Mutations in the SARS-CoV-2 RNA-dependent RNA polymerase confer resistance to remdesivir by distinct mechanisms.


Journal

Science translational medicine
ISSN: 1946-6242
Titre abrégé: Sci Transl Med
Pays: United States
ID NLM: 101505086

Informations de publication

Date de publication:
03 08 2022
Historique:
pubmed: 29 4 2022
medline: 6 8 2022
entrez: 28 4 2022
Statut: ppublish

Résumé

The nucleoside analog remdesivir (RDV) is a Food and Drug Administration-approved antiviral for treatment of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections. Thus, it is critical to understand factors that promote or prevent RDV resistance. We passaged SARS-CoV-2 in the presence of increasing concentrations of GS-441524, the parent nucleoside of RDV. After 13 passages, we isolated three viral lineages with phenotypic resistance as defined by increases in half-maximal effective concentration from 2.7- to 10.4-fold. Sequence analysis identified nonsynonymous mutations in nonstructural protein 12 RNA-dependent RNA polymerase (

Identifiants

pubmed: 35482820
doi: 10.1126/scitranslmed.abo0718
pmc: PMC9097878
doi:

Substances chimiques

Antiviral Agents 0
RNA, Viral 0
remdesivir 3QKI37EEHE
Adenosine Monophosphate 415SHH325A
RNA-Dependent RNA Polymerase EC 2.7.7.48
Alanine OF5P57N2ZX

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

eabo0718

Subventions

Organisme : CIHR
ID : 170343
Pays : Canada

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Auteurs

Laura J Stevens (LJ)

Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

Andrea J Pruijssers (AJ)

Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Vanderbilt Institute for Infection, Immunology, and Inflammation, Nashville, TN 37232, USA.

Hery W Lee (HW)

Department of Medical Microbiology and Immunology, University of Alberta, Edmonton AB T6G 2T9, Canada.

Calvin J Gordon (CJ)

Department of Medical Microbiology and Immunology, University of Alberta, Edmonton AB T6G 2T9, Canada.

Egor P Tchesnokov (EP)

Department of Medical Microbiology and Immunology, University of Alberta, Edmonton AB T6G 2T9, Canada.

Jennifer Gribble (J)

Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

Amelia S George (AS)

Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

Tia M Hughes (TM)

Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

Xiaotao Lu (X)

Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

Jiani Li (J)

Gilead Sciences Inc., Foster City, CA 94404, USA.

Jason K Perry (JK)

Gilead Sciences Inc., Foster City, CA 94404, USA.

Danielle P Porter (DP)

Gilead Sciences Inc., Foster City, CA 94404, USA.

Tomas Cihlar (T)

Gilead Sciences Inc., Foster City, CA 94404, USA.

Timothy P Sheahan (TP)

Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.

Ralph S Baric (RS)

Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.

Matthias Götte (M)

Department of Medical Microbiology and Immunology, University of Alberta, Edmonton AB T6G 2T9, Canada.

Mark R Denison (MR)

Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Vanderbilt Institute for Infection, Immunology, and Inflammation, Nashville, TN 37232, USA.
Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

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