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SARS-CoV-2 variants of concern have acquired mutations associated with an increased spike cleavage

View ORCID ProfileAlba Escalera, View ORCID ProfileAna S. Gonzalez-Reiche, Sadaf Aslam, View ORCID ProfileIgnacio Mena, View ORCID ProfileRebecca L. Pearl, View ORCID ProfileManon Laporte, Andrea Fossati, View ORCID ProfileRaveen Rathnasinghe, View ORCID ProfileHala Alshammary, View ORCID ProfileAdriana van de Guchte, View ORCID ProfileMehdi Bouhaddou, View ORCID ProfileThomas Kehrer, Lorena Zuliani-Alvarez, David A. Meekins, View ORCID ProfileVelmurugan Balaraman, Chester McDowell, Jürgen A. Richt, View ORCID ProfileGoran Bajic, View ORCID ProfileEmilia Mia Sordillo, View ORCID ProfileNevan Krogan, View ORCID ProfileViviana Simon, View ORCID ProfileRandy A. Albrecht, View ORCID ProfileHarm van Bakel, View ORCID ProfileAdolfo Garcia-Sastre, View ORCID ProfileTeresa Aydillo
doi: https://doi.org/10.1101/2021.08.05.455290
Alba Escalera
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
2Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
3Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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  • ORCID record for Alba Escalera
Ana S. Gonzalez-Reiche
4Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Sadaf Aslam
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
2Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Ignacio Mena
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
2Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Rebecca L. Pearl
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
2Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Manon Laporte
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
2Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Andrea Fossati
5Quantitative Biosciences Institute (QBI), University of California San Francisco; San Francisco, CA, USA
6QBI COVID-19 Research Group (QCRG); San Francisco, CA, USA
7J. David Gladstone Institutes; San Francisco, CA, USA
8Department of Cellular and Molecular Pharmacology, University of California San Francisco; San Francisco, CA, USA
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Raveen Rathnasinghe
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
2Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
3Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Hala Alshammary
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Adriana van de Guchte
4Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Mehdi Bouhaddou
5Quantitative Biosciences Institute (QBI), University of California San Francisco; San Francisco, CA, USA
6QBI COVID-19 Research Group (QCRG); San Francisco, CA, USA
7J. David Gladstone Institutes; San Francisco, CA, USA
8Department of Cellular and Molecular Pharmacology, University of California San Francisco; San Francisco, CA, USA
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Thomas Kehrer
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
2Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
3Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Lorena Zuliani-Alvarez
5Quantitative Biosciences Institute (QBI), University of California San Francisco; San Francisco, CA, USA
6QBI COVID-19 Research Group (QCRG); San Francisco, CA, USA
7J. David Gladstone Institutes; San Francisco, CA, USA
8Department of Cellular and Molecular Pharmacology, University of California San Francisco; San Francisco, CA, USA
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David A. Meekins
9Department of Diagnostic Medicine/Pathobiology and Center of Excellence for Emerging and Zoonotic Animal Diseases, College of Veterinary Medicine; Kansas State University, Manhattan, KS, USA
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Velmurugan Balaraman
9Department of Diagnostic Medicine/Pathobiology and Center of Excellence for Emerging and Zoonotic Animal Diseases, College of Veterinary Medicine; Kansas State University, Manhattan, KS, USA
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Chester McDowell
9Department of Diagnostic Medicine/Pathobiology and Center of Excellence for Emerging and Zoonotic Animal Diseases, College of Veterinary Medicine; Kansas State University, Manhattan, KS, USA
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Jürgen A. Richt
9Department of Diagnostic Medicine/Pathobiology and Center of Excellence for Emerging and Zoonotic Animal Diseases, College of Veterinary Medicine; Kansas State University, Manhattan, KS, USA
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Goran Bajic
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Emilia Mia Sordillo
10Department of Pathology, Molecular and Cell-Based Medicine, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Nevan Krogan
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
5Quantitative Biosciences Institute (QBI), University of California San Francisco; San Francisco, CA, USA
6QBI COVID-19 Research Group (QCRG); San Francisco, CA, USA
7J. David Gladstone Institutes; San Francisco, CA, USA
8Department of Cellular and Molecular Pharmacology, University of California San Francisco; San Francisco, CA, USA
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Viviana Simon
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
2Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
10Department of Pathology, Molecular and Cell-Based Medicine, Icahn School of Medicine at Mount Sinai; New York, NY, USA
11Department of Medicine, Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Randy A. Albrecht
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
2Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Harm van Bakel
4Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai; New York, NY, USA
12Icahn Institute for Data Science and Genomic Technology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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Adolfo Garcia-Sastre
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
2Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
10Department of Pathology, Molecular and Cell-Based Medicine, Icahn School of Medicine at Mount Sinai; New York, NY, USA
11Department of Medicine, Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai; New York, NY, USA
13The Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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  • For correspondence: adolfo.garcia-sastre@mssm.edu teresa.aydillo-gomez@mssm.edu
Teresa Aydillo
1Department of Microbiology, Icahn School of Medicine at Mount Sinai; New York, NY, USA
2Global Health and Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai; New York, NY, USA
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  • For correspondence: adolfo.garcia-sastre@mssm.edu teresa.aydillo-gomez@mssm.edu
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Abstract

For efficient cell entry and membrane fusion, SARS-CoV-2 spike (S) protein needs to be cleaved at two different sites, S1/S2 and S2’ by different cellular proteases such as furin and TMPRSS2. Polymorphisms in the S protein can affect cleavage, viral transmission, and pathogenesis. Here, we investigated the role of arising S polymorphisms in vitro and in vivo to understand the emergence of SARS-CoV-2 variants. First, we showed that the S:655Y is selected after in vivo replication in the mink model. This mutation is present in the Gamma Variant Of Concern (VOC) but it also occurred sporadically in early SARS-CoV-2 human isolates. To better understand the impact of this polymorphism, we analyzed the in vitro properties of a panel of SARS-CoV-2 isolates containing S:655Y in different lineage backgrounds. Results demonstrated that this mutation enhances viral replication and spike protein cleavage. Viral competition experiments using hamsters infected with WA1 and WA1-655Y isolates showed that the variant with 655Y became dominant in both direct infected and direct contact animals. Finally, we investigated the cleavage efficiency and fusogenic properties of the spike protein of selected VOCs containing different mutations in their spike proteins. Results showed that all VOCs have evolved to acquire an increased spike cleavage and fusogenic capacity despite having different sets of mutations in the S protein. Our study demonstrates that the S:655Y is an important adaptative mutation that increases viral cell entry, transmission, and host susceptibility. Moreover, SARS-COV-2 VOCs showed a convergent evolution that promotes the S protein processing.

Competing Interest Statement

The A.G.-S. laboratory has received research support from Pfizer, Senhwa Biosciences, Kenall Manufacturing, Avimex, Johnson & Johnson, Dynavax, 7Hills Pharma, N-fold LLC, Pharmamar, ImmunityBio, Accurius, Nanocomposix, Hexamer and Merck, outside of the reported work. A.G.-S. has consulting agreements for the following companies involving cash and/or stock: Vivaldi Biosciences, Contrafect, 7Hills Pharma, Avimex, Vaxalto, Pagoda, Accurius, Esperovax, Farmak, Applied Biological Laboratories and Pfizer, outside of the reported work. A.G.-S. is inventor on patents and patent applications on the use of antivirals and vaccines for the treatment and prevention of virus infections, owned by the Icahn School of Medicine at Mount Sinai, New York. The Icahn School of Medicine at Mount Sinai has filed a patent application relating to SARS-CoV-2 serological assays, which lists Viviana Simon as co-inventor. Mount Sinai has spun out a company, Kantaro, to market serological tests for SARS-CoV-2.

Copyright 
The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC 4.0 International license.
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SARS-CoV-2 variants of concern have acquired mutations associated with an increased spike cleavage
Alba Escalera, Ana S. Gonzalez-Reiche, Sadaf Aslam, Ignacio Mena, Rebecca L. Pearl, Manon Laporte, Andrea Fossati, Raveen Rathnasinghe, Hala Alshammary, Adriana van de Guchte, Mehdi Bouhaddou, Thomas Kehrer, Lorena Zuliani-Alvarez, David A. Meekins, Velmurugan Balaraman, Chester McDowell, Jürgen A. Richt, Goran Bajic, Emilia Mia Sordillo, Nevan Krogan, Viviana Simon, Randy A. Albrecht, Harm van Bakel, Adolfo Garcia-Sastre, Teresa Aydillo
bioRxiv 2021.08.05.455290; doi: https://doi.org/10.1101/2021.08.05.455290
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SARS-CoV-2 variants of concern have acquired mutations associated with an increased spike cleavage
Alba Escalera, Ana S. Gonzalez-Reiche, Sadaf Aslam, Ignacio Mena, Rebecca L. Pearl, Manon Laporte, Andrea Fossati, Raveen Rathnasinghe, Hala Alshammary, Adriana van de Guchte, Mehdi Bouhaddou, Thomas Kehrer, Lorena Zuliani-Alvarez, David A. Meekins, Velmurugan Balaraman, Chester McDowell, Jürgen A. Richt, Goran Bajic, Emilia Mia Sordillo, Nevan Krogan, Viviana Simon, Randy A. Albrecht, Harm van Bakel, Adolfo Garcia-Sastre, Teresa Aydillo
bioRxiv 2021.08.05.455290; doi: https://doi.org/10.1101/2021.08.05.455290

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