RT Journal Article SR Electronic T1 SARS-CoV-2 Spike protein variant D614G increases infectivity and retains sensitivity to antibodies that target the receptor binding domain JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.07.04.187757 DO 10.1101/2020.07.04.187757 A1 Leonid Yurkovetskiy A1 Kristen E. Pascal A1 Christopher Tomkins-Tinch A1 Thomas Nyalile A1 Yetao Wang A1 Alina Baum A1 William E. Diehl A1 Ann Dauphin A1 Claudia Carbone A1 Kristen Veinotte A1 Shawn B. Egri A1 Stephen F. Schaffner A1 Jacob E. Lemieux A1 James Munro A1 Pardis C. Sabeti A1 Christos A. Kyratsous A1 Kuang Shen A1 Jeremy Luban YR 2020 UL http://biorxiv.org/content/early/2020/07/04/2020.07.04.187757.abstract AB Virus genome sequence variants that appear over the course of an outbreak can be exploited to map the trajectory of the virus from one susceptible host to another. While such variants are usually of no functional significance, in some cases they may allow the virus to transmit faster, change disease severity, or confer resistance to antiviral therapies. Since the discovery of SARS-CoV-2 as the cause of COVID-19, the virus has spread around the globe, and thousands of SARS-CoV-2 genomes have been sequenced. The rate of sequence variation among SARS-CoV-2 isolates is modest for an RNA virus but the enormous number of human-to-human transmission events has provided abundant opportunity for selection of sequence variants. Among these, the SARS-CoV-2 Spike protein variant, D614G, was not present in the presumptive common ancestor of this zoonotic virus but was first detected in late January in Germany and China. The D614G variant steadily increased in frequency and now constitutes >97% of isolates world-wide, raising the question whether D614G confers a replication advantage to SARS-CoV-2. Structural models predict that D614G would disrupt contacts between the S1 and S2 domains of the Spike protein and cause significant shifts in conformation. Using single-cycle vectors we showed that D614G is three to nine-fold more infectious than the ancestral form on human lung and colon cell lines, as well as on other human cell lines rendered permissive by ectopic expression of human ACE2 and TMPRSS2, or by ACE2 orthologues from pangolin, pig, dog, or cat. Nonetheless, monoclonal antibodies targeting the receptor binding domain of the SARS-CoV-2 Spike protein retain full neutralization potency. These results suggest that D614G was selected for increased human-to-human transmission, that it contributed to the rapidity of SARS-CoV-2 spread around the world, and that it does not confer resistance to antiviral therapies targeting the receptor binding domain.Competing Interest StatementP.C.S. is a co-founder and shareholder of Sherlock Biosciences, and a Board member and shareholder of Danaher Corporation. J.E.L. consulted for Sherlock Biosciences. C.A.K., K.E.P., and A.B. are employed by Regeneron Pharmaceuticals and own stock/options of the company. C.A.K. is an officer at Regeneron.