, Z., Kim, Y. J., et al. (2021) · bioRxiv · doi:10.1101/2021.03.09.434592 · Cited by 18
“These adaptations led to the global emergence of convergent circulating variants of concern, including the UK strain (B.1.1.7), the South Africa strain (B.1.351), and the Brazil strain (P.1) 22-24 .”
Influentialde Oliveira, T., Lutucuta, S., Nkengasong, J. N., Morais, J. F. M., Paixão, J., Neto, Z., Afonso, P., Miranda, J., David, K., Inglês, L., et al. (2021) · medRxiv · doi:10.1101/2021.03.30.21254323 · Cited by 27
Self-citationOutbreaks of publications about emerging infectious diseases: the case of SARS-CoV-2 and Zika virus
Ipekci, A. M., Buitrago‐García, D., Meili, K. W., Krauer, F., Prajapati, N., Thapa, S., Wildisen, L., Araujo-Chaveron, L., Baumann, L., Shah, S., et al. (2021) · BMC Medical Research Methodology · doi:10.1186/s12874-021-01244-7 · Cited by 16
“For example, preprint publication in December 2020, about the spread of new more infectious variants of SARS-CoV-2 in the United Kingdom and South Africa [30], provided the scientific evidence for strengthening control measures in several European Countries and changing vaccination policy in South Africa.”
BackgroundMolecular strategies for antibody binding and escape of SARS-CoV-2 and its mutations
Hendy, M. A., Kaufman, S., & Ponga, M. R. (2021) · Scientific Reports · doi:10.1038/s41598-021-01081-0 · Cited by 17
Deep dissection of the antiviral immune profile of patients with COVID-19
Atanackovic, D., Avila, S. V., Lutfi, F. U., de Miguel‐Pérez, D., Fan, X., Sanchez‐Petitto, G., Mause, E. R. V., Siglin, J., Baddley, J. W., Mannuel, H. D., et al. (2021) · Communications Biology · doi:10.1038/s42003-021-02852-1 · Cited by 10
Lyski, Z. L., Brunton, A., Strnad, M. I., et al. (2021) · medRxiv · doi:10.1101/2021.05.28.21258025 · Cited by 12
“Mutations, particularly those in the receptor binding domain (RBD) on the spike protein, have been shown to increase transmissibility through better binding to the host ACE-2 receptor [13-14] as well as reduce antibody-mediated neutralization by human convalescent immune, COVID-19 vaccine sera [9, 15-19] and therapeut…”
BackgroundMultiple SARS-CoV-2 variants escape neutralization by vaccine-induced humoral immunity
Garcia-Beltran, W. F., Lam, E. C., St. Denis, K., Nitido, A. D., Garcia, Z. H., Hauser, B. M., Feldman, J., Pavlovic, M. N., Gregory, D. J., Poznansky, M. C., et al. (2021) · Cell · doi:10.1016/j.cell.2021.04.006 · Cited by 243
“Importantly, these include the spike variants found in two replication-competent live-virus strains of the B.1.351 lineage, which were recently re-ported to exhibit nearly complete neutralization resistance in response to convalescent plasma (Cele et al., 2021).”
InfluentialSelf-citationGenomic Sequencing of SARS-COV-2 in Rwanda: evolution and regional dynamicsPreprint
Butera, Y., Mukantwari, E., Artesi, M., et al. (2021) · medRxiv · doi:10.1101/2021.04.02.21254839 · Cited by 10
Early super-spreader events are a likely determinant of novel SARS-CoV-2 variant predominance
Goyal, A., Reeves, D., & Schiffer, J. (2021) · medRxiv · doi:10.1101/2021.03.23.21254185 · Cited by 10
Novel Highly Divergent SARS-CoV-2 Lineage With the Spike Substitutions L249S and E484K
Laiton‐Donato, K., Usme-Ciro, J. A., Franco-Muñoz, C., Álvarez-Díaz, D. A., Ruiz-Moreno, H. A., Reales-González, J., Prada-Cardozo, D., Corchuelo, S., Herrera-Sepúlveda, M. T., Naizaque, J., et al. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.697605 · Cited by 7
“E484K has been suggested to be responsible for a considerably lower neutralizing activity in vitro from convalescent plasma (20, 24, 25), although the cell-mediated immunity could not be affected by the distinctive mutations (26).”
BackgroundClark, J. J., Sharma, P., Bentley, E. G., Harding, A. C., Kipar, A., Neary, M., Box, H., Hughes, G. L., Patterson, E. I., Sharp, J., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.03.10.434447 · Cited by 7
Self-citationMultiplex Fragment Analysis Identifies SARS-CoV-2 Variants
Clark, A. E., Wang, Z.-H., Cantarel, B., et al. (2021) · medRxiv · doi:10.1101/2021.04.15.21253747 · Cited by 7
Lien, C., Kuo, T.-Y., Lin, Y., et al. (2021) · medRxiv · doi:10.1101/2021.03.19.21254000 · Cited by 7
SARS-CoV-2 transmission, vaccination rate and the fate of resistant strains
Rella, S. A., Kulikova, Y. A., Dermitzakis, E., & Kondrashov, F. A. (2021) · medRxiv · doi:10.1101/2021.02.08.21251383 · Cited by 6
Chrysanthus, C. S. (2022) · International Journal of Clinical Virology · doi:10.29328/journal.ijcv.1001043 · Cited by 12
“These aggregated mutations in the 501Y, K417N, and E484K were detected in the receptor-binding domain, RBD including mutations in the N-terminal domain, NTD [11].”
BackgroundWhittaker, C., Watson, O. J., Álvarez, C., Angkasekwinai, N., Boonyasiri, A., Triana, L. C., Chanda, D. M., Charoenpong, L., Chayakulkeeree, M., Cooke, G., et al. (2021) · Clinical Infectious Diseases · doi:10.1093/cid/ciab837 · Cited by 8
Novel Lateral Flow-Based Assay for Simple and Visual Detection of SARS-CoV-2 Mutations
Gomez-Martinez, J., Henry, S., Tuaillon, É., de Perre, P. V., Fournier‐Wirth, C., Foulongne, V., & Brès, J.-C. (2022) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2022.902914 · Cited by 6
“Multiple studies reported that this mutation reduced neutralizing antibody activity, potentially resulting in immune evasion (Cele et al., 2021; Wibmer et al., 2021).”
BackgroundEspinosa, L. A., Ramos, Y., Andújar, I., Torres, E. O., Cabrera, G., Martin, A. M., Gonzalez-Roche, D., Chinea, G., Béquet‐Romero, M., González, I., et al. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.05.10.443404 · Cited by 4
“SARS-CoV-2 with point mutations (58) or other mutants generated by virus recombination phenomena (59).”
BackgroundImmune dynamics of SARS-CoV-2 virus evolution
Kamat, M., Kurlawala, V., Ghosh, G., & Vaishnav, R. (2022) · International Journal of Molecular and Immuno Oncology · doi:10.25259/ijmio_26_2021 · Cited by 4
Bar‐On, Y. M., Noor, Ε., Gottlieb, N., Sigal, A., & Milo, R. (2021) · medRxiv · doi:10.1101/2021.06.06.21258429 · Cited by 4
Self-citationReview of: "Efficacy of the ChAdOx1 nCoV-19 Covid-19 Vaccine against the B.1.351 Variant"
Lundstrom, K. H. (2021) · Qeios · doi:10.32388/8itiky · Cited by 1
“351 variant was evaluated with pseudovirus and live-virus assays [2,3] in 25 individuals, who were SARS-CoV-2 seronegative at enrolment but showed neutralizing antibody activity against SARS-CoV-2 D614G 14 days after the second vaccination.”
MethodCan proteomics-based approaches further help COVID-19 prevention and therapy?
Kumar, V. (2021) · Expert Review of Proteomics · doi:10.1080/14789450.2021.1924684 · Cited by 6
“351 variants also escape neutralization by convalescent plasma, indicating that the mutant virus can evade the immunity generated by prior SARS-CoV-2 infection [7].”
BackgroundFerreira, I., Lee, C. Q., Foster, W., et al. (2022) · medRxiv · doi:10.1101/2022.10.13.22281024 · Cited by 3
Real-time genomics to track COVID-19 post-elimination border incursions in Aotearoa New Zealand
Douglas, J., Geoghegan, J., Hadfield, J., et al. (2021) · medRxiv · doi:10.1101/2021.05.13.21257194 · Cited by 3
Modelling to inform the COVID-19 response in Bangladesh
Ferguson, E. A., Brum, E., Chowdhury, A., et al. (2021) · medRxiv · doi:10.1101/2021.04.19.21255673 · Cited by 3
Metadata
- Authors
- Cele, S., Gazy, I., Jackson, L., Hwa, S.-H., Tegally, H., Lustig, G., Giandhari, J., Pillay, S., Wilkinson, E., Naidoo, Y., Karim, F., Ganga, Y., Khan, K., Bernstein, M., Balazs, A. B., Gosnell, B. I., Hanekom, W., Moosa, M.-Y. S., NGS-SA, COMMIT-KZN Team, Lessells, R. J., Oliveira, T. D., & Sigal, A.
- Affiliations
- Africa Health Research Institute (ZA)
- Hebrew University of Jerusalem (IL)
- Centre for the AIDS Programme of Research in South Africa (ZA)
- University of KwaZulu-Natal (ZA)
- Ragon Institute of MGH, MIT and Harvard (US)
- Max Planck Institute for Infection Biology (DE)
- Corresponding author
- Sigal, Alex
- ORCID
- Cele, Sandile
- Gazy, Inbal
- Jackson, Laurelle
- Hwa, Shi-Hsia
- Tegally, Houriiyah
- Lustig, Gila
- Giandhari, Jennifer
- Pillay, Sureshnee
- Wilkinson, Eduan
- Naidoo, Yeshnee
- Karim, Farina
- Ganga, Yashica
- Khan, Khadija
- Bernstein, Mallory
- Balazs, Alejandro B.
- Gosnell, Bernadett I.
- Hanekom, Willem
- Moosa, Mahomed-Yunus S.
- Lessells, Richard J.
- Oliveira, Tulio de
- Sigal, Alex
- Venue
- Nature
- Publisher
- openRxiv
- Published
- 2021-01-26
- Volume
- 593
- Issue
- 7857
- Pages
- 142-146
- ISSN
- 0028-0836 (ISSN-L)
- PMC
- PMC9867906
- OpenAlex
- W3148277587
- Cited by
- 651
- References
- 29
- Citations by year
- 2026: 13 · 2025: 22 · 2024: 28 · 2023: 63 · 2022: 199 · 2021: 320
- FWCI
- 48.30
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Nature (publishedVersion)
- medRxiv (acceptedVersion, cc-by-nd)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, other-oa)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Griffith Research Online (submittedVersion, other-oa)
- Funders
- South African Medical Research Council
- Inyuvesi Yakwazulu-Natali
- National Health Laboratory Service
- Medical Research Council
- National Institute on Drug Abuse (DP2DA040254)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Animal Virus Infections Studies
- Keywords
- SARS-CoV-2, Beta variant, convalescent plasma, neutralizing antibodies, cross-neutralization, vaccine efficacy, spike protein, receptor binding domain, COVID-19 pandemic, South Africa
- MeSH terms
- COVID-19, SARS-CoV-2, COVID-19 Serotherapy, Animals, Antibodies, Viral, Cell Line, Chlorocebus aethiops, Humans, Immunization, Passive, Mutation, Neutralization Tests, South Africa, Time Factors, Vero Cells, Immune Evasion, Antibodies, Neutralizing
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