Resistance-associated mutations to the anti-SARS-CoV-2 agent nirmatrelvir: Selection not induction.

SARS-CoV-2 genomes mutations nirmatrelvir quasispecies resistance selection

Journal

Journal of medical virology
ISSN: 1096-9071
Titre abrégé: J Med Virol
Pays: United States
ID NLM: 7705876

Informations de publication

Date de publication:
Feb 2024
Historique:
revised: 21 01 2024
received: 20 11 2023
accepted: 27 01 2024
medline: 16 2 2024
pubmed: 16 2 2024
entrez: 16 2 2024
Statut: ppublish

Résumé

Mutations associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) resistance to antiprotease nirmatrelvir were reported. We aimed to detect them in SARS-CoV-2 genomes and quasispecies retrieved in our institute before drug availability in January 2022 and to analyze the impact of mutations on protease (3CLpro) structure. We sought for 38 3CLpro nirmatrelvir resistance mutations in a set of 62 673 SARS-CoV-2 genomes obtained in our institute from respiratory samples collected between 2020 and 2023 and for these mutations in SARS-CoV-2 quasispecies for 90 samples collected in 2020, using Python. SARS-CoV-2 protease with major mutation E166V was generated with Swiss Pdb Viewer and Molegro Molecular Viewer. We detected 22 (58%) of the resistance-associated mutations in 417 (0.67%) of the genomes analyzed; 325 (78%) of these genomes had been obtained from samples collected in 2020-2021. APOBEC signatures were found for 12/22 mutations. We also detected among viral quasispecies from 90 samples some minority reads harboring any of 15 nirmatrelvir resistance mutations, including E166V. Also, we predicted that E166V has a very limited effect on 3CLpro structure but may prevent drug attachment. Thus, we evidenced that mutations associated with nirmatrelvir resistance pre-existed in SARS-CoV-2 before drug availability. These findings further warrant SARS-CoV-2 genomic surveillance and SARS-CoV-2 quasispecies characterization.

Identifiants

pubmed: 38363015
doi: 10.1002/jmv.29462
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e29462

Subventions

Organisme : Agence Nationale de la Recherche

Informations de copyright

© 2024 The Authors. Journal of Medical Virology published by Wiley Periodicals LLC.

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Auteurs

Philippe Colson (P)

IHU Méditerranée Infection, 19-21 boulevard Jean Moulin, Marseille, France.
Aix-Marseille Univ., Institut de Recherche pour le Développement (IRD), Microbes Evolution Phylogeny and Infections (MEPHI), 27 boulevard Jean Moulin, Marseille, France.
Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France.

Jérémy Delerce (J)

IHU Méditerranée Infection, 19-21 boulevard Jean Moulin, Marseille, France.

Pierre Pontarotti (P)

IHU Méditerranée Infection, 19-21 boulevard Jean Moulin, Marseille, France.
Department of Biological Sciences, Centre National de la Recherche 16 Scientifique (CNRS)-SNC5039, Marseille, France.

Christian Devaux (C)

INSERM UMR_S 1072, Aix-Marseille Université, Marseille, France.

Bernard La Scola (B)

IHU Méditerranée Infection, 19-21 boulevard Jean Moulin, Marseille, France.
Aix-Marseille Univ., Institut de Recherche pour le Développement (IRD), Microbes Evolution Phylogeny and Infections (MEPHI), 27 boulevard Jean Moulin, Marseille, France.
Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France.

Jacques Fantini (J)

INSERM UMR_S 1072, Aix-Marseille Université, Marseille, France.

Didier Raoult (D)

IHU Méditerranée Infection, 19-21 boulevard Jean Moulin, Marseille, France.
Aix-Marseille Univ., Institut de Recherche pour le Développement (IRD), Microbes Evolution Phylogeny and Infections (MEPHI), 27 boulevard Jean Moulin, Marseille, France.

Classifications MeSH