2021
DOI: 10.1371/journal.ppat.1009233
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SARS-CoV-2 variants with mutations at the S1/S2 cleavage site are generated in vitro during propagation in TMPRSS2-deficient cells

Abstract: The spike (S) protein of Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) binds to a host cell receptor which facilitates viral entry. A polybasic motif detected at the cleavage site of the S protein has been shown to broaden the cell tropism and transmissibility of the virus. Here we examine the properties of SARS-CoV-2 variants with mutations at the S protein cleavage site that undergo inefficient proteolytic cleavage. Virus variants with S gene mutations generated smaller plaques and exhibited a… Show more

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Cited by 183 publications
(215 citation statements)
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“…Deletion of the furin cleavage site has been shown to reduce SARS-CoV-2 replication in human respiratory cells, hamster and hACE2 mice ( 18 ). Previous work has demonstrated rapid emergence of spike variants at the furin-cleavage motif, including R685H, following five passages in type II transmembrane serine protease (TMPRSS2)-deficient cells ( 19 ). This explains the emergence of this variant in our study following propagation in Vero E6 cells, which do not express high levels of TMPRSS2 ( 20 ).…”
Section: Discussionmentioning
confidence: 99%
“…Deletion of the furin cleavage site has been shown to reduce SARS-CoV-2 replication in human respiratory cells, hamster and hACE2 mice ( 18 ). Previous work has demonstrated rapid emergence of spike variants at the furin-cleavage motif, including R685H, following five passages in type II transmembrane serine protease (TMPRSS2)-deficient cells ( 19 ). This explains the emergence of this variant in our study following propagation in Vero E6 cells, which do not express high levels of TMPRSS2 ( 20 ).…”
Section: Discussionmentioning
confidence: 99%
“…To discriminate the two S protein activation pathways, we included the . This explains why SARS-CoV-2 passaging in Vero E6 cells regularly leads to emergence of viruses bearing substitutions or deletions in the S1/S2 loop [45][46][47][48][49][50][51][52].…”
Section: Loop Deletion Mutants Of Sars-2-s Show Enhanced Cathepsin-dependent Entry Explaining Their Emergence In Vero Cellsmentioning
confidence: 99%
“…When unprimed, SARS-2-S pseudoviruses are strongly boosted towards the cathepsin B/L route. This likely explains the replication advantage of loop-deletion SARS-CoV-2 mutants in cathepsin L-rich Vero E6 cells [45][46][47][48][49][50][51][52]. The non-covalently linked S1/S2 form is less stable and a plausible disadvantage for endosomal entry.…”
Section: Plos Pathogensmentioning
confidence: 99%
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“…The S1/S2 furin cleavage site is unique to SARS-CoV-2 compared to other members of the betacoronavirus family and has been demonstrated to promote fusion between SARS-CoV-2 and host cell membranes [47]. Mutations in this region may promote viral entry into epithelial cells [48], increase transmissibility [49] or modulate the host immune response [46], [50].…”
Section: Resultsmentioning
confidence: 99%