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Rapid Emergence of Potentially Transmissible Severe Acute Respiratory Syndrome Coronavirus 2 With Resistance to Combination Monoclonal Antibody Therapy

Prolonged coronavirus disease 2019 may generate new viral variants. We report an immunocompromised patient treated with monoclonal antibodies who experienced rebound of viral RNA and emergence of an antibody-resistant (>1000-fold) variant containing 5 mutations in the spike gene. The mutant virus...

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Autores principales: Jacobs, Jana L, Haidar, Ghady, Naqvi, Asma, McCormick, Kevin D, Sobolewski, Michele, Treat, Benjamin R, Heaps, Amy L, Simpson, Jordan, Kramer, Kailey Hughes, McCreary, Erin, Bariola, J Ryan, Klamar-Blain, Cynthia, Macatangay, Bernard J C, Dimitrov, Dimiter, Li, Wei, Marino, Christopher C, Raptis, Anastasios, Sethi, Rahil, Chandran, Uma, Barratt-Boyes, Simon, Parikh, Urvi M, Mellors, John W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230564/
https://www.ncbi.nlm.nih.gov/pubmed/37265667
http://dx.doi.org/10.1093/ofid/ofad278
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author Jacobs, Jana L
Haidar, Ghady
Naqvi, Asma
McCormick, Kevin D
Sobolewski, Michele
Treat, Benjamin R
Heaps, Amy L
Simpson, Jordan
Kramer, Kailey Hughes
McCreary, Erin
Bariola, J Ryan
Klamar-Blain, Cynthia
Macatangay, Bernard J C
Dimitrov, Dimiter
Li, Wei
Marino, Christopher C
Raptis, Anastasios
Sethi, Rahil
Chandran, Uma
Barratt-Boyes, Simon
Parikh, Urvi M
Mellors, John W
author_facet Jacobs, Jana L
Haidar, Ghady
Naqvi, Asma
McCormick, Kevin D
Sobolewski, Michele
Treat, Benjamin R
Heaps, Amy L
Simpson, Jordan
Kramer, Kailey Hughes
McCreary, Erin
Bariola, J Ryan
Klamar-Blain, Cynthia
Macatangay, Bernard J C
Dimitrov, Dimiter
Li, Wei
Marino, Christopher C
Raptis, Anastasios
Sethi, Rahil
Chandran, Uma
Barratt-Boyes, Simon
Parikh, Urvi M
Mellors, John W
author_sort Jacobs, Jana L
collection PubMed
description Prolonged coronavirus disease 2019 may generate new viral variants. We report an immunocompromised patient treated with monoclonal antibodies who experienced rebound of viral RNA and emergence of an antibody-resistant (>1000-fold) variant containing 5 mutations in the spike gene. The mutant virus was isolated from respiratory secretions, suggesting the potential for secondary transmission.
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spelling pubmed-102305642023-06-01 Rapid Emergence of Potentially Transmissible Severe Acute Respiratory Syndrome Coronavirus 2 With Resistance to Combination Monoclonal Antibody Therapy Jacobs, Jana L Haidar, Ghady Naqvi, Asma McCormick, Kevin D Sobolewski, Michele Treat, Benjamin R Heaps, Amy L Simpson, Jordan Kramer, Kailey Hughes McCreary, Erin Bariola, J Ryan Klamar-Blain, Cynthia Macatangay, Bernard J C Dimitrov, Dimiter Li, Wei Marino, Christopher C Raptis, Anastasios Sethi, Rahil Chandran, Uma Barratt-Boyes, Simon Parikh, Urvi M Mellors, John W Open Forum Infect Dis Brief Report Prolonged coronavirus disease 2019 may generate new viral variants. We report an immunocompromised patient treated with monoclonal antibodies who experienced rebound of viral RNA and emergence of an antibody-resistant (>1000-fold) variant containing 5 mutations in the spike gene. The mutant virus was isolated from respiratory secretions, suggesting the potential for secondary transmission. Oxford University Press 2023-05-17 /pmc/articles/PMC10230564/ /pubmed/37265667 http://dx.doi.org/10.1093/ofid/ofad278 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Brief Report
Jacobs, Jana L
Haidar, Ghady
Naqvi, Asma
McCormick, Kevin D
Sobolewski, Michele
Treat, Benjamin R
Heaps, Amy L
Simpson, Jordan
Kramer, Kailey Hughes
McCreary, Erin
Bariola, J Ryan
Klamar-Blain, Cynthia
Macatangay, Bernard J C
Dimitrov, Dimiter
Li, Wei
Marino, Christopher C
Raptis, Anastasios
Sethi, Rahil
Chandran, Uma
Barratt-Boyes, Simon
Parikh, Urvi M
Mellors, John W
Rapid Emergence of Potentially Transmissible Severe Acute Respiratory Syndrome Coronavirus 2 With Resistance to Combination Monoclonal Antibody Therapy
title Rapid Emergence of Potentially Transmissible Severe Acute Respiratory Syndrome Coronavirus 2 With Resistance to Combination Monoclonal Antibody Therapy
title_full Rapid Emergence of Potentially Transmissible Severe Acute Respiratory Syndrome Coronavirus 2 With Resistance to Combination Monoclonal Antibody Therapy
title_fullStr Rapid Emergence of Potentially Transmissible Severe Acute Respiratory Syndrome Coronavirus 2 With Resistance to Combination Monoclonal Antibody Therapy
title_full_unstemmed Rapid Emergence of Potentially Transmissible Severe Acute Respiratory Syndrome Coronavirus 2 With Resistance to Combination Monoclonal Antibody Therapy
title_short Rapid Emergence of Potentially Transmissible Severe Acute Respiratory Syndrome Coronavirus 2 With Resistance to Combination Monoclonal Antibody Therapy
title_sort rapid emergence of potentially transmissible severe acute respiratory syndrome coronavirus 2 with resistance to combination monoclonal antibody therapy
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230564/
https://www.ncbi.nlm.nih.gov/pubmed/37265667
http://dx.doi.org/10.1093/ofid/ofad278
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