P681H

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P681H

The P681H mutation is a specific genetic alteration found in the spike protein of the SARS-CoV-2 virus, which is responsible for the COVID-19 pandemic. This mutation has garnered significant attention due to its potential impact on viral transmissibility and immune escape.

Background[edit | edit source]

SARS-CoV-2, the virus causing COVID-19, is an RNA virus that frequently undergoes mutations. These mutations can lead to the emergence of new variants with altered characteristics. The spike protein, which facilitates viral entry into host cells, is a critical target for both the immune response and vaccine development.

Location and Nature of the Mutation[edit | edit source]

The P681H mutation is located in the spike protein of SARS-CoV-2, specifically at the 681st amino acid position, where proline (P) is replaced by histidine (H). This position is near the furin cleavage site, a region crucial for the activation of the spike protein and subsequent viral entry into host cells.

Significance of the P681H Mutation[edit | edit source]

The P681H mutation is of particular interest because it is associated with increased transmissibility of the virus. It is found in several variants of concern, including the Alpha (B.1.1.7) variant, which was first identified in the United Kingdom.

Impact on Transmissibility[edit | edit source]

The presence of the P681H mutation near the furin cleavage site may enhance the efficiency of spike protein cleavage, facilitating more effective viral entry into host cells. This could potentially lead to higher viral loads and increased transmission rates.

Impact on Immune Evasion[edit | edit source]

While the P681H mutation itself is not primarily associated with immune escape, its presence in combination with other mutations in the spike protein can contribute to reduced neutralization by antibodies generated from previous infection or vaccination.

Detection and Surveillance[edit | edit source]

The identification of the P681H mutation is typically performed through genomic sequencing of viral samples. Surveillance of this mutation, along with others, is crucial for monitoring the spread and evolution of SARS-CoV-2 variants.

Research and Studies[edit | edit source]

Ongoing research is focused on understanding the full implications of the P681H mutation. Studies are examining its role in viral fitness, transmissibility, and potential impacts on vaccine efficacy.

Also see[edit | edit source]

Template:SARS-CoV-2 mutations

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Contributors: Prab R. Tumpati, MD