SARS_CoV_2 mutation literature information.


  Prediction of SARS-CoV-2 Variant Lineages Using the S1-Encoding Region Sequence Obtained by PacBio Single-Molecule Real-Time Sequencing.
 PMID: 34960813       2021       Viruses
Introduction: The latest variant of concern, variant Delta (lineage B.1.617.2, clades 21A, 21I and 21J), emerged in India in October 2020 and was later detected in France in May 2021, and has the L452R mutation that makes it more transmissible.
Discussion: Interestingly, K417N, L452R, E484K, and E484Q are the mutations known to disrupt receptor-binding domain (RBD) binding capacity, making them more infectious by immune escape against the current vaccines.
Discussion: The variant belonging to the lineage B1.617.2 was shown to be resistant to the mAb bamlanivimab due to the escape mutation L452R and was also less sensitive to sera from convalescent patients.


  A Potent and Protective Human Neutralizing Antibody Against SARS-CoV-2 Variants.
 PMID: 34966387       2021       Frontiers in immunology
Introduction: The Delta variant contains the unique L452R and T478K mutations while sharing a common mutation with the Alpha and Gamma variants at P681 near the furin cleavage site.


  SARS-CoV-2 Variants: Mutations and Effective Changes.
 PMID: 34975266       2021       Biotechnology and bioprocess engineering
Abstract: Certain mutations (D614G, E484K, N501Y, K417N, L452R and P681R) have appeared across several different strains, often accompanied by others that may be complementary working together to confer increased infectivity, fitness, or resistance to neutralization.


  Analysis of Clinical Characteristics and Virus Strains Variation of Patients Infected With SARS-CoV-2 in Jiangsu Province-A Retrospective Study.
 PMID: 35004593       2021       Frontiers in public health
Table: L452R


  Analysis of Immune Escape Variants from Antibody-Based Therapeutics against COVID-19: A Systematic Review.
 PMID: 35008446       2021       International journal of molecular sciences
Discussion: L452R, which causes resistance to regdanvimab, also became prevalent first in VOI Epsilon and then in VOC Delta (source: Outbreak.info).


  Differences in Clinical Characteristics Between Delta Variant and Wild-Type SARS-CoV-2 Infected Patients.
 PMID: 35047533       2021       Frontiers in medicine
Discussion: Compared to other SARS-CoV-2 strains, the delta variant possesses notable mutations L452R, T478K, and E484Q in the RBD of S protein and P681R in the S1/S2 site.
Discussion: Each of the L452R and E484Q mutations lowered susceptibility to mRNA vaccine-generated antibodies by disrupting the binding between the RBD and hACE2, albeit the combined mutations did not show synergism.
Discussion: SARS-CoV-2 strains with L452R and E484Q mutations were associated with heightened resistance to antibody neutralization.


  RBD Double Mutations of SARS-CoV-2 Strains Increase Transmissibility through Enhanced Interaction between RBD and ACE2 Receptor.
 PMID: 35062205       2021       Viruses
3Introduction: For example, the ""delta"" strain, with the RBD mutation L452R/T478K, rapidly spread globally since it was identified in late 2020."
Introduction: However, the strains containing several RBD mutations, namely, L452R (epsilon), T478K, E484K, E484Q, and N501Y, were selected (Figure 1) and have caused multiple outbreaks, mostly due to the increased transmissibility of SARS-CoV-2 caused by these RBD mutations, (, accessed 15 December 2021).
Introduction: In this study, we investigated the changes in binding pattern and structural conformation between the ACE2 receptor and three major RBD


  Tracking SARS-CoV-2 Spike Protein Mutations in the United States (January 2020-March 2021) Using a Statistical Learning Strategy.
 PMID: 35062214       2021       Viruses
Abstract: Structural modeling supported a potential functi
Result: The L452R mutation is situated in the RBD; homology modelling of the RBD-ACE2 complex shows that while R452 does not directly contact ACE2, the guanidinium side chain of R452 is surface-exposed and thus could potentially impact nAb binding (Figure 3G).
Result: The L452R mutation was recently shown to reduce binding affinity to some RBD-targeting monoclonal antibodies, as well as to reduce susceptibility to nAbs.


  Genome Sequencing Reveals a Mixed Picture of SARS-CoV-2 Variant of Concern Circulation in Eastern Uttar Pradesh, India.
 PMID: 35071267       2021       Frontiers in medicine
Abstract: Signature substitution at positions S:L452R, S:P681R, and S:D614G were commonly detected in the Delta, Delta AY.1, and Kappa variants whereas S:T19R and S:T478K were confined to Delta and Delta AY.1 variants only.
Introduction: In January 2021, WHO included B.1.617.2 (Delta variant) as a VOC with spike double mutation E484Q and L452R have led to the second wave in India.
Result: Signature substitutions at positions L452R and P681R were commonly detected


  A Genomic Snapshot of the SARS-CoV-2 Pandemic in the Balearic Islands.
 PMID: 35095814       2021       Frontiers in microbiology
Result: Additionally, in summer 2021, three consensus genome sequences were assigned to lineage B.1 (EPI_ISL_3087129, EPI_ISL_2626134, and EPI_ISL_2626162) and showed some interesting additional spike mutations, including S:L452R and S:E484Q; these three genomes have been reassigned to recently described lineage B.1.630.



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