Ryan Hisner Profile picture
May 8 8 tweets 3 min read Read on X
KP.3 (w/the rare Q493E) has been my pick since I first noticed it emerging from numerous travel seqs from India. F456L & R346T are the typical stepwise immune-evasion mutations that, as @shay_fleishon noted, very likely impose a fitness cost. Q493E may be different. 1/
Q493E involves the rarest of all nucleotide mutations, C->G, and occurs at a key residue that we've seen very little action from of late. 493 mutations, however, are common in the Cryptics, usually Q493K I believe. (@SolidEvidence can correct me if I'm wrong on that). 2/8 Image
493 is also one of the few residues where mutations—on BA.1/BA.2 backgrounds—can confer large increases in ACE2 affinity—see @jbloom_lab data below. The 2-nuc Q493A & Q493V appeared in a handful of remarkable chronic-infection seqs, for example. 3/8 Image
Q493E marks another major change in recent trends: Until now, the RBM (S:438-506) has become more & more basic (i.e. positively charged)—possibly to increase binding to co-receptor heparan sulfate, which @yunlong_cao showed is esp important for BA.2.86 4/
With its V445H, N481K, & A484K mutations (slightly tempered by N450D), BA.2.86 represented the pinnacle of this basic RBM trend. Q493E, however, reverses this trend, making the RBM more acidic (negatively charged). Furthermore… 5/8
…Q493E is in close proximity to a lot of key spike AA residues, including 346 (R346T in FLiRT variants), 448-456, and the 483-484 region where BA.2.86 has ∆V483 & A484K.
h/t to @OliasDave for his spike AA proximity tool, which the data 👇 is from. 6/8 ukcovid.xyz/proximity.php?…
Image
For reasons I've never understood, R346X mutations have never worked well with N450D. FLiRT variants have R346T + N450D, & right now, R346T's Ab-evasion powers give it a growth advantage. But I suspect the R346T-N450D combo still significantly weakens the virus. 7/8
KP.3's Q493E seems to put it on a clearly different path than the other converging JN variants. Baseline KP.3 is already outgrowing all the FLiRT variants. I suspect it has more room to tinker and improve & will continue to outgrow them in the coming weeks/months. 8/8

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More from @LongDesertTrain

May 1
We have a new record for mutations in a non-molnupiravir sequence. It's a BA.2.12.1 with >100 private mutations. There are 4 seqs from early April, all from the same patient. I'll discuss four interesting features it has in this 🧵. 1/23 Image
#1) Reversions
Reversions are extremely rare. They almost never appear in circulating lineages. There are, however, a large number of reversions that are convergent in chronic-infection sequences. This one has more than usual. 2/23 Image
Let's start with my favorite.
• ORF1b:L314P (NSP12_L323P)
The extraordinarily rare yet hugely significant ORF1b:L314P reversion is an enigma. ORF1b:P314L was one of the very first SARS-CoV-2 mutations. It quickly dominated & has been universal ever since. 3/23
Read 23 tweets
Apr 19
What connects two regions on opposite ends of NSP12, a narrow slice of an obscure NSP3 region (DPUP/SUD-C), & a 3-AA sliver of nucleocapsid (N)? I have no idea, but I’m convinced there’s a link that could help reveal the inner workings of SARS-CoV-2. 1/120
Image
Image
I previously wrote a thread about the strange connection between ORF1a:4395-4398 and ORF1b:820-824 (NSP12_3-6 & NSP12_829-833). There is no known connection between these regions, & they are not close to each other in the NSP12 protein structure. 2/120
Mutations in both regions are rare, yet they arise in the same sequences again and again, at rates that cannot be coincidental. Furthermore, there have never been any circulating lineages with these paired mutations—they are a chronic-infection specialty. 3/120 Image
Read 124 tweets
Apr 13
Always nice to run across a possible function of a rare mutation that's shown up in multiple chronic-infection SARS-CoV-2 seqs. Thanks to an excellent paper by @TheMenacheryLab & @J_Paul_Taylor, I think I now know why N:L13P (a reversion) shows up. 1/6
They proved that the N:1-25 region, esp. the ITFG AA motif from N:15-18, is the essential element in N's ability to suppress the formation of stress granules (SGs) in cells, which capture & disable long viral RNAs & help organizing innate antiviral immune responses. 2/6
Image
Image
All variants retain the ability to suppress SGs, but Omicron's N:P13L weakens N's binding to G3BP1/2—the master cellular regulators of SGs—by about 2.3-fold. That's pretty slight, & almost certainly not enough selection pressure to result in reversions in circulation... 3/6 Image
Read 7 tweets
Apr 4
BA.2.86, a clear chronic infection-derived variant, has obtained near-total global dominance in the form of JN.1. This may have squeezed out any room for new CI-derived variants to take hold & spread, but they're still out there. A recent one had ~38 private spike mutations. 1/5
BN.1.3 is a BA.2.75 descendant that emerged in Aug 2022, but much older variants still exist.

Alpha, for example, has disappeared from circulation, but it's not extinct—it's still evolving within an unknown # of hosts. On rare occasions, we catch a glimpse of this. 2/5 Image
More frequently, though, we see BA.1-derived chronic-infection sequences. There's been no obvious slowdown in the appearance of highly mutated, chronic-infection BA.1 sequences. This most recent one had ~75 private nuc substitutions. 3/5 Image
Read 5 tweets
Apr 2
The spike mutation S50L is found in JN.1.
Before JN.1, it was extremely rare, though it was overrepresented in chronic-infection sequences. I think there's some evidence indicating that S50L might be an adaptation to the GI tract. 1/5
Virtually all SARS-CoV-2 sequences on GISAID come from conventional nasopharyngeal swabs. The small number labeled as coming from rectal/anal swabs, stool, or feces come almost entirely from China/Hong Kong, & are almost exclusively from February to April 2020. 2/5
20/1378 conventional sequences in Feb-Apr 2020 from China/Hong Kong, had S:S50L, or 1.5%.

GI-related swabs had S:S50L much more frequently.

Rectal swab - 1/1
Anal swab - 2/9
Stool - 4/42
Feces - 23/175

Altogether, that's 30/227, or 13.2%. 3/5
Read 7 tweets
Mar 20
An interesting BA.5.1 sequence turned up yesterday with ~32 spike mutations. As in all such cases, there's a lot of fascinating stuff happening, but I find three aspects of this one especially intriguing:
1) 4 spike reversions
2) ORF1a:K1795I
3) 2-nuc P9L, G446S 1/24 Image
Spike Reversions
We're beginning to see old Omicron mutations cycling out, transforming from buzzsaw to anchor. Reversions K478T, A484E, & V486F are now among the most common mutations in BA.1/2/4/5 chronics. The D339G reversion here, however, is extraordinarily rare. 2/25
ORF1a:K1795I (NSP3_K977I)
ORF1a:K1795Q is likely the single most distinctive chronic-infection mutation, & we at least partially understand why: This reversion to the SARS-1/Bat-CoV residue enhances NSP3's deubiquitination powers. See 🧵 below. 3/25
Read 25 tweets

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