SARS-CoV-2 spike D614G change enhances replication and transmission

Nature. 2021 Apr;592(7852):122-127. doi: 10.1038/s41586-021-03361-1. Epub 2021 Feb 26.

Abstract

During the evolution of SARS-CoV-2 in humans, a D614G substitution in the spike glycoprotein (S) has emerged; virus containing this substitution has become the predominant circulating variant in the COVID-19 pandemic1. However, whether the increasing prevalence of this variant reflects a fitness advantage that improves replication and/or transmission in humans or is merely due to founder effects remains unknown. Here we use isogenic SARS-CoV-2 variants to demonstrate that the variant that contains S(D614G) has enhanced binding to the human cell-surface receptor angiotensin-converting enzyme 2 (ACE2), increased replication in primary human bronchial and nasal airway epithelial cultures as well as in a human ACE2 knock-in mouse model, and markedly increased replication and transmissibility in hamster and ferret models of SARS-CoV-2 infection. Our data show that the D614G substitution in S results in subtle increases in binding and replication in vitro, and provides a real competitive advantage in vivo-particularly during the transmission bottleneck. Our data therefore provide an explanation for the global predominance of the variant that contains S(D614G) among the SARS-CoV-2 viruses that are currently circulating.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiotensin-Converting Enzyme 2 / genetics
  • Angiotensin-Converting Enzyme 2 / metabolism
  • Animals
  • Bronchi / cytology
  • Bronchi / virology
  • COVID-19 / epidemiology
  • COVID-19 / transmission*
  • COVID-19 / virology*
  • Cell Line
  • Cells, Cultured
  • Cricetinae
  • Disease Models, Animal
  • Epithelial Cells / virology
  • Female
  • Ferrets / virology
  • Founder Effect
  • Gene Knock-In Techniques
  • Genetic Fitness
  • Humans
  • Male
  • Mesocricetus
  • Mice
  • Mutation*
  • Nasal Mucosa / cytology
  • Nasal Mucosa / virology
  • Protein Binding
  • RNA, Viral / analysis
  • Receptors, Coronavirus / metabolism
  • SARS-CoV-2 / genetics*
  • SARS-CoV-2 / metabolism
  • SARS-CoV-2 / pathogenicity
  • SARS-CoV-2 / physiology*
  • Spike Glycoprotein, Coronavirus / genetics*
  • Virus Replication / genetics*

Substances

  • RNA, Viral
  • Receptors, Coronavirus
  • Spike Glycoprotein, Coronavirus
  • spike protein, SARS-CoV-2
  • ACE2 protein, human
  • Angiotensin-Converting Enzyme 2