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10.1111/ijcp.13525

http://scihub22266oqcxt.onion/10.1111/ijcp.13525
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32374903!7267315!32374903
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suck abstract from ncbi


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pmid32374903      Int+J+Clin+Pract 2020 ; 74 (8): e13525
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  • SARS-CoV-2 viral spike G614 mutation exhibits higher case fatality rate #MMPMID32374903
  • Becerra-Flores M; Cardozo T
  • Int J Clin Pract 2020[Aug]; 74 (8): e13525 PMID32374903show ga
  • 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.
  • |*Mutation[MESH]
  • |Aspartic Acid[MESH]
  • |Betacoronavirus/*genetics/pathogenicity[MESH]
  • |Binding Sites[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*mortality[MESH]
  • |Glycine[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*mortality[MESH]
  • |SARS-CoV-2[MESH]


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