Discussion: Interestingly, two Indian strains (CD211295-MW969753, CD210761-MZ021503) had a combination of two substitutions,
L18F and
E484K.
Discussion: The
E484K variant is of serious concern because of its resistance to some therapeutic monoclonal antibodies and decreased in vitro neutralization by the serum samples from patients infected with the original SARS-CoV-2.
Discussion: The role of simultaneous
L18F and
E484K mutations in virus transmission needs to be evaluated.