[HTML][HTML] Loss of furin cleavage site attenuates SARS-CoV-2 pathogenesis

BA Johnson, X Xie, AL Bailey, B Kalveram… - Nature, 2021 - nature.com
BA Johnson, X Xie, AL Bailey, B Kalveram, KG Lokugamage, A Muruato, J Zou, X Zhang…
Nature, 2021nature.com
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)—a new coronavirus that
has led to a worldwide pandemic—has a furin cleavage site (PRRAR) in its spike protein
that is absent in other group-2B coronaviruses. To explore whether the furin cleavage site
contributes to infection and pathogenesis in this virus, we generated a mutant SARS-CoV-2
that lacks the furin cleavage site (ΔPRRA). Here we report that replicates of ΔPRRA SARS-
CoV-2 had faster kinetics, improved fitness in Vero E6 cells and reduced spike protein …
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)—a new coronavirus that has led to a worldwide pandemic—has a furin cleavage site (PRRAR) in its spike protein that is absent in other group-2B coronaviruses. To explore whether the furin cleavage site contributes to infection and pathogenesis in this virus, we generated a mutant SARS-CoV-2 that lacks the furin cleavage site (ΔPRRA). Here we report that replicates of ΔPRRA SARS-CoV-2 had faster kinetics, improved fitness in Vero E6 cells and reduced spike protein processing, as compared to parental SARS-CoV-2. However, the ΔPRRA mutant had reduced replication in a human respiratory cell line and was attenuated in both hamster and K18-hACE2 transgenic mouse models of SARS-CoV-2 pathogenesis. Despite reduced disease, the ΔPRRA mutant conferred protection against rechallenge with the parental SARS-CoV-2. Importantly, the neutralization values of sera from patients with coronavirus disease 2019 (COVID-19) and monoclonal antibodies against the receptor-binding domain of SARS-CoV-2 were lower against the ΔPRRA mutant than against parental SARS-CoV-2, probably owing to an increased ratio of particles to plaque-forming units in infections with the former. Together, our results demonstrate a critical role for the furin cleavage site in infection with SARS-CoV-2 and highlight the importance of this site for evaluating the neutralization activities of antibodies.
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