Evidence map›Paper›PMID 34821555›Full record

ArticleeLife2021

The alpha/B.1.1.7 SARS-CoV-2 variant exhibits significantly higher affinity for ACE-2 and requires lower inoculation doses to cause disease in K18-hACE2 mice.

Rafael Bayarri-Olmos, Laust Bruun Johnsen, Manja Idorn, Line S Reinert, Anne Rosbjerg, Søren Vang, Cecilie Bo Hansen, Charlotte Helgstrand, Jais Rose Bjelke, Theresa Bak-Thomsen and 3 more

Abstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

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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

13 authors.

Rafael Bayarri-OlmosRecombinant Protein and Antibody Laboratory, Copenhagen University Hospital, Copenhagen, Denmark.
Laust Bruun JohnsenNovo Nordisk A/S, Måløv, Denmark.
Manja IdornDepartment of Biomedicine, Aarhus University, Århus, Denmark.
Line S ReinertDepartment of Biomedicine, Aarhus University, Århus, Denmark.
Anne RosbjergRecombinant Protein and Antibody Laboratory, Copenhagen University Hospital, Copenhagen, Denmark.
Søren VangDepartment of Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark.
Cecilie Bo HansenLaboratory of Molecular Medicine, Department of Clinical Immunology, Section 7631, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.
Charlotte HelgstrandNovo Nordisk A/S, Måløv, Denmark.
Jais Rose BjelkeNovo Nordisk A/S, Måløv, Denmark.
Theresa Bak-ThomsenNovo Nordisk A/S, Måløv, Denmark.
Søren R PaludanDepartment of Biomedicine, Aarhus University, Århus, Denmark.
Peter GarredLaboratory of Molecular Medicine, Department of Clinical Immunology, Section 7631, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0002-2876-8586
Mikkel-Ole SkjoedtLaboratory of Molecular Medicine, Department of Clinical Immunology, Section 7631, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0003-1306-6482

Funding

Carlsbergfondet CF20-0045European Research Council ERC-AdG ENVISION; 786602Independent Research Fund Denmark 0214-00001BNovo Nordisk Fonden NFF205A0063505Novo Nordisk Fonden NNF20OC0063436Novo Nordisk Fonden NNF20SA0064201
6 · The paper itself

Abstract

The alpha/B.1.1.7 SARS-CoV-2 lineage emerged in autumn 2020 in the United Kingdom and transmitted rapidly until winter 2021 when it was responsible for most new COVID-19 cases in many European countries. The incidence domination was likely due to a fitness advantage that could be driven by the receptor-binding domain (RBD) residue change (N501Y), which also emerged independently in other variants of concern such as the beta/B.1.351 and gamma/P.1 strains. Here, we present a functional characterization of the alpha/B.1.1.7 variant and show an eightfold affinity increase towards human angiotensin-converting enzyme-2 (ACE-2). In accordance with this, transgenic hACE2 mice showed a faster disease progression and severity after infection with a low dose of B.1.1.7, compared to an early 2020 SARS-CoV-2 isolate. When challenged with sera from convalescent individuals or anti-RBD monoclonal antibodies, the N501Y variant showed a minor, but significant elevated evasion potential of ACE-2/RBD antibody neutralization. The data suggest that the single asparagine to tyrosine substitution remarkable rise in affinity may be responsible for the higher transmission rate and severity of the B.1.1.7 variant.

Indexed as

Angiotensin-Converting Enzyme 2AnimalsAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralCOVID-19Disease ProgressionFemaleHumansMaleMiceMutation, MissenseProtein BindingSARS-CoV-2Severity of Illness IndexSpike Glycoprotein, CoronavirusAngiotensin-Converting Enzyme 2Antibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralSpike Glycoprotein, Coronavirusepidemiologyhumanimmunologyinflammationmousemouse modelSARS-CoV-2

Identifiers

PMID34821555
PMCPMC8635972

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Registered trials

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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.