In Vitro Selection of Remdesivir-Resistant SARS-CoV-2 Demonstrates High Barrier to Resistance

Author:

Checkmahomed Liva1,Carbonneau Julie1,Du Pont Venice2,Riola Nicholas C.2,Perry Jason K.2,Li Jiani2,Paré Bastien3,Simpson Shawn M.3,Smith Martin A.3,Porter Danielle P.2,Boivin Guy1ORCID

Affiliation:

1. CHU de Quebec Hospital and Laval University, Quebec City, Quebec, Canada

2. Gilead Sciences, Foster City, California, USA

3. Ste-Justine Hospital and University of Montréal, Montréal, Quebec, Canada

Abstract

In vitro selection of remdesivir-resistant severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) revealed the emergence of a V166L substitution, located outside of the polymerase active site of the Nsp12 protein, after 9 passages of a single lineage. V166L remained the only Nsp12 substitution after 17 passages (10 μM remdesivir), conferring a 2.3-fold increase in 50% effective concentration (EC 50 ).

Funder

Canadian Institute of Health Research

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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