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Basic Characteristics of Mutations
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Mutation Site
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C4901T |
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Mutation Site Sentence
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The sample of SARS-CoV-2 isolated from the patient on 19 May 2021 (hereinafter ""derived state"") differed from the nearest ancestor (hereinafter ""ancestral state"") by 5 single-nucleotide changes (C4901T, C16338T, C19269T, G21786C, C25609A). |
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Mutation Level
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Nucleotide level |
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Mutation Type
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Gene/Protein/Region
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Standardized Encoding Gene
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Genotype/Subtype
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- |
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Viral Reference
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NC_045512.2
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Functional Impact and Mechanisms
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Disease
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COVID-19
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Immune
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- |
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Target Gene
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-
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Clinical and Epidemiological Correlations
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Clinical Information
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Y |
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Treatment
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- |
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Location
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- |
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Literature Information
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PMID
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35914217
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Title
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SARS-CoV-2 evolution in a patient with secondary B-cell immunodeficiency: A clinical case
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Author
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Mukhina OA,Fomina DS,Parshin VV,Gushchin VA,Dolzhikova IV,Shchetinin AM,Chudakov DM,Alekseeva E,Korostin D,Bazykin GA,Klink G,Logunov DY,Lysenko MA
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Journal
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Human vaccines & immunotherapeutics
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Journal Info
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2022 Nov 30;18(6):2101334
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Abstract
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The article highlights the course of long-term SARS-CoV-2 infection in a patient with a secondary immunodeficiency developed with B-cell-depleting therapy of the underlying disease. Analysis of the intrapatient virus evolution revealed an inpatient S:G75A mutation that alters the 72GTNGTKR78 motif of the S-protein, with a possible role in binding to alternative cellular receptors. Therapy with a ready-made COVID-19-globulin preparation (native human immunoglobulin G (IgG) derived from the plasma of convalescent COVID-19-patients) resulted in rapid improvement of the patient's condition, fast, and stable elimination of the virus, and passive immunization of the patient for at least 30 days. The results suggest the use of products containing neutralizing antibodies opens new prospects for treatment algorithms for patients with persistent coronavirus infection, as well as for passive immunization schemes for patients with a presumably reduced specific response to vaccination.
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Sequence Data
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-
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