https://www.frontiersin.org/articles/10.3389/fcimb.2021.765039/full
S-piikki:  E156G mutaation taustaa  
change of Glutamic acid at 156 positions to glycine (E156G/Δ157-158) (Supplementary figure-1).
This deletion we found in five of the total seven spike sequences isolated from the RT-PCR positive cases (Supplementary figure-1). Out of these five cases, two were fully vaccinated. When the ICS-05 spike sequence was aligned with the available spike sequences on GISAID15, it corresponded to the B.1.617 lineage (parent) , specifically with B.1.617.3 of the delta variant of concern (Figure-1b). Surfaced in the month of March 2021, the delta variant dominated the second wave in the country (Figure-1c) and was reported to have caused 25.3% of breakthrough infections 5.
Abstraktista näkyy vielä toisiakin mutaatioita jotka vahvistavat viruksen kykyjä:
Abstract 
SARS CoV-2 variants raise significant concerns due to their ability to cause vaccine breakthrough  infections. Here, we sequence-characterized the spike gene, isolated from a breakthrough infection,  that corresponded to B.1.617.3 lineage. Delineating the functional impact of spike mutations using 
reporter pseudoviruses (PV) revealed that N-terminal domain (NTD)-specific E156G/Δ157-158  contributed to increased infectivity and reduced sensitivity to ChAdOx1 nCoV-19 vaccine  (CovishieldTM)-elicited neutralizing antibodies. A six-nucleotide(nt)  deletion (467-472) in the spike 
coding region introduced this change in the NTD. 
We confirmed the presence of E156G/Δ157-158 in the RT-PCR-positive cases concurrently screened, in addition to other circulating spike (S1) mutations like T19R, T95I, L452R, E484Q, and D614G.
Notably, E156G/Δ157-158 was present in more than 85% of the sequences reported from the USA, UK, and India in August 2021. The spike PV(pseudovirus) bearing combination of E156G/Δ157-158 and L452R further promoted infectivity and conferred immune evasion.
Additionally, increased cell-to-cell fusion was observed when spike 
harbored E156G/Δ157-158, L452R, and E484Q, suggesting a combinatorial effect of these mutations.
 Notwithstanding, the plasma from a recovered individual robustly inhibited mutant spike  PV, indicating the increased breadth of neutralization post-recovery. Our data highlights the  importance of spike NTD-specific changes in determining infectivity and immune escape of  variants.  
  
 
Keywords: E156G/Δ157-158 spike protein; breakthrough infection; cell-to-cell fusion; Spike NTD;  ChAdOx1 nCOV-19 vaccine 
On mahdollista löytää myös F157S vaihtoehtoinen mutaatio.
B.1.526.1. 
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