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SARS-CoV-2 变体 B.1.351 和 B.1.1.7 的抗体抗性。

Antibody resistance of SARS-CoV-2 variants B.1.351 and B.1.1.7.

机构信息

Aaron Diamond AIDS Research Center, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.

Department of Microbiology and Immunology, Columbia University Irving Medical Center, New York, NY, USA.

出版信息

Nature. 2021 May;593(7857):130-135. doi: 10.1038/s41586-021-03398-2. Epub 2021 Mar 8.


DOI:10.1038/s41586-021-03398-2
PMID:33684923
Abstract

The COVID-19 pandemic has had widespread effects across the globe, and its causative agent, SARS-CoV-2, continues to spread. Effective interventions need to be developed to end this pandemic. Single and combination therapies with monoclonal antibodies have received emergency use authorization, and more treatments are under development. Furthermore, multiple vaccine constructs have shown promise, including two that have an approximately 95% protective efficacy against COVID-19. However, these interventions were directed against the initial SARS-CoV-2 virus that emerged in 2019. The recent detection of SARS-CoV-2 variants B.1.1.7 in the UK and B.1.351 in South Africa is of concern because of their purported ease of transmission and extensive mutations in the spike protein. Here we show that B.1.1.7 is refractory to neutralization by most monoclonal antibodies against the N-terminal domain of the spike protein and is relatively resistant to a few monoclonal antibodies against the receptor-binding domain. It is not more resistant to plasma from individuals who have recovered from COVID-19 or sera from individuals who have been vaccinated against SARS-CoV-2. The B.1.351 variant is not only refractory to neutralization by most monoclonal antibodies against the N-terminal domain but also by multiple individual monoclonal antibodies against the receptor-binding motif of the receptor-binding domain, which is mostly due to a mutation causing an E484K substitution. Moreover, compared to wild-type SARS-CoV-2, B.1.351 is markedly more resistant to neutralization by convalescent plasma (9.4-fold) and sera from individuals who have been vaccinated (10.3-12.4-fold). B.1.351 and emergent variants with similar mutations in the spike protein present new challenges for monoclonal antibody therapies and threaten the protective efficacy of current vaccines.

摘要

新冠疫情在全球范围内造成了广泛影响,其病原体 SARS-CoV-2 仍在继续传播。需要开发有效的干预措施来结束这场大流行。单克隆抗体的单一和联合疗法已获得紧急使用授权,更多的治疗方法正在开发中。此外,多种疫苗结构都显示出了希望,其中两种对 COVID-19 的保护效力约为 95%。然而,这些干预措施是针对 2019 年出现的最初的 SARS-CoV-2 病毒的。最近在英国和南非检测到的 SARS-CoV-2 变体 B.1.1.7 和 B.1.351 令人担忧,因为它们据称具有易于传播的特性,以及在刺突蛋白上有广泛的突变。在这里,我们表明 B.1.1.7 对大多数针对刺突蛋白 N 端结构域的单克隆抗体的中和作用具有抗性,并且对少数针对受体结合域的单克隆抗体具有相对抗性。它对从 COVID-19 中康复的个体的血浆或接种过 SARS-CoV-2 的个体的血清没有更高的抵抗力。B.1.351 变体不仅对大多数针对刺突蛋白 N 端结构域的单克隆抗体具有抗性,而且对针对受体结合域受体结合基序的多种单克隆抗体也具有抗性,这主要是由于一个导致 E484K 取代的突变造成的。此外,与野生型 SARS-CoV-2 相比,B.1.351 对恢复期血浆的中和作用(9.4 倍)和接种疫苗个体的血清(10.3-12.4 倍)的抵抗力明显增强。B.1.351 和具有类似刺突蛋白突变的新兴变体给单克隆抗体治疗带来了新的挑战,并威胁到当前疫苗的保护效力。

相似文献

[1]
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Nature. 2021-5

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
Convalescent-Phase Sera and Vaccine-Elicited Antibodies Largely Maintain Neutralizing Titer against Global SARS-CoV-2 Variant Spikes.

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引用本文的文献

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Association Between ABO Blood Groups and SARS-CoV-2 RNAemia, Spike Protein Mutations, and Thrombotic Events in COVID-19 Patients.

Pathogens. 2025-7-31

[2]
ACE2 Receptor and Antibody Binding to SARS-CoV‑2 Spikes and Virions by Single-Molecule Fluorescence.

ACS Omega. 2025-7-31

[3]
Effectiveness of ChAdOx1 nCoV-19 (Vaxzevria) primary series vaccine against SARS-CoV-2 beta and delta variants: a nationwide study.

BMC Infect Dis. 2025-8-17

[4]
Optimization of the Primary Sludge Processing Method for Wastewater Genomic Surveillance of SARS-CoV‑2.

ACS ES T Water. 2025-7-7

[5]
Patterns and functional consequences of antibody speciation in maternal-fetal transfer of coronavirus-specific humoral immunity.

PLoS Pathog. 2025-8-6

[6]
Biometric Strategies to Improve Vaccine Immunogenicity and Effectiveness.

Biomimetics (Basel). 2025-7-3

[7]
Membrane-wide screening identifies potential tissue-specific determinants of SARS-CoV-2 tropism.

PLoS Pathog. 2025-7-17

[8]
Diammonium Glycyrrhizinate Exerts Broad-Spectrum Antiviral Activity Against Human Coronaviruses by Interrupting Spike-Mediated Cellular Entry.

Int J Mol Sci. 2025-6-30

[9]
The speed of vaccination rollout and the risk of pathogen adaptation.

J R Soc Interface. 2025-7

[10]
Optimizing a human monoclonal antibody for better neutralization of SARS-CoV-2.

Nat Commun. 2025-7-4

本文引用的文献

[1]
Resurgence of COVID-19 in Manaus, Brazil, despite high seroprevalence.

Lancet. 2021-2-6

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Nature. 2020-9-23

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