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  • 21/10/26 13:28
  • 조회 532
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  • Open Access
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  • The spike protein of SARS-CoV-2 variant A.30 is heavily mutated and evades vaccine-induced antibodies with high efficiency











    The COVID-19 pandemic, caused by SARS-CoV-2, continues to rage in many countries, straining health systems and economies. Vaccines protect against severe disease and death and are considered central to ending the pandemic. COVID-19 vaccines (and SARS-CoV-2 infection) elicit antibodies that are directed against the viral spike (S) protein and neutralize the virus. However, the emergence of SARS-CoV-2 variants with S protein mutations that confer resistance to neutralization might compromise vaccine efficacy [1]. Furthermore, emerging viral variants with enhanced transmissibility, likely due to altered virus-host cell interactions, might rapidly spread globally. Therefore, it is important to investigate whether emerging SARS-CoV-2 variants exhibit altered host cell interactions and resistance against antibody-mediated neutralization.




    We investigated host cell entry and antibody-mediated neutralization of the variant A.30 (also termed A.VOI.V2), which was detected in several patients in Angola and Sweden in spring 2021 and likely originated in Tanzania [ https://cov-lineages.org/lineage.html?lineage=A.30 (2021)." id="ref-link-section-d27053981e545" aria-label="Reference 2" href="https://www.nature.com/articles/s41423-021-00779-5#ref-CR2" data-test="citation-ref" data-track="click" data-track-action="reference anchor" data-track-label="link">2]. For comparison, we analyzed the Beta (B.1.351) and Eta (B.1.525) variants. These two variants were first detected in Africa, and the Beta variant, which is considered a variant of concern (VOC), shows the highest level of neutralization resistance among SARS-CoV-2 VOCs [3, 4]. Compared to the S protein of SARS-CoV-2 B.1, which circulated in the early phase of the pandemic, the S protein of the A.30 variant contains 10 amino acid substitutions and five deletions (Fig. 1a and Supplementary information, Fig. S1a). All deletions along with four substitutions are found in the N-terminal domain of the surface unit S1, which harbors an antigenic supersite that is targeted by most neutralizing antibodies not directed against the receptor-binding domain (RBD) [5]. In addition, three mutations are located inside the RBD, which binds to the cellular receptor ACE2 and constitutes the main target of neutralizing antibodies (Fig. 1a). Two of these mutations, T478R and E484K, are located close to the ACE2 binding site (Supplementary information, Fig. S1a), and E484K is known to reduce susceptibility to antibody-mediated neutralization. Finally, two mutations are located close to the S1/S2 cleavage site, and one mutation is found in the transmembrane unit S2, which facilitates fusion of the viral envelope with cellular membranes (Fig. 1a).




    In summary, A.30 exhibits a cell line preference not observed for other viral variants and efficiently evades neutralization by antibodies elicited by ChAdOx1 nCoV-19 or BNT162b2 vaccination. SARS-CoV-2 entry into cell lines depends on S protein activation by the cellular proteases cathepsin L or TMPRSS2 [8], and activation by the latter is thought to support viral spread in the lung. Therefore, it is noteworthy that enhanced A.30 entry was observed for cell lines with cathepsin L (Vero, 293 T, Huh-7, A549 cells)—but not TMPRSS2 (Calu-3, Caco-2)-dependent entry [8]. Thus, one could speculate that A.30 might use cathepsin L with increased efficiency and slight (but not statistically significant) resistance of A.30 against the cathepsin L inhibitor MDL 28170 supports this possibility (Supplemental information, Fig. S1c). Notably, robust entry into cell lines was combined with high resistance against antibodies induced upon ChAdOx1 nCoV-19 or BNT162b2 vaccination. Neutralization resistance exceeded that of the Beta (B.1.351) variant, which is markedly neutralization resistant in cell culture and, in comparison with the Alpha (B.1.1.7) variant, is less well inhibited by the ChAdOx1 nCoV-19 vaccine [9]. Nevertheless, heterologous ChAdOx1 nCoV-19/BNT162b2 vaccination, which was previously shown to augment neutralizing antibody responses against VOCs compared to corresponding homologous vaccinations [7, 10], might offer robust protection against the A.30 variant. Collectively, our results suggest that the SARS-CoV-2 variant A.30 can evade control by vaccine-induced antibodies and might show an increased capacity to enter cells in a cathepsin L-dependent manner, which might particularly aid in the extrapulmonary spread. As a consequence, the potential spread of the A.30 variant warrants close monitoring and rapid installment of countermeasures.




    SARS-CoV-2 변종 A.30의 스파이크 단백질은 돌연변이가 심하며 백신에 의한 항체를 고효율로 회피한다.






    요약하자면, A.30은 다른 바이러스 변종에 대해 관찰되지 않은 세포주 선호도를 나타내며, ChadOx1 nCoV-19 또는 BNT162b2 백신 접종에 의해 도출된 항체에 의한 중화 작용을 효과적으로 회피한다. SARS-CoV-2의 세포주 진입은 세포 단백질 분해효소인 카테신 L 또는 TMPRSS2[8]에 의한 S 단백질 활성화에 의존하며, 후자에 의한 활성화는 폐 내 바이러스 확산을 지원하는 것으로 생각된다. 따라서 카테신 L(Vero, 293 T, Huh-7, A549 세포)이 있는 세포 라인에 대해 강화된 A.30 엔트리가 관찰되었지만 TMPRSS2(Calu-3, Caco-2) 의존적인 엔트리는 관찰되지 않은 것이 주목할 만하다. 따라서 A.30이 카테프신 L 억제제 MDL 28170에 대해 A.30의 내성을 약간 높이며(통계적으로 유의하지 않음) 카테프신 L을 사용할 수 있다고 추측할 수 있다(보충 정보, 그림 S1c). 특히 세포주로의 강력한 진입은 ChadOx1 nCoV-19 또는 BNT162b2 백신 접종 시 유도된 항체에 대한 높은 저항성과 결합되었다. 중성화 저항성은 베타(B.1.351) 변종을 초과했으며, 이는 세포 배양에서 중화 저항성이 현저하게 강하며, 알파(B.1.1.7) 변종과 비교하여 ChadOx1 nCoV-19 백신에 의해 억제되지 않았다[9]. 그럼에도 불구하고, 이전에 해당 상동 예방접종[7, 10]에 비해 VOCs에 대한 중화 항체 반응을 증가시키는 것으로 나타났던 이종 ChadOx1 nCoV-19/BNT162b2 예방접종은 A.30 변종에 대한 강력한 보호 기능을 제공할 수 있다. 집합적으로, 우리의 결과는 SARS-CoV-2 변종 A.30이 백신에 의한 항체에 의한 통제를 회피할 수 있고 카테프신 L 의존적인 방식으로 세포에 들어갈 수 있는 용량이 증가할 수 있음을 시사하며, 이는 외삽 확산에 특히 도움이 될 수 있다. 그 결과, A.30 변종의 잠재적 확산은 면밀한 모니터링과 신속한 대책의 설치를 보증한다.




    https://www.nature.com/articles/s41423-021-00779-5



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