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Cited by 184

The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.

Predicting the mutational drivers of future SARS-CoV-2 variants of concern

Open access
Maher, M. Cyrus, Bartha, Istvan, Weaver, Steven, di Iulio, Julia, Ferri, Elena, Soriaga, Leah, Lempp, Florian A., Hie, Brian L., Bryson, Bryan, Berger, Bonnie, Robertson, David L., Snell, Gyorgy, Corti, Davide, Virgin, Herbert W., Kosakovsky Pond, Sergei L., Telenti, Amalio·2022·Science Translational Medicine

Published version of a preprint

Abstract

SARS-CoV-2 evolution threatens vaccine- and natural infection–derived immunity and the efficacy of therapeutic antibodies. To improve public health preparedness, we sought to predict which existing amino acid mutations in SARS-CoV-2 might contribute to future variants of concern. We tested the predictive value of features comprising epidemiology, evolution, immunology, and neural network–based protein sequence modeling and identified primary biological drivers of SARS-CoV-2 intrapandemic evolution. We found evidence that ACE2-mediated transmissibility and resistance to population-level host immunity has waxed and waned as a primary driver of SARS-CoV-2 evolution over time. We retroactively identified with high accuracy (area under the receiver operator characteristic curve = 0.92 to 0.97) mutations that will spread, at up to 4 months in advance, across different phases of the pandemic. The behavior of the model was consistent with a plausible causal structure where epidemiological covariates combine the effects of diverse and shifting drivers of viral fitness. We applied our model to forecast mutations that will spread in the future and characterize how these mutations affect the binding of therapeutic antibodies. These findings demonstrate that it is possible to forecast the driver mutations that could appear in emerging SARS-CoV-2 variants of concern. We validated this result against Omicron, showing elevated predictive scores for its component mutations before emergence and rapid score increase across daily forecasts during emergence. This modeling approach may be applied to any rapidly evolving pathogens with sufficiently dense genomic surveillance data, such as influenza, and unknown future pandemic viruses.

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Show all 22 references

Research works printed but not linked: 20

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Metadata

Authors
Maher, M. C., Bartha, I., Weaver, S., di Iulio, J., Ferri, E., Soriaga, L., Lempp, F. A., Hie, B. L., Bryson, B., Berger, B., Robertson, D. L., Snell, G., Corti, D., Virgin, H. W., Kosakovsky Pond, S. L., & Telenti, A.
Venue
Science Translational Medicine
Published
2022-02-23
Volume
14
Issue
633
Pages
eabk3445-eabk3445
ISSN
  • 1946-6234 (ISSN-L)
  • 1946-6242
OpenAlex
W4225492776
Cited by
184
References
22
FWCI
18.83
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Predicting the mutational drivers of future SARS-CoV-2 variants of concern. https://app.cochat.ai/papers/10.1126/scitranslmed.abk3445
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Maher, M. C., Bartha, I., Weaver, S., di Iulio, J., Ferri, E., Soriaga, L., Lempp, F. A., Hie, B. L., Bryson, B., Berger, B., Robertson, D. L., Snell, G., Corti, D., Virgin, H. W., Kosakovsky Pond, S. L., & Telenti, A. (2022). Predicting the mutational drivers of future SARS-CoV-2 variants of concern. Science Translational Medicine. https://doi.org/10.1126/scitranslmed.abk3445

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