Evidence map›Paper›PMID 42243594›Full record

ArticleArchives of virology2026

Functional and structural characterization of the SARS-CoV-2 spike N481K mutation.

Maria K Smatti, Hebah Al-Khatib, Muhammad Suleman, Muna Nizar, Hala Abo Khalid, Ruaa Ismail, Gheyath K Nasrallah, Hadi M Yassine

Abstract read
In one paragraph

Article in Archives of virology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Maria K SmattiBiomedical Research Center, QU Health, Qatar University, PO Box 2713, Doha, Qatar. msmatti@qu.edu.qa.ORCID http://orcid.org/0000-0002-7621-0130
Hebah Al-KhatibBiomedical Research Center, QU Health, Qatar University, PO Box 2713, Doha, Qatar.
Muhammad SulemanBiomedical Research Center, QU Health, Qatar University, PO Box 2713, Doha, Qatar.
Muna NizarBiomedical Research Center, QU Health, Qatar University, PO Box 2713, Doha, Qatar.
Hala Abo KhalidDepartment of Biomedical Science, College of Health Sciences, QU Health, Qatar University, PO Box 2713, Doha, Qatar.
Ruaa IsmailDepartment of Biomedical Science, College of Health Sciences, QU Health, Qatar University, PO Box 2713, Doha, Qatar.
Gheyath K NasrallahDepartment of Biomedical Science, College of Health Sciences, QU Health, Qatar University, PO Box 2713, Doha, Qatar.
Hadi M YassineBiomedical Research Center, QU Health, Qatar University, PO Box 2713, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelective pressure drives SARS-CoV-2 evolution, with spike RBD substitutions shaping ACE2 binding and antibody escape. N481K RBD mutation emerged early in Qatar (2020) and later re-emerged globally, reaching near-fixation by 2024-2025, yet its functional significance remained unexplored.

methodsWe analyzed the temporal and geographic circulation of N481K across > 17 million SARS-CoV-2 genomes (2020-2025). Structural effects were assessed using modeling, docking, and molecular dynamics. Functional impact was evaluated using VSV pseudovirus neutralization tests with sera from infected individuals (n = 48) and vaccinated cohorts: mRNA (n = 16), Sinopharm (n = 45), and AstraZeneca (n = 28).

resultsN481K was detected in 4.14% (703,777/17,016,111) of global genomes and reached near-fixation (> 90%) in dominant Omicron lineages by 2024, with prevalence rising from 71.5% in early 2024 to 94.4% by week 36 of 2025. Structural analyses showed a 0.706 Å RMSD deviation and higher ACE2 docking affinity (-313 vs. - 308 kcal/mol) compared to the wild-type (WT) RBD. Molecular dynamics confirmed increased stability and lower binding free energy for N481K versus WT (-77.07 ± 0.90 vs. - 43.09 ± 0.98 kcal/mol). Among samples with detectable WT neutralization (n = 89), mean neutralization declined from 69.76% (WT) to 42.47% (N481K) (p < 0.0001), with the largest reductions in AstraZeneca, Sinopharm, and infected cohorts. mRNA recipients retained the highest neutralization [77.5% (WT) vs. 56.0% (N481K)].

conclusionN481K enhances ACE2 binding while partially evading antibody neutralization, suggesting viral fitness and persistence.

Indexed as

COVID-19SARS-CoV-2Spike Glycoprotein, CoronavirusAngiotensin-Converting Enzyme 2Antibodies, NeutralizingAntibodies, ViralHumansMolecular Docking SimulationMolecular Dynamics SimulationMutationACE2 protein, humanAngiotensin-Converting Enzyme 2Antibodies, NeutralizingAntibodies, ViralSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID42243594
PMCPMC13236748

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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.