Tianjin Medical Journal ›› 2025, Vol. 53 ›› Issue (12): 1240-1245.doi: 10.11958/20251997

• Cell and Molecular Biology • Previous Articles     Next Articles

The correlation between SARS-CoV-2 B.1.1.7 nucleocapsid protein mutation with host innate immune response and clinical manifestation of COVID-19

HE Xianzhen1(), FU Ya'nan2, YOU Wanling3, GENG Aohua3, SUN Xiaoguang3, ZENG Feng3, LIU Long1,3,()   

  1. 1 Children's Medical Center, Shiyan People's Hospital (Affiliated People's Hospital of Hubei University of Medicine), Shiyan 442000, China
    2 Center for Disease Control and Prevention of Yuxi City
    3 Department of Pathogenic Biology, School of Basic Medical Sciences, Hubei University of Medicine
  • Received:2025-05-16 Revised:2025-08-04 Published:2025-12-15 Online:2025-12-08
  • Contact: E-mail:liulong2015@outlook.com

Abstract:

Objective To elucidate the correlation between specific nucleocapsid (N) protein mutant of the SARS-CoV-2 B.1.1.7 variant and clinical stratification in COVID-19 patients, revealing their impact on N protein liquid-liquid phase separation (LLPS) and host innate immune response. Methods Based on whole-genome sequencing data of the SARS-CoV-2 B.1.1.7 lineage from the GISAID database, non-synonymous mutation sites significantly associated with mild/severe clinical phenotypes were screened. For high-frequency N protein mutant, IFN-β promoter transcriptional activity was quantitatively measured using a dual-luciferase reporter system. qPCR was used to detect the mRNA expression levels of interferon (IFN)-β, interleukin (IL)-6 and tumor necrosis factor (TNF)-α. LLPS characteristics were observed by confocal microscopy. The ubiquitination status of host MAVS was detected by Western blot assay. Results A total of 17 640 non-synonymous mutation sites were identified, among which 65 were associated with mild cases and 20 were related to severe cases, with a mutation frequency >1%. The N protein mutation sites associated with severe cases were D3L, M234I and R203K-G204R-T205I. N protein and the mutants NM234I, NR203K-G204R-T205I inhibited the promoter activity of IFN-β (P<0.05). Compared to the wild type N protein, NR203K-G204R-T205I mutation significantly reduced the mRNA levels of IFN-β, IL-6 and TNF-α (P<0.05), and altered the phase separation state by dispersing the formation of LLPS condensates. However, N mutant did not affect the ubiquitination modification of host MAVS. Conclusion N protein mutants of the SARS-CoV-2 B.1.1.7 variant can influence the clinical prognosis of COVID-19 patients by altering LLPS status and suppressing the innate immune responses. These finding provides a theoretical basis for the design of antiviral drugs targeting the N protein.

Key words: SARS-CoV-2, coronavirus nucleocapsid proteins, interferon-beta, clinical manifestations, B.1.1.7 lineage, liquid liquid phasese separation

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