Role of Dengue in SARS-CoV-2 Evolution in Dengue Endemic Regions

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Role of Dengue in SARS-CoV-2 Evolution in Dengue Endemic Regions

Authors

Mallick, A.; Biswas, S.

Abstract

Evidence suggests that dengue virus (DV) antibodies (Abs) and SARS-CoV-2 Abs were cross-reactive, resulting in reciprocal serological cross-interaction and providing cross-protection in populations in co-endemic regions. It became apparent from the present study that SARS-CoV-2 variants were preferentially selecting mutation(s)/deletions in the spike to evade interaction with DV Abs. We looked at mutations in the SARS-CoV-2 spike protein and how they affected the antigenicity, focusing on successively emergent major variants such as B.1.1.7 (Kent), B.1.617 (Delta), B.1.617.2.1 (Delta-Plus), B.1.1.529 (Omicron-BA.1) and B.1.1.529 (Omicron-BA.2). To further understand the effect of cross-reactive DV Abs on SARS-CoV-2 spike mutation(s), structural studies and docking simulations were performed using DV-2 envelope (E) Abs. Signature mutation (s) in spike variants implied that majority of the above changes in the spike were driven by DV Abs rather than immune pressure of SARS-CoV-2 (preceding variants). This was supported by the fact that the lately emergent SARS-CoV-2 variants like Omicrons (2022-23) were at least 50% less cross-reactive to DV compared to preceding predominant strains. This was further supported by the observed cross-binding of pre-pandemic DV Ab-positive serums to spike synthetic peptides in ELISA, designed from certain regions of the spike RBD which showed maximum cross-interactions with DV E Abs.

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subhabiscam

 ONE MAJOR reason why COVID-19 faded away more in dengue endemic regions since 2020-23 onwards:

SARS-CoV-2 variants had been preferentially accumulating mutation(s)/deletion(s) in the spike to evade Dengue Abs.

Signature mutation (s) in spike variants implied that majority of the above changes in the spike were driven by DV Abs rather than immune pressure of SARS-CoV-2 (preceding variants). 

This was supported by the fact that the lately emergent SARS-CoV-2 variants like Omicrons (2022-23) were at least 50% less cross-reactive to DV compared to preceding predominant strains. 

This was further supported by the observed cross-binding of pre-pandemic DV Ab-positive serums to spike synthetic peptides in ELISA, designed from certain regions of the spike RBD which showed maximum cross-interactions with DV Envelope Abs.

So, SARS-CoV-2 variants evolved to evade the DV immune pressure.

In fact, you will see in our J Med Virol 2024 paper (https://onlinelibrary.wiley.com/doi/10.1002/jmv.29771) that there were reports on Severe Acute Respiratory Infections (SARI) analysis from India where human coronaviruses are rarely encountered compared to North America and European countries. The dengue protection appears to be there all the time against HCoVs......and it is true for the COVID-19 virus also!!! 
 
A lot of responses to our work on Twitter: 
https://x.com/subhajitcam/status/1912480149880131701 
https://x.com/subhajitcam/status/1912459325785755913  

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