Evidence map›Paper›PMID 37286554›Full record

ArticleNature communications2023

Generation of SARS-CoV-2 escape mutations by monoclonal antibody therapy.

Manon Ragonnet-Cronin, Rungtiwa Nutalai, Jiandong Huo, Aiste Dijokaite-Guraliuc, Raksha Das, Aekkachai Tuekprakhon, Piyada Supasa, Chang Liu, Muneeswaran Selvaraj, Natalie Groves and 16 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
10.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 56 citations in OpenAlex.

  1. Article
  2. Monoclonal Antibodies Targeting Bacterial Infections: A Broad Review of the Field.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
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  4. Potency ofThe Kobe journal of medical sciences · 2026
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  6. A bireporter recombinant SARS-CoV-2 Omicron BA.5 forbioRxiv : the preprint server for biology · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Acute SARS-CoV-2 infection.Nature reviews. Disease primers · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Decoding the cross-immune pressure: Dengue's role in SARS-CoV-2 evolution.Computational and structural biotechnology journal · 2025
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 5 institutions in 2 countries.

Manon Ragonnet-Cronin *Genomics Public Health Analysis, UK Health Security Agency, London, UK. manonragonnet@uchicago.edu.ORCID 0000-0002-4879-2209
Rungtiwa Nutalai *Wellcome Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Jiandong Huo *Division of Structural Biology, Nuffield Department of Medicine, University of Oxford, The Wellcome Centre for Human Genetics, Oxford, UK. dongdong.imm.ox.ac.uk@gmail.com.
Aiste Dijokaite-Guraliuc *Wellcome Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-4850-9709
Raksha DasWellcome Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Aekkachai TuekprakhonWellcome Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Piyada SupasaWellcome Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Chang LiuWellcome Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Muneeswaran SelvarajWellcome Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Natalie GrovesGenomics Public Health Analysis, UK Health Security Agency, London, UK.ORCID 0000-0002-3832-3484
Hassan HartmanGenomics Public Health Analysis, UK Health Security Agency, London, UK.
Nicholas EllabyGenomics Public Health Analysis, UK Health Security Agency, London, UK.
J Mark SuttonGenomics Public Health Analysis, UK Health Security Agency, London, UK.
Mohammad W BaharDivision of Structural Biology, Nuffield Department of Medicine, University of Oxford, The Wellcome Centre for Human Genetics, Oxford, UK.
Daming ZhouDivision of Structural Biology, Nuffield Department of Medicine, University of Oxford, The Wellcome Centre for Human Genetics, Oxford, UK.ORCID 0000-0002-7188-5243
Elizabeth FryDivision of Structural Biology, Nuffield Department of Medicine, University of Oxford, The Wellcome Centre for Human Genetics, Oxford, UK.ORCID 0000-0001-9754-5303
Jingshan RenDivision of Structural Biology, Nuffield Department of Medicine, University of Oxford, The Wellcome Centre for Human Genetics, Oxford, UK.ORCID 0000-0003-4015-1404
Colin BrownGenomics Public Health Analysis, UK Health Security Agency, London, UK.ORCID 0000-0003-4776-3403
Paul KlenermanNuffield Department of Medicine, University of Oxford, Oxford, UK.
Susanna J DunachieNuffield Department of Medicine, University of Oxford, Oxford, UK.
Juthathip MongkolsapayaWellcome Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Susan HopkinsGenomics Public Health Analysis, UK Health Security Agency, London, UK.
Meera ChandGenomics Public Health Analysis, UK Health Security Agency, London, UK.
David I StuartDivision of Structural Biology, Nuffield Department of Medicine, University of Oxford, The Wellcome Centre for Human Genetics, Oxford, UK. dave.stuart@strubi.ox.ac.uk.ORCID 0000-0002-3426-4210
Gavin R Screaton *Wellcome Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, UK. gavin.screaton@medsci.ox.ac.uk.ORCID 0000-0002-3549-4309
Sakib Rokadiya *Genomics Public Health Analysis, UK Health Security Agency, London, UK. sakib.rokadiya@nhs.net.
Centre for Human Genetics · GBGenomics (United Kingdom) · GBUniversity of Oxford · GBPublic Health Agency · GBPublic Health England · GB

Funding

Medical Research Council MR/N00065X/1Medical Research Council MR/R015600/1Medical Research Council MR/V001329/1Medical Research Council MR/W02067X/1Medical Research Council MR/X009297/1Wellcome TrustWellcome Trust 101122/Z/13/ZWellcome Trust WT109965MA
6 · The paper itself

Abstract

COVID-19 patients at risk of severe disease may be treated with neutralising monoclonal antibodies (mAbs). To minimise virus escape from neutralisation these are administered as combinations e.g. casirivimab+imdevimab or, for antibodies targeting relatively conserved regions, individually e.g. sotrovimab. Unprecedented genomic surveillance of SARS-CoV-2 in the UK has enabled a genome-first approach to detect emerging drug resistance in Delta and Omicron cases treated with casirivimab+imdevimab and sotrovimab respectively. Mutations occur within the antibody epitopes and for casirivimab+imdevimab multiple mutations are present on contiguous raw reads, simultaneously affecting both components. Using surface plasmon resonance and pseudoviral neutralisation assays we demonstrate these mutations reduce or completely abrogate antibody affinity and neutralising activity, suggesting they are driven by immune evasion. In addition, we show that some mutations also reduce the neutralising activity of vaccine-induced serum.

Indexed as

COVID-19SARS-CoV-2Antibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralHumansImmunotherapyMutationAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, Viral

Identifiers

PMID37286554
PMCPMC10246534
OpenAlexW4379768914

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.