Result: Amino acid substitutions close to the furin cleavage site, including
H655Y and
P681R/H, have been shown to increase S1/S2 cleavage efficiency, and have also been observed in other VOCs and VOIs, such as Alpha, Delta, Gamma, Mu, and Kappa (S1/S2 region in.
Result: The majority of these substitutions (
P9L,
C136F,
R190S,
D215G,
L242del,
A243del,
Y449H,
E484K,
N501Y,
H655Y, and
T716I), however, appeared simultaneously, further supporting a single, prolonged infection giving rise to this lineage.