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Intra-host non-synonymous diversity at a neutralizing antibody epitope of SARS-CoV-2 spike protein N-terminal domain

Authors
  • Ip, Jonathan Daniel1
  • Kok, Kin-Hang1
  • Chan, Wan-Mui1
  • Chu, Allen Wing-Ho1
  • Wu, Wai-Lan1
  • Yip, Cyril Chik-Yan2
  • To, Wing-Kin3
  • Tsang, Owen Tak-Yin4
  • Leung, Wai-Shing4
  • Chik, Thomas Shiu-Hong4
  • Chan, Kwok-Hung1
  • Hung, Ivan Fan-Ngai5
  • Yuen, Kwok-Yung1, 2
  • To, Kelvin Kai-Wang1, 2
  • 1 State Key Laboratory for Emerging Infectious Diseases, Carol Yu Centre for Infection, Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region, China
  • 2 Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China
  • 3 Department of Pathology, Princess Margaret Hospital, Hong Kong Special Administrative Region, China
  • 4 Department of Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong Special Administrative Region, China
  • 5 Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region, China
Type
Published Article
Journal
Clinical Microbiology and Infection
Publisher
Elsevier
Publication Date
Nov 02, 2020
Identifiers
DOI: 10.1016/j.cmi.2020.10.030
PMID: 33144203
PMCID: PMC7605743
Source
PubMed Central
Keywords
License
Unknown

Abstract

Objectives SARS-CoV-2 has evolved rapidly into several genetic clusters. However, data on mutations during the course of infection are scarce. This study aims to determine viral genome diversity in serial samples of COVID-19 patients. Methods Targeted deep sequencing of the spike gene was performed on serial respiratory specimens from COVID-19 patients using nanopore and Illumina sequencing. Sanger sequencing was then performed to confirm the single nucleotide polymorphisms. Results A total of 28 serial respiratory specimens from 12 patients were successfully sequenced using nanopore and Illumina sequencing. A 75-year-old patient with severe disease had a mutation, G22017T, identified in the second specimen. The frequency of G22017T increased from ≤5% (nanopore: 3.8%; Illumina: 5%) from the first respiratory tract specimen (sputum) to ≥60% (nanopore: 67.7%; Illumina: 60.4%) in the second specimen (saliva; collected 2 days after the first specimen). The difference in G22017T frequency was also confirmed by Sanger sequencing. G22017T corresponds to W152L amino acid mutation in the spike protein which was only found in <0.03% of the sequences deposited into a public database. Spike amino acid residue 152 is located within the N-terminal domain, which mediates the binding of a neutralizing antibody. Discussion A spike protein amino acid mutation W152L located within a neutralizing epitope has appeared naturally in a patient. Our study demonstrated that monitoring of serial specimens is important in identifying hotspots of mutations, especially those occurring at neutralizing epitopes which may affect the therapeutic efficacy of monoclonal antibodies.

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