Global Genomic Analysis of SARS-CoV-2 RNA Dependent RNA Polymerase Evolution and Antiviral Drug Resistance

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_1343D3A3C14E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Global Genomic Analysis of SARS-CoV-2 RNA Dependent RNA Polymerase Evolution and Antiviral Drug Resistance
Journal
Microorganisms
Author(s)
Mari A., Roloff T., Stange M., Sogaard K. K., Asllanaj E., Tauriello G., Alexander L. T., Schweitzer M., Leuzinger K., Gensch A., Martinez A. E., Bielicki J., Pargger H., Siegemund M., Nickel C. H., Bingisser R., Osthoff M., Bassetti S., Sendi P., Battegay M., Marzolini C., Seth-Smith H. M. B., Schwede T., Hirsch H. H., Egli A.
ISSN
2076-2607 (Print)
2076-2607 (Electronic)
ISSN-L
2076-2607
Publication state
Published
Issued date
2021
Peer-reviewed
Oui
Volume
9
Number
5
Language
english
Notes
Mari, Alfredo
Roloff, Tim
Stange, Madlen
Sogaard, Kirstine K
Asllanaj, Erblin
Tauriello, Gerardo
Alexander, Leila Tamara
Schweitzer, Michael
Leuzinger, Karoline
Gensch, Alexander
Martinez, Aurelien E
Bielicki, Julia
Pargger, Hans
Siegemund, Martin
Nickel, Christian H
Bingisser, Roland
Osthoff, Michael
Bassetti, Stefano
Sendi, Parham
Battegay, Manuel
Marzolini, Catia
Seth-Smith, Helena M B
Schwede, Torsten
Hirsch, Hans H
Egli, Adrian
eng
Switzerland
Microorganisms. 2021 May 19;9(5):1094. doi: 10.3390/microorganisms9051094.
Abstract
A variety of antiviral treatments for COVID-19 have been investigated, involving many repurposed drugs. Currently, the SARS-CoV-2 RNA-dependent RNA polymerase (RdRp, encoded by nsp12-nsp7-nsp8) has been targeted by numerous inhibitors, e.g., remdesivir, the only provisionally approved treatment to-date, although the clinical impact of these interventions remains inconclusive. However, the potential emergence of antiviral resistance poses a threat to the efficacy of any successful therapies on a wide scale. Here, we propose a framework to monitor the emergence of antiviral resistance, and as a proof of concept, we address the interaction between RdRp and remdesivir. We show that SARS-CoV-2 RdRp is under purifying selection, that potential escape mutations are rare in circulating lineages, and that those mutations, where present, do not destabilise RdRp. In more than 56,000 viral genomes from 105 countries from the first pandemic wave, we found negative selective pressure affecting nsp12 (Tajima's D = -2.62), with potential antiviral escape mutations in only 0.3% of sequenced genomes. Potential escape mutations included known key residues, such as Nsp12:Val473 and Nsp12:Arg555. Of the potential escape mutations involved globally, in silico structural models found that they were unlikely to be associated with loss of stability in RdRp. No potential escape mutation was found in a local cohort of remdesivir treated patients. Collectively, these findings indicate that RdRp is a suitable drug target, and that remdesivir does not seem to exert high selective pressure. We anticipate our framework to be the starting point of a larger effort for a global monitoring of drug resistance throughout the COVID-19 pandemic.
Keywords
RNA dependent RNA polymerase, SARS-CoV-2, diagnostics, evolution, genome analysis, remdesivir, resistance, surveillance
Pubmed
Create date
25/08/2023 6:17
Last modification date
27/08/2023 7:08
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