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Table 2 Major spike mutations

From: Emerging SARS-CoV-2 variants of concern and potential intervention approaches

Mutating residues

Mutation

Region

Pathophysiology

Clinical Impact expectations

Major variants

ACE2 affinity

Immune escape#

Transmissibility

Virulence

Alpha

B.1.1.7

Beta

B.1.351

Gamma

P.1

Delta &Kappa

B.1.617.2/1

K417

K417N

RBD

↑

↑

↑

↑

 

√

  

K417T

↑

↑

↑

↑?

  

√

 

L452

L452R

↑

↑

↑

↑

   

√

T478

T478K

↑

↑

↑

↑?

   

√ (Delta)

E484

E484K

↑

↑

↑?

↑?

√ (partially)

√

√

 

E484Q

↑

↑

↑?

↑?

   

√

N501

N501Y

↑

↑

↑

↑

√

√

√

 

D614

D614G

non-RBD

↑

↑

↑

 ↔ 

√

√

√

√

P681

P681H

S1/S2 Furin cleavage site

 ↔ 

↑?

↑

↑?

√

   

P681R

 ↔ 

↑?

↑

↑?

   

√

  1. #Both host and vaccine-induced immunity. Abbreviations: RBD, receptor binding domain