RT Journal Article SR Electronic T1 SARS-CoV-2 spike P681R mutation, a hallmark of the Delta variant, enhances viral fusogenicity and pathogenicity JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.06.17.448820 DO 10.1101/2021.06.17.448820 A1 Akatsuki Saito A1 Takashi Irie A1 Rigel Suzuki A1 Tadashi Maemura A1 Hesham Nasser A1 Keiya Uriu A1 Yusuke Kosugi A1 Kotaro Shirakawa A1 Kenji Sadamasu A1 Izumi Kimura A1 Jumpei Ito A1 Jiaqi Wu A1 Kiyoko Iwatsuki-Horimoto A1 Mutsumi Ito A1 Seiya Yamayoshi A1 Seiya Ozono A1 Erika P Butlertanaka A1 Yuri L Tanaka A1 Ryo Shimizu A1 Kenta Shimizu A1 Kumiko Yoshimatsu A1 Ryoko Kawabata A1 Takemasa Sakaguchi A1 Kenzo Tokunaga A1 Isao Yoshida A1 Hiroyuki Asakura A1 Mami Nagashima A1 Yasuhiro Kazuma A1 Ryosuke Nomura A1 Yoshihito Horisawa A1 Kazuhisa Yoshimura A1 Akifumi Takaori-Kondo A1 Masaki Imai A1 The Genotype to Phenotype Japan (G2P-Japan) Consortium A1 So Nakagawa A1 Terumasa Ikeda A1 Takasuke Fukuhara A1 Yoshihiro Kawaoka A1 Kei Sato YR 2021 UL http://biorxiv.org/content/early/2021/07/19/2021.06.17.448820.abstract AB During the current SARS-CoV-2 pandemic, a variety of mutations have been accumulated in the viral genome, and currently, four variants of concerns (VOCs) are considered as the hazardous SARS-CoV-2 variants to the human society1. The newly emerging VOC, the B.1.617.2/Delta variant, closely associates with a huge COVID-19 surge in India in Spring 20212. However, its virological property remains unclear. Here, we show that the B.1.617.2/Delta variant is highly fusogenic, and notably, more pathogenic than prototypic SARS-CoV-2 in infected hamsters. The P681R mutation in the spike protein, which is highly conserved in this lineage, facilitates the spike protein cleavage and enhances viral fusogenicity. Moreover, we demonstrate that the P681R-bearing virus exhibits higher pathogenicity than the parental virus. Our data suggest that the P681R mutation is a hallmark that characterizes the virological phenotype of the B.1.617.2/Delta variant and is closely associated with enhanced pathogenicity.Competing Interest StatementThe authors have declared no competing interest.