Evidence map›Paper›PMID 30404801›Full record

ArticleJournal of virology2019

Mutations in the Spike Protein of Middle East Respiratory Syndrome Coronavirus Transmitted in Korea Increase Resistance to Antibody-Mediated Neutralization.

Hannah Kleine-Weber, Mahmoud Tarek Elzayat, Lingshu Wang, Barney S Graham, Marcel A Müller, Christian Drosten, Stefan Pöhlmann, Markus Hoffmann

Open access · greenAbstract read
In one paragraph

Article in Journal of virology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
14.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 1 synthesis or guideline pooled it, 163 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  7. Review
  8. Review
  9. MERS-COV in the Middle East, a one health concept approach.One health (Amsterdam, Netherlands) · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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  16. Article
  17. Designed miniproteins potently inhibit and protect against MERS-CoV.bioRxiv : the preprint server for biology · 2024
    Article
  18. Article
  19. Article
  20. Article

38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Hannah Kleine-WeberInfection Biology Unit, German Primate Center, Göttingen, Germany.
Mahmoud Tarek ElzayatInfection Biology Unit, German Primate Center, Göttingen, Germany.
Lingshu WangVaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Barney S GrahamVaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0001-8112-0853
Marcel A MüllerInstitute of Virology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Christian DrostenInstitute of Virology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Stefan PöhlmannInfection Biology Unit, German Primate Center, Göttingen, Germany spoehlmann@dpz.eu mhoffmann@dpz.eu.ORCID 0000-0001-6086-9136
Markus HoffmannInfection Biology Unit, German Primate Center, Göttingen, Germany spoehlmann@dpz.eu mhoffmann@dpz.eu.ORCID 0000-0003-4603-7696
German Primate Center · DEGerman Center for Infection Research · DENational Institutes of Health · US

Funding

Coronavirus vaccine developmentZIAAI005125 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI GRAHAM, BARNEY · 2014 to 2021
$5.8M
6 · The paper itself

Abstract

Middle East respiratory syndrome coronavirus (MERS-CoV) poses a threat to public health. The virus is endemic in the Middle East but can be transmitted to other countries by travel activity. The introduction of MERS-CoV into the Republic of Korea by an infected traveler resulted in a hospital outbreak of MERS that entailed 186 cases and 38 deaths. The MERS-CoV spike (S) protein binds to the cellular protein DPP4 via its receptor binding domain (RBD) and mediates viral entry into target cells. During the MERS outbreak in Korea, emergence and spread of viral variants that harbored mutations in the RBD, D510G and I529T, was observed. Counterintuitively, these mutations were found to reduce DPP4 binding and viral entry into target cells. In this study, we investigated whether they also exerted proviral effects. We confirm that changes D510G and I529T reduce S protein binding to DPP4 but show that this reduction only translates into diminished viral entry when expression of DPP4 on target cells is low. Neither mutation modulated S protein binding to sialic acids, S protein activation by host cell proteases, or inhibition of S protein-driven entry by interferon-induced transmembrane proteins. In contrast, changes D510G and I529T increased resistance of S protein-driven entry to neutralization by monoclonal antibodies and sera from MERS patients. These findings indicate that MERS-CoV variants with reduced neutralization sensitivity were transmitted during the Korean outbreak and that the responsible mutations were compatible with robust infection of cells expressing high levels of DPP4.

Indexed as

Drug Resistance, ViralMutationAgedAntibodies, MonoclonalAntibodies, NeutralizingBinding SitesCoronavirus InfectionsDipeptidyl Peptidase 4Down-RegulationHumansMaleMiddle AgedMiddle East Respiratory Syndrome CoronavirusProtein BindingRepublic of KoreaSialic AcidsAntibodies, MonoclonalAntibodies, NeutralizingDipeptidyl Peptidase 4DPP4 protein, humanSialic AcidsSpike Glycoprotein, CoronavirusantibodyMERSneutralizationspikevirus entry

Identifiers

PMID30404801
PMCPMC6321919
OpenAlexW2900126499

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.