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10.1038/s41467-021-26602-3

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34737266!8568958!34737266
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suck abstract from ncbi


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pmid34737266      Nat+Commun 2021 ; 12 (1): 6405
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  • Within-host evolution of SARS-CoV-2 in an immunosuppressed COVID-19 patient as a source of immune escape variants #MMPMID34737266
  • Weigang S; Fuchs J; Zimmer G; Schnepf D; Kern L; Beer J; Luxenburger H; Ankerhold J; Falcone V; Kemming J; Hofmann M; Thimme R; Neumann-Haefelin C; Ulferts S; Grosse R; Hornuss D; Tanriver Y; Rieg S; Wagner D; Huzly D; Schwemmle M; Panning M; Kochs G
  • Nat Commun 2021[Nov]; 12 (1): 6405 PMID34737266show ga
  • The origin of SARS-CoV-2 variants of concern remains unclear. Here, we test whether intra-host virus evolution during persistent infections could be a contributing factor by characterizing the long-term SARS-CoV-2 infection dynamics in an immunosuppressed kidney transplant recipient. Applying RT-qPCR and next-generation sequencing (NGS) of sequential respiratory specimens, we identify several mutations in the viral genome late in infection. We demonstrate that a late viral isolate exhibiting genome mutations similar to those found in variants of concern first identified in UK, South Africa, and Brazil, can escape neutralization by COVID-19 antisera. Moreover, infection of susceptible mice with this patient's escape variant elicits protective immunity against re-infection with either the parental virus and the escape variant, as well as high neutralization titers against the alpha and beta SARS-CoV-2 variants, B.1.1.7 and B.1.351, demonstrating a considerable immune control against such variants of concern. Upon lowering immunosuppressive treatment, the patient generated spike-specific neutralizing antibodies and resolved the infection. Our results suggest that immunocompromised patients could be a source for the emergence of potentially harmful SARS-CoV-2 variants.
  • |Antibodies, Neutralizing/immunology[MESH]
  • |Antibodies, Viral/immunology[MESH]
  • |COVID-19/*immunology/*virology[MESH]
  • |Genome, Viral[MESH]
  • |Humans[MESH]
  • |Immune Evasion[MESH]
  • |Immunocompromised Host[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Mutation[MESH]
  • |Neutralization Tests[MESH]
  • |Phylogeny[MESH]
  • |SARS-CoV-2/chemistry/classification/genetics/*immunology[MESH]


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