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. 2023 Jan 11;12(1):5. doi: 10.3390/antib12010005

Table 2.

Major mutations in the SARS-CoV-2 protein and its impacts.

Mutations Type of Mutation and Region Impact References
D614G Amino acid substitution within receptor-binding motif (RBM) - Increases infectivity.
- Increases transmissibility.
[50,51]
N439K Amino acid substitution within receptor-binding motif (RBM) - Enhances the binding affinity for the ACE2 receptor.
- Reduces the neutralizing activity of some monoclonal antibodies (mAbs) and polyclonal antibodies.
[52]
Y453F Amino acid substitution within receptor-binding motif (RBM) - Increases ACE2-binding affinity.
- Enhances transmission capacity.
[53,54]
Δ69–70 Amino acid deletion in the N-terminal domain (NTD) of the spike protein - Affects the network of NTD loops.
- Increases transmission capacity.
[55,56]
N501Y Amino acid substitution within the RBD - Strengthens S protein binding to receptor ACE2.
- Facilitates immune escape (antibody).
[42,57]
E484K Amino acid substitution within the RBD Reduces the neutralizing activity of antibodies. [58,59]
K417N Amino acid substitution in the spike protein - Increases the interaction with hACE2.
- May abolished the antibody effect.
[60]
K444 Q/R/N Amino acid substitution within the RBD Reduces the neutralizing activity of antibodies. [61]
V445E Amino acid substitution within the RBD Reduces the neutralizing activity of antibodies. [42,61]
K150 T/Q/R/E Amino acid substitution in NTD of the spike protein Reduces the neutralizing activity of antibodies. [61,62]
N148S Amino acid substitution in NTD of the spike protein Reduces the neutralizing activity of antibodies. [61]
L452R Amino acid substitution within the RBD - Increases infectivity.
- Increases viral fusogenicity.
- Facilitates escape antibodies.
[63]
P681R Amino acid substitution in the spike protein - Enhances viral fusogenicity.
- Increases viral pathogenicity.
[64]
F486V Amino acid substitution within the RBD - Facilitates escape from certain class 1 and 2 antibodies. [65]
N460K Amino acid substitution in the spike protein - Enhances S processing.
- Enhances the resistance to neutralizing antibodies.
[66]
R346T Amino acid substitution in the spike protein - Increases viral prevalence.
- Increases the ability to evade neutralizing antibodies.
[67,68]