Neerukonda Sabari Nath, Vassell Russell, Lusvarghi Sabrina, Wang Richard, Echegaray Fernando, Bentley Lisa, Eakin Ann E, Erlandson Karl J, Katzelnick Leah C, Weiss Carol D, Wang Wei
bioRxiv. 2021 Nov 8:2021.11.05.467523. doi: 10.1101/2021.11.05.467523.
The SARS-CoV-2 B.1.617 lineage variants, Kappa (B.1.617.1) and Delta (B.1.617.2, AY) emerged during the second wave of infections in India, but the Delta variants have become dominant worldwide and continue to evolve. The spike proteins of B.1.617.1, B.1.617.2, and AY.1 variants have several substitutions in the receptor binding domain (RBD), including L452R+E484Q, L452R+T478K, and K417N+L452R+T478K, respectively, that could potentially reduce effectiveness of therapeutic antibodies and current vaccines. Here we compared B.1.617 variants, and their single and double RBD substitutions for resistance to neutralization by convalescent sera, mRNA vaccine-elicited sera, and therapeutic neutralizing antibodies using a pseudovirus neutralization assay. Pseudoviruses with the B.1.617.1, B.1.617.2, and AY.1 spike showed a modest 1.5 to 4.4-fold reduction in neutralization titer by convalescent sera and vaccine-elicited sera. In comparison, similar modest reductions were also observed for pseudoviruses with C.37, P.1, R.1, and B.1.526 spikes, but seven- and sixteen-fold reduction for vaccine-elicited and convalescent sera, respectively, was seen for pseudoviruses with the B.1.351 spike. Four of twenty-three therapeutic neutralizing antibodies showed either complete or partial loss of neutralization against B.1.617.2 pseudoviruses due to the L452R substitution, whereas six of twenty-three therapeutic neutralizing antibodies showed either complete or partial loss of neutralization against B.1.617.1 pseudoviruses due to either the E484Q or L452R substitution. Against AY.1 pseudoviruses, the L452R and K417N substitutions accounted for the loss of neutralization by four antibodies and one antibody, respectively, whereas one antibody lost potency that could not be fully accounted for by a single RBD substitution. The modest resistance of B.1.617 variants to vaccine-elicited sera suggest that current mRNA-based vaccines will likely remain effective in protecting against B.1.617 variants, but the therapeutic antibodies need to be carefully selected based on their resistance profiles. Finally, the spike proteins of B.1.617 variants are more efficiently cleaved due to the P681R substitution, and the spike of Delta variants exhibited greater sensitivity to soluble ACE2 neutralization, as well as fusogenic activity, which may contribute to enhanced spread of Delta variants.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的B.1.617谱系变体,即卡帕(B.1.617.1)和德尔塔(B.1.617.2,AY),在印度第二波感染期间出现,但德尔塔变体已在全球占据主导地位并持续进化。B.1.617.1、B.1.617.2和AY.1变体的刺突蛋白在受体结合域(RBD)中有多个替换,分别为L452R+E484Q、L452R+T478K和K417N+L452R+T478K,这可能会降低治疗性抗体和现有疫苗的有效性。在此,我们使用假病毒中和试验比较了B.1.617变体及其单RBD和双RBD替换对康复期血清、mRNA疫苗诱导血清和治疗性中和抗体中和作用的抗性。携带B.1.617.1、B.1.617.2和AY.1刺突的假病毒在康复期血清和疫苗诱导血清中的中和滴度适度降低了1.5至4.4倍。相比之下,携带C.37、P.1、R.1和B.1.526刺突的假病毒也观察到了类似的适度降低,但携带B.1.351刺突的假病毒在疫苗诱导血清和康复期血清中的中和滴度分别降低了7倍和16倍。23种治疗性中和抗体中有4种由于L452R替换而对B.1.617.2假病毒的中和作用完全或部分丧失,而23种治疗性中和抗体中有6种由于E484Q或L452R替换而对B.1.617.1假病毒的中和作用完全或部分丧失。对于AY.1假病毒,L452R和K417N替换分别导致4种抗体和1种抗体丧失中和作用,而1种抗体丧失的效力无法完全由单个RBD替换来解释。B.1.617变体对疫苗诱导血清的适度抗性表明,目前基于mRNA的疫苗可能仍能有效预防B.1.617变体,但治疗性抗体需要根据其抗性谱进行谨慎选择。最后,由于P681R替换,B.1.617变体的刺突蛋白更易被切割,德尔塔变体的刺突对可溶性血管紧张素转换酶2(ACE2)中和以及融合活性表现出更高的敏感性,这可能有助于德尔塔变体的传播增强。