2021
DOI: 10.1016/j.cell.2021.03.028
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N-terminal domain antigenic mapping reveals a site of vulnerability for SARS-CoV-2

Abstract: Highlights d NTD-targeting antibodies are a key part of immunity to SARS-CoV-2 d NTD neutralizing antibodies target a single antigenic site of vulnerability d Neutralizing NTD antibodies protect hamsters from SARS-CoV-2 challenge d Variants of concern have mutations in the NTD that escape neutralization

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Cited by 871 publications
(980 citation statements)
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References 138 publications
(141 reference statements)
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“…Although NTD indels Δ189-190 and ins214ANRN did not affect the NTD antigenic-supersite, they occur at putative epitope regions covering residues 168/173-188 and 209-216 ( Appendix Table 2 ) and leads to conformational changes in exterior loops (Figure S1 G-H) which might affect Ab binding outside the antigenic-supersite. These findings suggest that NTD deletions Δ144, Δ141-143, and Δ242-244 here detected probably abrogate the binding of NAb directed against the NTD antigenic-supersite and confirm that deletions at RDRs 2/4 are an essential mechanism for SARS-CoV-2 immune evasion 3,14 .…”
Section: Resultssupporting
confidence: 79%
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“…Although NTD indels Δ189-190 and ins214ANRN did not affect the NTD antigenic-supersite, they occur at putative epitope regions covering residues 168/173-188 and 209-216 ( Appendix Table 2 ) and leads to conformational changes in exterior loops (Figure S1 G-H) which might affect Ab binding outside the antigenic-supersite. These findings suggest that NTD deletions Δ144, Δ141-143, and Δ242-244 here detected probably abrogate the binding of NAb directed against the NTD antigenic-supersite and confirm that deletions at RDRs 2/4 are an essential mechanism for SARS-CoV-2 immune evasion 3,14 .…”
Section: Resultssupporting
confidence: 79%
“…Moreover, in vitro co-incubation of SARS-CoV-2 with highly neutralizing plasma form COVID-19 convalescent patient, has revealed an incremental resistance to neutralization followed by the stepwise acquisition of indels at N3/N5 loops 31 . Notably, SARS-CoV-2 challenge in hamsters previously treated with anti-NTD mAbs revealed selection of two escape mutants harboring NTD deletions Δ143-144 and Δ141-144 14 . Thus, NTD indels might represent a mechanism of ongoing adaptive evolution of VOC and VOI circulating in Brazil to escape from dominant neutralizing antibodies directed against the NTD antigenic-supersite.…”
Section: Resultsmentioning
confidence: 99%
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“…Spike mutations of emerging mutant variants mainly accumulate in three regions: 1) RBD, 2) NTD, and 3) around the S1/S2 cleavage site (Figure 6). RBD and NTD play essential roles as target sites for nAbs, directed in >90% of cases against RBD, complemented by lower percentage nAb activity against NTD [191,208,301,302]. Consequently, these sites are also prominent sites for nAb escape mutations.…”
Section: Sars-cov-2 Mutates On a Low But Constant Level Yielding Mutant Variants Over Timementioning
confidence: 99%