Article ; Online: SARS-CoV-2 viral spike G614 mutation exhibits higher case fatality rate.
International journal of clinical practice
2020 Volume 74, Issue 8, Page(s) e13525
Abstract: Aim: The COVID-19 pandemic is caused by infection with the SARS-CoV-2 virus. The major mutation detected to date in the SARS-CoV-2 viral envelope spike protein, which is responsible for virus attachment to the host and is also the main target for host ... ...
Abstract | Aim: The COVID-19 pandemic is caused by infection with the SARS-CoV-2 virus. The major mutation detected to date in the SARS-CoV-2 viral envelope spike protein, which is responsible for virus attachment to the host and is also the main target for host antibodies, is a mutation of an aspartate (D) at position 614 found frequently in Chinese strains to a glycine (G). We sought to infer health impact of this mutation. Result: Increased case fatality rate correlated strongly with the proportion of viruses bearing G614 on a country by country basis. The amino acid at position 614 occurs at an internal protein interface of the viral spike, and the presence of G at this position was calculated to destabilise a specific conformation of the viral spike, within which the key host receptor binding site is more accessible. Conclusion: These results imply that G614 is a more pathogenic strain of SARS-CoV-2, which may influence vaccine design. The prevalence of this form of the virus should also be included in epidemiologic models predicting the COVID-19 health burden and fatality over time in specific regions. Physicians should be aware of this characteristic of the virus to anticipate the clinical course of infection. |
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MeSH term(s) | Aspartic Acid ; Betacoronavirus/genetics ; Betacoronavirus/pathogenicity ; Binding Sites ; COVID-19 ; Coronavirus Infections/mortality ; Glycine ; Humans ; Mutation ; Pandemics ; Pneumonia, Viral/mortality ; SARS-CoV-2 ; Spike Glycoprotein, Coronavirus/genetics |
Chemical Substances | Spike Glycoprotein, Coronavirus ; spike protein, SARS-CoV-2 ; Aspartic Acid (30KYC7MIAI) ; Glycine (TE7660XO1C) |
Keywords | covid19 |
Language | English |
Publishing date | 2020-06-03 |
Publishing country | India |
Document type | Journal Article |
ZDB-ID | 1386246-7 |
ISSN | 1742-1241 ; 1368-5031 |
ISSN (online) | 1742-1241 |
ISSN | 1368-5031 |
DOI | 10.1111/ijcp.13525 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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