AVM v1, released 02-OCT-22

A manually curated database of aerosol-transmitted virus mutations, human diseases, and drugs

Mutation detail:


Mutation site E484G
Virus SARS-CoV-2
Mutation level Amino acid level
Gene/protein/region type S
Gene ID 43740568
Country Germany
Mutation type nonsynonymous mutation
Genotype/subtype/clade -
Sample Human
Variants -
Viral reference sequence NC_045512.2
Drug/antibody/vaccine lvermectin resistant
Transmissibility -
Transmission mechanism -
Pathogenicity -
Pathogenicity mechanism -
Immune escape mutation -
Immune escape mechanism -
RT-PCR primers probes -

Protein detail:


Protein name Spike glycoprotein
Uniprot protein ID P0DTC2
Protein length 1273 amino acids
Protein description Spike protein is one of the structural proteins of SARS-CoV-2. The monomeric protein consists of one large ectodomain, a single-pass transmembrane anchor, and a short intracellular tail at C-terminus. It encompasses 22 glycosylation sites. S protein cleaves into two subunits namely S1 and S2 following receptor recognition. Receptor Binding Domain (RBD) in S1 subunit plays a major role in ACE2 receptor binding.

Literature information:


Pubmed ID 34737266
Clinical information No
Disease -
Published year 2021
Journal Nature Communications
Title Within-host evolution of SARS-CoV-2 in an immunosuppressed COVID-19 patient as a source of immune escape variants
Author Sebastian Weigang, Jonas Fuchs, Gert Zimmer, Daniel Schnepf, Lisa Kern
Evidence Analysis of the viral RNA that had been extracted from the patient samples revealed several nucleotide substitutions in ORF1ab, the spike gene, ORF3a, M, and N genes in comparison to the Wuhan-Hu-1 reference genome (Fig. 2c). The continuous presence of nine common mutations in all sequences argues against possible reinfection but is compatible with viral persistence. Within the first two weeks, no changes in the viral genome were observed, while from day 42 onward acquisition of several mutations occurred. Apart from low-frequency mutations, some mutations accumulated over time are indicative for the selection of distinct variants.