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Evolution of a globally unique SARS-CoV-2 Spike E484T monoclonal antibody escape mutation in a persistently infected, immunocompromised individual.
Peter Halfmann; Nicholas R. Minor; Luis A. Haddock III; Robert Maddox; Gage K. Moreno; Katarina Braun; David Baker; Kasen Riemersma; Ankur Prasad; Kirsten J. Alman; Matthew C. Lambert; Kelsey Florek; Allen Bateman; Ryan Westergaard; Nasia Safdar; David R. Andes; Yoshihiro Kawaoka; Madiha Fida; Joseph D. Yao; Thomas Friedrich; David H. O'Connor.
Afiliação
  • Peter Halfmann; University of Wisconsin-Madison
  • Nicholas R. Minor; University of Wisconsin-Madison
  • Luis A. Haddock III; University of Wisconsin-Madison
  • Robert Maddox; University of Wisconsin-Madison
  • Gage K. Moreno; University of Wisconsin-Madison
  • Katarina Braun; University of Wisconsin-Madison
  • David Baker; University of Wisconsin-Madison
  • Kasen Riemersma; University of Wisconsin, Madison
  • Ankur Prasad; University of Wisconsin Hospitals and Clinics
  • Kirsten J. Alman; University of Wisconsin Hospitals and Clinics
  • Matthew C. Lambert; University of Wisconsin Hospitals and Clinics
  • Kelsey Florek; Wisconsin State Laboratory of Hygiene
  • Allen Bateman; University of Wisconsin-Madison
  • Ryan Westergaard; University of Wisconsin-Madison
  • Nasia Safdar; University of Wisconsin-Madison
  • David R. Andes; University of Wisconsin-Madison
  • Yoshihiro Kawaoka; University of Wisconsin-Madison
  • Madiha Fida; Mayo Clinic
  • Joseph D. Yao; Mayo Clinic
  • Thomas Friedrich; University of Wisconsin Madison
  • David H. O'Connor; University of Wisconsin-Madison
Preprint em En | PREPRINT-MEDRXIV | ID: ppmedrxiv-22272784
ABSTRACT
Prolonged infections in immunocompromised individuals may be a source for novel SARS-CoV-2 variants, particularly when both the immune system and antiviral therapy fail to clear the infection, thereby promoting adaptation. Here we describe an approximately 16-month case of SARS-CoV-2 infection in an immunocompromised individual. Following monotherapy with the monoclonal antibody Bamlanivimab, the individuals virus was resistant to this antibody via a globally unique Spike amino acid variant (E484T) that evolved from E484A earlier in infection. With the emergence and spread of the Omicron Variant of Concern, which also contains Spike E484A, E484T may arise again as an antibody-resistant derivative of E484A.
Licença
cc_by_nc
Texto completo: 1 Coleções: 09-preprints Base de dados: PREPRINT-MEDRXIV Idioma: En Ano de publicação: 2022 Tipo de documento: Preprint
Texto completo: 1 Coleções: 09-preprints Base de dados: PREPRINT-MEDRXIV Idioma: En Ano de publicação: 2022 Tipo de documento: Preprint