Evidence map›Paper›PMID 33558493›Full record

ArticleNature communications2021

SARS-CoV-2 D614G spike mutation increases entry efficiency with enhanced ACE2-binding affinity.

Seiya Ozono, Yanzhao Zhang, Hirotaka Ode, Kaori Sano, Toong Seng Tan, Kazuo Imai, Kazuyasu Miyoshi, Satoshi Kishigami, Takamasa Ueno, Yasumasa Iwatani and 2 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 314 papers.

0numbers the graph read from it
0cells of the map it votes in
314citing papers in PubMed
31.7field-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

314 citing papers in PubMed, 538 citations in OpenAlex.

  1. Trial
  2. Novel AfricanJournal of virology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. D614G reshapes allosteric networks and opening mechanisms of SARS-CoV-2 spikes.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  9. Article
  10. Bioactive Compounds ofInternational journal of molecular sciences · 2026
    Article
  11. Inhibitory Effect ofTheScientificWorldJournal · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Molecular mechanisms of SARS-CoV-2 entry: implications for biomedical strategies.Microbiology and molecular biology reviews : MMBR · 2025
    Review
  18. Article
  19. Review
  20. Article

254 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

12 authors at 5 institutions in 1 country.

Seiya Ozono *Department of Pathology, National Institute of Infectious Diseases, Tokyo, Japan.ORCID 0000-0002-1764-2937
Yanzhao Zhang *Department of Pathology, National Institute of Infectious Diseases, Tokyo, Japan.
Hirotaka Ode *Clinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.ORCID 0000-0001-8624-2382
Kaori SanoDepartment of Pathology, National Institute of Infectious Diseases, Tokyo, Japan.ORCID 0000-0002-4887-1302
Toong Seng TanDivision of Infection and Immunity, Joint Research Center for Human Retrovirus Infection, Kumamoto University, Kumamoto, Japan.ORCID 0000-0002-6751-5987
Kazuo ImaiSelf-Defense Forces Central Hospital, Tokyo, Japan.ORCID 0000-0002-8416-7371
Kazuyasu MiyoshiSelf-Defense Forces Central Hospital, Tokyo, Japan.ORCID 0000-0003-3544-2928
Satoshi KishigamiFaculty of Life and Environmental Sciences, University of Yamanashi, Yamanashi, Japan.ORCID 0000-0001-9447-5100
Takamasa UenoDivision of Infection and Immunity, Joint Research Center for Human Retrovirus Infection, Kumamoto University, Kumamoto, Japan.ORCID 0000-0003-4852-4236
Yasumasa IwataniClinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.ORCID 0000-0001-9269-4828
Tadaki SuzukiDepartment of Pathology, National Institute of Infectious Diseases, Tokyo, Japan.ORCID 0000-0002-3820-9542
Kenzo TokunagaDepartment of Pathology, National Institute of Infectious Diseases, Tokyo, Japan. tokunaga@nih.go.jp.ORCID 0000-0002-2625-5322
National Institute of Infectious Diseases · JPKumamoto University · JPNational Hospital Organization · JPSelf-Defense Forces Central Hospital · JPUniversity of Yamanashi · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The causative agent of the COVID-19 pandemic, SARS-CoV-2, is steadily mutating during continuous transmission among humans. Such mutations can occur in the spike (S) protein that binds to the ACE2 receptor and is cleaved by TMPRSS2. However, whether S mutations affect SARS-CoV-2 cell entry remains unknown. Here, we show that naturally occurring S mutations can reduce or enhance cell entry via ACE2 and TMPRSS2. A SARS-CoV-2 S-pseudotyped lentivirus exhibits substantially lower entry than that of SARS-CoV S. Among S variants, the D614G mutant shows the highest cell entry, as supported by structural and binding analyses. Nevertheless, the D614G mutation does not affect neutralization by antisera against prototypic viruses. Taken together, we conclude that the D614G mutation increases cell entry by acquiring higher affinity to ACE2 while maintaining neutralization susceptibility. Based on these findings, further worldwide surveillance is required to understand SARS-CoV-2 transmissibility among humans.

Indexed as

MutationVirus InternalizationAngiotensin-Converting Enzyme 2Binding, CompetitiveCOVID-19HumansModels, MolecularPandemicsProtein BindingProtein DomainsReceptors, VirusSARS-CoV-2Serine EndopeptidasesSpike Glycoprotein, CoronavirusACE2 protein, humanAngiotensin-Converting Enzyme 2Receptors, VirusSerine EndopeptidasesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2TMPRSS2 protein, human

Identifiers

PMID33558493
PMCPMC7870668
OpenAlexW3128276018

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.