<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD with MathML3 v1.3 20210610//EN"  "JATS-archivearticle1-3-mathml3.dtd"><?covid-19-tdm ?><article xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.3"><front><journal-meta><journal-id journal-id-type="nlm-ta">elife</journal-id><journal-id journal-id-type="publisher-id">eLife</journal-id><journal-title-group><journal-title>eLife</journal-title></journal-title-group><issn publication-format="electronic" pub-type="epub">2050-084X</issn><publisher><publisher-name>eLife Sciences Publications, Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">92063</article-id><article-id pub-id-type="doi">10.7554/eLife.92063</article-id><article-id pub-id-type="doi" specific-use="version">10.7554/eLife.92063.3</article-id><article-categories><subj-group subj-group-type="display-channel"><subject>Research Article</subject></subj-group><subj-group subj-group-type="heading"><subject>Structural Biology and Molecular Biophysics</subject></subj-group></article-categories><title-group><article-title>Some mechanistic underpinnings of molecular adaptations of SARS-COV-2 spike protein by integrating candidate adaptive polymorphisms with protein dynamics</article-title></title-group><contrib-group><contrib contrib-type="author" id="author-332429"><name><surname>Ose</surname><given-names>Nicholas James</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-2194-5199</contrib-id><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="other" rid="fund1"/><xref ref-type="fn" rid="con1"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-332430"><name><surname>Campitelli</surname><given-names>Paul</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0001-5620-609X</contrib-id><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="other" rid="fund1"/><xref ref-type="fn" rid="con2"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-332431"><name><surname>Modi</surname><given-names>Tushar</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0001-9483-9170</contrib-id><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="other" rid="fund1"/><xref ref-type="fn" rid="con3"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-226927"><name><surname>Kazan</surname><given-names>I Can</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0003-2593-4179</contrib-id><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="other" rid="fund1"/><xref ref-type="fn" rid="con4"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" corresp="yes" id="author-232776"><name><surname>Kumar</surname><given-names>Sudhir</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-9918-8212</contrib-id><email>s.kumar@temple.edu</email><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="aff" rid="aff4">4</xref><xref ref-type="other" rid="fund4"/><xref ref-type="other" rid="fund6"/><xref ref-type="fn" rid="con5"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" corresp="yes" id="author-106607"><name><surname>Ozkan</surname><given-names>Sefika Banu</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-9351-3758</contrib-id><email>banu.ozkan@asu.edu</email><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="other" rid="fund2"/><xref ref-type="other" rid="fund3"/><xref ref-type="other" rid="fund5"/><xref ref-type="fn" rid="con6"/><xref ref-type="fn" rid="conf1"/></contrib><aff id="aff1"><label>1</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/03efmqc40</institution-id><institution>Department of Physics and Center for Biological Physics, Arizona State University</institution></institution-wrap><addr-line><named-content content-type="city">Tempe</named-content></addr-line><country>United States</country></aff><aff id="aff2"><label>2</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/00kx1jb78</institution-id><institution>Institute for Genomics and Evolutionary Medicine, Temple University</institution></institution-wrap><addr-line><named-content content-type="city">Philadelphia</named-content></addr-line><country>United States</country></aff><aff id="aff3"><label>3</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/00kx1jb78</institution-id><institution>Department of Biology, Temple University</institution></institution-wrap><addr-line><named-content content-type="city">Philadelphia</named-content></addr-line><country>United States</country></aff><aff id="aff4"><label>4</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/02ma4wv74</institution-id><institution>Center for Genomic Medicine Research, King Abdulaziz University</institution></institution-wrap><addr-line><named-content content-type="city">Jeddah</named-content></addr-line><country>Saudi Arabia</country></aff></contrib-group><contrib-group content-type="section"><contrib contrib-type="editor"><name><surname>Hamelberg</surname><given-names>Donald</given-names></name><role>Reviewing Editor</role><aff><institution-wrap><institution-id institution-id-type="ror">https://ror.org/03qt6ba18</institution-id><institution>Georgia State University</institution></institution-wrap><country>United States</country></aff></contrib><contrib contrib-type="senior_editor"><name><surname>Cui</surname><given-names>Qiang</given-names></name><role>Senior Editor</role><aff><institution-wrap><institution-id institution-id-type="ror">https://ror.org/05qwgg493</institution-id><institution>Boston University</institution></institution-wrap><country>United States</country></aff></contrib></contrib-group><pub-date publication-format="electronic" date-type="publication"><day>07</day><month>05</month><year>2024</year></pub-date><volume>12</volume><elocation-id>RP92063</elocation-id><history><date date-type="sent-for-review" iso-8601-date="2023-08-29"><day>29</day><month>08</month><year>2023</year></date></history><pub-history><event><event-desc>This manuscript was published as a preprint.</event-desc><date date-type="preprint" iso-8601-date="2023-09-15"><day>15</day><month>09</month><year>2023</year></date><self-uri content-type="preprint" xlink:href="https://doi.org/10.1101/2023.09.14.557827"/></event><event><event-desc>This manuscript was published as a reviewed preprint.</event-desc><date date-type="reviewed-preprint" iso-8601-date="2023-11-06"><day>06</day><month>11</month><year>2023</year></date><self-uri content-type="reviewed-preprint" xlink:href="https://doi.org/10.7554/eLife.92063.1"/></event><event><event-desc>The reviewed preprint was revised.</event-desc><date date-type="reviewed-preprint" iso-8601-date="2024-04-03"><day>03</day><month>04</month><year>2024</year></date><self-uri content-type="reviewed-preprint" xlink:href="https://doi.org/10.7554/eLife.92063.2"/></event></pub-history><permissions><copyright-statement>© 2023, Ose et al</copyright-statement><copyright-year>2023</copyright-year><copyright-holder>Ose et al</copyright-holder><ali:free_to_read/><license xlink:href="http://creativecommons.org/licenses/by/4.0/"><ali:license_ref>http://creativecommons.org/licenses/by/4.0/</ali:license_ref><license-p>This article is distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use and redistribution provided that the original author and source are credited.</license-p></license></permissions><self-uri content-type="pdf" xlink:href="elife-92063-v1.pdf"/><self-uri content-type="figures-pdf" xlink:href="elife-92063-figures-v1.pdf"/><abstract><p>We integrate evolutionary predictions based on the neutral theory of molecular evolution with protein dynamics to generate mechanistic insight into the molecular adaptations of the SARS-COV-2 spike (S) protein. With this approach, we first identified candidate adaptive polymorphisms (CAPs) of the SARS-CoV-2 S protein and assessed the impact of these CAPs through dynamics analysis. Not only have we found that CAPs frequently overlap with well-known functional sites, but also, using several different dynamics-based metrics, we reveal the critical allosteric interplay between SARS-CoV-2 CAPs and the S protein binding sites with the human ACE2 (hACE2) protein. CAPs interact far differently with the hACE2 binding site residues in the open conformation of the S protein compared to the closed form. In particular, the CAP sites control the dynamics of binding residues in the open state, suggesting an allosteric control of hACE2 binding. We also explored the characteristic mutations of different SARS-CoV-2 strains to find dynamic hallmarks and potential effects of future mutations. Our analyses reveal that Delta strain-specific variants have non-additive (i.e., epistatic) interactions with CAP sites, whereas the less pathogenic Omicron strains have mostly additive mutations. Finally, our dynamics-based analysis suggests that the novel mutations observed in the Omicron strain epistatically interact with the CAP sites to help escape antibody binding.</p></abstract><kwd-group kwd-group-type="author-keywords"><kwd>SARS-CoV-2</kwd><kwd>spike protein</kwd><kwd>evolution</kwd><kwd>dynamics</kwd><kwd>allostery</kwd><kwd>epistasis</kwd></kwd-group><kwd-group kwd-group-type="research-organism"><title>Research organism</title><kwd>Human</kwd></kwd-group><funding-group><award-group id="fund1"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000936</institution-id><institution>Gordon and Betty Moore Foundation</institution></institution-wrap></funding-source><award-id>AWD00034439</award-id><principal-award-recipient><name><surname>Ose</surname><given-names>Nicholas James</given-names></name><name><surname>Campitelli</surname><given-names>Paul</given-names></name><name><surname>Modi</surname><given-names>Tushar</given-names></name><name><surname>Kazan</surname><given-names>I Can</given-names></name></principal-award-recipient></award-group><award-group id="fund2"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000001</institution-id><institution>National Science Foundation</institution></institution-wrap></funding-source><award-id>1715591</award-id><principal-award-recipient><name><surname>Ozkan</surname><given-names>Sefika Banu</given-names></name></principal-award-recipient></award-group><award-group id="fund3"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000001</institution-id><institution>National Science Foundation</institution></institution-wrap></funding-source><award-id>1901709</award-id><principal-award-recipient><name><surname>Ozkan</surname><given-names>Sefika Banu</given-names></name></principal-award-recipient></award-group><award-group id="fund4"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000001</institution-id><institution>National Science Foundation</institution></institution-wrap></funding-source><award-id>GCR 1934848</award-id><principal-award-recipient><name><surname>Kumar</surname><given-names>Sudhir</given-names></name></principal-award-recipient></award-group><award-group id="fund5"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>R01GM147635-01</award-id><principal-award-recipient><name><surname>Ozkan</surname><given-names>Sefika Banu</given-names></name></principal-award-recipient></award-group><award-group id="fund6"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>GM139540</award-id><principal-award-recipient><name><surname>Kumar</surname><given-names>Sudhir</given-names></name></principal-award-recipient></award-group><funding-statement>The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.</funding-statement></funding-group><custom-meta-group><custom-meta specific-use="meta-only"><meta-name>Author impact statement</meta-name><meta-value>Insights from integrating evolutionary predictions and protein dynamics unveil how specific mutations in the SARS-CoV-2 spike protein epistatically interact in order to influence spike protein interaction with human cells, potentially altering the virus's infectivity and immune evasion capabilities.</meta-value></custom-meta><custom-meta specific-use="meta-only"><meta-name>publishing-route</meta-name><meta-value>prc</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec id="s1" sec-type="intro"><title>Introduction</title><p>Since 2019, the evolution of SARS-CoV-2 in humans has been characterized by the spread of mutations, many notably found within the spike (S) glycoprotein. The S protein is directly related to the human immune response to COVID-19 and, as such, has been one of the most studied and targeted proteins in SARS-CoV-2 research (<xref ref-type="bibr" rid="bib123">Shang et al., 2020</xref>; <xref ref-type="bibr" rid="bib46">Harvey et al., 2021</xref>; <xref ref-type="bibr" rid="bib53">Jackson et al., 2022</xref>; <xref ref-type="bibr" rid="bib22">Carabelli et al., 2023</xref>; <xref ref-type="bibr" rid="bib85">Markov et al., 2023</xref>). Subsequently, research into the biophysical properties and mutational patterns associated with S protein evolution not only remains critical to understanding the pandemic but also emerges as a useful system to understand the mechanics of molecular adaptation within viruses.</p><p>For successful infection of a human host, the S glycoprotein of SARS-CoV-2 binds to the human ACE2 (hACE2) receptor through its receptor-binding domain (RBD). Evidence indicates that fine-tuning S protein interactions with hACE2 significantly affects viral reproduction (<xref ref-type="bibr" rid="bib113">Rehman et al., 2020</xref>; <xref ref-type="bibr" rid="bib120">Saputri et al., 2020</xref>; <xref ref-type="bibr" rid="bib115">Rochman et al., 2021</xref>). Previous evolutionary studies show a complex network of interactions among mutated residues (<xref ref-type="bibr" rid="bib25">Changeux and Edelstein, 2005</xref>; <xref ref-type="bibr" rid="bib34">Doshi et al., 2016</xref>; <xref ref-type="bibr" rid="bib101">O’Rourke et al., 2016</xref>; <xref ref-type="bibr" rid="bib90">Mishra and Jernigan, 2018</xref>). Therefore, there has been a vast effort to uncover which mutations are important steps of adaptation for the S protein (<xref ref-type="bibr" rid="bib14">Cagliani et al., 2020</xref>; <xref ref-type="bibr" rid="bib28">Damas et al., 2020</xref>; <xref ref-type="bibr" rid="bib127">Singh and Yi, 2021</xref>; <xref ref-type="bibr" rid="bib63">Kistler et al., 2022</xref>; <xref ref-type="bibr" rid="bib82">Maher et al., 2022</xref>; <xref ref-type="bibr" rid="bib96">Neher, 2022</xref>). In particular, a significant aspect of many such studies was a focus on understanding adaptive mutations of SARS-CoV-2 that contributed to the leap to human hosts (<xref ref-type="bibr" rid="bib14">Cagliani et al., 2020</xref>; <xref ref-type="bibr" rid="bib28">Damas et al., 2020</xref>; <xref ref-type="bibr" rid="bib127">Singh and Yi, 2021</xref>; <xref ref-type="bibr" rid="bib132">Starr et al., 2022c</xref>). This is because SARS-CoV-2 has continuously mutated since its early detection (<xref ref-type="bibr" rid="bib63">Kistler et al., 2022</xref>), causing the emergence of CDC-designated ‘variants of concern’ (VOCs) that may be driven by an accelerated substitution rate (<xref ref-type="bibr" rid="bib140">Tay et al., 2022</xref>).</p><p>Predicting how new mutations impact the biophysical properties of the S protein remains a challenge, let alone explaining their complex interactions with one another and how they might affect hACE2 binding; many factors affect hACE2 interactions. Binding affinity with hACE2 can be enhanced directly through stronger receptor interactions or mediated through changes in RBD opening (<xref ref-type="bibr" rid="bib142">Teruel et al., 2021b</xref>; <xref ref-type="bibr" rid="bib159">Zhang et al., 2021</xref>; <xref ref-type="bibr" rid="bib31">Díaz-Salinas et al., 2022</xref>). The RBD exhibits both ‘closed’ and ‘open’ conformational states. In the closed state, the RBD is shielded from receptor binding. In the open state, the RBD is accessible for hACE2 binding (<xref ref-type="bibr" rid="bib62">Kirchdoerfer et al., 2016</xref>; <xref ref-type="bibr" rid="bib44">Gur et al., 2020</xref>; <xref ref-type="bibr" rid="bib47">Henderson et al., 2020</xref>; <xref ref-type="bibr" rid="bib48">Hoffmann et al., 2020</xref>). While some mutations may affect the transition between these states (<xref ref-type="bibr" rid="bib47">Henderson et al., 2020</xref>; <xref ref-type="bibr" rid="bib157">Yurkovetskiy et al., 2020</xref>; <xref ref-type="bibr" rid="bib42">Gobeil et al., 2021a</xref>; <xref ref-type="bibr" rid="bib137">Sztain et al., 2021</xref>; <xref ref-type="bibr" rid="bib159">Zhang et al., 2021</xref>; <xref ref-type="bibr" rid="bib126">Shoemark et al., 2022</xref>), other mutations may allosterically regulate RBD openings through Furin cleavage site (residue ID range: 681–695) interactions to regulate hACE2 binding (<xref ref-type="bibr" rid="bib30">Deng et al., 2021</xref>; <xref ref-type="bibr" rid="bib43">Gobeil et al., 2021b</xref>; <xref ref-type="bibr" rid="bib58">Khan et al., 2021</xref>; <xref ref-type="bibr" rid="bib72">Laiton-Donato et al., 2021</xref>).</p><p>Moreover, as new mutations accumulate, culminating in the emergence of a new VOC, these mutations must occur on varied sequence backgrounds containing neutral, nearly-neutral, and adaptive mutations. While many studies have explored the impacts of individual mutations, VOCs result in a substantial difference in protein function compared to their individual effects (<xref ref-type="bibr" rid="bib94">Moulana et al., 2022</xref>; <xref ref-type="bibr" rid="bib132">Starr et al., 2022c</xref>; <xref ref-type="bibr" rid="bib95">Moulana et al., 2023</xref>; <xref ref-type="bibr" rid="bib150">Witte et al., 2023</xref>). Here we integrate an evolutionary approach with protein dynamics analysis to address the fundamental mechanisms of mutations dictating VOCs and the impact of their epistatic interaction on the function of the S protein. Many earlier studies have combined phylogeny and evolutionary theory to identify adaptive mutations and analyze how the viral sequence has changed over time (<xref ref-type="bibr" rid="bib39">Frost et al., 2018</xref>; <xref ref-type="bibr" rid="bib11">Boni et al., 2020</xref>; <xref ref-type="bibr" rid="bib14">Cagliani et al., 2020</xref>; <xref ref-type="bibr" rid="bib28">Damas et al., 2020</xref>; <xref ref-type="bibr" rid="bib139">Tang et al., 2020</xref>). Similarly, we first use a well-established evolutionary probability (EP) approach (<xref ref-type="bibr" rid="bib77">Liu et al., 2016</xref>) that utilizes phylogenetic trees in combination with the neutral theory of molecular evolution to determine candidate adaptive polymorphisms (CAPs) using the early Wuhan sequence as a variant. CAPs are substitutions in SARS-CoV-2 that are rarely observed in other closely related sequences (<xref ref-type="fig" rid="fig1">Figure 1A</xref>), which implies a degree of functional importance and makes them candidates for adaptation (<xref ref-type="bibr" rid="bib77">Liu et al., 2016</xref>). Adaptation in this case means a virus which can successfully infect human hosts. As CAPs are unexpected polymorphisms under neutral theory, their existence implies a non-neutral effect. This can come in the form of functional changes (<xref ref-type="bibr" rid="bib77">Liu et al., 2016</xref>) or compensation for functional changes (<xref ref-type="bibr" rid="bib103">Ose et al., 2022b</xref>). Therefore, we suspect that these CAPs may be partially responsible for the functional change allowing the infection of human hosts. In support of this method, we find an overlap between our list of sites containing CAPs and putative adaptive sites identified by others (<xref ref-type="bibr" rid="bib14">Cagliani et al., 2020</xref>; <xref ref-type="bibr" rid="bib127">Singh and Yi, 2021</xref>; <xref ref-type="bibr" rid="bib63">Kistler et al., 2022</xref>; <xref ref-type="bibr" rid="bib131">Starr et al., 2022b</xref>). Second, we use a suite of computational tools to analyze how CAPs that arose in the early and late phases of the COVID-19 pandemic modulate the dynamics of the S protein. We also explore the complex interactions between these sets of CAPs to gain mechanistic insight into the behavior of molecular adaptation involving the S protein. In particular, we focused on how mutations modulate protein dynamics as we and others have previously found that rather than changing a protein’s structure solely, mutations modulate conformational dynamics, leading to changes in biophysical properties such as stability, flexibility, and allosteric dynamic coupling, any of which may affect protein binding (<xref ref-type="bibr" rid="bib136">Swint-Kruse et al., 1998</xref>; <xref ref-type="bibr" rid="bib57">Keskin et al., 2000</xref>; <xref ref-type="bibr" rid="bib9">Bhabha et al., 2013</xref>; <xref ref-type="bibr" rid="bib100">Nussinov and Tsai, 2013</xref>; <xref ref-type="bibr" rid="bib16">Campbell et al., 2016</xref>; <xref ref-type="bibr" rid="bib79">Ma and Nussinov, 2016</xref>; <xref ref-type="bibr" rid="bib119">Saavedra et al., 2018</xref>; <xref ref-type="bibr" rid="bib70">Kuzmanic et al., 2020</xref>).</p><fig id="fig1" position="float"><label>Figure 1.</label><caption><title>Evolutionary probability (EP) in SARS-CoV-2.</title><p>(<bold>A</bold>) The EPs of each amino acid in the S protein sequence are calculated by taking the multiple sequence alignment of the S proteins through their evolutionary tree and using Bayesian inferences to determine the likelihood of finding a particular residue at a particular location within a given sequence. Simply, if the residue is found at a location ‘x’ in closely related sequences, it will have a higher EP at location ‘x’ in the target sequence. Residues with an EP &lt; 0.05 in the target sequence are candidate adaptive polymorphisms (CAPs) (red). CAPs are found at sites 32, 50, 218, 346, 372, 478, 486, 498, 519, 604, 681, 682, 683, 684, and 1125. (<bold>B</bold>) The distribution of EP scores of the wild-type residues in the S protein. Here, lower EP scores are shown in red, and higher EP scores in blue. While the vast majority of the wild-type (reference) protein consists of high EP residues, a few residues have low EP. (<bold>C</bold>) The CAPs are also highlighted as red spheres in the open configuration of the S protein, with the open chain in a darker shade. We observe that a majority of the CAP positions reside at the receptor-binding domain (RBD) and the Furin cleavage site (676-689; <xref ref-type="bibr" rid="bib152">Wrobel et al., 2020</xref>) shown as transparent light gray spheres.</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig1-v1.tif"/></fig><p>With this evolutionary-dynamics unified approach, we aim to answer the following questions about VOCs: Are all the mutations in VOCs adaptive in nature? Are they coupled to one another or provide some measure of biophysical, dynamical, or mechanical epistasis? While many of these mutations are found within the RBD, numerous others are located distal to this region; hence, we aim to investigate the functional roles of distal mutations, particularly from a protein dynamics perspective. Our integrated analysis revealed that protein dynamics play a significant role in the evolution of the S protein. The flexibility of sites within the S protein shows a strong, direct correlation with substitution rate, and newly evolving CAPS are mostly additive mutations that modulate the dynamics of the hACE2 binding site. Yet other CAPs, 346R, 486F, and 498Q, show highly epistatic (i.e., non-additive) modulation of the hACE2 binding site and provide immune escape benefits.</p></sec><sec id="s2" sec-type="results|discussion"><title>Results and discussion</title><sec id="s2-1"><title>Candidate adaptive mutations in the S protein are recognized via EPs</title><p>SARS-CoV-2 is part of a family of coronaviruses, many of which infect mainly animals and are less capable of infecting humans (<xref ref-type="bibr" rid="bib32">Dicken et al., 2021</xref>). Therefore, to identify the most likely mutations responsible for the infection of human hosts (i.e., putative adaptive mutations for humans), we estimated the (neutral) EP scores of mutations found within the S protein (<xref ref-type="bibr" rid="bib77">Liu et al., 2016</xref>). EP scores of the amino acid variants of the S protein were obtained using a maximum likelihood phylogeny (<xref ref-type="bibr" rid="bib68">Kumar et al., 2018</xref>) built from 19 orthologous coronavirus sequences. Sequences were selected by examining available non-human sequences with a sequence identity of 70% or above to the human SARS CoV-2’s S protein sequence. This cutoff allows for divergence over evolutionary history such that each amino acid position had ample time to experience purifying selection, whilst limiting ourselves to closely related coronaviruses. (<xref ref-type="fig" rid="fig1">Figure 1A</xref>). The likelihood of finding a particular amino acid in the sequence is then determined using a Bayesian framework, with calculations carried out by MEGA X software (<xref ref-type="bibr" rid="bib68">Kumar et al., 2018</xref>). As apparent in the name, EP scores obtained for the amino acids in the sequence provide information regarding the likelihood of finding them at their position, given the history of the sequence. Amino acid residues receiving low EP scores (&lt;0.05) at a position are less likely to be found in a given position within the sequence because they are non-neutral. Generally, positions with low EP amino acids are far less common than those containing mutations with high EP, a trend also realized in the CoV-2 S protein (<xref ref-type="fig" rid="fig1">Figure 1B</xref>).</p><p>Of particular interest is an observed evolutionary change where an amino acid with high EP is replaced by an amino acid residue with low EP. While amino acids with low EP should be harmful or deleterious to viral fitness due to functional disruption or change, fixation of a low EP amino acid at a position suggests an underlying mechanism for natural selection to operate. These fixed, low EP mutations are called CAPs as they are predicted to alter protein function, and adaptive pressures may drive their prevalence (<xref ref-type="bibr" rid="bib67">Kumar and Patel, 2018</xref>). Indeed, there is an overlap between these CAPs and the mutations suggested by other methods to be adaptive for the S protein (<xref ref-type="bibr" rid="bib14">Cagliani et al., 2020</xref>; <xref ref-type="bibr" rid="bib127">Singh and Yi, 2021</xref>; <xref ref-type="bibr" rid="bib63">Kistler et al., 2022</xref>; <xref ref-type="bibr" rid="bib131">Starr et al., 2022b</xref>). Within these studies, sites 478, 486, 498, and 681 have been implicated in SARS-CoV-2 evolution, leaving the remaining 11 CAPs as undiscovered candidate sites for adaptation.</p><p>Interestingly, most of the CAP residues are at functionally critical sites, including the RBD and the Furin cleavage site (<xref ref-type="fig" rid="fig1">Figure 1C</xref>). As mentioned earlier, the RBD plays a key role in initiating the infection of a healthy cell by binding with the host organism’s ACE2 protein. Before ACE2 binding, one chain of the homotrimer comprising the S protein must open to expose the RBD (<xref ref-type="bibr" rid="bib62">Kirchdoerfer et al., 2016</xref>; <xref ref-type="bibr" rid="bib47">Henderson et al., 2020</xref>; <xref ref-type="bibr" rid="bib48">Hoffmann et al., 2020</xref>; <xref ref-type="bibr" rid="bib137">Sztain et al., 2021</xref>). The Furin cleavage site plays a key role in the opening process as the binding of host cell protease Furin aids in the cleavage of the S protein into two domains: S1 and S2 (<xref ref-type="bibr" rid="bib152">Wrobel et al., 2020</xref>: 13). Another host cell protease, TMPRSS2, facilitates viral attachment to the surface of target cells upon binding either to sites Arg815/Ser816, or Arg685/Ser686 which overlap with the Furin cleavage site 676–689, further emphasizing the importance of this area (; <xref ref-type="bibr" rid="bib38">Fraser et al., 2022</xref>). Similar cleavage sites have been found in related coronaviruses, including HKU1 and Middle East respiratory syndrome coronavirus (MERS-CoV), which infects humans (<xref ref-type="bibr" rid="bib24">Chan et al., 2008</xref>: 1; <xref ref-type="bibr" rid="bib88">Millet and Whittaker, 2014</xref>; <xref ref-type="bibr" rid="bib89">Millet and Whittaker, 2015</xref>), and the acquisition of similar cleavage sites is associated with increased pathogenicity in other viruses such as the influenza virus (<xref ref-type="bibr" rid="bib133">Steinhauer, 1999</xref>). Interestingly, however, CAPs do not display such an overwhelming tendency to occur at well-known critical sites within human proteins studied with similar methods (<xref ref-type="bibr" rid="bib103">Ose et al., 2022b</xref>), yet mutations at those sites are associated with disease, indicating their critical role in inducing functional change. Therefore, the identified CAPs in the S protein, which are signs of recent evolution, can provide mechanistic insights regarding the molecular adaptation of the virus. In particular, we aimed to analyze how these CAP positions in the S protein modulate the interaction with hACE2 using our protein dynamics-based analysis (<xref ref-type="bibr" rid="bib41">Gerek and Ozkan, 2011</xref>; <xref ref-type="bibr" rid="bib97">Nevin Gerek et al., 2013</xref>; <xref ref-type="bibr" rid="bib74">Larrimore et al., 2017</xref>; <xref ref-type="bibr" rid="bib66">Kumar et al., 2015</xref>).</p></sec><sec id="s2-2"><title>Asymmetry in communications among the network of interactions in spike describes how CAPs regulate the dynamics of the S protein</title><p>A mutation at a given amino acid position inevitably not only alters local interactions, but this change cascades through the residue–residue interaction network, which gives rise to a variation in native ensemble dynamics to modulate function (<xref ref-type="bibr" rid="bib35">Dror et al., 2012</xref>; <xref ref-type="bibr" rid="bib71">Labbadia and Morimoto, 2015</xref>; <xref ref-type="bibr" rid="bib122">Sekhar and Kay, 2019</xref>; <xref ref-type="bibr" rid="bib17">Campitelli et al., 2020</xref>.). Many groups have already examined the conformational dynamics of the S protein using normal mode analysis to explore mutation sites and interactions with different receptors (<xref ref-type="bibr" rid="bib160">Zhou et al., 2020</xref>; <xref ref-type="bibr" rid="bib84">Majumder et al., 2021</xref>; <xref ref-type="bibr" rid="bib141">Teruel et al., 2021a</xref>; <xref ref-type="bibr" rid="bib145">Verkhivker, 2022</xref>). However, our study will focus mainly on the role of CAPs, of which F486 and Q498 have already been identified through perturbation response scanning (PRS) as potential allosteric sites (<xref ref-type="bibr" rid="bib145">Verkhivker, 2022</xref>). Thus, we analyze the internal dynamics of the system to understand the functional role of CAPs in S proteins. This analysis allows us to gain a mechanistic understanding of the relationship between CAP mutations and biophysical outcomes (<xref ref-type="bibr" rid="bib142">Teruel et al., 2021b</xref>). First, we implement the dynamic coupling index (DCI) approach to study long-distance coupling between the CAPs and the hACE2 binding sites emerging from the 3D network of interactions across the S protein system. DCI calculation combines PRS and linear response theory (LRT) to capture the strength of a displacement response for position <italic>i</italic> upon perturbation of position <italic>j</italic>, relative to the average fluctuation response of position <italic>i</italic> to all other positions in the protein. It represents the strength of dynamic coupling between positions <italic>i</italic> and <italic>j</italic> upon perturbation to <italic>j</italic> (<xref ref-type="bibr" rid="bib74">Larrimore et al., 2017</xref>; <xref ref-type="bibr" rid="bib66">Kumar et al., 2015</xref>).</p><p>Further, asymmetry can be captured in the DCI values as dynamic coupling is not necessarily symmetric due to an anisotropic interaction network. That is, each amino acid has a set of positions to which it is highly coupled, and this anisotropy in connections gives rise to unique differences in coupling between a given <italic>i, j</italic> pair of amino acids which do not have direct interactions. By calculating the coupling of the hACE2 binding interface in the RBD with respect to the CAP residue positions and vice versa, we can generate DCI<sub>asym</sub> (<xref ref-type="fig" rid="fig2">Figure 2A</xref>) as the difference between the normalized displacement response of position <italic>j</italic> upon a perturbation to position <italic>i</italic> (DCI<sub>ij</sub>) and the normalized displacement response of position <italic>i</italic> upon a perturbation to position <italic>j</italic> (DCI<sub>ji</sub>) (see ‘Methods’). If the DCI<sub>asym</sub> values significantly differ from zero, it shows asymmetry in coupling and presents a cause–effect relationship between the <italic>i, j</italic> pair in terms of force/signal propagation. This metric has been used previously in a variety of systems to analyze the unique behavior of positions within a protein and a given position’s propensity to effect biophysical changes upon mutation, particularly at long distances (<xref ref-type="bibr" rid="bib91">Modi and Ozkan, 2018</xref>; <xref ref-type="bibr" rid="bib18">Campitelli and Ozkan, 2020</xref>; <xref ref-type="bibr" rid="bib65">Kolbaba-Kartchner et al., 2021</xref>; <xref ref-type="bibr" rid="bib102">Ose et al., 2022a</xref>; <xref ref-type="bibr" rid="bib55">Kazan et al., 2023</xref>; <xref ref-type="bibr" rid="bib19">Campitelli et al., 2021</xref>).</p><fig id="fig2" position="float"><label>Figure 2.</label><caption><title>Candidate adaptive polymorphisms (CAPs) control binding sites across chains.</title><p>(<bold>A</bold>) Schematic representation of DCI<sub>asym</sub>. (<bold>B</bold>) DCI<sub>asym</sub> of CAP residue positions with the binding interface of receptor-binding domain (RBD) in the open chain. Residues in the closed chains with a low evolutionary probability (EP) amino acid in the reference sequence dominate the binding site interface of RBD in the open chain. There is a significant difference between the asymmetry profiles of the closed (M = –0.06, SD = 0.33) and open (M = –1.68, SD = 0.89) conformations (p&lt;0.001).</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig2-v1.tif"/></fig><p>Recent work from our group has shown an enhancement in cross-chain communication within the main protease of SARS COV-2 compared to SARS COV-1 (<xref ref-type="bibr" rid="bib20">Campitelli et al., 2022</xref>). Furthermore, previous studies have shown that allosteric inter-chain communication is important to S protein function (<xref ref-type="bibr" rid="bib160">Zhou et al., 2020</xref>; <xref ref-type="bibr" rid="bib129">Spinello et al., 2021</xref>; <xref ref-type="bibr" rid="bib138">Tan et al., 2022</xref>; <xref ref-type="bibr" rid="bib154">Xue et al., 2022</xref>). In support of these findings, we observe through DCI<sub>asym</sub> that when the S protein is in its pre-fusion conformation with one chain open, the CAPs in the closed chains have negative coupling asymmetry with respect to the hACE2 binding site interface in the RBD-open chain. This indicates an allosteric control where the hACE2 binding site is dominated by the dynamics of the CAPs in closed chains (<xref ref-type="fig" rid="fig2">Figure 2B</xref>, yellow bars). As this open-state RBD is critical for the viral infection of host cells (<xref ref-type="bibr" rid="bib62">Kirchdoerfer et al., 2016</xref>), our results suggest that this type of closed-to-open cross-chain interaction is important for viral proliferation. Our prior studies on DCI<sub>asym</sub> show a similar trend in lactose inhibitor (LacI), a protein with a functional role in gene expression through binding DNA. The allosteric mutations (i.e., mutations on the sites that are far from the DNA binding sites) that alter DNA binding affinity not only exhibited unique asymmetry profiles with the DNA binding sites of LacI, but also regulated the dynamics of these binding sites (<xref ref-type="bibr" rid="bib19">Campitelli et al., 2021</xref>).</p><p>Similarly, it is possible that mutations to such residue positions within the S protein can be used to regulate the dynamics of the hACE2 bindings sites of the open RBD state. We, therefore, propose that the residue positions with CAP substitutions hold the potential for mutations in the spike sequence which can alter the opening and closing dynamics of the RBD. This hypothesis is further supported by many mutations already observed at these residue positions which alter the infection rate (<xref ref-type="bibr" rid="bib12">Brister et al., 2015</xref>). Interestingly, residues responsible for extremely low asymmetry values (&lt;–4) lie overwhelmingly in the region 476–486. These same residues were suggested to stabilize S protein dynamics and prime it for host Furin proteolysis (<xref ref-type="bibr" rid="bib111">Raghuvamsi et al., 2021</xref>).</p><p>Moreover, as a control, we performed the same analysis on the S protein with the RBDs of all chains in the closed configuration. In this case, we observed that the DCI<sub>asym</sub> of the CAPs residue positions with respect to the hACE2 interface in the other chains yields a largely symmetric distribution about 0 (<xref ref-type="fig" rid="fig2">Figure 2B</xref>, green bars). This verifies that the asymmetry in the coupling of CAPs with the exposed binding site interface in pre-fusion configuration results from one of the RBDs opening up and further suggests the allosteric role played by CAPs in locking the S protein in the RBD open state.</p></sec><sec id="s2-3"><title>Dynamics analysis shows that rigid sites tend to be more highly conserved than flexible sites</title><p>CAPs represent important S protein amino acid changes between related coronaviruses across multiple species and the Wuhan-Hu-1 reference sequence (MN908947). Since SARS-CoV-2 first spread to humans, it has continued to mutate and evolve rapidly, particularly regarding the S protein (<xref ref-type="bibr" rid="bib3">Amicone et al., 2022</xref>; <xref ref-type="bibr" rid="bib78">Liu et al., 2022</xref>; <xref ref-type="bibr" rid="bib140">Tay et al., 2022</xref>). Just as mutations leading to the Wuhan strain caused an increase in binding affinity to hACE2, continued evolution in human hosts has resulted in further altered binding affinities as well as different phenotypic outcomes for those infected (<xref ref-type="bibr" rid="bib2">Ali et al., 2021</xref>; <xref ref-type="bibr" rid="bib5">Barton et al., 2021</xref>; <xref ref-type="bibr" rid="bib106">Ozono et al., 2021</xref>).</p><p>We explore whether protein dynamics has played a role in the selection of mutational sites during the evolution of the S protein since 2019. Our previous work has indicated that the rate of evolution per positional site exhibits a positive correlation with positional flexibility; generally, positions that exhibit higher flexibility are also sites that experience a higher number of amino acid substitutions (<xref ref-type="bibr" rid="bib76">Liu and Bahar, 2012</xref>; <xref ref-type="bibr" rid="bib81">Maguid et al., 2008</xref>; <xref ref-type="bibr" rid="bib80">Maguid et al., 2006</xref>; <xref ref-type="bibr" rid="bib87">Mikulska-Ruminska et al., 2019</xref>; <xref ref-type="bibr" rid="bib97">Nevin Gerek et al., 2013</xref>). To confirm these findings for the evolution of the S protein using the sequenced variants of infected humans, we examine the flexibility of the S protein, an analysis conducted in other studies which resulted in several important findings (<xref ref-type="bibr" rid="bib98">Nguyen et al., 2020</xref>; <xref ref-type="bibr" rid="bib128">Socher et al., 2021</xref>; <xref ref-type="bibr" rid="bib142">Teruel et al., 2021b</xref>; <xref ref-type="bibr" rid="bib109">Pipitò et al., 2022</xref>; <xref ref-type="bibr" rid="bib145">Verkhivker, 2022</xref>; <xref ref-type="bibr" rid="bib1">Abduljalil et al., 2023</xref>). For example, <xref ref-type="bibr" rid="bib141">Teruel et al., 2021a</xref> used their Elastic Network Contact Model to find how certain highly observed mutations make the open state more rigid and the closed state more flexible. For our own flexibility analysis, we measure the site-specific amino acid flexibility using the dynamic flexibility index (DFI). Using the same mathematical foundation as DCI, DFI evaluates each position’s displacement response to random force perturbations at other locations in the protein (<xref ref-type="bibr" rid="bib41">Gerek and Ozkan, 2011</xref>; <xref ref-type="bibr" rid="bib97">Nevin Gerek et al., 2013</xref>), and it can be considered a measure of a given position’s ability to explore its local conformational space. We found that the COVID-19 S protein shows the expected high correlation between the occurrence of mutations and site flexibility (<xref ref-type="fig" rid="fig3">Figure 3</xref>) when we compare %DFI (DFI ranked by percentile) to the average number of variants per position found within a given %DFI bin. Previous studies have indicated that rigid residues are critical for functional dynamics, thus more likely to impact function if mutated and, generally, can lead to a loss of function and thus more conserved (<xref ref-type="bibr" rid="bib59">Kim et al., 2015</xref>; <xref ref-type="bibr" rid="bib13">Butler et al., 2018</xref>; <xref ref-type="bibr" rid="bib93">Modi et al., 2021b</xref>; <xref ref-type="bibr" rid="bib92">Modi et al., 2021a</xref>; <xref ref-type="bibr" rid="bib54">Kazan et al., 2022</xref>; <xref ref-type="bibr" rid="bib102">Ose et al., 2022a</xref>; <xref ref-type="bibr" rid="bib134">Stevens et al., 2022</xref>; <xref ref-type="bibr" rid="bib66">Kumar et al., 2015</xref>). This analysis also agrees with these previous studies and highlights the power of negative selection, in line with the neutral theory of molecular evolution, stating that deleterious mutations (i.e., those on the rigid positions) should be eliminated and therefore not observed (<xref ref-type="bibr" rid="bib61">Kimura, 1983</xref>).</p><fig id="fig3" position="float"><label>Figure 3.</label><caption><title>The average number of variants observed among residues of different flexibility.</title><p>Residues were sorted into one of five bins based on flexibility. Then, the average number of variants for residues within that bin was calculated. Here, the number of variants is defined as the number of different amino acid varieties found at that site. Mutational data was calculated across approximately 24,000 SARS-CoV-2 S protein sequences from the NCBI Datasets Project (<xref ref-type="bibr" rid="bib12">Brister et al., 2015</xref>). Residue flexibility, as reported here via %DFI, was computed using PDB id 6vsb from the Protein DataBank (<xref ref-type="bibr" rid="bib7">Berman et al., 2000</xref>). More rigid residues tend to have fewer variants (<italic>r</italic> = 0.94).</p><p><supplementary-material id="fig3sdata1"><label>Figure 3—source data 1.</label><caption><title>A comparison of the amino acid sequences for different variant spike proteins used in this article.</title><p>Sequence MN90894.3 is used as the wild-type (reference) sequence. For each different variant, residue positions matching the reference sequence are shown in blue, while locations where the residue differs from the reference sequence are shown in yellow. For S protein locations not shown here, all variants presented have the same amino acid type as the reference sequence.</p></caption><media mimetype="application" mime-subtype="xlsx" xlink:href="elife-92063-fig3-data1-v1.xlsx"/></supplementary-material></p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig3-v1.tif"/></fig><p>Continued mutations within human hosts have resulted in a multitude of variants. Indeed, by fitting various molecular clock models to genome sequence data, VOC emergence is punctuated by an episodic period of rapid evolution, with a substitution rate of up to fourfold greater than the background substitution rate (<xref ref-type="bibr" rid="bib69">Kumar et al., 2021</xref>; <xref ref-type="bibr" rid="bib140">Tay et al., 2022</xref>). With such an aggressive evolutionary rate, we are finding VOCs to consist of a number of different characteristic mutations, almost all of which are CAPs. Sequence differences between the various VOCs used in this article can be found in <xref ref-type="supplementary-material" rid="fig3sdata1">Figure 3—source data 1</xref>.</p><p>To explore the dynamic effects of the evolution of the spike in humans, we examine asymmetry with these new potentially adaptive sites, namely the low EP (CAP) characteristic mutation sites observed in the Delta variant, the widely dominant variant from December 2021 to January 2022 (<xref ref-type="bibr" rid="bib143">Thye et al., 2021</xref>), and the Omicron variant, a highly transmissible variant whose lineages have remained dominant since January 2022 (<xref ref-type="bibr" rid="bib60">Kim et al., 2021</xref>; <xref ref-type="fig" rid="fig4">Figure 4</xref>). This analysis revealed a mechanism similar to that for the CAPs in the reference protein (<xref ref-type="fig" rid="fig2">Figure 2</xref>) as the open-chain binding interface is also allosterically controlled by these potentially new adaptive sites. Regarding this, we see that the asymmetry is much more pronounced in observed mutations of Omicron variants, suggesting that these new mutations have a stronger power in controlling the dynamics of open-chain hACE2 binding interface compared to those observed in Delta variants. We surmise that the difference in virulence and infection rates between Omicron and Delta (<xref ref-type="bibr" rid="bib36">Earnest et al., 2022</xref>; <xref ref-type="bibr" rid="bib4">Bager et al., 2021</xref>; <xref ref-type="bibr" rid="bib124">Sheikh et al., 2021</xref>; <xref ref-type="bibr" rid="bib144">Twohig et al., 2022</xref>; <xref ref-type="bibr" rid="bib50">Houhamdi et al., 2022</xref>; <xref ref-type="bibr" rid="bib86">Menni et al., 2022</xref>) might be due to these specific CAPs within each variant and their differences in allosterically controlling the dynamics of open RBD binding sites as also observed in the DCI<sub>asym</sub> analysis of the Wuhan variant in <xref ref-type="fig" rid="fig2">Figure 2</xref>.</p><fig id="fig4" position="float"><label>Figure 4.</label><caption><title>Mutations in variants of concern (VOCs) present different asymmetry profiles.</title><p>(<bold>A</bold>) DCI<sub>asym</sub> with low evolutionary probability (EP) characteristic mutation sites of Delta or Omicron strains in the closed chains and the binding interface of receptor-binding domain (RBD) in the open chain. Delta displays a second peak closer to zero, suggesting that Delta mutation sites (M = –0.98, SD = 0.80) have less allosteric control over the hACE2 binding sites than Omicron mutation sites (M = –1.74, SD = 1.00) (p&lt;0.001). However, both sets of sites have far more control over hACE2 binding sites than expected, based on a random control group (M = 0.03, SD = 0.85) (p&lt;0.001). (<bold>B</bold>) S protein structure showing binding interface sites (transparent gray), Delta mutation sites (magenta), Omicron mutation sites (cyan), and sites mutated in both Omicron and Delta (blue).</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig4-v1.tif"/></fig></sec><sec id="s2-4"><title>Experimental results motivate the use of EpiScore within the SARS-CoV-2 S protein</title><p>The fact that the identified CAPs in the reference protein and the more recently evolved CAPs of Delta and Omicron variants both show a high degree of control over the functional sites begs the question: what is the complex interaction between these previous and new CAP sites? Motivated by this concept, we explore the interplay of mutational pairs to understand the effects of the specific amino acid backgrounds associated with these two predominant variants. Some CAP sites in Delta and Omicron have already been considered adaptive (<xref ref-type="bibr" rid="bib56">Kemp et al., 2021</xref>; <xref ref-type="bibr" rid="bib63">Kistler et al., 2022</xref>; <xref ref-type="bibr" rid="bib82">Maher et al., 2022</xref>; <xref ref-type="bibr" rid="bib96">Neher, 2022</xref>).</p><p>It is well understood that the impact of even a single mutation to a protein sequence can sometimes dramatically alter the biophysical behavior of the system. However, the mechanistic impact of point mutations can only be fully understood when the sequence background upon which it is made is accounted for. This means that, in the case of strains with multiple mutations, the interplay between mutated positions will ultimately impact a protein as an aggregate behavior, where the presence of previous mutations may strongly (or weakly) influence some mutations. This concept of non-additivity is known as epistasis. In fact, studies of evolutionary pathways of mutations have suggested that a majority of the mutations have a second or a higher order epistasis among them (<xref ref-type="bibr" rid="bib8">Bershtein et al., 2006</xref>). Nature exploits this higher order complex relationship between the mutations to evolve their function.</p><p>To computationally capture and interpret the pairwise effects of mutations, we have developed an in-house computational tool called EpiScore (<xref ref-type="fig" rid="fig5">Figure 5A</xref>). Here, we evaluate how a given position pair <italic>i j</italic> may affect other critical positions <italic>k</italic> of the protein. EpiScore is the relative coupling strength to a position <italic>k</italic> when positions <italic>i</italic> and <italic>j</italic> are perturbed <italic>simultaneously</italic> compared to the average dynamic coupling strength of <italic>i</italic> to <italic>k</italic> and <italic>j</italic> to <italic>k</italic>. EpiScore has previously been used successfully to capture overarching trends in GB1 deep mutational scan data as well as specific instances of the development of antibiotic resistance in various enzymatic systems (<xref ref-type="bibr" rid="bib18">Campitelli and Ozkan, 2020</xref>). An EpiScore of 1 indicates perfect coupling additivity, and deviations from this value represent non-additive behavior between position pairs and functionally important sites. Prior EpiScore work has shown a difference in EpiScore between the sites of compensatory and non-compensatory mutations, where both yield distributions with peaks around 1, but non-compensatory mutations show higher deviation in their EpiScore distribution (<xref ref-type="bibr" rid="bib103">Ose et al., 2022b</xref>).</p><fig id="fig5" position="float"><label>Figure 5.</label><caption><title>EpiScore provides a measurement of epistasis.</title><p>(<bold>A</bold>) Schematic representation of cross-chain EpiScore, describing <italic>i, j</italic>, in chains B and C, respectively, and its impact in receptor-binding domain (RBD) binding position k in the open RBD conformer chain A. (<bold>B</bold>) Colors indicate EpiScore values for given mutation pairs, averaged over hACE2 binding sites. Cross-chain residue pairs in the upper right tend to be highly epistatic, similar to pairwise second-order interaction coefficients from <xref ref-type="bibr" rid="bib94">Moulana et al., 2022</xref>.</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig5-v1.tif"/></fig><p>Many studies have confirmed epistasis between residues within the S protein (<xref ref-type="bibr" rid="bib94">Moulana et al., 2022</xref>; <xref ref-type="bibr" rid="bib130">Starr et al., 2022a</xref>; <xref ref-type="bibr" rid="bib95">Moulana et al., 2023</xref>; <xref ref-type="bibr" rid="bib150">Witte et al., 2023</xref>). These epistatic residues can have various effects on hACE2 or antibody binding. Within SARS-CoV-2, here we calculate the EpiScore (<xref ref-type="fig" rid="fig5">Figure 5B</xref>) of a set of mutation pairs used by <xref ref-type="bibr" rid="bib94">Moulana et al., 2022</xref> and compare our results to quantified epistatic effects determined by the experimental hACE2 binding affinity of ‘first-order’ single mutation variants compared to ‘second-order’ mutation pairs. Our EpiScore results and the experimentally determined epistasis both captured highly epistatic behavior among residues 493, 496, 498, 501, and 505, as well as a lack of epistatic behavior for residues 339, 371, 373, and 375; however, EpiScore generally showed higher epistasis values than experiment for residues 417, 440, 446, 477, 478, and 484.</p></sec><sec id="s2-5"><title>EpiScore highlights the epistatic relationship between the recent adaptive mutations in VOCs and the CAPs of the Wuhan reference</title><p>Seeking further to understand the role of epistasis within S protein variants, we explored the possibility of epistatic relationships between the CAPs of the Wuhan variant and the new CAPs in VOCs. Thus, we computed the EpiScore of these CAP positions in the closed RBDs (i.e., chains B and C) with respect to functional hACE2 binding interface sites of the open RBD chain (chain A) (<xref ref-type="fig" rid="fig5">Figure 5B</xref>) and obtained EpiScore distributions.</p><p>To contrast these variants, Omicron (<xref ref-type="fig" rid="fig6">Figure 6</xref>, cyan) shows a high proportion of additive mutations compared to the Delta variant (<xref ref-type="fig" rid="fig6">Figure 6</xref>, magenta), with a peak centered on 1. The comparatively more pathogenic Delta variant exhibited many non-additive mutations with EpiScores below one. This again suggests that the cross-communication between the open and closed chain of the S protein is important for regulating the function. Four out of seven low EP Delta mutation sites used in this analysis often resulted in EpiScores below 1. Each of those is found in the N-terminal domain (NTD) on or near the N3 loop and is implicated in antibody escape in recent studies (<xref ref-type="bibr" rid="bib26">Chi et al., 2020</xref>; <xref ref-type="bibr" rid="bib149">Weisblum et al., 2020</xref>; <xref ref-type="bibr" rid="bib46">Harvey et al., 2021</xref>; <xref ref-type="bibr" rid="bib64">Klinakis et al., 2021</xref>; <xref ref-type="bibr" rid="bib21">Cantoni et al., 2022</xref>). The low EpiScores of NTD mutations suggest that they dampen the control of Wuhan variant CAPs over the hACE2 binding sites in addition to their effects on antibody binding. It is possible that what the Delta variant gained in transmission rate also came with being more harmfully pathogenic due in part to negatively epistatic interactions. In contrast, the mutations leading to the development of the Omicron strain were additive with respect to Wuhan variant CAPs, possibly leading to a lower pathogenicity and higher effective immune escape, resulting in an overall higher transmission rate. Another possible explanation for the higher transmission rate of Omicron comes from a different normal mode analysis study, which found that despite reduced binding affinity with hACE2, Omicron showed increased occupancy of the open state compared to the closed state, which would increase chances of interaction with hACE2 (<xref ref-type="bibr" rid="bib142">Teruel et al., 2021b</xref>). It is worth noting that other variants contain NTD mutations which result in low EpiScores; however, the proportion of these mutations within the set is considerably less than in Delta (<xref ref-type="fig" rid="fig6s2">Figure 6—figure supplement 2</xref>).</p><fig-group><fig id="fig6" position="float"><label>Figure 6.</label><caption><title>EpiScores of variants of concern (VOC) mutations.</title><p>Here, <italic>i</italic> = low evolutionary probability (EP) Delta mutation sites (magenta), low EP Omicron mutation sites (cyan), and a random selection of sites (gray), <italic>j</italic> = low EP sites in the Wuhan variant, and <italic>k</italic> = the binding interface of the open chain. EpiScores using sites of either variant (Delta: M = 0.70, SD = 0.50, Omicron M = 0.86, SD = 0.46) are significantly different (p&lt;0.001) from a set of EpiScores using random sites (M = 0.84, SD = 0.41), but the distribution for Delta variants differs much more from the other two. EpiScores for other variants can be found in <xref ref-type="fig" rid="fig6s1">Figure 6—figure supplement 1</xref>.</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig6-v1.tif"/></fig><fig id="fig6s1" position="float" specific-use="child-fig"><label>Figure 6—figure supplement 1.</label><caption><title>EpiScores for more variants of concern (VOCs).</title><p>EpiScores with <italic>i</italic> = characteristic mutation sites, <italic>j</italic> = low evolutionary probability (EP) sites, and <italic>k</italic> = the binding interface of the open chain. EpiScores using variant sites are significantly different (p&lt;0.001) from a set of EpiScores using random sites.</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig6-figsupp1-v1.tif"/></fig><fig id="fig6s2" position="float" specific-use="child-fig"><label>Figure 6—figure supplement 2.</label><caption><title>EpiScores in the N-terminal domain (NTD).</title><p>EpiScores with <italic>i</italic> = characteristic mutation sites within the NTD, <italic>j</italic> = low evolutionary probability (EP) sites, and <italic>k</italic> = the binding interface of the open chain. NTD mutation sites result in markedly lower EpiScores compared to elsewhere (p&lt;0.001).</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig6-figsupp2-v1.tif"/></fig></fig-group><p>One of the more notable features of generated EpiScore distributions is the presence of a tail of values upward of 2.0, indicating highly epistatic behavior. Interestingly, these tails are largely due to three different CAPs: 346R, 486F, and 498Q. Those residues are nearby one another within the protein structure and have been reported to play a role in antibody binding, either being known antibody binding sites (346R and 486F) or having received very high antibody accessibility scores (498Q) (<xref ref-type="bibr" rid="bib46">Harvey et al., 2021</xref>; <xref ref-type="bibr" rid="bib111">Raghuvamsi et al., 2021</xref>). These observed high EpiScore values also support other studies indicating the epistatic interactions between these CAPs and the mutations of the VOCs within the S protein are crucial for maintaining binding affinity of hACE2 whilst evading immunity (<xref ref-type="bibr" rid="bib49">Hong et al., 2022</xref>; <xref ref-type="bibr" rid="bib131">Starr et al., 2022b</xref>).</p><p>Inspection of EpiScores of Delta and Omicron potentially adaptive mutation sites with only CAP site 486F (a binding site for both hACE2 and antibodies) (<xref ref-type="bibr" rid="bib51">Huang et al., 2020</xref>; <xref ref-type="bibr" rid="bib2">Ali et al., 2021</xref>; <xref ref-type="bibr" rid="bib46">Harvey et al., 2021</xref>; <xref ref-type="bibr" rid="bib111">Raghuvamsi et al., 2021</xref>) shows highly epistatic interactions at other hACE2 binding sites (<xref ref-type="fig" rid="fig6">Figure 6</xref>). However, within a recent and rapidly spreading subvariant of Omicron, XBB 1.5, we see a mutation of S to P, a rare double nucleotide mutation, at site 486 (preceding Omicron variants included mutation F486S from the original CAP). This new variant has unprecedented immune escape capabilities, resisting neutralizing antibodies almost entirely (<xref ref-type="bibr" rid="bib110">Qu et al., 2023</xref>). EpiScores of other XBB 1.5-specific mutation sites with 486P are almost entirely greater than 1, showing an even higher degree of epistasis with the binding sites of RBD (<xref ref-type="fig" rid="fig7">Figure 7</xref>). These results present a threefold importance for the S486P mutation: not only does this residue alter antibody (i.e., immune escape) and hACE2 binding by directly modifying a binding site, but it may also be responsible for modifying hACE2 binding via epistatic cooperation with other co-occurring mutations.</p><fig-group><fig id="fig7" position="float"><label>Figure 7.</label><caption><title>EpiScores with candidate adaptive polymorphism (CAP) site 486.</title><p>Here, <italic>i</italic> = low evolutionary probability (EP) Delta mutation sites (magenta), low EP Omicron mutation sites (cyan), and a random selection of sites (gray), <italic>j</italic> = site 486, and <italic>k</italic> = the binding interface of the open chain. CAP and hACE2 and antibody binding site 486 displays epistasis with almost all XBB 1.5 variant sites at almost every hACE2 binding site (M = 1.40, SD = 0.46) and presents a significantly different profile from other variant sites (p&lt;0.01). EpiScores involving 486 for other variants can be found in <xref ref-type="fig" rid="fig7s1">Figure 7—figure supplement 1</xref>.</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig7-v1.tif"/></fig><fig id="fig7s1" position="float" specific-use="child-fig"><label>Figure 7—figure supplement 1.</label><caption><title>EpiScores for more variants of concern (VOCs) with candidate adaptive polymorphism (CAP) site 486.</title><p>EpiScores with <italic>i</italic> = characteristic mutation sites, <italic>j</italic> = site 486, and <italic>k</italic> = the binding interface of the open chain. CAP and hACE2 and antibody binding site 486 displays epistasis with almost all XBB 1.5 variant sites at almost every hACE2 binding site. EpiScores using variant sites are significantly different (p&lt;.001) from a set of EpiScores using random sites.</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig7-figsupp1-v1.tif"/></fig></fig-group></sec><sec id="s2-6"><title>Change in flexibility of RBD binding site correlates with experimental binding affinities for Omicron and Omicron XBB variants</title><p>Experimental studies have tracked hACE2 binding for different variants since the virus first spread (<xref ref-type="bibr" rid="bib2">Ali et al., 2021</xref>; <xref ref-type="bibr" rid="bib5">Barton et al., 2021</xref>; <xref ref-type="bibr" rid="bib106">Ozono et al., 2021</xref>; <xref ref-type="bibr" rid="bib153">Wu et al., 2022</xref>). Within the Omicron variant, for example, characteristic mutations on the RBD are shown to increase the overall binding affinity of the virus to the ACE2 receptor, which is suspected to allow it to spread more easily (<xref ref-type="bibr" rid="bib60">Kim et al., 2021</xref>). Furthermore, the new Omicron XBB and Omicron XBB 1.5 variants contain additional mutations in the RBD and antibody binding residues, which may further impact their dynamics and interactions with the host.</p><p>To gain deeper insights into the impact of dynamics on the binding affinity of hACE2 and antibodies with the recent Omicron XBB variants, we conducted molecular dynamics (MD) simulations. By analyzing the resulting trajectories, we investigated how these mutations influence the flexibility and rigidity of the RBD and antibody binding residues, consequently affecting their binding affinity and potential for immune evasion (<xref ref-type="fig" rid="fig8">Figure 8</xref>). To understand the overall flexibility changes, we measured the sum of DFI of the ACE2 binding residues, as well as the sum of DFI of the antibody binding residues, calculated from the MD trajectories and compared them with experimental viral binding (disassociation constants) and immunity evasion antibody IC50 values (<xref ref-type="bibr" rid="bib156">Yue et al., 2023</xref>).</p><fig-group><fig id="fig8" position="float"><label>Figure 8.</label><caption><title>The %DFI calculations for variants Omicron, XBB, and XBB 1.5.</title><p>(<bold>A</bold>) %DFI profile of the variants are plotted in the same panel. The gray shaded areas and dashed lines indicate the ACE2 binding regions, whereas the red dashed lines show the antibody binding residues. (<bold>B</bold>) The sum of %DFI values of RBD-ACE2 interface residues. The trend of total %DFI with the log of K<sub>d</sub> values overlaps with the one seen with the experiments (<italic>r</italic> = 0.97). (<bold>C</bold>) The receptor-binding domain (RBD) antibody binding residues are used to calculate the sum of %DFI. The ranking captured with the total %DFI agrees with the log of IC50 values from the experiments.</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig8-v1.tif"/></fig><fig id="fig8s1" position="float" specific-use="child-fig"><label>Figure 8—figure supplement 1.</label><caption><title>Non-additive interactions influence variant behavior.</title><p>(<bold>A</bold>) Three critical mutations that emerged quickly and were frequently observed in other dominant variants are S477N, T478K, and N501Y. EpiScores of sites 477, 478, and 501 with one another are shown (with <italic>k</italic> = the binding interface of the open chain). These residues are highly epistatic, producing higher responses than expected when perturbed together. (<bold>B</bold>) The difference in the dynamic flexibility profiles between the single mutants and the most common variants for the hACE2 binding residues of the receptor-binding domain (RBD). The dynamic flexibility index (DFI) profiles exhibit significantly different flexibility in each background variant, highlighting the critical non-additive interactions of the other mutation in the given background variant. Thus, these three binding affinity-impacting mutations do not contribute only their own effects to the binding interface, there are epistatic interactions with the other mutations in variants of concern (VOCs) that shape the dynamics of the binding interface to modulate binding.</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-fig8-figsupp1-v1.tif"/></fig></fig-group><p>This investigation elucidated the impact of mutations in the RBD and antibody binding residues on the binding affinity of the S protein and immune evasion by modulating their flexibility and rigidity (<xref ref-type="fig" rid="fig8">Figure 8A</xref>). The Omicron XBB variant exhibits heightened flexibility in hACE2 and antibody binding residues, reducing infectivity and enhancing immune evasion. Conversely, the Omicron XBB 1.5 variant induces distinct dynamics in these regions, rendering the RBD-ACE2 interface more rigid while increasing flexibility in antibody binding residues. These effects indicate that Omicron XBB 1.5 retains its antibody escape capabilities while regaining ACE2 binding affinity comparable to previous Omicron variants, in accordance with experimental findings (<xref ref-type="bibr" rid="bib156">Yue et al., 2023</xref>). These findings suggest that mutations in the RBD and antibody binding residues can have complex effects on the dynamics of the protein and, ultimately, on the virus’s ability to infect and evade the host immune system through an alteration of binding site dynamics. However, we do note that the effect of mutations will heavily depend on the genetic background in which they are mutated. The effects of a mutation on a Delta variant protein may differ entirely from the effects of a mutation on an Omicron variant protein (<xref ref-type="fig" rid="fig8s1">Figure 8—figure supplement 1</xref>).</p></sec><sec id="s2-7"><title>Conclusion</title><p>We analyzed the evolutionary trajectory of the CoV-2 S protein in humans to understand the dynamic and epistatic interactions of the mutations defining specific VOCs. We first obtain the phylogenetic tree of the COV-2 S protein and identify the sites of certain recent mutations known as CAPs. CAPs are considered adaptive because mutations rarely tolerated in closely related sequences have suddenly become fixed, implying a degree of functional importance or evolution (<xref ref-type="bibr" rid="bib77">Liu et al., 2016</xref>). In addition, our earlier work has shown that CAPS can also be compensatory; multiple CAPs may dynamically compensate for one another, changing the dynamic landscape and allowing for different mutations (<xref ref-type="bibr" rid="bib103">Ose et al., 2022b</xref>). We then explored the mechanistic insights and epistatic relationship between the observed mutations in different VOCs and CAP sites, and, particularly, the relationship between CAP sites and the functionally critical RBD using our dynamic coupling analysis (<xref ref-type="bibr" rid="bib66">Kumar et al., 2015</xref>).</p><p>We find a mechanistic pattern in the S protein evolution that is common amongst previously studied systems, where allosteric sites exert control over the dynamics of the binding sites, and mutations of these allosteric sites modulate function. Coupling our analysis with evolutionary theory showed that many of these allosteric sites regulating function of the S protein may have been subjected to adaptive evolution as observed in mutations in VOCs. Our dynamics analysis also provides a mechanistic insight where the Omicron-defining sites have greater control over the binding sites than the Delta variant and are dynamically additive with the functional advantage of CAPs, thus, the greatest infectivity may not be a coincidence.</p><p>Specifically, we find that the interactions between CAP sites and VOC-defining mutations show fingerprints of non-additive dynamics within the Delta variant. In contrast, mutations leading to the Omicron variant are largely additive, driving critical dynamical behavior closer to the patterns observed within the wild-type. These interactions may also drive observed behavior similar between the reference and Omicron strains yet differ in the delta strain, such as the severity of infection as evidenced by hospitalization rates (<xref ref-type="bibr" rid="bib50">Houhamdi et al., 2022</xref>; <xref ref-type="bibr" rid="bib86">Menni et al., 2022</xref>). It has also been shown that the Omicron variant has a lower binding affinity with hACE2 than previous variants (<xref ref-type="bibr" rid="bib153">Wu et al., 2022</xref>), which may contribute to its low pathogenicity.</p><p>Long-ranged interactions between different sites within a given protein are critically important for protein function (<xref ref-type="bibr" rid="bib108">Peters and Lively, 1999</xref>; <xref ref-type="bibr" rid="bib8">Bershtein et al., 2006</xref>; <xref ref-type="bibr" rid="bib27">Collins et al., 2006</xref>; <xref ref-type="bibr" rid="bib37">Ekeberg et al., 2013</xref>; <xref ref-type="bibr" rid="bib75">Levy et al., 2017</xref>; <xref ref-type="bibr" rid="bib45">Harrigan et al., 2018</xref>; <xref ref-type="bibr" rid="bib104">Otten et al., 2018</xref>; <xref ref-type="bibr" rid="bib118">Rojas Echenique et al., 2019</xref>; <xref ref-type="bibr" rid="bib125">Shimagaki and Weigt, 2019</xref>; <xref ref-type="bibr" rid="bib29">de la Paz et al., 2020</xref>; <xref ref-type="bibr" rid="bib114">Rizzato et al., 2020</xref>; <xref ref-type="bibr" rid="bib155">Yang et al., 2020</xref>; <xref ref-type="bibr" rid="bib10">Bisardi et al., 2022</xref>) and for the CoV-2 S protein in particular (<xref ref-type="bibr" rid="bib158">Zeng et al., 2020</xref>; <xref ref-type="bibr" rid="bib23">Castiglione et al., 2021</xref>; <xref ref-type="bibr" rid="bib33">Dong et al., 2021</xref>; <xref ref-type="bibr" rid="bib40">Garvin et al., 2021</xref>; <xref ref-type="bibr" rid="bib99">Nielsen et al., 2022</xref>; <xref ref-type="bibr" rid="bib112">Ramarao-Milne et al., 2022</xref>; <xref ref-type="bibr" rid="bib116">Rochman et al., 2022</xref>; <xref ref-type="bibr" rid="bib117">Rodriguez-Rivas et al., 2022</xref>). By showing dynamic differences between the interactions of CAPs, which have likely played a major role in allowing the virus to infect human hosts, the binding site, and the characteristic mutations of dominant Delta and Omicron strains, we see a ‘fine-tuning’ of protein behavior. As variants continue to evolve, Omicron subvariants are of growing concern due in large part to further increased immune evasion (<xref ref-type="bibr" rid="bib15">Callaway, 2022</xref>; <xref ref-type="bibr" rid="bib147">Wang et al., 2022a</xref>; <xref ref-type="bibr" rid="bib148">Wang et al., 2022b</xref>), and we observe that the new mutations observed in antibody binding sites yield more epistatic interaction with the CAPs. In addition to supporting previous dynamic research on the S protein, this analysis provides the insight that CAP sites are of continued importance to protein function and should be given special attention when considering the impact of future mutations.</p></sec></sec><sec id="s3" sec-type="methods"><title>Methods</title><sec id="s3-1"><title>Dynamic flexibility and dynamic coupling</title><p>The DFI utilizes a PRS technique that combines the elastic network model (ENM) and LRT (<xref ref-type="bibr" rid="bib41">Gerek and Ozkan, 2011</xref>; <xref ref-type="bibr" rid="bib97">Nevin Gerek et al., 2013</xref>). In ENM, the protein is considered as a network of beads at Cα positions interacting with each other via a harmonic spring potential. Using LRT, ∆<bold>R</bold> is calculated as the fluctuation response vector of residue <italic>j</italic> due to unit force’s <bold>F</bold> perturbation on residue <italic>i,</italic> averaged over multiple unit force directions to simulate an isotropic perturbation.<disp-formula id="equ1"><label> (1)</label><mml:math id="m1"><mml:mrow><mml:mstyle displaystyle="true" scriptlevel="0"><mml:msub><mml:mrow><mml:mo>[</mml:mo><mml:mrow><mml:mi mathvariant="normal">Δ</mml:mi><mml:mi>R</mml:mi></mml:mrow><mml:mo>]</mml:mo></mml:mrow><mml:mrow><mml:mn>3</mml:mn><mml:mi>N</mml:mi><mml:mo>×</mml:mo><mml:mn>1</mml:mn></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:msubsup><mml:mrow><mml:mo>[</mml:mo><mml:mi>H</mml:mi><mml:mo>]</mml:mo></mml:mrow><mml:mrow><mml:mn>3</mml:mn><mml:mi>N</mml:mi><mml:mo>×</mml:mo><mml:mn>3</mml:mn><mml:mi>N</mml:mi></mml:mrow><mml:mrow><mml:mo>−</mml:mo><mml:mn>1</mml:mn></mml:mrow></mml:msubsup><mml:msub><mml:mrow><mml:mo>[</mml:mo><mml:mi>F</mml:mi><mml:mo>]</mml:mo></mml:mrow><mml:mrow><mml:mn>3</mml:mn><mml:mi>N</mml:mi><mml:mo>×</mml:mo><mml:mn>1</mml:mn></mml:mrow></mml:msub></mml:mstyle></mml:mrow></mml:math></disp-formula></p><p>where <bold>H</bold> is the Hessian, a 3N × 3N matrix that can be constructed from 3-D atomic coordinate information and is composed of the second derivatives of the harmonic potential with respect to the components of the position’s vectors of length 3N. The Hessian inverse in this equation may be replaced with the covariance matrix <bold>G</bold> obtained from MD simulations as follows:<disp-formula id="equ2"> <label>(2)</label><mml:math id="m2"><mml:mrow><mml:mstyle displaystyle="true" scriptlevel="0"><mml:msub><mml:mrow><mml:mo>[</mml:mo><mml:mrow><mml:mi mathvariant="normal">Δ</mml:mi><mml:mi>R</mml:mi></mml:mrow><mml:mo>]</mml:mo></mml:mrow><mml:mrow><mml:mn>3</mml:mn><mml:mi>N</mml:mi><mml:mo>×</mml:mo><mml:mn>1</mml:mn></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:msub><mml:mrow><mml:mo>[</mml:mo><mml:mi>G</mml:mi><mml:mo>]</mml:mo></mml:mrow><mml:mrow><mml:mn>3</mml:mn><mml:mi>N</mml:mi><mml:mo>×</mml:mo><mml:mn>3</mml:mn><mml:mi>N</mml:mi></mml:mrow></mml:msub><mml:msub><mml:mrow><mml:mo>[</mml:mo><mml:mi>F</mml:mi><mml:mo>]</mml:mo></mml:mrow><mml:mrow><mml:mn>3</mml:mn><mml:mi>N</mml:mi><mml:mo>×</mml:mo><mml:mn>1</mml:mn></mml:mrow></mml:msub></mml:mstyle></mml:mrow></mml:math></disp-formula></p><p>MD simulations were used to obtain the DFI profiles of Omicron, Omicron XBB, and Omicron XBB 1.5. In order to obtain DFI, each position in the structure was perturbed sequentially to generate a Perturbation Response Matrix <italic><bold>A</bold></italic><disp-formula id="equ3"><label>(3)</label><mml:math id="m3"><mml:mrow><mml:mstyle displaystyle="true" scriptlevel="0"><mml:msub><mml:mi>A</mml:mi><mml:mrow><mml:mi>N</mml:mi><mml:mo>×</mml:mo><mml:mi>N</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mrow><mml:mo>[</mml:mo><mml:mtable columnalign="center center center" rowspacing="4pt" columnspacing="1em"><mml:mtr><mml:mtd><mml:msub><mml:mrow><mml:mo>|</mml:mo><mml:mrow><mml:mi mathvariant="normal">Δ</mml:mi><mml:msup><mml:mi>R</mml:mi><mml:mrow><mml:mn>1</mml:mn></mml:mrow></mml:msup></mml:mrow><mml:mo>|</mml:mo></mml:mrow><mml:mrow><mml:mn>1</mml:mn></mml:mrow></mml:msub></mml:mtd><mml:mtd><mml:mo>⋯</mml:mo></mml:mtd><mml:mtd><mml:msub><mml:mrow><mml:mo>|</mml:mo><mml:mrow><mml:mi mathvariant="normal">Δ</mml:mi><mml:msup><mml:mi>R</mml:mi><mml:mrow><mml:mi>N</mml:mi></mml:mrow></mml:msup></mml:mrow><mml:mo>|</mml:mo></mml:mrow><mml:mrow><mml:mn>1</mml:mn></mml:mrow></mml:msub></mml:mtd></mml:mtr><mml:mtr><mml:mtd><mml:mo>⋮</mml:mo></mml:mtd><mml:mtd><mml:mo>⋱</mml:mo></mml:mtd><mml:mtd><mml:mo>⋮</mml:mo></mml:mtd></mml:mtr><mml:mtr><mml:mtd><mml:msub><mml:mrow><mml:mo>|</mml:mo><mml:mrow><mml:mi mathvariant="normal">Δ</mml:mi><mml:msup><mml:mi>R</mml:mi><mml:mrow><mml:mn>1</mml:mn></mml:mrow></mml:msup></mml:mrow><mml:mo>|</mml:mo></mml:mrow><mml:mrow><mml:mi>N</mml:mi></mml:mrow></mml:msub></mml:mtd><mml:mtd><mml:mo>⋯</mml:mo></mml:mtd><mml:mtd><mml:msub><mml:mrow><mml:mo>|</mml:mo><mml:mrow><mml:mi mathvariant="normal">Δ</mml:mi><mml:msup><mml:mi>R</mml:mi><mml:mrow><mml:mi>N</mml:mi></mml:mrow></mml:msup></mml:mrow><mml:mo>|</mml:mo></mml:mrow><mml:mrow><mml:mi>N</mml:mi></mml:mrow></mml:msub></mml:mtd></mml:mtr></mml:mtable><mml:mo>]</mml:mo></mml:mrow></mml:mstyle></mml:mrow></mml:math></disp-formula></p><p>where <inline-formula><mml:math id="inf1"><mml:msub><mml:mrow><mml:mfenced open="|" close="|" separators="|"><mml:mrow><mml:mi>Δ</mml:mi><mml:msup><mml:mrow><mml:mi>R</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:msqrt><mml:mfenced open="⟨" close="⟩" separators="|"><mml:mrow><mml:msup><mml:mrow><mml:mfenced separators="|"><mml:mrow><mml:mo>∆</mml:mo><mml:mi>R</mml:mi></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:msqrt></mml:math></inline-formula> is the magnitude of fluctuation response at position <italic>i</italic> due to perturbations at position <italic>j. T</italic>he DFI value of position <italic>i</italic> is then treated as the displacement response of position <italic>i</italic> relative to the net displacement response of the entire protein, which is calculated by sequentially perturbing each position in the structure.<disp-formula id="equ4"><label>(4)</label><mml:math id="m4"><mml:msub><mml:mrow><mml:mi>D</mml:mi><mml:mi>F</mml:mi><mml:mi>I</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:mrow><mml:msubsup><mml:mo>∑</mml:mo><mml:mrow><mml:mi>j</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi>N</mml:mi></mml:mrow></mml:msubsup><mml:mrow><mml:msub><mml:mrow><mml:mfenced open="|" close="|" separators="|"><mml:mrow><mml:msup><mml:mrow><mml:mi>Δ</mml:mi><mml:mi>R</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mrow></mml:mrow><mml:mrow><mml:mrow><mml:msubsup><mml:mo>∑</mml:mo><mml:mrow><mml:mi>i</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi>N</mml:mi></mml:mrow></mml:msubsup><mml:mrow><mml:mrow><mml:msubsup><mml:mo>∑</mml:mo><mml:mrow><mml:mi>j</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi>N</mml:mi></mml:mrow></mml:msubsup><mml:mrow><mml:msub><mml:mrow><mml:mfenced open="|" close="|" separators="|"><mml:mrow><mml:msup><mml:mrow><mml:mi>Δ</mml:mi><mml:mi>R</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mrow></mml:mrow></mml:mrow></mml:mrow></mml:mfrac></mml:math></disp-formula></p><p>It is also often useful to quantify position flexibility relative to the flexibility ranges unique to individual structures. To that end, DFI can be presented as a percentile rank, %DFI. All %DFI calculations present in this work used the DFI value of every residue of the full spike structure for ranking. The DFI parameter can be considered a measure of a given amino acid position’s ability to explore its local conformational space.</p></sec><sec id="s3-2"><title>Dynamic coupling index</title><p>Similar to DFI<italic>,</italic> the DCI (<xref ref-type="bibr" rid="bib74">Larrimore et al., 2017</xref>; <xref ref-type="bibr" rid="bib66">Kumar et al., 2015</xref>) also utilizes PRS with the ENM and LRT. DCI captures the strength of displacement response of a given position <italic>i</italic> upon perturbation to a single functionally important position (or subset of positions) <italic>j</italic>, relative to the average fluctuation response of position <italic>i</italic> when all of the positions within a structure are perturbed.<disp-formula id="equ5"> <label>(5)</label><mml:math id="m5"><mml:mrow><mml:mstyle displaystyle="true" scriptlevel="0"><mml:mi>D</mml:mi><mml:mi>C</mml:mi><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mi>j</mml:mi><mml:mi>i</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:munderover><mml:mo>∑</mml:mo><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:msub><mml:mi>N</mml:mi><mml:mrow><mml:mi>f</mml:mi><mml:mi>u</mml:mi><mml:mi>n</mml:mi><mml:mi>c</mml:mi><mml:mi>t</mml:mi><mml:mi>i</mml:mi><mml:mi>o</mml:mi><mml:mi>n</mml:mi><mml:mi>a</mml:mi><mml:mi>l</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:munderover><mml:msub><mml:mrow><mml:mo>|</mml:mo><mml:mrow><mml:mi mathvariant="normal">Δ</mml:mi><mml:msup><mml:mi>R</mml:mi><mml:mrow><mml:mi>j</mml:mi></mml:mrow></mml:msup></mml:mrow><mml:mo>|</mml:mo></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub><mml:mrow><mml:mo>/</mml:mo></mml:mrow><mml:msub><mml:mi>N</mml:mi><mml:mrow><mml:mi>f</mml:mi><mml:mi>u</mml:mi><mml:mi>n</mml:mi><mml:mi>c</mml:mi><mml:mi>t</mml:mi><mml:mi>i</mml:mi><mml:mi>o</mml:mi><mml:mi>n</mml:mi><mml:mi>a</mml:mi><mml:mi>l</mml:mi></mml:mrow></mml:msub></mml:mrow><mml:mrow><mml:munderover><mml:mo>∑</mml:mo><mml:mrow><mml:mi>j</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi>N</mml:mi></mml:mrow></mml:munderover><mml:msub><mml:mrow><mml:mo>|</mml:mo><mml:mrow><mml:mi mathvariant="normal">Δ</mml:mi><mml:msup><mml:mi>R</mml:mi><mml:mrow><mml:mi>j</mml:mi></mml:mrow></mml:msup></mml:mrow><mml:mo>|</mml:mo></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub><mml:mrow><mml:mo>/</mml:mo></mml:mrow><mml:mi>N</mml:mi></mml:mrow></mml:mfrac></mml:mstyle></mml:mrow></mml:math></disp-formula></p><p>When only positional pairs are concerned, this expression reduces to<disp-formula id="equ6"><label>(6)</label><mml:math id="m6"><mml:msub><mml:mrow><mml:mi>D</mml:mi><mml:mi>C</mml:mi><mml:mi>I</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi><mml:mi>i</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:msub><mml:mrow><mml:mfenced open="|" close="|" separators="|"><mml:mrow><mml:msup><mml:mrow><mml:mi>Δ</mml:mi><mml:mi>R</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub></mml:mrow><mml:mrow><mml:mrow><mml:mrow><mml:mrow><mml:msubsup><mml:mo>∑</mml:mo><mml:mrow><mml:mi>j</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi>N</mml:mi></mml:mrow></mml:msubsup><mml:mrow><mml:msub><mml:mrow><mml:mfenced open="|" close="|" separators="|"><mml:mrow><mml:msup><mml:mrow><mml:mi>Δ</mml:mi><mml:mi>R</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow></mml:msup></mml:mrow></mml:mfenced></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mrow></mml:mrow><mml:mo>/</mml:mo><mml:mrow><mml:mi>N</mml:mi></mml:mrow></mml:mrow></mml:mrow></mml:mfrac></mml:math></disp-formula></p><p>As such, this parameter represents a measure of the dynamic coupling between <italic>i</italic> and <italic>j</italic> upon a perturbation to <italic>j</italic>. As with DFI, DCI<sub><italic>ji</italic></sub> can also be presented as a percentile-ranked %DCI<sub><italic>ji</italic></sub>.</p><p>One of the most important aspects of DCI is that the entire network of interactions is explicitly included in subsequent calculations without the need for dimensionality reduction techniques. If one considers interactions such as communication directionality or dynamic coupling regulation between position pairs as inherent properties of an anisotropic interaction network, it is critical to include the interactions of the entire network to accurately model the effect one residue can have on another.</p><p>Here, we present two further extensions of DCI, which allow us to uniquely model coupling directionality and epistatic effects: DCI<sub>asym</sub> and EpiScore, respectively. Interestingly, we can capture asymmetry between different residues within a protein through DCI, as a coupling in and of itself is asymmetric within an anisotropic network. That is, each amino acid has a set of positions to which it is highly coupled, and this anisotropy in connections gives rise to unique differences in coupling between a given <italic>i j</italic> pair of amino acids which do not have direct interactions (<xref ref-type="fig" rid="fig2">Figure 2A</xref>). DCI<sub>asym</sub>, then, is simply DCI<sub><italic>ij</italic></sub> (the normalized displacement response of position <italic>j</italic> upon a perturbation to position <italic>i</italic>) − DCI<sub><italic>ji</italic></sub> (<xref ref-type="disp-formula" rid="equ7">Equation (7)</xref>). Using DCI<sub>asym</sub>, we can determine a cause–effect relationship between the <italic>i j</italic> pair in terms of force/signal propagation between these two positions.<disp-formula id="equ7"><label>(7)</label><mml:math id="m7"><mml:mrow><mml:mstyle displaystyle="true" scriptlevel="0"><mml:mi>D</mml:mi><mml:mi>C</mml:mi><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mi>a</mml:mi><mml:mi>s</mml:mi><mml:mi>y</mml:mi><mml:mi>m</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mi>D</mml:mi><mml:mi>C</mml:mi><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow></mml:msub><mml:mo>−</mml:mo><mml:mi>D</mml:mi><mml:mi>C</mml:mi><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mi>j</mml:mi><mml:mi>i</mml:mi></mml:mrow></mml:msub></mml:mstyle></mml:mrow></mml:math></disp-formula><disp-formula id="equ8"><label>(8)</label><mml:math id="m8"><mml:mrow><mml:mstyle displaystyle="true" scriptlevel="0"><mml:mi mathvariant="normal">%</mml:mi><mml:mi>D</mml:mi><mml:mi>C</mml:mi><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mi>a</mml:mi><mml:mi>s</mml:mi><mml:mi>y</mml:mi><mml:mi>m</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mi mathvariant="normal">%</mml:mi><mml:mi>D</mml:mi><mml:mi>C</mml:mi><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow></mml:msub><mml:mo>−</mml:mo><mml:mi mathvariant="normal">%</mml:mi><mml:mi>D</mml:mi><mml:mi>C</mml:mi><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mi>j</mml:mi><mml:mi>i</mml:mi></mml:mrow></mml:msub></mml:mstyle></mml:mrow></mml:math></disp-formula></p><p>where a positive DCI<sub>asym</sub> value indicates communication from position <italic>i</italic> to position <italic>j</italic>.</p><p>EpiScore can identify or describe potential non-additivity in substitution behavior between residue pairs. This metric can capture the differences in a normalized perturbation response to a position <italic>k</italic> when a force is applied at two residues <italic>i</italic> and <italic>j</italic> simultaneously versus the average additive perturbation response when each residue <italic>i</italic>, <italic>j</italic>, is perturbed individually (<xref ref-type="fig" rid="fig5">Figure 5A</xref>, <xref ref-type="disp-formula" rid="equ9">Equation 9</xref>).<disp-formula id="equ9"><label>(9)</label><mml:math id="m9"><mml:mrow><mml:mstyle displaystyle="true" scriptlevel="0"><mml:mi>E</mml:mi><mml:mi>p</mml:mi><mml:mi>i</mml:mi><mml:mi>S</mml:mi><mml:mi>c</mml:mi><mml:mi>o</mml:mi><mml:mi>r</mml:mi><mml:mi>e</mml:mi><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:mi mathvariant="normal">%</mml:mi><mml:mi>D</mml:mi><mml:mi>C</mml:mi><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mrow><mml:mo>[</mml:mo><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow><mml:mo>]</mml:mo></mml:mrow><mml:mi>k</mml:mi></mml:mrow></mml:msub></mml:mrow><mml:mrow><mml:mfrac><mml:mn>1</mml:mn><mml:mn>2</mml:mn></mml:mfrac><mml:mrow><mml:mo>(</mml:mo><mml:mrow><mml:mi mathvariant="normal">%</mml:mi><mml:mi>D</mml:mi><mml:mi>C</mml:mi><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mi>k</mml:mi></mml:mrow></mml:msub><mml:mo>+</mml:mo><mml:mi mathvariant="normal">%</mml:mi><mml:mi>D</mml:mi><mml:mi>C</mml:mi><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mi>j</mml:mi><mml:mi>k</mml:mi></mml:mrow></mml:msub></mml:mrow><mml:mo>)</mml:mo></mml:mrow></mml:mrow></mml:mfrac></mml:mstyle></mml:mrow></mml:math></disp-formula></p><p>EpiScore values &lt;1 (&gt;1) indicate that the additive perturbations of positions <italic>i</italic> and <italic>j</italic> generate a greater (lesser) response at position <italic>k</italic> than the effect of a simultaneous perturbation. This means that, when treated with a simultaneous perturbation at both sites <italic>i</italic> and <italic>j</italic>, the displacement response of <italic>k</italic> is lower (higher) than the average effect of individual perturbations to <italic>i</italic> and <italic>j</italic>, one at a time. As EpiScore is a linear scale, the further the value from 1, the greater the effect described above.</p></sec><sec id="s3-3"><title>Molecular dynamics (MD)</title><p>The production simulations for the Omicron variants, including Omicron, Omicron XBB, and Omicron XBB 1.5, were performed with the AMBER software package. These variants, each characterized by specific mutations, were modeled based on the template PDB structure 6M0J. The initial protein configurations in the simulations were parameterized using the ff14SB force field (<xref ref-type="bibr" rid="bib83">Maier et al., 2015</xref>). In order to create an appropriate solvation environment for the proteins, a solvation box was defined around them, maintaining a minimum separation distance of 16 Å from the protein to the box boundaries. This was accomplished by employing the explicit TIP3P water model (<xref ref-type="bibr" rid="bib135">Sun and Kollman, 1995</xref>), with the addition of sodium and chloride ions to maintain overall charge neutrality.</p><p>The simulation procedure involves an initial energy minimization step, aimed at mitigating steric clashes and optimizing the system’s energy. The steepest descent algorithm was applied, encompassing 11,000 steps. Subsequently, the system underwent a gradual temperature increase (heat up), up to 300 K, and was subjected to production simulations under a constant number of particles, pressure, and temperature ensemble (NPT).</p><p>During these production simulations, temperature was maintained at 300 K, with pressure regulation set at 1 bar. Temperature regulation was achieved through the utilization of the Langevin thermostat (<xref ref-type="bibr" rid="bib52">Hünenberger, 2005</xref>) and Berendsen barostat (<xref ref-type="bibr" rid="bib6">Berendsen et al., 1984</xref>), featuring a collision frequency of 1.0 picoseconds⁻¹. Hydrogen atom bond lengths were constrained using the SHAKE algorithm (<xref ref-type="bibr" rid="bib107">Pearlman et al., 1995</xref>). The production trajectories were simulated for 1 µs each.</p><p>To ensure the reliability of the simulations and assess their convergence, a convergence criterion was employed. The achieved convergence was determined by monitoring the root mean square deviation (RMSD) between the highest sampled conformation in consecutive time windows (<xref ref-type="bibr" rid="bib121">Sawle and Ghosh, 2016</xref>). Specifically, convergence was defined as the point at which the RMSD between the highest sampled conformation in the last 300 ns window and the 300 ns window immediately preceding it dropped below 1 Å. Window sizes varying from 100 ns to 500 ns were employed to evaluate convergence, ensuring the robustness and stability of the obtained results.</p><p>To calculate DFI, covariance matrix data were computed over different time windows as discussed above. By default, utilizing the Hessian implies a restriction to a harmonic potential, assuming that the data are sampled from a Gaussian distribution. Ergodicity in both simulation time and initial structures sampled in each time interval ensures two key conditions: (i) consistency of potential energy across conformations sampled from the same distribution. (ii) The sampling of different initial conformations while computing covariance matrices at various time windows eliminates global motions and accurately captures equilibrium coordinates. Consequently, the final average DFI profiles are independent of time window size, resulting in consistent results across different time window sizes (e.g., 50 ns vs. 75 ns) and enabling the acquisition of statistically significant DFI values.</p></sec><sec id="s3-4"><title>Statistical tests</title><p>Pearson correlation coefficients (<italic>r</italic>) were used to demonstrate linear relationships between continuous variables in <xref ref-type="fig" rid="fig3">Figures 3</xref> and <xref ref-type="fig" rid="fig8">8</xref>. Student’s independent <italic>t</italic>-tests were performed to demonstrate a significant difference between distributions in <xref ref-type="fig" rid="fig2">Figures 2</xref>, <xref ref-type="fig" rid="fig4">4</xref> and <xref ref-type="fig" rid="fig6">6</xref> (and <xref ref-type="supplementary-material" rid="fig3sdata1">Figure 3—source data 1</xref>, <xref ref-type="fig" rid="fig6s1">Figure 6—figure supplements 1</xref> and <xref ref-type="fig" rid="fig6s2">2</xref>), and <xref ref-type="fig" rid="fig7">Figure 7</xref> (and <xref ref-type="fig" rid="fig7s1">Figure 7—figure supplement 1</xref>), as demonstrated by the p-value.</p></sec></sec></body><back><sec sec-type="additional-information" id="s4"><title>Additional information</title><fn-group content-type="competing-interest"><title>Competing interests</title><fn fn-type="COI-statement" id="conf1"><p>No competing interests declared</p></fn></fn-group><fn-group content-type="author-contribution"><title>Author contributions</title><fn fn-type="con" id="con1"><p>Conceptualization, Data curation, Software, Formal analysis, Investigation, Methodology, Writing – original draft, Writing – review and editing</p></fn><fn fn-type="con" id="con2"><p>Conceptualization, Software, Formal analysis, Methodology, Writing – original draft, Writing – review and editing</p></fn><fn fn-type="con" id="con3"><p>Conceptualization, Software, Formal analysis, Methodology, Writing – review and editing</p></fn><fn fn-type="con" id="con4"><p>Conceptualization, Software, Formal analysis, Investigation, Methodology, Writing – review and editing</p></fn><fn fn-type="con" id="con5"><p>Conceptualization, Data curation, Software, Supervision, Funding acquisition, Methodology, Writing – review and editing</p></fn><fn fn-type="con" id="con6"><p>Conceptualization, Supervision, Visualization, Methodology, Writing – original draft, Project administration, Writing – review and editing</p></fn></fn-group></sec><sec sec-type="supplementary-material" id="s5"><title>Additional files</title><supplementary-material id="supp1"><label>Supplementary file 1.</label><caption><title>DFI profile of the Omicron variant, as obtained from MD simulations.</title></caption><media xlink:href="elife-92063-supp1-v1.csv" mimetype="application" mime-subtype="octet-stream"/></supplementary-material><supplementary-material id="supp2"><label>Supplementary file 2.</label><caption><title>DFI profile of the Omicron XBB variant, as obtained from MD simulations.</title></caption><media xlink:href="elife-92063-supp2-v1.csv" mimetype="application" mime-subtype="octet-stream"/></supplementary-material><supplementary-material id="supp3"><label>Supplementary file 3.</label><caption><title>DFI profile of the Omicron XBB 1.5variant, as obtained from MD simulations.</title></caption><media xlink:href="elife-92063-supp3-v1.csv" mimetype="application" mime-subtype="octet-stream"/></supplementary-material><supplementary-material id="supp4"><label>Supplementary file 4.</label><caption><title>Mutation sites and EP values.</title></caption><media xlink:href="elife-92063-supp4-v1.csv" mimetype="application" mime-subtype="octet-stream"/></supplementary-material><supplementary-material id="supp5"><label>Supplementary file 5.</label><caption><title>The alignment used to generate EP values.</title></caption><media xlink:href="elife-92063-supp5-v1.zip" mimetype="application" mime-subtype="zip"/></supplementary-material><supplementary-material id="supp6"><label>Supplementary file 6.</label><caption><title>Alignment of VOC sequences.</title></caption><media xlink:href="elife-92063-supp6-v1.zip" mimetype="application" mime-subtype="zip"/></supplementary-material><supplementary-material id="mdar"><label>MDAR checklist</label><media xlink:href="elife-92063-mdarchecklist1-v1.docx" mimetype="application" mime-subtype="docx"/></supplementary-material></sec><sec sec-type="data-availability" id="s6"><title>Data availability</title><p>The code to perform DFI and DCI analysis is available at <ext-link ext-link-type="uri" xlink:href="https://github.com/SBOZKAN/DFI-DCI">https://github.com/SBOZKAN/DFI-DCI</ext-link> (copy archived at <xref ref-type="bibr" rid="bib105">Ozkan, 2024</xref>). Molecular Dynamics data are available at <ext-link ext-link-type="uri" xlink:href="https://github.com/SBOZKAN/COV2SPIKE_MD">https://github.com/SBOZKAN/COV2SPIKE_MD</ext-link>. The mutation sites and EP values are contained in <xref ref-type="supplementary-material" rid="supp4">Supplementary file 4</xref>. The alignment used to generate EP values is also contained within the supporting information files as &quot;EP_alignment.fas&quot;. Protein Databank ID number 6VXX (<xref ref-type="bibr" rid="bib146">Walls et al., 2020</xref>) was used for closed conformation DCI calculations. 6VSB (<xref ref-type="bibr" rid="bib151">Wrapp et al., 2020</xref>) was used for DFI calculations, EpiScore calculations, and open conformation DCI calculations. 6M0J (<xref ref-type="bibr" rid="bib73">Lan et al., 2020</xref>) was used in molecular dynamics simulations of the RBD.</p><p>The following dataset was generated:</p><p><element-citation publication-type="data" specific-use="isSupplementedBy" id="dataset1"><person-group person-group-type="author"><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2024">2024</year><data-title>COV2SPIKE_MD</data-title><source>GitHub</source><pub-id pub-id-type="accession" xlink:href="https://github.com/SBOZKAN/COV2SPIKE_MD">91b9d69</pub-id></element-citation></p><p>The following previously published datasets were used:</p><p><element-citation publication-type="data" specific-use="references" id="dataset2"><person-group person-group-type="author"><name><surname>Wrapp</surname><given-names>D</given-names></name><name><surname>Wang</surname><given-names>N</given-names></name><name><surname>Corbett</surname><given-names>KS</given-names></name><name><surname>Goldsmith</surname><given-names>JA</given-names></name><name><surname>Hsieh</surname><given-names>C</given-names></name><name><surname>Abiona</surname><given-names>O</given-names></name><name><surname>Graham</surname><given-names>BS</given-names></name><name><surname>McLellan</surname><given-names>JS</given-names></name></person-group><year iso-8601-date="2020">2020</year><data-title>Prefusion 2019-nCoV spike glycoprotein with a single receptor-binding domain up</data-title><source>RCSB Protein Data Bank</source><pub-id pub-id-type="accession" xlink:href="https://www.rcsb.org/structure/6vsb">6VSB</pub-id></element-citation></p><p><element-citation publication-type="data" specific-use="references" id="dataset3"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Lan</surname><given-names>J</given-names></name><name><surname>Ge</surname><given-names>J</given-names></name><name><surname>Yu</surname><given-names>J</given-names></name><name><surname>Shan</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2020">2020</year><data-title>Crystal structure of SARS-CoV-2 spike receptor-binding domain bound with ACE2</data-title><source>RCSB Protein Data Bank</source><pub-id pub-id-type="accession" xlink:href="https://www.rcsb.org/structure/6m0j">6M0J</pub-id></element-citation></p><p><element-citation publication-type="data" specific-use="references" id="dataset4"><person-group person-group-type="author"><name><surname>Walls</surname><given-names>AC</given-names></name><name><surname>Park</surname><given-names>YJ</given-names></name><name><surname>Tortorici</surname><given-names>MA</given-names></name><name><surname>Wall</surname><given-names>A</given-names></name></person-group><year iso-8601-date="2020">2020</year><data-title>Structure of the SARS-CoV-2 spike glycoprotein (closed state)</data-title><source>RCSB Protein Data Bank</source><pub-id pub-id-type="accession" xlink:href="https://www.rcsb.org/structure/6vxx">6VXX</pub-id></element-citation></p></sec><ack id="ack"><title>Acknowledgements</title><p>Funding was provided to NJO, PC, TM, and ICK by the Gordon and Betty Moore Foundation (award number AWD00034439) and to SBO by the National Science Foundation (award numbers: 1715591 and 1901709) and the National Institutes of Health R01GM147635-01. SK acknowledges the National Science Foundation (GCR 1934848) and the National Institutes of Health (GM139540) grants.</p></ack><ref-list><title>References</title><ref id="bib1"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Abduljalil</surname><given-names>JM</given-names></name><name><surname>Elghareib</surname><given-names>AM</given-names></name><name><surname>Samir</surname><given-names>A</given-names></name><name><surname>Ezat</surname><given-names>AA</given-names></name><name><surname>Elfiky</surname><given-names>AA</given-names></name></person-group><year iso-8601-date="2023">2023</year><article-title>How helpful were molecular dynamics simulations in shaping our understanding of SARS-CoV-2 spike protein dynamics?</article-title><source>International Journal of Biological Macromolecules</source><volume>242</volume><elocation-id>125153</elocation-id><pub-id pub-id-type="doi">10.1016/j.ijbiomac.2023.125153</pub-id><pub-id pub-id-type="pmid">37268078</pub-id></element-citation></ref><ref id="bib2"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ali</surname><given-names>F</given-names></name><name><surname>Kasry</surname><given-names>A</given-names></name><name><surname>Amin</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>The new SARS-CoV-2 strain shows a stronger binding affinity to ACE2 due to N501Y mutant</article-title><source>Medicine in Drug Discovery</source><volume>10</volume><elocation-id>100086</elocation-id><pub-id pub-id-type="doi">10.1016/j.medidd.2021.100086</pub-id><pub-id pub-id-type="pmid">33681755</pub-id></element-citation></ref><ref id="bib3"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Amicone</surname><given-names>M</given-names></name><name><surname>Borges</surname><given-names>V</given-names></name><name><surname>Alves</surname><given-names>MJ</given-names></name><name><surname>Isidro</surname><given-names>J</given-names></name><name><surname>Zé-Zé</surname><given-names>L</given-names></name><name><surname>Duarte</surname><given-names>S</given-names></name><name><surname>Vieira</surname><given-names>L</given-names></name><name><surname>Guiomar</surname><given-names>R</given-names></name><name><surname>Gomes</surname><given-names>JP</given-names></name><name><surname>Gordo</surname><given-names>I</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Mutation rate of SARS-CoV-2 and emergence of mutators during experimental evolution</article-title><source>Evolution, Medicine, and Public Health</source><volume>10</volume><fpage>142</fpage><lpage>155</lpage><pub-id pub-id-type="doi">10.1093/emph/eoac010</pub-id><pub-id pub-id-type="pmid">35419205</pub-id></element-citation></ref><ref id="bib4"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bager</surname><given-names>P</given-names></name><name><surname>Wohlfahrt</surname><given-names>J</given-names></name><name><surname>Rasmussen</surname><given-names>M</given-names></name><name><surname>Albertsen</surname><given-names>M</given-names></name><name><surname>Krause</surname><given-names>TG</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Hospitalisation associated with SARS-CoV-2 delta variant in Denmark</article-title><source>The Lancet. Infectious Diseases</source><volume>21</volume><elocation-id>1351</elocation-id><pub-id pub-id-type="doi">10.1016/S1473-3099(21)00580-6</pub-id><pub-id pub-id-type="pmid">34487704</pub-id></element-citation></ref><ref id="bib5"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Barton</surname><given-names>MI</given-names></name><name><surname>MacGowan</surname><given-names>SA</given-names></name><name><surname>Kutuzov</surname><given-names>MA</given-names></name><name><surname>Dushek</surname><given-names>O</given-names></name><name><surname>Barton</surname><given-names>GJ</given-names></name><name><surname>van der Merwe</surname><given-names>PA</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Effects of common mutations in the SARS-CoV-2 Spike RBD and its ligand, the human ACE2 receptor on binding affinity and kinetics</article-title><source>eLife</source><volume>10</volume><elocation-id>e70658</elocation-id><pub-id pub-id-type="doi">10.7554/eLife.70658</pub-id><pub-id pub-id-type="pmid">34435953</pub-id></element-citation></ref><ref id="bib6"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Berendsen</surname><given-names>HJC</given-names></name><name><surname>Postma</surname><given-names>JPM</given-names></name><name><surname>van Gunsteren</surname><given-names>WF</given-names></name><name><surname>DiNola</surname><given-names>A</given-names></name><name><surname>Haak</surname><given-names>JR</given-names></name></person-group><year iso-8601-date="1984">1984</year><article-title>Molecular dynamics with coupling to an external bath</article-title><source>The Journal of Chemical Physics</source><volume>81</volume><fpage>3684</fpage><lpage>3690</lpage><pub-id pub-id-type="doi">10.1063/1.448118</pub-id></element-citation></ref><ref id="bib7"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Berman</surname><given-names>HM</given-names></name><name><surname>Westbrook</surname><given-names>J</given-names></name><name><surname>Feng</surname><given-names>Z</given-names></name><name><surname>Gilliland</surname><given-names>G</given-names></name><name><surname>Bhat</surname><given-names>TN</given-names></name><name><surname>Weissig</surname><given-names>H</given-names></name><name><surname>Shindyalov</surname><given-names>IN</given-names></name><name><surname>Bourne</surname><given-names>PE</given-names></name></person-group><year iso-8601-date="2000">2000</year><article-title>The protein data bank</article-title><source>Nucleic Acids Research</source><volume>28</volume><fpage>235</fpage><lpage>242</lpage><pub-id pub-id-type="doi">10.1093/nar/28.1.235</pub-id><pub-id pub-id-type="pmid">10592235</pub-id></element-citation></ref><ref id="bib8"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bershtein</surname><given-names>S</given-names></name><name><surname>Segal</surname><given-names>M</given-names></name><name><surname>Bekerman</surname><given-names>R</given-names></name><name><surname>Tokuriki</surname><given-names>N</given-names></name><name><surname>Tawfik</surname><given-names>DS</given-names></name></person-group><year iso-8601-date="2006">2006</year><article-title>Robustness-epistasis link shapes the fitness landscape of a randomly drifting protein</article-title><source>Nature</source><volume>444</volume><fpage>929</fpage><lpage>932</lpage><pub-id pub-id-type="doi">10.1038/nature05385</pub-id><pub-id pub-id-type="pmid">17122770</pub-id></element-citation></ref><ref id="bib9"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bhabha</surname><given-names>G</given-names></name><name><surname>Ekiert</surname><given-names>DC</given-names></name><name><surname>Jennewein</surname><given-names>M</given-names></name><name><surname>Zmasek</surname><given-names>CM</given-names></name><name><surname>Tuttle</surname><given-names>LM</given-names></name><name><surname>Kroon</surname><given-names>G</given-names></name><name><surname>Dyson</surname><given-names>HJ</given-names></name><name><surname>Godzik</surname><given-names>A</given-names></name><name><surname>Wilson</surname><given-names>IA</given-names></name><name><surname>Wright</surname><given-names>PE</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>Divergent evolution of protein conformational dynamics in dihydrofolate reductase</article-title><source>Nature Structural &amp; Molecular Biology</source><volume>20</volume><fpage>1243</fpage><lpage>1249</lpage><pub-id pub-id-type="doi">10.1038/nsmb.2676</pub-id><pub-id pub-id-type="pmid">24077226</pub-id></element-citation></ref><ref id="bib10"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bisardi</surname><given-names>M</given-names></name><name><surname>Rodriguez-Rivas</surname><given-names>J</given-names></name><name><surname>Zamponi</surname><given-names>F</given-names></name><name><surname>Weigt</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Modeling sequence-space exploration and emergence of epistatic signals in protein evolution</article-title><source>Molecular Biology and Evolution</source><volume>39</volume><elocation-id>msab321</elocation-id><pub-id pub-id-type="doi">10.1093/molbev/msab321</pub-id><pub-id pub-id-type="pmid">34751386</pub-id></element-citation></ref><ref id="bib11"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Boni</surname><given-names>MF</given-names></name><name><surname>Lemey</surname><given-names>P</given-names></name><name><surname>Jiang</surname><given-names>X</given-names></name><name><surname>Lam</surname><given-names>TTY</given-names></name><name><surname>Perry</surname><given-names>BW</given-names></name><name><surname>Castoe</surname><given-names>TA</given-names></name><name><surname>Rambaut</surname><given-names>A</given-names></name><name><surname>Robertson</surname><given-names>DL</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Evolutionary origins of the SARS-CoV-2 sarbecovirus lineage responsible for the COVID-19 pandemic</article-title><source>Nature Microbiology</source><volume>5</volume><fpage>1408</fpage><lpage>1417</lpage><pub-id pub-id-type="doi">10.1038/s41564-020-0771-4</pub-id><pub-id pub-id-type="pmid">32724171</pub-id></element-citation></ref><ref id="bib12"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Brister</surname><given-names>JR</given-names></name><name><surname>Ako-adjei</surname><given-names>D</given-names></name><name><surname>Bao</surname><given-names>Y</given-names></name><name><surname>Blinkova</surname><given-names>O</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>NCBI viral genomes resource</article-title><source>Nucleic Acids Research</source><volume>43</volume><fpage>D571</fpage><lpage>D577</lpage><pub-id pub-id-type="doi">10.1093/nar/gku1207</pub-id></element-citation></ref><ref id="bib13"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Butler</surname><given-names>BM</given-names></name><name><surname>Kazan</surname><given-names>IC</given-names></name><name><surname>Kumar</surname><given-names>A</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name><collab>editor</collab></person-group><year iso-8601-date="2018">2018</year><article-title>Coevolving residues inform protein dynamics profiles and disease susceptibility of nSNVs</article-title><source>PLOS Computational Biology</source><volume>14</volume><elocation-id>e1006626</elocation-id><pub-id pub-id-type="doi">10.1371/journal.pcbi.1006626</pub-id><pub-id pub-id-type="pmid">30496278</pub-id></element-citation></ref><ref id="bib14"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cagliani</surname><given-names>R</given-names></name><name><surname>Forni</surname><given-names>D</given-names></name><name><surname>Clerici</surname><given-names>M</given-names></name><name><surname>Sironi</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Computational Inference of Selection Underlying the Evolution of the Novel Coronavirus, Severe Acute Respiratory Syndrome Coronavirus 2</article-title><source>Journal of Virology</source><volume>94</volume><elocation-id>e00411-20</elocation-id><pub-id pub-id-type="doi">10.1128/JVI.00411-20</pub-id><pub-id pub-id-type="pmid">32238584</pub-id></element-citation></ref><ref id="bib15"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Callaway</surname><given-names>E</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>COVID ‘variant soup’ is making winter surges hard to predict</article-title><source>Nature</source><volume>611</volume><fpage>213</fpage><lpage>214</lpage><pub-id pub-id-type="doi">10.1038/d41586-022-03445-6</pub-id></element-citation></ref><ref id="bib16"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Campbell</surname><given-names>E</given-names></name><name><surname>Kaltenbach</surname><given-names>M</given-names></name><name><surname>Correy</surname><given-names>GJ</given-names></name><name><surname>Carr</surname><given-names>PD</given-names></name><name><surname>Porebski</surname><given-names>BT</given-names></name><name><surname>Livingstone</surname><given-names>EK</given-names></name><name><surname>Afriat-Jurnou</surname><given-names>L</given-names></name><name><surname>Buckle</surname><given-names>AM</given-names></name><name><surname>Weik</surname><given-names>M</given-names></name><name><surname>Hollfelder</surname><given-names>F</given-names></name><name><surname>Tokuriki</surname><given-names>N</given-names></name><name><surname>Jackson</surname><given-names>CJ</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>The role of protein dynamics in the evolution of new enzyme function</article-title><source>Nature Chemical Biology</source><volume>12</volume><fpage>944</fpage><lpage>950</lpage><pub-id pub-id-type="doi">10.1038/nchembio.2175</pub-id><pub-id pub-id-type="pmid">27618189</pub-id></element-citation></ref><ref id="bib17"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Campitelli</surname><given-names>P</given-names></name><name><surname>Modi</surname><given-names>T</given-names></name><name><surname>Kumar</surname><given-names>S</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>The role of conformational dynamics and allostery in modulating protein evolution</article-title><source>Annual Review of Biophysics</source><volume>49</volume><fpage>267</fpage><lpage>288</lpage><pub-id pub-id-type="doi">10.1146/annurev-biophys-052118-115517</pub-id><pub-id pub-id-type="pmid">32075411</pub-id></element-citation></ref><ref id="bib18"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Campitelli</surname><given-names>P</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Allostery and epistasis: emergent properties of anisotropic networks</article-title><source>Entropy</source><volume>22</volume><elocation-id>667</elocation-id><pub-id pub-id-type="doi">10.3390/e22060667</pub-id><pub-id pub-id-type="pmid">33286439</pub-id></element-citation></ref><ref id="bib19"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Campitelli</surname><given-names>P</given-names></name><name><surname>Swint-Kruse</surname><given-names>L</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Substitutions at nonconserved rheostat positions modulate function by rewiring long-range, dynamic interactions</article-title><source>Molecular Biology and Evolution</source><volume>38</volume><fpage>201</fpage><lpage>214</lpage><pub-id pub-id-type="doi">10.1093/molbev/msaa202</pub-id><pub-id pub-id-type="pmid">32780837</pub-id></element-citation></ref><ref id="bib20"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Campitelli</surname><given-names>P</given-names></name><name><surname>Lu</surname><given-names>J</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Dynamic allostery highlights the evolutionary differences between the CoV-1 and CoV-2 main proteases</article-title><source>Biophysical Journal</source><volume>121</volume><fpage>1483</fpage><lpage>1492</lpage><pub-id pub-id-type="doi">10.1016/j.bpj.2022.03.012</pub-id><pub-id pub-id-type="pmid">35300968</pub-id></element-citation></ref><ref id="bib21"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cantoni</surname><given-names>D</given-names></name><name><surname>Murray</surname><given-names>MJ</given-names></name><name><surname>Kalemera</surname><given-names>MD</given-names></name><name><surname>Dicken</surname><given-names>SJ</given-names></name><name><surname>Stejskal</surname><given-names>L</given-names></name><name><surname>Brown</surname><given-names>G</given-names></name><name><surname>Lytras</surname><given-names>S</given-names></name><name><surname>Coey</surname><given-names>JD</given-names></name><name><surname>McKenna</surname><given-names>J</given-names></name><name><surname>Bridgett</surname><given-names>S</given-names></name><name><surname>Simpson</surname><given-names>D</given-names></name><name><surname>Fairley</surname><given-names>D</given-names></name><name><surname>Thorne</surname><given-names>LG</given-names></name><name><surname>Reuschl</surname><given-names>AK</given-names></name><name><surname>Forrest</surname><given-names>C</given-names></name><name><surname>Ganeshalingham</surname><given-names>M</given-names></name><name><surname>Muir</surname><given-names>L</given-names></name><name><surname>Palor</surname><given-names>M</given-names></name><name><surname>Jarvis</surname><given-names>L</given-names></name><name><surname>Willett</surname><given-names>B</given-names></name><name><surname>Power</surname><given-names>UF</given-names></name><name><surname>McCoy</surname><given-names>LE</given-names></name><name><surname>Jolly</surname><given-names>C</given-names></name><name><surname>Towers</surname><given-names>GJ</given-names></name><name><surname>Doores</surname><given-names>KJ</given-names></name><name><surname>Robertson</surname><given-names>DL</given-names></name><name><surname>Shepherd</surname><given-names>AJ</given-names></name><name><surname>Reeves</surname><given-names>MB</given-names></name><name><surname>Bamford</surname><given-names>CGG</given-names></name><name><surname>Grove</surname><given-names>J</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Evolutionary remodelling of N-terminal domain loops fine-tunes SARS-CoV-2 spike</article-title><source>EMBO Reports</source><volume>23</volume><elocation-id>e54322</elocation-id><pub-id pub-id-type="doi">10.15252/embr.202154322</pub-id><pub-id pub-id-type="pmid">35999696</pub-id></element-citation></ref><ref id="bib22"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Carabelli</surname><given-names>AM</given-names></name><name><surname>Peacock</surname><given-names>TP</given-names></name><name><surname>Thorne</surname><given-names>LG</given-names></name><name><surname>Harvey</surname><given-names>WT</given-names></name><name><surname>Hughes</surname><given-names>J</given-names></name><collab>COVID-19 Genomics UK Consortium</collab><name><surname>Peacock</surname><given-names>SJ</given-names></name><name><surname>Barclay</surname><given-names>WS</given-names></name><name><surname>de Silva</surname><given-names>TI</given-names></name><name><surname>Towers</surname><given-names>GJ</given-names></name><name><surname>Robertson</surname><given-names>DL</given-names></name></person-group><year iso-8601-date="2023">2023</year><article-title>SARS-CoV-2 variant biology: immune escape, transmission and fitness</article-title><source>Nature Reviews. Microbiology</source><volume>21</volume><fpage>162</fpage><lpage>177</lpage><pub-id pub-id-type="doi">10.1038/s41579-022-00841-7</pub-id><pub-id pub-id-type="pmid">36653446</pub-id></element-citation></ref><ref id="bib23"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Castiglione</surname><given-names>GM</given-names></name><name><surname>Zhou</surname><given-names>L</given-names></name><name><surname>Xu</surname><given-names>Z</given-names></name><name><surname>Neiman</surname><given-names>Z</given-names></name><name><surname>Hung</surname><given-names>CF</given-names></name><name><surname>Duh</surname><given-names>EJ</given-names></name><collab>editor</collab></person-group><year iso-8601-date="2021">2021</year><article-title>Evolutionary pathways to SARS-CoV-2 resistance are opened and closed by epistasis acting on ACE2</article-title><source>PLOS Biology</source><volume>19</volume><elocation-id>e3001510</elocation-id><pub-id pub-id-type="doi">10.1371/journal.pbio.3001510</pub-id><pub-id pub-id-type="pmid">34932561</pub-id></element-citation></ref><ref id="bib24"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chan</surname><given-names>CM</given-names></name><name><surname>Woo</surname><given-names>PCY</given-names></name><name><surname>Lau</surname><given-names>SKP</given-names></name><name><surname>Tse</surname><given-names>H</given-names></name><name><surname>Chen</surname><given-names>HL</given-names></name><name><surname>Li</surname><given-names>F</given-names></name><name><surname>Zheng</surname><given-names>BJ</given-names></name><name><surname>Chen</surname><given-names>L</given-names></name><name><surname>Huang</surname><given-names>JD</given-names></name><name><surname>Yuen</surname><given-names>KY</given-names></name></person-group><year iso-8601-date="2008">2008</year><article-title>RETRACTED: spike protein, s, of human coronavirus HKU1: role in viral life cycle and application in antibody detection</article-title><source>Experimental Biology and Medicine</source><volume>233</volume><fpage>1527</fpage><lpage>1536</lpage><pub-id pub-id-type="doi">10.3181/0806-RM-197</pub-id></element-citation></ref><ref id="bib25"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Changeux</surname><given-names>JP</given-names></name><name><surname>Edelstein</surname><given-names>SJ</given-names></name></person-group><year iso-8601-date="2005">2005</year><article-title>Allosteric mechanisms of signal transduction</article-title><source>Science</source><volume>308</volume><fpage>1424</fpage><lpage>1428</lpage><pub-id pub-id-type="doi">10.1126/science.1108595</pub-id><pub-id pub-id-type="pmid">15933191</pub-id></element-citation></ref><ref id="bib26"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chi</surname><given-names>X</given-names></name><name><surname>Yan</surname><given-names>R</given-names></name><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>G</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Hao</surname><given-names>M</given-names></name><name><surname>Zhang</surname><given-names>Z</given-names></name><name><surname>Fan</surname><given-names>P</given-names></name><name><surname>Dong</surname><given-names>Y</given-names></name><name><surname>Yang</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>Z</given-names></name><name><surname>Guo</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Song</surname><given-names>X</given-names></name><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Xia</surname><given-names>L</given-names></name><name><surname>Fu</surname><given-names>L</given-names></name><name><surname>Hou</surname><given-names>L</given-names></name><name><surname>Xu</surname><given-names>J</given-names></name><name><surname>Yu</surname><given-names>C</given-names></name><name><surname>Li</surname><given-names>J</given-names></name><name><surname>Zhou</surname><given-names>Q</given-names></name><name><surname>Chen</surname><given-names>W</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>A neutralizing human antibody binds to the N-terminal domain of the Spike protein of SARS-CoV-2</article-title><source>Science</source><volume>369</volume><fpage>650</fpage><lpage>655</lpage><pub-id pub-id-type="doi">10.1126/science.abc6952</pub-id><pub-id pub-id-type="pmid">32571838</pub-id></element-citation></ref><ref id="bib27"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Collins</surname><given-names>SR</given-names></name><name><surname>Schuldiner</surname><given-names>M</given-names></name><name><surname>Krogan</surname><given-names>NJ</given-names></name><name><surname>Weissman</surname><given-names>JS</given-names></name></person-group><year iso-8601-date="2006">2006</year><article-title>A strategy for extracting and analyzing large-scale quantitative epistatic interaction data</article-title><source>Genome Biology</source><volume>7</volume><elocation-id>R63</elocation-id><pub-id pub-id-type="doi">10.1186/gb-2006-7-7-r63</pub-id></element-citation></ref><ref id="bib28"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Damas</surname><given-names>J</given-names></name><name><surname>Hughes</surname><given-names>GM</given-names></name><name><surname>Keough</surname><given-names>KC</given-names></name><name><surname>Painter</surname><given-names>CA</given-names></name><name><surname>Persky</surname><given-names>NS</given-names></name><name><surname>Corbo</surname><given-names>M</given-names></name><name><surname>Hiller</surname><given-names>M</given-names></name><name><surname>Koepfli</surname><given-names>K-P</given-names></name><name><surname>Pfenning</surname><given-names>AR</given-names></name><name><surname>Zhao</surname><given-names>H</given-names></name><name><surname>Genereux</surname><given-names>DP</given-names></name><name><surname>Swofford</surname><given-names>R</given-names></name><name><surname>Pollard</surname><given-names>KS</given-names></name><name><surname>Ryder</surname><given-names>OA</given-names></name><name><surname>Nweeia</surname><given-names>MT</given-names></name><name><surname>Lindblad-Toh</surname><given-names>K</given-names></name><name><surname>Teeling</surname><given-names>EC</given-names></name><name><surname>Karlsson</surname><given-names>EK</given-names></name><name><surname>Lewin</surname><given-names>HA</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Broad host range of SARS-CoV-2 predicted by comparative and structural analysis of ACE2 in vertebrates</article-title><source>PNAS</source><volume>117</volume><fpage>22311</fpage><lpage>22322</lpage><pub-id pub-id-type="doi">10.1073/pnas.2010146117</pub-id><pub-id pub-id-type="pmid">32826334</pub-id></element-citation></ref><ref id="bib29"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>de la Paz</surname><given-names>JA</given-names></name><name><surname>Nartey</surname><given-names>CM</given-names></name><name><surname>Yuvaraj</surname><given-names>M</given-names></name><name><surname>Morcos</surname><given-names>F</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Epistatic contributions promote the unification of incompatible models of neutral molecular evolution</article-title><source>PNAS</source><volume>117</volume><fpage>5873</fpage><lpage>5882</lpage><pub-id pub-id-type="doi">10.1073/pnas.1913071117</pub-id><pub-id pub-id-type="pmid">32123092</pub-id></element-citation></ref><ref id="bib30"><element-citation publication-type="preprint"><person-group person-group-type="author"><name><surname>Deng</surname><given-names>X</given-names></name><name><surname>Garcia-Knight</surname><given-names>MA</given-names></name><name><surname>Khalid</surname><given-names>MM</given-names></name><name><surname>Servellita</surname><given-names>V</given-names></name><name><surname>Wang</surname><given-names>C</given-names></name><name><surname>Morris</surname><given-names>MK</given-names></name><name><surname>Sotomayor-González</surname><given-names>A</given-names></name><name><surname>Glasner</surname><given-names>DR</given-names></name><name><surname>Reyes</surname><given-names>KR</given-names></name><name><surname>Gliwa</surname><given-names>AS</given-names></name><name><surname>Reddy</surname><given-names>NP</given-names></name><name><surname>Martin</surname><given-names>CSS</given-names></name><name><surname>Federman</surname><given-names>S</given-names></name><name><surname>Cheng</surname><given-names>J</given-names></name><name><surname>Balcerek</surname><given-names>J</given-names></name><name><surname>Taylor</surname><given-names>J</given-names></name><name><surname>Streithorst</surname><given-names>JA</given-names></name><name><surname>Miller</surname><given-names>S</given-names></name><name><surname>Kumar</surname><given-names>GR</given-names></name><name><surname>Sreekumar</surname><given-names>B</given-names></name><name><surname>Chen</surname><given-names>PY</given-names></name><name><surname>Schulze-Gahmen</surname><given-names>U</given-names></name><name><surname>Taha</surname><given-names>TY</given-names></name><name><surname>Hayashi</surname><given-names>J</given-names></name><name><surname>Simoneau</surname><given-names>CR</given-names></name><name><surname>McMahon</surname><given-names>S</given-names></name><name><surname>Lidsky</surname><given-names>PV</given-names></name><name><surname>Xiao</surname><given-names>Y</given-names></name><name><surname>Hemarajata</surname><given-names>P</given-names></name><name><surname>Green</surname><given-names>NM</given-names></name><name><surname>Espinosa</surname><given-names>A</given-names></name><name><surname>Kath</surname><given-names>C</given-names></name><name><surname>Haw</surname><given-names>M</given-names></name><name><surname>Bell</surname><given-names>J</given-names></name><name><surname>Hacker</surname><given-names>JK</given-names></name><name><surname>Hanson</surname><given-names>C</given-names></name><name><surname>Wadford</surname><given-names>DA</given-names></name><name><surname>Anaya</surname><given-names>C</given-names></name><name><surname>Ferguson</surname><given-names>D</given-names></name><name><surname>Lareau</surname><given-names>LF</given-names></name><name><surname>Frankino</surname><given-names>PA</given-names></name><name><surname>Shivram</surname><given-names>H</given-names></name><name><surname>Wyman</surname><given-names>SK</given-names></name><name><surname>Ott</surname><given-names>M</given-names></name><name><surname>Andino</surname><given-names>R</given-names></name><name><surname>Chiu</surname><given-names>CY</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Transmission, Infectivity, and Antibody Neutralization of an Emerging SARS-CoV-2 Variant in California Carrying a L452R Spike Protein Mutation</article-title><source>medRxiv</source><pub-id pub-id-type="doi">10.1101/2021.03.07.21252647</pub-id></element-citation></ref><ref id="bib31"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Díaz-Salinas</surname><given-names>MA</given-names></name><name><surname>Li</surname><given-names>Q</given-names></name><name><surname>Ejemel</surname><given-names>M</given-names></name><name><surname>Yurkovetskiy</surname><given-names>L</given-names></name><name><surname>Luban</surname><given-names>J</given-names></name><name><surname>Shen</surname><given-names>K</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Munro</surname><given-names>JB</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Conformational dynamics and allosteric modulation of the SARS-CoV-2 spike</article-title><source>eLife</source><volume>11</volume><elocation-id>e75433</elocation-id><pub-id pub-id-type="doi">10.7554/eLife.75433</pub-id><pub-id pub-id-type="pmid">35323111</pub-id></element-citation></ref><ref id="bib32"><element-citation publication-type="preprint"><person-group person-group-type="author"><name><surname>Dicken</surname><given-names>SJ</given-names></name><name><surname>Murray</surname><given-names>MJ</given-names></name><name><surname>Thorne</surname><given-names>LG</given-names></name><name><surname>Reuschl</surname><given-names>AK</given-names></name><name><surname>Forrest</surname><given-names>C</given-names></name><name><surname>Ganeshalingham</surname><given-names>M</given-names></name><name><surname>Muir</surname><given-names>L</given-names></name><name><surname>Kalemera</surname><given-names>MD</given-names></name><name><surname>Palor</surname><given-names>M</given-names></name><name><surname>McCoy</surname><given-names>LE</given-names></name><name><surname>Jolly</surname><given-names>C</given-names></name><name><surname>Towers</surname><given-names>GJ</given-names></name><name><surname>Reeves</surname><given-names>MB</given-names></name><name><surname>Grove</surname><given-names>J</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Characterisation of B.1.1.7 and pangolin coronavirus spike provides insights on the evolutionary trajectory of SARS-CoV-2</article-title><source>bioRxiv</source><pub-id pub-id-type="doi">10.1101/2021.03.22.436468</pub-id></element-citation></ref><ref id="bib33"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dong</surname><given-names>A</given-names></name><name><surname>Zhao</surname><given-names>J</given-names></name><name><surname>Griffin</surname><given-names>C</given-names></name><name><surname>Wu</surname><given-names>R</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>The genomic physics of COVID-19 pathogenesis and spread</article-title><source>Cells</source><volume>11</volume><elocation-id>80</elocation-id><pub-id pub-id-type="doi">10.3390/cells11010080</pub-id><pub-id pub-id-type="pmid">35011641</pub-id></element-citation></ref><ref id="bib34"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Doshi</surname><given-names>U</given-names></name><name><surname>Holliday</surname><given-names>MJ</given-names></name><name><surname>Eisenmesser</surname><given-names>EZ</given-names></name><name><surname>Hamelberg</surname><given-names>D</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>Dynamical network of residue-residue contacts reveals coupled allosteric effects in recognition, catalysis, and mutation</article-title><source>PNAS</source><volume>113</volume><fpage>4735</fpage><lpage>4740</lpage><pub-id pub-id-type="doi">10.1073/pnas.1523573113</pub-id><pub-id pub-id-type="pmid">27071107</pub-id></element-citation></ref><ref id="bib35"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dror</surname><given-names>RO</given-names></name><name><surname>Dirks</surname><given-names>RM</given-names></name><name><surname>Grossman</surname><given-names>JP</given-names></name><name><surname>Xu</surname><given-names>H</given-names></name><name><surname>Shaw</surname><given-names>DE</given-names></name></person-group><year iso-8601-date="2012">2012</year><article-title>Biomolecular simulation: A computational microscope for molecular biology</article-title><source>Annual Review of Biophysics</source><volume>41</volume><fpage>429</fpage><lpage>452</lpage><pub-id pub-id-type="doi">10.1146/annurev-biophys-042910-155245</pub-id><pub-id pub-id-type="pmid">22577825</pub-id></element-citation></ref><ref id="bib36"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Earnest</surname><given-names>R</given-names></name><name><surname>Uddin</surname><given-names>R</given-names></name><name><surname>Matluk</surname><given-names>N</given-names></name><name><surname>Renzette</surname><given-names>N</given-names></name><name><surname>Turbett</surname><given-names>SE</given-names></name><name><surname>Siddle</surname><given-names>KJ</given-names></name><name><surname>Loreth</surname><given-names>C</given-names></name><name><surname>Adams</surname><given-names>G</given-names></name><name><surname>Tomkins-Tinch</surname><given-names>CH</given-names></name><name><surname>Petrone</surname><given-names>ME</given-names></name><name><surname>Rothman</surname><given-names>JE</given-names></name><name><surname>Breban</surname><given-names>MI</given-names></name><name><surname>Koch</surname><given-names>RT</given-names></name><name><surname>Billig</surname><given-names>K</given-names></name><name><surname>Fauver</surname><given-names>JR</given-names></name><name><surname>Vogels</surname><given-names>CBF</given-names></name><name><surname>Bilguvar</surname><given-names>K</given-names></name><name><surname>De Kumar</surname><given-names>B</given-names></name><name><surname>Landry</surname><given-names>ML</given-names></name><name><surname>Peaper</surname><given-names>DR</given-names></name><name><surname>Kelly</surname><given-names>K</given-names></name><name><surname>Omerza</surname><given-names>G</given-names></name><name><surname>Grieser</surname><given-names>H</given-names></name><name><surname>Meak</surname><given-names>S</given-names></name><name><surname>Martha</surname><given-names>J</given-names></name><name><surname>Dewey</surname><given-names>HB</given-names></name><name><surname>Kales</surname><given-names>S</given-names></name><name><surname>Berenzy</surname><given-names>D</given-names></name><name><surname>Carpenter-Azevedo</surname><given-names>K</given-names></name><name><surname>King</surname><given-names>E</given-names></name><name><surname>Huard</surname><given-names>RC</given-names></name><name><surname>Novitsky</surname><given-names>V</given-names></name><name><surname>Howison</surname><given-names>M</given-names></name><name><surname>Darpolor</surname><given-names>J</given-names></name><name><surname>Manne</surname><given-names>A</given-names></name><name><surname>Kantor</surname><given-names>R</given-names></name><name><surname>Smole</surname><given-names>SC</given-names></name><name><surname>Brown</surname><given-names>CM</given-names></name><name><surname>Fink</surname><given-names>T</given-names></name><name><surname>Lang</surname><given-names>AS</given-names></name><name><surname>Gallagher</surname><given-names>GR</given-names></name><name><surname>Pitzer</surname><given-names>VE</given-names></name><name><surname>Sabeti</surname><given-names>PC</given-names></name><name><surname>Gabriel</surname><given-names>S</given-names></name><name><surname>MacInnis</surname><given-names>BL</given-names></name><name><surname>Tewhey</surname><given-names>R</given-names></name><name><surname>Adams</surname><given-names>MD</given-names></name><name><surname>Park</surname><given-names>DJ</given-names></name><name><surname>Lemieux</surname><given-names>JE</given-names></name><name><surname>Grubaugh</surname><given-names>ND</given-names></name><collab>New England Variant Investigation Team</collab></person-group><year iso-8601-date="2022">2022</year><article-title>Comparative transmissibility of SARS-CoV-2 variants Delta and Alpha in New England, USA</article-title><source>Cell Reports. Medicine</source><volume>3</volume><elocation-id>100583</elocation-id><pub-id pub-id-type="doi">10.1016/j.xcrm.2022.100583</pub-id><pub-id pub-id-type="pmid">35480627</pub-id></element-citation></ref><ref id="bib37"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ekeberg</surname><given-names>M</given-names></name><name><surname>Lövkvist</surname><given-names>C</given-names></name><name><surname>Lan</surname><given-names>Y</given-names></name><name><surname>Weigt</surname><given-names>M</given-names></name><name><surname>Aurell</surname><given-names>E</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>Improved contact prediction in proteins: Using pseudolikelihoods to infer Potts models</article-title><source>Physical Review E</source><volume>87</volume><elocation-id>012707</elocation-id><pub-id pub-id-type="doi">10.1103/PhysRevE.87.012707</pub-id></element-citation></ref><ref id="bib38"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fraser</surname><given-names>BJ</given-names></name><name><surname>Beldar</surname><given-names>S</given-names></name><name><surname>Seitova</surname><given-names>A</given-names></name><name><surname>Hutchinson</surname><given-names>A</given-names></name><name><surname>Mannar</surname><given-names>D</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Kwon</surname><given-names>D</given-names></name><name><surname>Tan</surname><given-names>R</given-names></name><name><surname>Wilson</surname><given-names>RP</given-names></name><name><surname>Leopold</surname><given-names>K</given-names></name><name><surname>Subramaniam</surname><given-names>S</given-names></name><name><surname>Halabelian</surname><given-names>L</given-names></name><name><surname>Arrowsmith</surname><given-names>CH</given-names></name><name><surname>Bénard</surname><given-names>F</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Structure and activity of human TMPRSS2 protease implicated in SARS-CoV-2 activation</article-title><source>Nature Chemical Biology</source><volume>18</volume><fpage>963</fpage><lpage>971</lpage><pub-id pub-id-type="doi">10.1038/s41589-022-01059-7</pub-id><pub-id pub-id-type="pmid">35676539</pub-id></element-citation></ref><ref id="bib39"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Frost</surname><given-names>SDW</given-names></name><name><surname>Magalis</surname><given-names>BR</given-names></name><name><surname>Kosakovsky Pond</surname><given-names>SL</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Neutral theory and rapidly evolving viral pathogens</article-title><source>Molecular Biology and Evolution</source><volume>35</volume><fpage>1348</fpage><lpage>1354</lpage><pub-id pub-id-type="doi">10.1093/molbev/msy088</pub-id><pub-id pub-id-type="pmid">29688481</pub-id></element-citation></ref><ref id="bib40"><element-citation publication-type="preprint"><person-group person-group-type="author"><name><surname>Garvin</surname><given-names>MR</given-names></name><name><surname>Prates</surname><given-names>ET</given-names></name><name><surname>Romero</surname><given-names>J</given-names></name><name><surname>Cliff</surname><given-names>A</given-names></name><name><surname>Machado Gazolla</surname><given-names>JGF</given-names></name><name><surname>Pickholz</surname><given-names>M</given-names></name><name><surname>Pavicic</surname><given-names>M</given-names></name><name><surname>Jacobson</surname><given-names>D</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Rapid Expansion of SARS-CoV-2 variants of concern is a result of adaptive epistasis</article-title><source>bioRxiv</source><pub-id pub-id-type="doi">10.1101/2021.08.03.454981</pub-id></element-citation></ref><ref id="bib41"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gerek</surname><given-names>ZN</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2011">2011</year><article-title>Change in allosteric network affects binding affinities of PDZ domains</article-title><source>PLOS Computational Biology</source><volume>7</volume><elocation-id>e1002154</elocation-id><pub-id pub-id-type="doi">10.1371/journal.pcbi.1002154</pub-id></element-citation></ref><ref id="bib42"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gobeil</surname><given-names>SMC</given-names></name><name><surname>Janowska</surname><given-names>K</given-names></name><name><surname>McDowell</surname><given-names>S</given-names></name><name><surname>Mansouri</surname><given-names>K</given-names></name><name><surname>Parks</surname><given-names>R</given-names></name><name><surname>Manne</surname><given-names>K</given-names></name><name><surname>Stalls</surname><given-names>V</given-names></name><name><surname>Kopp</surname><given-names>MF</given-names></name><name><surname>Henderson</surname><given-names>R</given-names></name><name><surname>Edwards</surname><given-names>RJ</given-names></name><name><surname>Haynes</surname><given-names>BF</given-names></name><name><surname>Acharya</surname><given-names>P</given-names></name></person-group><year iso-8601-date="2021">2021a</year><article-title>D614G mutation alters SARS-CoV-2 spike conformation and enhances protease cleavage at the S1/S2 junction</article-title><source>Cell Reports</source><volume>34</volume><elocation-id>108630</elocation-id><pub-id pub-id-type="doi">10.1016/j.celrep.2020.108630</pub-id><pub-id pub-id-type="pmid">33417835</pub-id></element-citation></ref><ref id="bib43"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gobeil</surname><given-names>SM-C</given-names></name><name><surname>Janowska</surname><given-names>K</given-names></name><name><surname>McDowell</surname><given-names>S</given-names></name><name><surname>Mansouri</surname><given-names>K</given-names></name><name><surname>Parks</surname><given-names>R</given-names></name><name><surname>Stalls</surname><given-names>V</given-names></name><name><surname>Kopp</surname><given-names>MF</given-names></name><name><surname>Manne</surname><given-names>K</given-names></name><name><surname>Li</surname><given-names>D</given-names></name><name><surname>Wiehe</surname><given-names>K</given-names></name><name><surname>Saunders</surname><given-names>KO</given-names></name><name><surname>Edwards</surname><given-names>RJ</given-names></name><name><surname>Korber</surname><given-names>B</given-names></name><name><surname>Haynes</surname><given-names>BF</given-names></name><name><surname>Henderson</surname><given-names>R</given-names></name><name><surname>Acharya</surname><given-names>P</given-names></name></person-group><year iso-8601-date="2021">2021b</year><article-title>Effect of natural mutations of SARS-CoV-2 on spike structure, conformation, and antigenicity</article-title><source>Science</source><volume>373</volume><elocation-id>eabi6226</elocation-id><pub-id pub-id-type="doi">10.1126/science.abi6226</pub-id><pub-id pub-id-type="pmid">34168071</pub-id></element-citation></ref><ref id="bib44"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gur</surname><given-names>M</given-names></name><name><surname>Taka</surname><given-names>E</given-names></name><name><surname>Yilmaz</surname><given-names>SZ</given-names></name><name><surname>Kilinc</surname><given-names>C</given-names></name><name><surname>Aktas</surname><given-names>U</given-names></name><name><surname>Golcuk</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Conformational transition of SARS-CoV-2 spike glycoprotein between its closed and open states</article-title><source>The Journal of Chemical Physics</source><volume>153</volume><elocation-id>075101</elocation-id><pub-id pub-id-type="doi">10.1063/5.0011141</pub-id><pub-id pub-id-type="pmid">32828084</pub-id></element-citation></ref><ref id="bib45"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Harrigan</surname><given-names>P</given-names></name><name><surname>Madhani</surname><given-names>HD</given-names></name><name><surname>El-Samad</surname><given-names>H</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Real-time genetic compensation defines the dynamic demands of feedback control</article-title><source>Cell</source><volume>175</volume><fpage>877</fpage><lpage>886</lpage><pub-id pub-id-type="doi">10.1016/j.cell.2018.09.044</pub-id><pub-id pub-id-type="pmid">30340045</pub-id></element-citation></ref><ref id="bib46"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Harvey</surname><given-names>WT</given-names></name><name><surname>Carabelli</surname><given-names>AM</given-names></name><name><surname>Jackson</surname><given-names>B</given-names></name><name><surname>Gupta</surname><given-names>RK</given-names></name><name><surname>Thomson</surname><given-names>EC</given-names></name><name><surname>Harrison</surname><given-names>EM</given-names></name><name><surname>Ludden</surname><given-names>C</given-names></name><name><surname>Reeve</surname><given-names>R</given-names></name><name><surname>Rambaut</surname><given-names>A</given-names></name><collab>COVID-19 Genomics UK (COG-UK) Consortium</collab><name><surname>Peacock</surname><given-names>SJ</given-names></name><name><surname>Robertson</surname><given-names>DL</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>SARS-CoV-2 variants, spike mutations and immune escape</article-title><source>Nature Reviews. Microbiology</source><volume>19</volume><fpage>409</fpage><lpage>424</lpage><pub-id pub-id-type="doi">10.1038/s41579-021-00573-0</pub-id><pub-id pub-id-type="pmid">34075212</pub-id></element-citation></ref><ref id="bib47"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Henderson</surname><given-names>R</given-names></name><name><surname>Edwards</surname><given-names>RJ</given-names></name><name><surname>Mansouri</surname><given-names>K</given-names></name><name><surname>Janowska</surname><given-names>K</given-names></name><name><surname>Stalls</surname><given-names>V</given-names></name><name><surname>Gobeil</surname><given-names>SMC</given-names></name><name><surname>Kopp</surname><given-names>M</given-names></name><name><surname>Li</surname><given-names>D</given-names></name><name><surname>Parks</surname><given-names>R</given-names></name><name><surname>Hsu</surname><given-names>AL</given-names></name><name><surname>Borgnia</surname><given-names>MJ</given-names></name><name><surname>Haynes</surname><given-names>BF</given-names></name><name><surname>Acharya</surname><given-names>P</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Controlling the SARS-CoV-2 spike glycoprotein conformation</article-title><source>Nature Structural &amp; Molecular Biology</source><volume>27</volume><fpage>925</fpage><lpage>933</lpage><pub-id pub-id-type="doi">10.1038/s41594-020-0479-4</pub-id><pub-id pub-id-type="pmid">32699321</pub-id></element-citation></ref><ref id="bib48"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hoffmann</surname><given-names>M</given-names></name><name><surname>Kleine-Weber</surname><given-names>H</given-names></name><name><surname>Schroeder</surname><given-names>S</given-names></name><name><surname>Krüger</surname><given-names>N</given-names></name><name><surname>Herrler</surname><given-names>T</given-names></name><name><surname>Erichsen</surname><given-names>S</given-names></name><name><surname>Schiergens</surname><given-names>TS</given-names></name><name><surname>Herrler</surname><given-names>G</given-names></name><name><surname>Wu</surname><given-names>NH</given-names></name><name><surname>Nitsche</surname><given-names>A</given-names></name><name><surname>Müller</surname><given-names>MA</given-names></name><name><surname>Drosten</surname><given-names>C</given-names></name><name><surname>Pöhlmann</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>SARS-CoV-2 cell entry depends on ACE2 and TMPRSS2 and Is blocked by a clinically proven protease inhibitor</article-title><source>Cell</source><volume>181</volume><fpage>271</fpage><lpage>280</lpage><pub-id pub-id-type="doi">10.1016/j.cell.2020.02.052</pub-id></element-citation></ref><ref id="bib49"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hong</surname><given-names>Q</given-names></name><name><surname>Han</surname><given-names>W</given-names></name><name><surname>Li</surname><given-names>J</given-names></name><name><surname>Xu</surname><given-names>S</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Xu</surname><given-names>C</given-names></name><name><surname>Li</surname><given-names>Z</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>C</given-names></name><name><surname>Huang</surname><given-names>Z</given-names></name><name><surname>Cong</surname><given-names>Y</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Molecular basis of receptor binding and antibody neutralization of Omicron</article-title><source>Nature</source><volume>604</volume><fpage>546</fpage><lpage>552</lpage><pub-id pub-id-type="doi">10.1038/s41586-022-04581-9</pub-id><pub-id pub-id-type="pmid">35228716</pub-id></element-citation></ref><ref id="bib50"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Houhamdi</surname><given-names>L</given-names></name><name><surname>Gautret</surname><given-names>P</given-names></name><name><surname>Hoang</surname><given-names>VT</given-names></name><name><surname>Fournier</surname><given-names>P</given-names></name><name><surname>Colson</surname><given-names>P</given-names></name><name><surname>Raoult</surname><given-names>D</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Characteristics of the first 1119 SARS‐CoV‐2 Omicron variant cases</article-title><source>Journal of Medical Virology</source><volume>94</volume><fpage>2290</fpage><lpage>2295</lpage><pub-id pub-id-type="doi">10.1002/jmv.27613</pub-id></element-citation></ref><ref id="bib51"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>Y</given-names></name><name><surname>Yang</surname><given-names>C</given-names></name><name><surname>Xu</surname><given-names>X-F</given-names></name><name><surname>Xu</surname><given-names>W</given-names></name><name><surname>Liu</surname><given-names>S-W</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Structural and functional properties of SARS-CoV-2 spike protein: potential antivirus drug development for COVID-19</article-title><source>Acta Pharmacologica Sinica</source><volume>41</volume><fpage>1141</fpage><lpage>1149</lpage><pub-id pub-id-type="doi">10.1038/s41401-020-0485-4</pub-id><pub-id pub-id-type="pmid">32747721</pub-id></element-citation></ref><ref id="bib52"><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Hünenberger</surname><given-names>PH</given-names></name></person-group><year iso-8601-date="2005">2005</year><chapter-title>Thermostat Algorithms for molecular Dynamics simulations</chapter-title><person-group person-group-type="editor"><name><surname>Holm</surname><given-names>C</given-names></name><name><surname>Kremer</surname><given-names>K</given-names></name></person-group><source>Advanced Computer Simulation</source><publisher-name>Springer</publisher-name><fpage>105</fpage><lpage>149</lpage><pub-id pub-id-type="doi">10.1007/b99427</pub-id></element-citation></ref><ref id="bib53"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jackson</surname><given-names>CB</given-names></name><name><surname>Farzan</surname><given-names>M</given-names></name><name><surname>Chen</surname><given-names>B</given-names></name><name><surname>Choe</surname><given-names>H</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Mechanisms of SARS-CoV-2 entry into cells</article-title><source>Nature Reviews. Molecular Cell Biology</source><volume>23</volume><fpage>3</fpage><lpage>20</lpage><pub-id pub-id-type="doi">10.1038/s41580-021-00418-x</pub-id><pub-id pub-id-type="pmid">34611326</pub-id></element-citation></ref><ref id="bib54"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kazan</surname><given-names>IC</given-names></name><name><surname>Sharma</surname><given-names>P</given-names></name><name><surname>Rahman</surname><given-names>MI</given-names></name><name><surname>Bobkov</surname><given-names>A</given-names></name><name><surname>Fromme</surname><given-names>R</given-names></name><name><surname>Ghirlanda</surname><given-names>G</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Design of novel cyanovirin-N variants by modulation of binding dynamics through distal mutations</article-title><source>eLife</source><volume>11</volume><elocation-id>eLife</elocation-id><pub-id pub-id-type="doi">10.7554/eLife.67474</pub-id><pub-id pub-id-type="pmid">36472898</pub-id></element-citation></ref><ref id="bib55"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kazan</surname><given-names>IC</given-names></name><name><surname>Mills</surname><given-names>JH</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2023">2023</year><article-title>Allosteric regulatory control in dihydrofolate reductase is revealed by dynamic asymmetry</article-title><source>Protein Science</source><volume>32</volume><elocation-id>e4700</elocation-id><pub-id pub-id-type="doi">10.1002/pro.4700</pub-id><pub-id pub-id-type="pmid">37313628</pub-id></element-citation></ref><ref id="bib56"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kemp</surname><given-names>SA</given-names></name><name><surname>Collier</surname><given-names>DA</given-names></name><name><surname>Datir</surname><given-names>RP</given-names></name><name><surname>Ferreira</surname><given-names>IATM</given-names></name><name><surname>Gayed</surname><given-names>S</given-names></name><name><surname>Jahun</surname><given-names>A</given-names></name><name><surname>Hosmillo</surname><given-names>M</given-names></name><name><surname>Rees-Spear</surname><given-names>C</given-names></name><name><surname>Mlcochova</surname><given-names>P</given-names></name><name><surname>Lumb</surname><given-names>IU</given-names></name><name><surname>Roberts</surname><given-names>DJ</given-names></name><name><surname>Chandra</surname><given-names>A</given-names></name><name><surname>Temperton</surname><given-names>N</given-names></name><collab>CITIID-NIHR BioResource COVID-19 Collaboration</collab><collab>COVID-19 Genomics UK (COG-UK) Consortium</collab><name><surname>Sharrocks</surname><given-names>K</given-names></name><name><surname>Blane</surname><given-names>E</given-names></name><name><surname>Modis</surname><given-names>Y</given-names></name><name><surname>Leigh</surname><given-names>KE</given-names></name><name><surname>Briggs</surname><given-names>JAG</given-names></name><name><surname>van Gils</surname><given-names>MJ</given-names></name><name><surname>Smith</surname><given-names>KGC</given-names></name><name><surname>Bradley</surname><given-names>JR</given-names></name><name><surname>Smith</surname><given-names>C</given-names></name><name><surname>Doffinger</surname><given-names>R</given-names></name><name><surname>Ceron-Gutierrez</surname><given-names>L</given-names></name><name><surname>Barcenas-Morales</surname><given-names>G</given-names></name><name><surname>Pollock</surname><given-names>DD</given-names></name><name><surname>Goldstein</surname><given-names>RA</given-names></name><name><surname>Smielewska</surname><given-names>A</given-names></name><name><surname>Skittrall</surname><given-names>JP</given-names></name><name><surname>Gouliouris</surname><given-names>T</given-names></name><name><surname>Goodfellow</surname><given-names>IG</given-names></name><name><surname>Gkrania-Klotsas</surname><given-names>E</given-names></name><name><surname>Illingworth</surname><given-names>CJR</given-names></name><name><surname>McCoy</surname><given-names>LE</given-names></name><name><surname>Gupta</surname><given-names>RK</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>SARS-CoV-2 evolution during treatment of chronic infection</article-title><source>Nature</source><volume>592</volume><fpage>277</fpage><lpage>282</lpage><pub-id pub-id-type="doi">10.1038/s41586-021-03291-y</pub-id><pub-id pub-id-type="pmid">33545711</pub-id></element-citation></ref><ref id="bib57"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Keskin</surname><given-names>O</given-names></name><name><surname>Bahar</surname><given-names>I</given-names></name><name><surname>Jernigan</surname><given-names>RL</given-names></name><name><surname>Beutler</surname><given-names>JA</given-names></name><name><surname>Shoemaker</surname><given-names>RH</given-names></name><name><surname>Sausville</surname><given-names>EA</given-names></name><name><surname>Covell</surname><given-names>DG</given-names></name></person-group><year iso-8601-date="2000">2000</year><article-title>Characterization of anticancer agents by their growth inhibitory activity and relationships to mechanism of action and structure</article-title><source>Anti-Cancer Drug Design</source><volume>15</volume><fpage>79</fpage><lpage>98</lpage><pub-id pub-id-type="pmid">10901296</pub-id></element-citation></ref><ref id="bib58"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Khan</surname><given-names>A</given-names></name><name><surname>Zia</surname><given-names>T</given-names></name><name><surname>Suleman</surname><given-names>M</given-names></name><name><surname>Khan</surname><given-names>T</given-names></name><name><surname>Ali</surname><given-names>SS</given-names></name><name><surname>Abbasi</surname><given-names>AA</given-names></name><name><surname>Mohammad</surname><given-names>A</given-names></name><name><surname>Wei</surname><given-names>D-Q</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Higher infectivity of the SARS-CoV-2 new variants is associated with K417N/T, E484K, and N501Y mutants: An insight from structural data</article-title><source>Journal of Cellular Physiology</source><volume>236</volume><fpage>7045</fpage><lpage>7057</lpage><pub-id pub-id-type="doi">10.1002/jcp.30367</pub-id><pub-id pub-id-type="pmid">33755190</pub-id></element-citation></ref><ref id="bib59"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>H</given-names></name><name><surname>Zou</surname><given-names>T</given-names></name><name><surname>Modi</surname><given-names>C</given-names></name><name><surname>Dörner</surname><given-names>K</given-names></name><name><surname>Grunkemeyer</surname><given-names>TJ</given-names></name><name><surname>Chen</surname><given-names>L</given-names></name><name><surname>Fromme</surname><given-names>R</given-names></name><name><surname>Matz</surname><given-names>MV</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name><name><surname>Wachter</surname><given-names>RM</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>A hinge migration mechanism unlocks the evolution of green-to-red photoconversion in GFP-like proteins</article-title><source>Structure</source><volume>23</volume><fpage>34</fpage><lpage>43</lpage><pub-id pub-id-type="doi">10.1016/j.str.2014.11.011</pub-id><pub-id pub-id-type="pmid">25565105</pub-id></element-citation></ref><ref id="bib60"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>S</given-names></name><name><surname>Nguyen</surname><given-names>TT</given-names></name><name><surname>Taitt</surname><given-names>AS</given-names></name><name><surname>Jhun</surname><given-names>H</given-names></name><name><surname>Park</surname><given-names>H-Y</given-names></name><name><surname>Kim</surname><given-names>S-H</given-names></name><name><surname>Kim</surname><given-names>Y-G</given-names></name><name><surname>Song</surname><given-names>EY</given-names></name><name><surname>Lee</surname><given-names>Y</given-names></name><name><surname>Yum</surname><given-names>H</given-names></name><name><surname>Shin</surname><given-names>K-C</given-names></name><name><surname>Choi</surname><given-names>YK</given-names></name><name><surname>Song</surname><given-names>C-S</given-names></name><name><surname>Yeom</surname><given-names>SC</given-names></name><name><surname>Kim</surname><given-names>B</given-names></name><name><surname>Netea</surname><given-names>M</given-names></name><name><surname>Kim</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>SARS-CoV-2 omicron mutation is faster than the chase: multiple mutations on Spike/ACE2 interaction residues</article-title><source>Immune Network</source><volume>21</volume><elocation-id>e38</elocation-id><pub-id pub-id-type="doi">10.4110/in.2021.21.e38</pub-id></element-citation></ref><ref id="bib61"><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Kimura</surname><given-names>M</given-names></name></person-group><year iso-8601-date="1983">1983</year><source>The neutral theory of molecular evolution</source><publisher-name>Cambridge University Press</publisher-name><pub-id pub-id-type="doi">10.1017/CBO9780511623486</pub-id></element-citation></ref><ref id="bib62"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kirchdoerfer</surname><given-names>RN</given-names></name><name><surname>Cottrell</surname><given-names>CA</given-names></name><name><surname>Wang</surname><given-names>N</given-names></name><name><surname>Pallesen</surname><given-names>J</given-names></name><name><surname>Yassine</surname><given-names>HM</given-names></name><name><surname>Turner</surname><given-names>HL</given-names></name><name><surname>Corbett</surname><given-names>KS</given-names></name><name><surname>Graham</surname><given-names>BS</given-names></name><name><surname>McLellan</surname><given-names>JS</given-names></name><name><surname>Ward</surname><given-names>AB</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>Pre-fusion structure of a human coronavirus spike protein</article-title><source>Nature</source><volume>531</volume><fpage>118</fpage><lpage>121</lpage><pub-id pub-id-type="doi">10.1038/nature17200</pub-id><pub-id pub-id-type="pmid">26935699</pub-id></element-citation></ref><ref id="bib63"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kistler</surname><given-names>KE</given-names></name><name><surname>Huddleston</surname><given-names>J</given-names></name><name><surname>Bedford</surname><given-names>T</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Rapid and parallel adaptive mutations in spike S1 drive clade success in SARS-CoV-2</article-title><source>Cell Host &amp; Microbe</source><volume>30</volume><fpage>545</fpage><lpage>555</lpage><pub-id pub-id-type="doi">10.1016/j.chom.2022.03.018</pub-id><pub-id pub-id-type="pmid">35364015</pub-id></element-citation></ref><ref id="bib64"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Klinakis</surname><given-names>A</given-names></name><name><surname>Cournia</surname><given-names>Z</given-names></name><name><surname>Rampias</surname><given-names>T</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>N-terminal domain mutations of the spike protein are structurally implicated in epitope recognition in emerging SARS-CoV-2 strains</article-title><source>Computational and Structural Biotechnology Journal</source><volume>19</volume><fpage>5556</fpage><lpage>5567</lpage><pub-id pub-id-type="doi">10.1016/j.csbj.2021.10.004</pub-id><pub-id pub-id-type="pmid">34630935</pub-id></element-citation></ref><ref id="bib65"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kolbaba-Kartchner</surname><given-names>B</given-names></name><name><surname>Kazan</surname><given-names>IC</given-names></name><name><surname>Mills</surname><given-names>JH</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>The role of rigid residues in modulating TEM-1 β-lactamase function and thermostability</article-title><source>International Journal of Molecular Sciences</source><volume>22</volume><elocation-id>2895</elocation-id><pub-id pub-id-type="doi">10.3390/ijms22062895</pub-id><pub-id pub-id-type="pmid">33809335</pub-id></element-citation></ref><ref id="bib66"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kumar</surname><given-names>A</given-names></name><name><surname>Glembo</surname><given-names>TJ</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>The role of conformational dynamics and allostery in the disease development of human ferritin</article-title><source>Biophysical Journal</source><volume>109</volume><fpage>1273</fpage><lpage>1281</lpage><pub-id pub-id-type="doi">10.1016/j.bpj.2015.06.060</pub-id><pub-id pub-id-type="pmid">26255589</pub-id></element-citation></ref><ref id="bib67"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kumar</surname><given-names>S</given-names></name><name><surname>Patel</surname><given-names>R</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Neutral theory, disease mutations, and personal exomes</article-title><source>Molecular Biology and Evolution</source><volume>35</volume><fpage>1297</fpage><lpage>1303</lpage><pub-id pub-id-type="doi">10.1093/molbev/msy085</pub-id><pub-id pub-id-type="pmid">29688514</pub-id></element-citation></ref><ref id="bib68"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kumar</surname><given-names>S</given-names></name><name><surname>Stecher</surname><given-names>G</given-names></name><name><surname>Li</surname><given-names>M</given-names></name><name><surname>Knyaz</surname><given-names>C</given-names></name><name><surname>Tamura</surname><given-names>K</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>MEGA X: molecular evolutionary genetics analysis across computing platforms</article-title><source>Molecular Biology and Evolution</source><volume>35</volume><fpage>1547</fpage><lpage>1549</lpage><pub-id pub-id-type="doi">10.1093/molbev/msy096</pub-id><pub-id pub-id-type="pmid">29722887</pub-id></element-citation></ref><ref id="bib69"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kumar</surname><given-names>S</given-names></name><name><surname>Tao</surname><given-names>Q</given-names></name><name><surname>Weaver</surname><given-names>S</given-names></name><name><surname>Sanderford</surname><given-names>M</given-names></name><name><surname>Caraballo-Ortiz</surname><given-names>MA</given-names></name><name><surname>Sharma</surname><given-names>S</given-names></name><name><surname>Pond</surname><given-names>SLK</given-names></name><name><surname>Miura</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>An evolutionary portrait of the progenitor SARS-CoV-2 and Its dominant offshoots in COVID-19 pandemic</article-title><source>Molecular Biology and Evolution</source><volume>38</volume><fpage>3046</fpage><lpage>3059</lpage><pub-id pub-id-type="doi">10.1093/molbev/msab118</pub-id></element-citation></ref><ref id="bib70"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kuzmanic</surname><given-names>A</given-names></name><name><surname>Bowman</surname><given-names>GR</given-names></name><name><surname>Juarez-Jimenez</surname><given-names>J</given-names></name><name><surname>Michel</surname><given-names>J</given-names></name><name><surname>Gervasio</surname><given-names>FL</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Investigating cryptic binding sites by molecular dynamics simulations</article-title><source>Accounts of Chemical Research</source><volume>53</volume><fpage>654</fpage><lpage>661</lpage><pub-id pub-id-type="doi">10.1021/acs.accounts.9b00613</pub-id><pub-id pub-id-type="pmid">32134250</pub-id></element-citation></ref><ref id="bib71"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Labbadia</surname><given-names>J</given-names></name><name><surname>Morimoto</surname><given-names>RI</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>The biology of proteostasis in aging and disease</article-title><source>Annual Review of Biochemistry</source><volume>84</volume><fpage>435</fpage><lpage>464</lpage><pub-id pub-id-type="doi">10.1146/annurev-biochem-060614-033955</pub-id><pub-id pub-id-type="pmid">25784053</pub-id></element-citation></ref><ref id="bib72"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Laiton-Donato</surname><given-names>K</given-names></name><name><surname>Franco-Muñoz</surname><given-names>C</given-names></name><name><surname>Álvarez-Díaz</surname><given-names>DA</given-names></name><name><surname>Ruiz-Moreno</surname><given-names>HA</given-names></name><name><surname>Usme-Ciro</surname><given-names>JA</given-names></name><name><surname>Prada</surname><given-names>DA</given-names></name><name><surname>Reales-González</surname><given-names>J</given-names></name><name><surname>Corchuelo</surname><given-names>S</given-names></name><name><surname>Herrera-Sepúlveda</surname><given-names>MT</given-names></name><name><surname>Naizaque</surname><given-names>J</given-names></name><name><surname>Santamaría</surname><given-names>G</given-names></name><name><surname>Rivera</surname><given-names>J</given-names></name><name><surname>Rojas</surname><given-names>P</given-names></name><name><surname>Ortiz</surname><given-names>JH</given-names></name><name><surname>Cardona</surname><given-names>A</given-names></name><name><surname>Malo</surname><given-names>D</given-names></name><name><surname>Prieto-Alvarado</surname><given-names>F</given-names></name><name><surname>Gómez</surname><given-names>FR</given-names></name><name><surname>Wiesner</surname><given-names>M</given-names></name><name><surname>Martínez</surname><given-names>MLO</given-names></name><name><surname>Mercado-Reyes</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Characterization of the emerging B.1.621 variant of interest of SARS-CoV-2</article-title><source>Infection, Genetics and Evolution</source><volume>95</volume><elocation-id>105038</elocation-id><pub-id pub-id-type="doi">10.1016/j.meegid.2021.105038</pub-id><pub-id pub-id-type="pmid">34403832</pub-id></element-citation></ref><ref id="bib73"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lan</surname><given-names>J</given-names></name><name><surname>Ge</surname><given-names>J</given-names></name><name><surname>Yu</surname><given-names>J</given-names></name><name><surname>Shan</surname><given-names>S</given-names></name><name><surname>Zhou</surname><given-names>H</given-names></name><name><surname>Fan</surname><given-names>S</given-names></name><name><surname>Zhang</surname><given-names>Q</given-names></name><name><surname>Shi</surname><given-names>X</given-names></name><name><surname>Wang</surname><given-names>Q</given-names></name><name><surname>Zhang</surname><given-names>L</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Structure of the SARS-CoV-2 spike receptor-binding domain bound to the ACE2 receptor</article-title><source>Nature</source><volume>581</volume><fpage>215</fpage><lpage>220</lpage><pub-id pub-id-type="doi">10.1038/s41586-020-2180-5</pub-id><pub-id pub-id-type="pmid">32225176</pub-id></element-citation></ref><ref id="bib74"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Larrimore</surname><given-names>KE</given-names></name><name><surname>Kazan</surname><given-names>IC</given-names></name><name><surname>Kannan</surname><given-names>L</given-names></name><name><surname>Kendle</surname><given-names>RP</given-names></name><name><surname>Jamal</surname><given-names>T</given-names></name><name><surname>Barcus</surname><given-names>M</given-names></name><name><surname>Bolia</surname><given-names>A</given-names></name><name><surname>Brimijoin</surname><given-names>S</given-names></name><name><surname>Zhan</surname><given-names>C-G</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name><name><surname>Mor</surname><given-names>TS</given-names></name></person-group><year iso-8601-date="2017">2017</year><article-title>Plant-expressed cocaine hydrolase variants of butyrylcholinesterase exhibit altered allosteric effects of cholinesterase activity and increased inhibitor sensitivity</article-title><source>Scientific Reports</source><volume>7</volume><elocation-id>10419</elocation-id><pub-id pub-id-type="doi">10.1038/s41598-017-10571-z</pub-id><pub-id pub-id-type="pmid">28874829</pub-id></element-citation></ref><ref id="bib75"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Levy</surname><given-names>RM</given-names></name><name><surname>Haldane</surname><given-names>A</given-names></name><name><surname>Flynn</surname><given-names>WF</given-names></name></person-group><year iso-8601-date="2017">2017</year><article-title>Potts Hamiltonian models of protein co-variation, free energy landscapes, and evolutionary fitness</article-title><source>Current Opinion in Structural Biology</source><volume>43</volume><fpage>55</fpage><lpage>62</lpage><pub-id pub-id-type="doi">10.1016/j.sbi.2016.11.004</pub-id><pub-id pub-id-type="pmid">27870991</pub-id></element-citation></ref><ref id="bib76"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Bahar</surname><given-names>I</given-names></name></person-group><year iso-8601-date="2012">2012</year><article-title>Sequence evolution correlates with structural dynamics</article-title><source>Molecular Biology and Evolution</source><volume>29</volume><fpage>2253</fpage><lpage>2263</lpage><pub-id pub-id-type="doi">10.1093/molbev/mss097</pub-id><pub-id pub-id-type="pmid">22427707</pub-id></element-citation></ref><ref id="bib77"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>L</given-names></name><name><surname>Tamura</surname><given-names>K</given-names></name><name><surname>Sanderford</surname><given-names>M</given-names></name><name><surname>Gray</surname><given-names>VE</given-names></name><name><surname>Kumar</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>A molecular evolutionary reference for the human variome</article-title><source>Molecular Biology and Evolution</source><volume>33</volume><fpage>245</fpage><lpage>254</lpage><pub-id pub-id-type="doi">10.1093/molbev/msv198</pub-id><pub-id pub-id-type="pmid">26464126</pub-id></element-citation></ref><ref id="bib78"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Zhou</surname><given-names>J</given-names></name><name><surname>Dong</surname><given-names>Y</given-names></name><name><surname>Jiang</surname><given-names>W</given-names></name><name><surname>Jiang</surname><given-names>W</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Rampant C-to-U deamination accounts for the intrinsically high mutation rate in SARS-CoV-2 spike gene</article-title><source>RNA</source><volume>28</volume><fpage>917</fpage><lpage>926</lpage><pub-id pub-id-type="doi">10.1261/rna.079160.122</pub-id></element-citation></ref><ref id="bib79"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname><given-names>B</given-names></name><name><surname>Nussinov</surname><given-names>R</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>Conformational footprints</article-title><source>Nature Chemical Biology</source><volume>12</volume><fpage>890</fpage><lpage>891</lpage><pub-id pub-id-type="doi">10.1038/nchembio.2212</pub-id></element-citation></ref><ref id="bib80"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Maguid</surname><given-names>S</given-names></name><name><surname>Fernández-Alberti</surname><given-names>S</given-names></name><name><surname>Parisi</surname><given-names>G</given-names></name><name><surname>Echave</surname><given-names>J</given-names></name></person-group><year iso-8601-date="2006">2006</year><article-title>Evolutionary conservation of protein backbone flexibility</article-title><source>Journal of Molecular Evolution</source><volume>63</volume><fpage>448</fpage><lpage>457</lpage><pub-id pub-id-type="doi">10.1007/s00239-005-0209-x</pub-id><pub-id pub-id-type="pmid">17021932</pub-id></element-citation></ref><ref id="bib81"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Maguid</surname><given-names>S</given-names></name><name><surname>Fernandez-Alberti</surname><given-names>S</given-names></name><name><surname>Echave</surname><given-names>J</given-names></name></person-group><year iso-8601-date="2008">2008</year><article-title>Evolutionary conservation of protein vibrational dynamics</article-title><source>Gene</source><volume>422</volume><fpage>7</fpage><lpage>13</lpage><pub-id pub-id-type="doi">10.1016/j.gene.2008.06.002</pub-id><pub-id pub-id-type="pmid">18577430</pub-id></element-citation></ref><ref id="bib82"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Maher</surname><given-names>MC</given-names></name><name><surname>Bartha</surname><given-names>I</given-names></name><name><surname>Weaver</surname><given-names>S</given-names></name><name><surname>di Iulio</surname><given-names>J</given-names></name><name><surname>Ferri</surname><given-names>E</given-names></name><name><surname>Soriaga</surname><given-names>L</given-names></name><name><surname>Lempp</surname><given-names>FA</given-names></name><name><surname>Hie</surname><given-names>BL</given-names></name><name><surname>Bryson</surname><given-names>B</given-names></name><name><surname>Berger</surname><given-names>B</given-names></name><name><surname>Robertson</surname><given-names>DL</given-names></name><name><surname>Snell</surname><given-names>G</given-names></name><name><surname>Corti</surname><given-names>D</given-names></name><name><surname>Virgin</surname><given-names>HW</given-names></name><name><surname>Kosakovsky Pond</surname><given-names>SL</given-names></name><name><surname>Telenti</surname><given-names>A</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Predicting the mutational drivers of future SARS-CoV-2 variants of concern</article-title><source>Science Translational Medicine</source><volume>14</volume><elocation-id>eabk3445</elocation-id><pub-id pub-id-type="doi">10.1126/scitranslmed.abk3445</pub-id></element-citation></ref><ref id="bib83"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Maier</surname><given-names>JA</given-names></name><name><surname>Martinez</surname><given-names>C</given-names></name><name><surname>Kasavajhala</surname><given-names>K</given-names></name><name><surname>Wickstrom</surname><given-names>L</given-names></name><name><surname>Hauser</surname><given-names>KE</given-names></name><name><surname>Simmerling</surname><given-names>C</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>ff14SB: improving the accuracy of protein side chain and backbone parameters from ff99SB</article-title><source>Journal of Chemical Theory and Computation</source><volume>11</volume><fpage>3696</fpage><lpage>3713</lpage><pub-id pub-id-type="doi">10.1021/acs.jctc.5b00255</pub-id></element-citation></ref><ref id="bib84"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Majumder</surname><given-names>S</given-names></name><name><surname>Chaudhuri</surname><given-names>D</given-names></name><name><surname>Datta</surname><given-names>J</given-names></name><name><surname>Giri</surname><given-names>K</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Exploring the intrinsic dynamics of SARS-CoV-2, SARS-CoV and MERS-CoV spike glycoprotein through normal mode analysis using anisotropic network model</article-title><source>Journal of Molecular Graphics &amp; Modelling</source><volume>102</volume><elocation-id>107778</elocation-id><pub-id pub-id-type="doi">10.1016/j.jmgm.2020.107778</pub-id><pub-id pub-id-type="pmid">33099199</pub-id></element-citation></ref><ref id="bib85"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Markov</surname><given-names>PV</given-names></name><name><surname>Ghafari</surname><given-names>M</given-names></name><name><surname>Beer</surname><given-names>M</given-names></name><name><surname>Lythgoe</surname><given-names>K</given-names></name><name><surname>Simmonds</surname><given-names>P</given-names></name><name><surname>Stilianakis</surname><given-names>NI</given-names></name><name><surname>Katzourakis</surname><given-names>A</given-names></name></person-group><year iso-8601-date="2023">2023</year><article-title>The evolution of SARS-CoV-2</article-title><source>Nature Reviews Microbiology</source><volume>21</volume><fpage>361</fpage><lpage>379</lpage><pub-id pub-id-type="doi">10.1038/s41579-023-00878-2</pub-id></element-citation></ref><ref id="bib86"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Menni</surname><given-names>C</given-names></name><name><surname>Valdes</surname><given-names>AM</given-names></name><name><surname>Polidori</surname><given-names>L</given-names></name><name><surname>Antonelli</surname><given-names>M</given-names></name><name><surname>Penamakuri</surname><given-names>S</given-names></name><name><surname>Nogal</surname><given-names>A</given-names></name><name><surname>Louca</surname><given-names>P</given-names></name><name><surname>May</surname><given-names>A</given-names></name><name><surname>Figueiredo</surname><given-names>JC</given-names></name><name><surname>Hu</surname><given-names>C</given-names></name><name><surname>Molteni</surname><given-names>E</given-names></name><name><surname>Canas</surname><given-names>L</given-names></name><name><surname>Österdahl</surname><given-names>MF</given-names></name><name><surname>Modat</surname><given-names>M</given-names></name><name><surname>Sudre</surname><given-names>CH</given-names></name><name><surname>Fox</surname><given-names>B</given-names></name><name><surname>Hammers</surname><given-names>A</given-names></name><name><surname>Wolf</surname><given-names>J</given-names></name><name><surname>Capdevila</surname><given-names>J</given-names></name><name><surname>Chan</surname><given-names>AT</given-names></name><name><surname>David</surname><given-names>SP</given-names></name><name><surname>Steves</surname><given-names>CJ</given-names></name><name><surname>Ourselin</surname><given-names>S</given-names></name><name><surname>Spector</surname><given-names>TD</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Symptom prevalence, duration, and risk of hospital admission in individuals infected with SARS-CoV-2 during periods of omicron and delta variant dominance: a prospective observational study from the ZOE COVID Study</article-title><source>The Lancet</source><volume>399</volume><fpage>1618</fpage><lpage>1624</lpage><pub-id pub-id-type="doi">10.1016/S0140-6736(22)00327-0</pub-id></element-citation></ref><ref id="bib87"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mikulska-Ruminska</surname><given-names>K</given-names></name><name><surname>Shrivastava</surname><given-names>I</given-names></name><name><surname>Krieger</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>S</given-names></name><name><surname>Li</surname><given-names>H</given-names></name><name><surname>Bayır</surname><given-names>H</given-names></name><name><surname>Wenzel</surname><given-names>SE</given-names></name><name><surname>VanDemark</surname><given-names>AP</given-names></name><name><surname>Kagan</surname><given-names>VE</given-names></name><name><surname>Bahar</surname><given-names>I</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Characterization of differential dynamics, specificity, and allostery of lipoxygenase family members</article-title><source>Journal of Chemical Information and Modeling</source><volume>59</volume><fpage>2496</fpage><lpage>2508</lpage><pub-id pub-id-type="doi">10.1021/acs.jcim.9b00006</pub-id><pub-id pub-id-type="pmid">30762363</pub-id></element-citation></ref><ref id="bib88"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Millet</surname><given-names>JK</given-names></name><name><surname>Whittaker</surname><given-names>GR</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>Host cell entry of Middle East respiratory syndrome coronavirus after two-step, furin-mediated activation of the spike protein</article-title><source>PNAS</source><volume>111</volume><fpage>15214</fpage><lpage>15219</lpage><pub-id pub-id-type="doi">10.1073/pnas.1407087111</pub-id><pub-id pub-id-type="pmid">25288733</pub-id></element-citation></ref><ref id="bib89"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Millet</surname><given-names>JK</given-names></name><name><surname>Whittaker</surname><given-names>GR</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>Host cell proteases: Critical determinants of coronavirus tropism and pathogenesis</article-title><source>Virus Research</source><volume>202</volume><fpage>120</fpage><lpage>134</lpage><pub-id pub-id-type="doi">10.1016/j.virusres.2014.11.021</pub-id><pub-id pub-id-type="pmid">25445340</pub-id></element-citation></ref><ref id="bib90"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mishra</surname><given-names>SK</given-names></name><name><surname>Jernigan</surname><given-names>RL</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Protein dynamic communities from elastic network models align closely to the communities defined by molecular dynamics</article-title><source>PLOS ONE</source><volume>13</volume><elocation-id>e0199225</elocation-id><pub-id pub-id-type="doi">10.1371/journal.pone.0199225</pub-id><pub-id pub-id-type="pmid">29924847</pub-id></element-citation></ref><ref id="bib91"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Modi</surname><given-names>T</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Mutations utilize dynamic allostery to confer resistance in TEM-1 β-lactamase</article-title><source>International Journal of Molecular Sciences</source><volume>19</volume><elocation-id>3808</elocation-id><pub-id pub-id-type="doi">10.3390/ijms19123808</pub-id><pub-id pub-id-type="pmid">30501088</pub-id></element-citation></ref><ref id="bib92"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Modi</surname><given-names>T</given-names></name><name><surname>Campitelli</surname><given-names>P</given-names></name><name><surname>Kazan</surname><given-names>IC</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2021">2021a</year><article-title>Protein folding stability and binding interactions through the lens of evolution: a dynamical perspective</article-title><source>Current Opinion in Structural Biology</source><volume>66</volume><fpage>207</fpage><lpage>215</lpage><pub-id pub-id-type="doi">10.1016/j.sbi.2020.11.007</pub-id><pub-id pub-id-type="pmid">33388636</pub-id></element-citation></ref><ref id="bib93"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Modi</surname><given-names>T</given-names></name><name><surname>Risso</surname><given-names>VA</given-names></name><name><surname>Martinez-Rodriguez</surname><given-names>S</given-names></name><name><surname>Gavira</surname><given-names>JA</given-names></name><name><surname>Mebrat</surname><given-names>MD</given-names></name><name><surname>Van Horn</surname><given-names>WD</given-names></name><name><surname>Sanchez-Ruiz</surname><given-names>JM</given-names></name><name><surname>Banu Ozkan</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2021">2021b</year><article-title>Hinge-shift mechanism as a protein design principle for the evolution of β-lactamases from substrate promiscuity to specificity</article-title><source>Nature Communications</source><volume>12</volume><elocation-id>1852</elocation-id><pub-id pub-id-type="doi">10.1038/s41467-021-22089-0</pub-id><pub-id pub-id-type="pmid">33767175</pub-id></element-citation></ref><ref id="bib94"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moulana</surname><given-names>A</given-names></name><name><surname>Dupic</surname><given-names>T</given-names></name><name><surname>Phillips</surname><given-names>AM</given-names></name><name><surname>Chang</surname><given-names>J</given-names></name><name><surname>Nieves</surname><given-names>S</given-names></name><name><surname>Roffler</surname><given-names>AA</given-names></name><name><surname>Greaney</surname><given-names>AJ</given-names></name><name><surname>Starr</surname><given-names>TN</given-names></name><name><surname>Bloom</surname><given-names>JD</given-names></name><name><surname>Desai</surname><given-names>MM</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Compensatory epistasis maintains ACE2 affinity in SARS-CoV-2 Omicron BA.1</article-title><source>Nature Communications</source><volume>13</volume><elocation-id>7011</elocation-id><pub-id pub-id-type="doi">10.1038/s41467-022-34506-z</pub-id><pub-id pub-id-type="pmid">36384919</pub-id></element-citation></ref><ref id="bib95"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moulana</surname><given-names>A</given-names></name><name><surname>Dupic</surname><given-names>T</given-names></name><name><surname>Phillips</surname><given-names>AM</given-names></name><name><surname>Chang</surname><given-names>J</given-names></name><name><surname>Roffler</surname><given-names>AA</given-names></name><name><surname>Greaney</surname><given-names>AJ</given-names></name><name><surname>Starr</surname><given-names>TN</given-names></name><name><surname>Bloom</surname><given-names>JD</given-names></name><name><surname>Desai</surname><given-names>MM</given-names></name></person-group><year iso-8601-date="2023">2023</year><article-title>The landscape of antibody binding affinity in SARS-CoV-2 Omicron BA.1 evolution</article-title><source>eLife</source><volume>12</volume><elocation-id>e83442</elocation-id><pub-id pub-id-type="doi">10.7554/eLife.83442</pub-id><pub-id pub-id-type="pmid">36803543</pub-id></element-citation></ref><ref id="bib96"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Neher</surname><given-names>RA</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Contributions of adaptation and purifying selection to SARS-CoV-2 evolution</article-title><source>Virus Evolution</source><volume>8</volume><elocation-id>veac113</elocation-id><pub-id pub-id-type="doi">10.1093/ve/veac113</pub-id><pub-id pub-id-type="pmid">37593203</pub-id></element-citation></ref><ref id="bib97"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nevin Gerek</surname><given-names>Z</given-names></name><name><surname>Kumar</surname><given-names>S</given-names></name><name><surname>Banu Ozkan</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>Structural dynamics flexibility informs function and evolution at a proteome scale</article-title><source>Evolutionary Applications</source><volume>6</volume><fpage>423</fpage><lpage>433</lpage><pub-id pub-id-type="doi">10.1111/eva.12052</pub-id><pub-id pub-id-type="pmid">23745135</pub-id></element-citation></ref><ref id="bib98"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nguyen</surname><given-names>HL</given-names></name><name><surname>Lan</surname><given-names>PD</given-names></name><name><surname>Thai</surname><given-names>NQ</given-names></name><name><surname>Nissley</surname><given-names>DA</given-names></name><name><surname>O’Brien</surname><given-names>EP</given-names></name><name><surname>Li</surname><given-names>MS</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Does SARS-CoV-2 bind to human ACE2 More strongly than does SARS-CoV?</article-title><source>The Journal of Physical Chemistry. B</source><volume>124</volume><fpage>7336</fpage><lpage>7347</lpage><pub-id pub-id-type="doi">10.1021/acs.jpcb.0c04511</pub-id><pub-id pub-id-type="pmid">32790406</pub-id></element-citation></ref><ref id="bib99"><element-citation publication-type="preprint"><person-group person-group-type="author"><name><surname>Nielsen</surname><given-names>BF</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Sneppen</surname><given-names>K</given-names></name><name><surname>Simonsen</surname><given-names>L</given-names></name><name><surname>Viboud</surname><given-names>C</given-names></name><name><surname>Levin</surname><given-names>SA</given-names></name><name><surname>Grenfell</surname><given-names>BT</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Immune heterogeneity and epistasis explain punctuated evolution of SARS-CoV-2</article-title><source>bioRxiv</source><pub-id pub-id-type="doi">10.1101/2022.07.27.22278129</pub-id></element-citation></ref><ref id="bib100"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nussinov</surname><given-names>R</given-names></name><name><surname>Tsai</surname><given-names>CJ</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>Allostery in disease and in drug discovery</article-title><source>Cell</source><volume>153</volume><fpage>293</fpage><lpage>305</lpage><pub-id pub-id-type="doi">10.1016/j.cell.2013.03.034</pub-id><pub-id pub-id-type="pmid">23582321</pub-id></element-citation></ref><ref id="bib101"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>O’Rourke</surname><given-names>KF</given-names></name><name><surname>Gorman</surname><given-names>SD</given-names></name><name><surname>Boehr</surname><given-names>DD</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>Biophysical and computational methods to analyze amino acid interaction networks in proteins</article-title><source>Computational and Structural Biotechnology Journal</source><volume>14</volume><fpage>245</fpage><lpage>251</lpage><pub-id pub-id-type="doi">10.1016/j.csbj.2016.06.002</pub-id></element-citation></ref><ref id="bib102"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ose</surname><given-names>NJ</given-names></name><name><surname>Butler</surname><given-names>BM</given-names></name><name><surname>Kumar</surname><given-names>A</given-names></name><name><surname>Kazan</surname><given-names>IC</given-names></name><name><surname>Sanderford</surname><given-names>M</given-names></name><name><surname>Kumar</surname><given-names>S</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2022">2022a</year><article-title>Dynamic coupling of residues within proteins as a mechanistic foundation of many enigmatic pathogenic missense variants</article-title><source>PLOS Computational Biology</source><volume>18</volume><elocation-id>e1010006</elocation-id><pub-id pub-id-type="doi">10.1371/journal.pcbi.1010006</pub-id><pub-id pub-id-type="pmid">35389981</pub-id></element-citation></ref><ref id="bib103"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ose</surname><given-names>NJ</given-names></name><name><surname>Campitelli</surname><given-names>P</given-names></name><name><surname>Patel</surname><given-names>RP</given-names></name><name><surname>Ozkan</surname><given-names>SB</given-names></name><name><surname>Kumar</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2022">2022b</year><article-title>Protein dynamics provide mechanistic insights about the epistatic relationships among highly observed potentially adaptive missense variants</article-title><source>Biophysical Journal</source><volume>121</volume><elocation-id>456a</elocation-id><pub-id pub-id-type="doi">10.1016/j.bpj.2021.11.488</pub-id></element-citation></ref><ref id="bib104"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Otten</surname><given-names>R</given-names></name><name><surname>Liu</surname><given-names>L</given-names></name><name><surname>Kenner</surname><given-names>LR</given-names></name><name><surname>Clarkson</surname><given-names>MW</given-names></name><name><surname>Mavor</surname><given-names>D</given-names></name><name><surname>Tawfik</surname><given-names>DS</given-names></name><name><surname>Kern</surname><given-names>D</given-names></name><name><surname>Fraser</surname><given-names>JS</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Rescue of conformational dynamics in enzyme catalysis by directed evolution</article-title><source>Nature Communications</source><volume>9</volume><elocation-id>1314</elocation-id><pub-id pub-id-type="doi">10.1038/s41467-018-03562-9</pub-id></element-citation></ref><ref id="bib105"><element-citation publication-type="software"><person-group person-group-type="author"><name><surname>Ozkan</surname><given-names>SB</given-names></name></person-group><year iso-8601-date="2024">2024</year><data-title>Dfi-DCI</data-title><version designator="swh:1:rev:7a3a54bbe03e8356036bdb164ad1b2c01c103cc5">swh:1:rev:7a3a54bbe03e8356036bdb164ad1b2c01c103cc5</version><source>Software Heritage</source><ext-link ext-link-type="uri" xlink:href="https://archive.softwareheritage.org/swh:1:dir:9f38b3c516e31bcfe8b796f7de4082eec6ecba4c;origin=https://github.com/SBOZKAN/DFI-DCI;visit=swh:1:snp:d723c9bc100d4a98dab72447e9b39707e2e33f9b;anchor=swh:1:rev:7a3a54bbe03e8356036bdb164ad1b2c01c103cc5">https://archive.softwareheritage.org/swh:1:dir:9f38b3c516e31bcfe8b796f7de4082eec6ecba4c;origin=https://github.com/SBOZKAN/DFI-DCI;visit=swh:1:snp:d723c9bc100d4a98dab72447e9b39707e2e33f9b;anchor=swh:1:rev:7a3a54bbe03e8356036bdb164ad1b2c01c103cc5</ext-link></element-citation></ref><ref id="bib106"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ozono</surname><given-names>S</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Ode</surname><given-names>H</given-names></name><name><surname>Sano</surname><given-names>K</given-names></name><name><surname>Tan</surname><given-names>TS</given-names></name><name><surname>Imai</surname><given-names>K</given-names></name><name><surname>Miyoshi</surname><given-names>K</given-names></name><name><surname>Kishigami</surname><given-names>S</given-names></name><name><surname>Ueno</surname><given-names>T</given-names></name><name><surname>Iwatani</surname><given-names>Y</given-names></name><name><surname>Suzuki</surname><given-names>T</given-names></name><name><surname>Tokunaga</surname><given-names>K</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>SARS-CoV-2 D614G spike mutation increases entry efficiency with enhanced ACE2-binding affinity</article-title><source>Nature Communications</source><volume>12</volume><elocation-id>848</elocation-id><pub-id pub-id-type="doi">10.1038/s41467-021-21118-2</pub-id><pub-id pub-id-type="pmid">33558493</pub-id></element-citation></ref><ref id="bib107"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pearlman</surname><given-names>DA</given-names></name><name><surname>Case</surname><given-names>DA</given-names></name><name><surname>Caldwell</surname><given-names>JW</given-names></name><name><surname>Ross</surname><given-names>WS</given-names></name><name><surname>Cheatham</surname><given-names>TE</given-names></name><name><surname>DeBolt</surname><given-names>S</given-names></name><name><surname>Ferguson</surname><given-names>D</given-names></name><name><surname>Seibel</surname><given-names>G</given-names></name><name><surname>Kollman</surname><given-names>P</given-names></name></person-group><year iso-8601-date="1995">1995</year><article-title>AMBER, a package of computer programs for applying molecular mechanics, normal mode analysis, molecular dynamics and free energy calculations to simulate the structural and energetic properties of molecules</article-title><source>Computer Physics Communications</source><volume>91</volume><fpage>1</fpage><lpage>41</lpage><pub-id pub-id-type="doi">10.1016/0010-4655(95)00041-D</pub-id></element-citation></ref><ref id="bib108"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Peters</surname><given-names>AD</given-names></name><name><surname>Lively</surname><given-names>CM</given-names></name></person-group><year iso-8601-date="1999">1999</year><article-title>The red queen and fluctuating epistasis: a population genetic analysis of antagonistic coevolution</article-title><source>The American Naturalist</source><volume>154</volume><fpage>393</fpage><lpage>405</lpage><pub-id pub-id-type="doi">10.1086/303247</pub-id><pub-id pub-id-type="pmid">10523486</pub-id></element-citation></ref><ref id="bib109"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pipitò</surname><given-names>L</given-names></name><name><surname>Rujan</surname><given-names>R-M</given-names></name><name><surname>Reynolds</surname><given-names>CA</given-names></name><name><surname>Deganutti</surname><given-names>G</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Molecular dynamics studies reveal structural and functional features of the SARS-CoV-2 spike protein</article-title><source>BioEssays</source><volume>44</volume><elocation-id>e2200060</elocation-id><pub-id pub-id-type="doi">10.1002/bies.202200060</pub-id><pub-id pub-id-type="pmid">35843871</pub-id></element-citation></ref><ref id="bib110"><element-citation publication-type="preprint"><person-group person-group-type="author"><name><surname>Qu</surname><given-names>P</given-names></name><name><surname>Faraone</surname><given-names>JN</given-names></name><name><surname>Evans</surname><given-names>JP</given-names></name><name><surname>Zheng</surname><given-names>YM</given-names></name><name><surname>Carlin</surname><given-names>C</given-names></name><name><surname>Anghelina</surname><given-names>M</given-names></name><name><surname>Stevens</surname><given-names>P</given-names></name><name><surname>Fernandez</surname><given-names>S</given-names></name><name><surname>Jones</surname><given-names>D</given-names></name><name><surname>Panchal</surname><given-names>A</given-names></name><name><surname>Saif</surname><given-names>LJ</given-names></name><name><surname>Oltz</surname><given-names>EM</given-names></name><name><surname>Xu</surname><given-names>K</given-names></name><name><surname>Gumina</surname><given-names>RJ</given-names></name><name><surname>Liu</surname><given-names>SL</given-names></name></person-group><year iso-8601-date="2023">2023</year><article-title>Extraordinary evasion of neutralizing antibody response by omicron XBB.1.5, CH.1.1 and CA.3.1 variants</article-title><source>bioRxiv</source><pub-id pub-id-type="doi">10.1101/2023.01.16.524244</pub-id></element-citation></ref><ref id="bib111"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Raghuvamsi</surname><given-names>PV</given-names></name><name><surname>Tulsian</surname><given-names>NK</given-names></name><name><surname>Samsudin</surname><given-names>F</given-names></name><name><surname>Qian</surname><given-names>X</given-names></name><name><surname>Purushotorman</surname><given-names>K</given-names></name><name><surname>Yue</surname><given-names>G</given-names></name><name><surname>Kozma</surname><given-names>MM</given-names></name><name><surname>Hwa</surname><given-names>WY</given-names></name><name><surname>Lescar</surname><given-names>J</given-names></name><name><surname>Bond</surname><given-names>PJ</given-names></name><name><surname>MacAry</surname><given-names>PA</given-names></name><name><surname>Anand</surname><given-names>GS</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>SARS-CoV-2 S protein:ACE2 interaction reveals novel allosteric targets</article-title><source>eLife</source><volume>10</volume><elocation-id>e63646</elocation-id><pub-id pub-id-type="doi">10.7554/eLife.63646</pub-id><pub-id pub-id-type="pmid">33554856</pub-id></element-citation></ref><ref id="bib112"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ramarao-Milne</surname><given-names>P</given-names></name><name><surname>Jain</surname><given-names>Y</given-names></name><name><surname>Sng</surname><given-names>LMF</given-names></name><name><surname>Hosking</surname><given-names>B</given-names></name><name><surname>Lee</surname><given-names>C</given-names></name><name><surname>Bayat</surname><given-names>A</given-names></name><name><surname>Kuiper</surname><given-names>M</given-names></name><name><surname>Wilson</surname><given-names>LOW</given-names></name><name><surname>Twine</surname><given-names>NA</given-names></name><name><surname>Bauer</surname><given-names>DC</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Data-driven platform for identifying variants of interest in COVID-19 virus</article-title><source>Computational and Structural Biotechnology Journal</source><volume>20</volume><fpage>2942</fpage><lpage>2950</lpage><pub-id pub-id-type="doi">10.1016/j.csbj.2022.06.005</pub-id><pub-id pub-id-type="pmid">35677774</pub-id></element-citation></ref><ref id="bib113"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rehman</surname><given-names>SU</given-names></name><name><surname>Shafique</surname><given-names>L</given-names></name><name><surname>Ihsan</surname><given-names>A</given-names></name><name><surname>Liu</surname><given-names>Q</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Evolutionary trajectory for the emergence of novel coronavirus SARS-CoV-2</article-title><source>Pathogens</source><volume>9</volume><elocation-id>240</elocation-id><pub-id pub-id-type="doi">10.3390/pathogens9030240</pub-id><pub-id pub-id-type="pmid">32210130</pub-id></element-citation></ref><ref id="bib114"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rizzato</surname><given-names>F</given-names></name><name><surname>Coucke</surname><given-names>A</given-names></name><name><surname>de Leonardis</surname><given-names>E</given-names></name><name><surname>Barton</surname><given-names>JP</given-names></name><name><surname>Tubiana</surname><given-names>J</given-names></name><name><surname>Monasson</surname><given-names>R</given-names></name><name><surname>Cocco</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Inference of compressed Potts graphical models</article-title><source>Physical Review. E</source><volume>101</volume><elocation-id>012309</elocation-id><pub-id pub-id-type="doi">10.1103/PhysRevE.101.012309</pub-id><pub-id pub-id-type="pmid">32069678</pub-id></element-citation></ref><ref id="bib115"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rochman</surname><given-names>ND</given-names></name><name><surname>Wolf</surname><given-names>YI</given-names></name><name><surname>Faure</surname><given-names>G</given-names></name><name><surname>Mutz</surname><given-names>P</given-names></name><name><surname>Zhang</surname><given-names>F</given-names></name><name><surname>Koonin</surname><given-names>EV</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Ongoing global and regional adaptive evolution of SARS-CoV-2</article-title><source>PNAS</source><volume>118</volume><elocation-id>e2104241118</elocation-id><pub-id pub-id-type="doi">10.1073/pnas.2104241118</pub-id></element-citation></ref><ref id="bib116"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rochman</surname><given-names>ND</given-names></name><name><surname>Faure</surname><given-names>G</given-names></name><name><surname>Wolf</surname><given-names>YI</given-names></name><name><surname>Freddolino</surname><given-names>PL</given-names></name><name><surname>Zhang</surname><given-names>F</given-names></name><name><surname>Koonin</surname><given-names>EV</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Epistasis at the SARS-CoV-2 receptor-binding domain interface and the propitiously boring implications for vaccine escape</article-title><source>mBio</source><volume>13</volume><elocation-id>e0013522</elocation-id><pub-id pub-id-type="doi">10.1128/mbio.00135-22</pub-id><pub-id pub-id-type="pmid">35289643</pub-id></element-citation></ref><ref id="bib117"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rodriguez-Rivas</surname><given-names>J</given-names></name><name><surname>Croce</surname><given-names>G</given-names></name><name><surname>Muscat</surname><given-names>M</given-names></name><name><surname>Weigt</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Epistatic models predict mutable sites in SARS-CoV-2 proteins and epitopes</article-title><source>PNAS</source><volume>119</volume><elocation-id>e2113118119</elocation-id><pub-id pub-id-type="doi">10.1073/pnas.2113118119</pub-id><pub-id pub-id-type="pmid">35022216</pub-id></element-citation></ref><ref id="bib118"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rojas Echenique</surname><given-names>JI</given-names></name><name><surname>Kryazhimskiy</surname><given-names>S</given-names></name><name><surname>Nguyen Ba</surname><given-names>AN</given-names></name><name><surname>Desai</surname><given-names>MM</given-names></name><collab>editor</collab></person-group><year iso-8601-date="2019">2019</year><article-title>Modular epistasis and the compensatory evolution of gene deletion mutants</article-title><source>PLOS Genetics</source><volume>15</volume><elocation-id>e1007958</elocation-id><pub-id pub-id-type="doi">10.1371/journal.pgen.1007958</pub-id><pub-id pub-id-type="pmid">30768593</pub-id></element-citation></ref><ref id="bib119"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Saavedra</surname><given-names>HG</given-names></name><name><surname>Wrabl</surname><given-names>JO</given-names></name><name><surname>Anderson</surname><given-names>JA</given-names></name><name><surname>Li</surname><given-names>J</given-names></name><name><surname>Hilser</surname><given-names>VJ</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Dynamic allostery can drive cold adaptation in enzymes</article-title><source>Nature</source><volume>558</volume><fpage>324</fpage><lpage>328</lpage><pub-id pub-id-type="doi">10.1038/s41586-018-0183-2</pub-id></element-citation></ref><ref id="bib120"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Saputri</surname><given-names>DS</given-names></name><name><surname>Li</surname><given-names>S</given-names></name><name><surname>van Eerden</surname><given-names>FJ</given-names></name><name><surname>Rozewicki</surname><given-names>J</given-names></name><name><surname>Xu</surname><given-names>Z</given-names></name><name><surname>Ismanto</surname><given-names>HS</given-names></name><name><surname>Davila</surname><given-names>A</given-names></name><name><surname>Teraguchi</surname><given-names>S</given-names></name><name><surname>Katoh</surname><given-names>K</given-names></name><name><surname>Standley</surname><given-names>DM</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Flexible, functional, and familiar: characteristics of SARS-CoV-2 Spike protein evolution</article-title><source>Frontiers in Microbiology</source><volume>11</volume><elocation-id>2112</elocation-id><pub-id pub-id-type="doi">10.3389/fmicb.2020.02112</pub-id><pub-id pub-id-type="pmid">33042039</pub-id></element-citation></ref><ref id="bib121"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sawle</surname><given-names>L</given-names></name><name><surname>Ghosh</surname><given-names>K</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>Convergence of molecular dynamics simulation of protein native states: feasibility vs self-consistency dilemma</article-title><source>Journal of Chemical Theory and Computation</source><volume>12</volume><fpage>861</fpage><lpage>869</lpage><pub-id pub-id-type="doi">10.1021/acs.jctc.5b00999</pub-id></element-citation></ref><ref id="bib122"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sekhar</surname><given-names>A</given-names></name><name><surname>Kay</surname><given-names>LE</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>An NMR view of protein dynamics in health and disease</article-title><source>Annual Review of Biophysics</source><volume>48</volume><fpage>297</fpage><lpage>319</lpage><pub-id pub-id-type="doi">10.1146/annurev-biophys-052118-115647</pub-id><pub-id pub-id-type="pmid">30901260</pub-id></element-citation></ref><ref id="bib123"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shang</surname><given-names>J</given-names></name><name><surname>Wan</surname><given-names>Y</given-names></name><name><surname>Luo</surname><given-names>C</given-names></name><name><surname>Ye</surname><given-names>G</given-names></name><name><surname>Geng</surname><given-names>Q</given-names></name><name><surname>Auerbach</surname><given-names>A</given-names></name><name><surname>Li</surname><given-names>F</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Cell entry mechanisms of SARS-CoV-2</article-title><source>PNAS</source><volume>117</volume><fpage>11727</fpage><lpage>11734</lpage><pub-id pub-id-type="doi">10.1073/pnas.2003138117</pub-id></element-citation></ref><ref id="bib124"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sheikh</surname><given-names>A</given-names></name><name><surname>McMenamin</surname><given-names>J</given-names></name><name><surname>Taylor</surname><given-names>B</given-names></name><name><surname>Robertson</surname><given-names>C</given-names></name><collab>Public Health Scotland and the EAVE II Collaborators</collab></person-group><year iso-8601-date="2021">2021</year><article-title>SARS-CoV-2 Delta VOC in Scotland: demographics, risk of hospital admission, and vaccine effectiveness</article-title><source>The Lancet</source><volume>397</volume><fpage>2461</fpage><lpage>2462</lpage><pub-id pub-id-type="doi">10.1016/S0140-6736(21)01358-1</pub-id><pub-id pub-id-type="pmid">34139198</pub-id></element-citation></ref><ref id="bib125"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shimagaki</surname><given-names>K</given-names></name><name><surname>Weigt</surname><given-names>M</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Selection of sequence motifs and generative Hopfield-Potts models for protein families</article-title><source>Physical Review E</source><volume>100</volume><elocation-id>032128</elocation-id><pub-id pub-id-type="doi">10.1103/PhysRevE.100.032128</pub-id></element-citation></ref><ref id="bib126"><element-citation publication-type="preprint"><person-group person-group-type="author"><name><surname>Shoemark</surname><given-names>DK</given-names></name><name><surname>Oliveira</surname><given-names>ASF</given-names></name><name><surname>Davidson</surname><given-names>AD</given-names></name><name><surname>Berger</surname><given-names>I</given-names></name><name><surname>Schaffitzel</surname><given-names>C</given-names></name><name><surname>Mulholland</surname><given-names>AJ</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Molecular dynamics of spike variants in the locked conformation: RBD interfaces, fatty acid binding and furin cleavage sites</article-title><source>bioRxiv</source><pub-id pub-id-type="doi">10.1101/2022.05.06.490927</pub-id></element-citation></ref><ref id="bib127"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Singh</surname><given-names>D</given-names></name><name><surname>Yi</surname><given-names>SV</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>On the origin and evolution of SARS-CoV-2</article-title><source>Experimental &amp; Molecular Medicine</source><volume>53</volume><fpage>537</fpage><lpage>547</lpage><pub-id pub-id-type="doi">10.1038/s12276-021-00604-z</pub-id></element-citation></ref><ref id="bib128"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Socher</surname><given-names>E</given-names></name><name><surname>Conrad</surname><given-names>M</given-names></name><name><surname>Heger</surname><given-names>L</given-names></name><name><surname>Paulsen</surname><given-names>F</given-names></name><name><surname>Sticht</surname><given-names>H</given-names></name><name><surname>Zunke</surname><given-names>F</given-names></name><name><surname>Arnold</surname><given-names>P</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Mutations in the B.1.1.7 SARS-CoV-2 spike protein reduce receptor-binding affinity and induce a flexible link to the fusion peptide</article-title><source>Biomedicines</source><volume>9</volume><elocation-id>525</elocation-id><pub-id pub-id-type="doi">10.3390/biomedicines9050525</pub-id><pub-id pub-id-type="pmid">34066729</pub-id></element-citation></ref><ref id="bib129"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Spinello</surname><given-names>A</given-names></name><name><surname>Saltalamacchia</surname><given-names>A</given-names></name><name><surname>Borišek</surname><given-names>J</given-names></name><name><surname>Magistrato</surname><given-names>A</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Allosteric cross-talk among spike’s receptor-binding domain mutations of the SARS-CoV-2 South African variant triggers an effective hijacking of human cell receptor</article-title><source>The Journal of Physical Chemistry Letters</source><volume>12</volume><fpage>5987</fpage><lpage>5993</lpage><pub-id pub-id-type="doi">10.1021/acs.jpclett.1c01415</pub-id></element-citation></ref><ref id="bib130"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Starr</surname><given-names>TN</given-names></name><name><surname>Greaney</surname><given-names>AJ</given-names></name><name><surname>Hannon</surname><given-names>WW</given-names></name><name><surname>Loes</surname><given-names>AN</given-names></name><name><surname>Hauser</surname><given-names>K</given-names></name><name><surname>Dillen</surname><given-names>JR</given-names></name><name><surname>Ferri</surname><given-names>E</given-names></name><name><surname>Farrell</surname><given-names>AG</given-names></name><name><surname>Dadonaite</surname><given-names>B</given-names></name><name><surname>McCallum</surname><given-names>M</given-names></name><name><surname>Matreyek</surname><given-names>KA</given-names></name><name><surname>Corti</surname><given-names>D</given-names></name><name><surname>Veesler</surname><given-names>D</given-names></name><name><surname>Snell</surname><given-names>G</given-names></name><name><surname>Bloom</surname><given-names>JD</given-names></name></person-group><year iso-8601-date="2022">2022a</year><article-title>Shifting mutational constraints in the SARS-CoV-2 receptor-binding domain during viral evolution</article-title><source>Science</source><volume>377</volume><fpage>420</fpage><lpage>424</lpage><pub-id pub-id-type="doi">10.1126/science.abo7896</pub-id><pub-id pub-id-type="pmid">35762884</pub-id></element-citation></ref><ref id="bib131"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Starr</surname><given-names>TN</given-names></name><name><surname>Greaney</surname><given-names>AJ</given-names></name><name><surname>Stewart</surname><given-names>CM</given-names></name><name><surname>Walls</surname><given-names>AC</given-names></name><name><surname>Hannon</surname><given-names>WW</given-names></name><name><surname>Veesler</surname><given-names>D</given-names></name><name><surname>Bloom</surname><given-names>JD</given-names></name></person-group><year iso-8601-date="2022">2022b</year><article-title>Deep mutational scans for ACE2 binding, RBD expression, and antibody escape in the SARS-CoV-2 Omicron BA.1 and BA.2 receptor-binding domains</article-title><source>PLOS Pathogens</source><volume>18</volume><elocation-id>e1010951</elocation-id><pub-id pub-id-type="doi">10.1371/journal.ppat.1010951</pub-id><pub-id pub-id-type="pmid">36399443</pub-id></element-citation></ref><ref id="bib132"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Starr</surname><given-names>TN</given-names></name><name><surname>Zepeda</surname><given-names>SK</given-names></name><name><surname>Walls</surname><given-names>AC</given-names></name><name><surname>Greaney</surname><given-names>AJ</given-names></name><name><surname>Alkhovsky</surname><given-names>S</given-names></name><name><surname>Veesler</surname><given-names>D</given-names></name><name><surname>Bloom</surname><given-names>JD</given-names></name></person-group><year iso-8601-date="2022">2022c</year><article-title>ACE2 binding is an ancestral and evolvable trait of sarbecoviruses</article-title><source>Nature</source><volume>603</volume><fpage>913</fpage><lpage>918</lpage><pub-id pub-id-type="doi">10.1038/s41586-022-04464-z</pub-id></element-citation></ref><ref id="bib133"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Steinhauer</surname><given-names>DA</given-names></name></person-group><year iso-8601-date="1999">1999</year><article-title>Role of hemagglutinin cleavage for the pathogenicity of influenza virus</article-title><source>Virology</source><volume>258</volume><fpage>1</fpage><lpage>20</lpage><pub-id pub-id-type="doi">10.1006/viro.1999.9716</pub-id><pub-id pub-id-type="pmid">10329563</pub-id></element-citation></ref><ref id="bib134"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stevens</surname><given-names>AO</given-names></name><name><surname>Kazan</surname><given-names>IC</given-names></name><name><surname>Ozkan</surname><given-names>B</given-names></name><name><surname>He</surname><given-names>Y</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Investigating the allosteric response of the PICK1 PDZ domain to different ligands with all-atom simulations</article-title><source>Protein Science</source><volume>31</volume><elocation-id>e4474</elocation-id><pub-id pub-id-type="doi">10.1002/pro.4474</pub-id><pub-id pub-id-type="pmid">36251217</pub-id></element-citation></ref><ref id="bib135"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>Y</given-names></name><name><surname>Kollman</surname><given-names>PA</given-names></name></person-group><year iso-8601-date="1995">1995</year><article-title>Hydrophobic solvation of methane and nonbond parameters of the TIP3P water model</article-title><source>Journal of Computational Chemistry</source><volume>16</volume><fpage>1164</fpage><lpage>1169</lpage><pub-id pub-id-type="doi">10.1002/jcc.540160910</pub-id></element-citation></ref><ref id="bib136"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Swint-Kruse</surname><given-names>L</given-names></name><name><surname>Matthews</surname><given-names>KS</given-names></name><name><surname>Smith</surname><given-names>PE</given-names></name><name><surname>Pettitt</surname><given-names>BM</given-names></name></person-group><year iso-8601-date="1998">1998</year><article-title>Comparison of simulated and experimentally determined dynamics for a variant of the Lacl DNA-binding domain, Nlac-P</article-title><source>Biophysical Journal</source><volume>74</volume><fpage>413</fpage><lpage>421</lpage><pub-id pub-id-type="doi">10.1016/s0006-3495(98)77798-7</pub-id><pub-id pub-id-type="pmid">9449341</pub-id></element-citation></ref><ref id="bib137"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sztain</surname><given-names>T</given-names></name><name><surname>Ahn</surname><given-names>S-H</given-names></name><name><surname>Bogetti</surname><given-names>AT</given-names></name><name><surname>Casalino</surname><given-names>L</given-names></name><name><surname>Goldsmith</surname><given-names>JA</given-names></name><name><surname>Seitz</surname><given-names>E</given-names></name><name><surname>McCool</surname><given-names>RS</given-names></name><name><surname>Kearns</surname><given-names>FL</given-names></name><name><surname>Acosta-Reyes</surname><given-names>F</given-names></name><name><surname>Maji</surname><given-names>S</given-names></name><name><surname>Mashayekhi</surname><given-names>G</given-names></name><name><surname>McCammon</surname><given-names>JA</given-names></name><name><surname>Ourmazd</surname><given-names>A</given-names></name><name><surname>Frank</surname><given-names>J</given-names></name><name><surname>McLellan</surname><given-names>JS</given-names></name><name><surname>Chong</surname><given-names>LT</given-names></name><name><surname>Amaro</surname><given-names>RE</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>A glycan gate controls opening of the SARS-CoV-2 spike protein</article-title><source>Nature Chemistry</source><volume>13</volume><fpage>963</fpage><lpage>968</lpage><pub-id pub-id-type="doi">10.1038/s41557-021-00758-3</pub-id></element-citation></ref><ref id="bib138"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tan</surname><given-names>ZW</given-names></name><name><surname>Tee</surname><given-names>WV</given-names></name><name><surname>Samsudin</surname><given-names>F</given-names></name><name><surname>Guarnera</surname><given-names>E</given-names></name><name><surname>Bond</surname><given-names>PJ</given-names></name><name><surname>Berezovsky</surname><given-names>IN</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Allosteric perspective on the mutability and druggability of the SARS-CoV-2 Spike protein</article-title><source>Structure</source><volume>30</volume><fpage>590</fpage><lpage>607</lpage><pub-id pub-id-type="doi">10.1016/j.str.2021.12.011</pub-id></element-citation></ref><ref id="bib139"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname><given-names>X</given-names></name><name><surname>Wu</surname><given-names>C</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Song</surname><given-names>Y</given-names></name><name><surname>Yao</surname><given-names>X</given-names></name><name><surname>Wu</surname><given-names>X</given-names></name><name><surname>Duan</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>H</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Qian</surname><given-names>Z</given-names></name><name><surname>Cui</surname><given-names>J</given-names></name><name><surname>Lu</surname><given-names>J</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>On the origin and continuing evolution of SARS-CoV-2</article-title><source>National Science Review</source><volume>7</volume><fpage>1012</fpage><lpage>1023</lpage><pub-id pub-id-type="doi">10.1093/nsr/nwaa036</pub-id></element-citation></ref><ref id="bib140"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tay</surname><given-names>JH</given-names></name><name><surname>Porter</surname><given-names>AF</given-names></name><name><surname>Wirth</surname><given-names>W</given-names></name><name><surname>Duchene</surname><given-names>S</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>The emergence of SARS-CoV-2 variants of concern is driven by acceleration of the substitution rate</article-title><source>Molecular Biology and Evolution</source><volume>39</volume><elocation-id>msac013</elocation-id><pub-id pub-id-type="doi">10.1093/molbev/msac013</pub-id><pub-id pub-id-type="pmid">35038741</pub-id></element-citation></ref><ref id="bib141"><element-citation publication-type="preprint"><person-group person-group-type="author"><name><surname>Teruel</surname><given-names>N</given-names></name><name><surname>Crown</surname><given-names>M</given-names></name><name><surname>Bashton</surname><given-names>M</given-names></name><name><surname>Najmanovich</surname><given-names>R</given-names></name></person-group><year iso-8601-date="2021">2021a</year><article-title>Computational analysis of the effect of SARS-CoV-2 variant omicron spike protein mutations on dynamics, ACE2 binding and propensity for immune escape</article-title><source>bioRxiv</source><pub-id pub-id-type="doi">10.1101/2021.12.14.472622</pub-id></element-citation></ref><ref id="bib142"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Teruel</surname><given-names>N</given-names></name><name><surname>Mailhot</surname><given-names>O</given-names></name><name><surname>Najmanovich</surname><given-names>RJ</given-names></name></person-group><year iso-8601-date="2021">2021b</year><article-title>Modelling conformational state dynamics and its role on infection for SARS-CoV-2 Spike protein variants</article-title><source>PLOS Computational Biology</source><volume>17</volume><elocation-id>e1009286</elocation-id><pub-id pub-id-type="doi">10.1371/journal.pcbi.1009286</pub-id></element-citation></ref><ref id="bib143"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Thye</surname><given-names>AYK</given-names></name><name><surname>Law</surname><given-names>JWF</given-names></name><name><surname>Pusparajah</surname><given-names>P</given-names></name><name><surname>Letchumanan</surname><given-names>V</given-names></name><name><surname>Chan</surname><given-names>KG</given-names></name><name><surname>Lee</surname><given-names>LH</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Emerging SARS-CoV-2 Variants of Concern (VOCs): an impending global crisis</article-title><source>Biomedicines</source><volume>9</volume><elocation-id>1303</elocation-id><pub-id pub-id-type="doi">10.3390/biomedicines9101303</pub-id></element-citation></ref><ref id="bib144"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Twohig</surname><given-names>KA</given-names></name><name><surname>Nyberg</surname><given-names>T</given-names></name><name><surname>Zaidi</surname><given-names>A</given-names></name><name><surname>Thelwall</surname><given-names>S</given-names></name><name><surname>Sinnathamby</surname><given-names>MA</given-names></name><name><surname>Aliabadi</surname><given-names>S</given-names></name><name><surname>Seaman</surname><given-names>SR</given-names></name><name><surname>Harris</surname><given-names>RJ</given-names></name><name><surname>Hope</surname><given-names>R</given-names></name><name><surname>Lopez-Bernal</surname><given-names>J</given-names></name><name><surname>Gallagher</surname><given-names>E</given-names></name><name><surname>Charlett</surname><given-names>A</given-names></name><name><surname>De Angelis</surname><given-names>D</given-names></name><name><surname>Presanis</surname><given-names>AM</given-names></name><name><surname>Dabrera</surname><given-names>G</given-names></name><collab>COVID-19 Genomics UK (COG-UK) consortium</collab></person-group><year iso-8601-date="2022">2022</year><article-title>Hospital admission and emergency care attendance risk for SARS-CoV-2 delta (B.1.617.2) compared with alpha (B.1.1.7) variants of concern: a cohort study</article-title><source>The Lancet Infectious Diseases</source><volume>22</volume><fpage>35</fpage><lpage>42</lpage><pub-id pub-id-type="doi">10.1016/S1473-3099(21)00475-8</pub-id><pub-id pub-id-type="pmid">34461056</pub-id></element-citation></ref><ref id="bib145"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Verkhivker</surname><given-names>G</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Allosteric determinants of the SARS-CoV-2 Spike protein binding with nanobodies: examining mechanisms of mutational escape and sensitivity of the omicron variant</article-title><source>International Journal of Molecular Sciences</source><volume>23</volume><elocation-id>2172</elocation-id><pub-id pub-id-type="doi">10.3390/ijms23042172</pub-id><pub-id pub-id-type="pmid">35216287</pub-id></element-citation></ref><ref id="bib146"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Walls</surname><given-names>AC</given-names></name><name><surname>Park</surname><given-names>YJ</given-names></name><name><surname>Tortorici</surname><given-names>MA</given-names></name><name><surname>Wall</surname><given-names>A</given-names></name><name><surname>McGuire</surname><given-names>AT</given-names></name><name><surname>Veesler</surname><given-names>D</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Structure, function, and antigenicity of the SARS-CoV-2 spike glycoprotein</article-title><source>Cell</source><volume>181</volume><fpage>281</fpage><lpage>292</lpage><pub-id pub-id-type="doi">10.1016/j.cell.2020.02.058</pub-id><pub-id pub-id-type="pmid">32155444</pub-id></element-citation></ref><ref id="bib147"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>Q</given-names></name><name><surname>Guo</surname><given-names>Y</given-names></name><name><surname>Iketani</surname><given-names>S</given-names></name><name><surname>Nair</surname><given-names>MS</given-names></name><name><surname>Li</surname><given-names>Z</given-names></name><name><surname>Mohri</surname><given-names>H</given-names></name><name><surname>Wang</surname><given-names>M</given-names></name><name><surname>Yu</surname><given-names>J</given-names></name><name><surname>Bowen</surname><given-names>AD</given-names></name><name><surname>Chang</surname><given-names>JY</given-names></name><name><surname>Shah</surname><given-names>JG</given-names></name><name><surname>Nguyen</surname><given-names>N</given-names></name><name><surname>Chen</surname><given-names>Z</given-names></name><name><surname>Meyers</surname><given-names>K</given-names></name><name><surname>Yin</surname><given-names>MT</given-names></name><name><surname>Sobieszczyk</surname><given-names>ME</given-names></name><name><surname>Sheng</surname><given-names>Z</given-names></name><name><surname>Huang</surname><given-names>Y</given-names></name><name><surname>Liu</surname><given-names>L</given-names></name><name><surname>Ho</surname><given-names>DD</given-names></name></person-group><year iso-8601-date="2022">2022a</year><article-title>Antibody evasion by SARS-CoV-2 Omicron subvariants BA.2.12.1, BA.4 and BA.5</article-title><source>Nature</source><volume>608</volume><fpage>603</fpage><lpage>608</lpage><pub-id pub-id-type="doi">10.1038/s41586-022-05053-w</pub-id><pub-id pub-id-type="pmid">35790190</pub-id></element-citation></ref><ref id="bib148"><element-citation publication-type="preprint"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>Q</given-names></name><name><surname>Iketani</surname><given-names>S</given-names></name><name><surname>Li</surname><given-names>Z</given-names></name><name><surname>Liu</surname><given-names>L</given-names></name><name><surname>Guo</surname><given-names>Y</given-names></name><name><surname>Huang</surname><given-names>Y</given-names></name><name><surname>Bowen</surname><given-names>AD</given-names></name><name><surname>Liu</surname><given-names>M</given-names></name><name><surname>Wang</surname><given-names>M</given-names></name><name><surname>Yu</surname><given-names>J</given-names></name><name><surname>Valdez</surname><given-names>R</given-names></name><name><surname>Lauring</surname><given-names>AS</given-names></name><name><surname>Sheng</surname><given-names>Z</given-names></name><name><surname>Wang</surname><given-names>HH</given-names></name><name><surname>Gordon</surname><given-names>A</given-names></name><name><surname>Liu</surname><given-names>L</given-names></name><name><surname>Ho</surname><given-names>DD</given-names></name></person-group><year iso-8601-date="2022">2022b</year><article-title>Alarming antibody evasion properties of rising SARS-CoV-2 BQ and XBB subvariants</article-title><source>bioRxiv</source><pub-id pub-id-type="doi">10.1101/2022.11.23.517532</pub-id></element-citation></ref><ref id="bib149"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Weisblum</surname><given-names>Y</given-names></name><name><surname>Schmidt</surname><given-names>F</given-names></name><name><surname>Zhang</surname><given-names>F</given-names></name><name><surname>DaSilva</surname><given-names>J</given-names></name><name><surname>Poston</surname><given-names>D</given-names></name><name><surname>Lorenzi</surname><given-names>JC</given-names></name><name><surname>Muecksch</surname><given-names>F</given-names></name><name><surname>Rutkowska</surname><given-names>M</given-names></name><name><surname>Hoffmann</surname><given-names>H-H</given-names></name><name><surname>Michailidis</surname><given-names>E</given-names></name><name><surname>Gaebler</surname><given-names>C</given-names></name><name><surname>Agudelo</surname><given-names>M</given-names></name><name><surname>Cho</surname><given-names>A</given-names></name><name><surname>Wang</surname><given-names>Z</given-names></name><name><surname>Gazumyan</surname><given-names>A</given-names></name><name><surname>Cipolla</surname><given-names>M</given-names></name><name><surname>Luchsinger</surname><given-names>L</given-names></name><name><surname>Hillyer</surname><given-names>CD</given-names></name><name><surname>Caskey</surname><given-names>M</given-names></name><name><surname>Robbiani</surname><given-names>DF</given-names></name><name><surname>Rice</surname><given-names>CM</given-names></name><name><surname>Nussenzweig</surname><given-names>MC</given-names></name><name><surname>Hatziioannou</surname><given-names>T</given-names></name><name><surname>Bieniasz</surname><given-names>PD</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Escape from neutralizing antibodies by SARS-CoV-2 spike protein variants</article-title><source>eLife</source><volume>9</volume><elocation-id>e61312</elocation-id><pub-id pub-id-type="doi">10.7554/eLife.61312</pub-id><pub-id pub-id-type="pmid">33112236</pub-id></element-citation></ref><ref id="bib150"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Witte</surname><given-names>L</given-names></name><name><surname>Baharani</surname><given-names>VA</given-names></name><name><surname>Schmidt</surname><given-names>F</given-names></name><name><surname>Wang</surname><given-names>Z</given-names></name><name><surname>Cho</surname><given-names>A</given-names></name><name><surname>Raspe</surname><given-names>R</given-names></name><name><surname>Guzman-Cardozo</surname><given-names>C</given-names></name><name><surname>Muecksch</surname><given-names>F</given-names></name><name><surname>Canis</surname><given-names>M</given-names></name><name><surname>Park</surname><given-names>DJ</given-names></name><name><surname>Gaebler</surname><given-names>C</given-names></name><name><surname>Caskey</surname><given-names>M</given-names></name><name><surname>Nussenzweig</surname><given-names>MC</given-names></name><name><surname>Hatziioannou</surname><given-names>T</given-names></name><name><surname>Bieniasz</surname><given-names>PD</given-names></name></person-group><year iso-8601-date="2023">2023</year><article-title>Epistasis lowers the genetic barrier to SARS-CoV-2 neutralizing antibody escape</article-title><source>Nature Communications</source><volume>14</volume><elocation-id>302</elocation-id><pub-id pub-id-type="doi">10.1038/s41467-023-35927-0</pub-id><pub-id pub-id-type="pmid">36653360</pub-id></element-citation></ref><ref id="bib151"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wrapp</surname><given-names>D</given-names></name><name><surname>Wang</surname><given-names>N</given-names></name><name><surname>Corbett</surname><given-names>KS</given-names></name><name><surname>Goldsmith</surname><given-names>JA</given-names></name><name><surname>Hsieh</surname><given-names>CL</given-names></name><name><surname>Abiona</surname><given-names>O</given-names></name><name><surname>Graham</surname><given-names>BS</given-names></name><name><surname>McLellan</surname><given-names>JS</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Cryo-EM structure of the 2019-nCoV spike in the prefusion conformation</article-title><source>Science</source><volume>367</volume><fpage>1260</fpage><lpage>1263</lpage><pub-id pub-id-type="doi">10.1126/science.abb2507</pub-id><pub-id pub-id-type="pmid">32075877</pub-id></element-citation></ref><ref id="bib152"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wrobel</surname><given-names>AG</given-names></name><name><surname>Benton</surname><given-names>DJ</given-names></name><name><surname>Xu</surname><given-names>P</given-names></name><name><surname>Roustan</surname><given-names>C</given-names></name><name><surname>Martin</surname><given-names>SR</given-names></name><name><surname>Rosenthal</surname><given-names>PB</given-names></name><name><surname>Skehel</surname><given-names>JJ</given-names></name><name><surname>Gamblin</surname><given-names>SJ</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>SARS-CoV-2 and bat RaTG13 spike glycoprotein structures inform on virus evolution and furin-cleavage effects</article-title><source>Nature Structural &amp; Molecular Biology</source><volume>27</volume><fpage>763</fpage><lpage>767</lpage><pub-id pub-id-type="doi">10.1038/s41594-020-0468-7</pub-id><pub-id pub-id-type="pmid">32647346</pub-id></element-citation></ref><ref id="bib153"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname><given-names>L</given-names></name><name><surname>Zhou</surname><given-names>L</given-names></name><name><surname>Mo</surname><given-names>M</given-names></name><name><surname>Liu</surname><given-names>T</given-names></name><name><surname>Wu</surname><given-names>C</given-names></name><name><surname>Gong</surname><given-names>C</given-names></name><name><surname>Lu</surname><given-names>K</given-names></name><name><surname>Gong</surname><given-names>L</given-names></name><name><surname>Zhu</surname><given-names>W</given-names></name><name><surname>Xu</surname><given-names>Z</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>SARS-CoV-2 Omicron RBD shows weaker binding affinity than the currently dominant Delta variant to human ACE2</article-title><source>Signal Transduction and Targeted Therapy</source><volume>7</volume><elocation-id>8</elocation-id><pub-id pub-id-type="doi">10.1038/s41392-021-00863-2</pub-id><pub-id pub-id-type="pmid">34987150</pub-id></element-citation></ref><ref id="bib154"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xue</surname><given-names>Q</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Pan</surname><given-names>W</given-names></name><name><surname>Zhang</surname><given-names>A</given-names></name><name><surname>Fu</surname><given-names>J</given-names></name><name><surname>Jiang</surname><given-names>G</given-names></name></person-group><year iso-8601-date="2022">2022</year><article-title>Computational insights into the allosteric effect and dynamic structural features of the SARS-COV-2 spike protein</article-title><source>Chemistry</source><volume>28</volume><elocation-id>e202104215</elocation-id><pub-id pub-id-type="doi">10.1002/chem.202104215</pub-id><pub-id pub-id-type="pmid">34962015</pub-id></element-citation></ref><ref id="bib155"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>QE</given-names></name><name><surname>MacLean</surname><given-names>C</given-names></name><name><surname>Papkou</surname><given-names>A</given-names></name><name><surname>Pritchard</surname><given-names>M</given-names></name><name><surname>Powell</surname><given-names>L</given-names></name><name><surname>Thomas</surname><given-names>D</given-names></name><name><surname>Andrey</surname><given-names>DO</given-names></name><name><surname>Li</surname><given-names>M</given-names></name><name><surname>Spiller</surname><given-names>B</given-names></name><name><surname>Yang</surname><given-names>W</given-names></name><name><surname>Walsh</surname><given-names>TR</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Compensatory mutations modulate the competitiveness and dynamics of plasmid-mediated colistin resistance in <italic>Escherichia coli</italic> clones</article-title><source>The ISME Journal</source><volume>14</volume><fpage>861</fpage><lpage>865</lpage><pub-id pub-id-type="doi">10.1038/s41396-019-0578-6</pub-id><pub-id pub-id-type="pmid">31896787</pub-id></element-citation></ref><ref id="bib156"><element-citation publication-type="preprint"><person-group person-group-type="author"><name><surname>Yue</surname><given-names>C</given-names></name><name><surname>Song</surname><given-names>W</given-names></name><name><surname>Wang</surname><given-names>L</given-names></name><name><surname>Jian</surname><given-names>F</given-names></name><name><surname>Chen</surname><given-names>X</given-names></name><name><surname>Gao</surname><given-names>F</given-names></name><name><surname>Shen</surname><given-names>Z</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Cao</surname><given-names>Y</given-names></name></person-group><year iso-8601-date="2023">2023</year><article-title>Enhanced transmissibility of XBB.1.5 is contributed by both strong ACE2 binding and antibody evasion</article-title><source>bioRxiv</source><pub-id pub-id-type="doi">10.1101/2023.01.03.522427</pub-id></element-citation></ref><ref id="bib157"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yurkovetskiy</surname><given-names>L</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Pascal</surname><given-names>KE</given-names></name><name><surname>Tomkins-Tinch</surname><given-names>C</given-names></name><name><surname>Nyalile</surname><given-names>TP</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Baum</surname><given-names>A</given-names></name><name><surname>Diehl</surname><given-names>WE</given-names></name><name><surname>Dauphin</surname><given-names>A</given-names></name><name><surname>Carbone</surname><given-names>C</given-names></name><name><surname>Veinotte</surname><given-names>K</given-names></name><name><surname>Egri</surname><given-names>SB</given-names></name><name><surname>Schaffner</surname><given-names>SF</given-names></name><name><surname>Lemieux</surname><given-names>JE</given-names></name><name><surname>Munro</surname><given-names>JB</given-names></name><name><surname>Rafique</surname><given-names>A</given-names></name><name><surname>Barve</surname><given-names>A</given-names></name><name><surname>Sabeti</surname><given-names>PC</given-names></name><name><surname>Kyratsous</surname><given-names>CA</given-names></name><name><surname>Dudkina</surname><given-names>NV</given-names></name><name><surname>Shen</surname><given-names>K</given-names></name><name><surname>Luban</surname><given-names>J</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Structural and functional analysis of the D614G SARS-CoV-2 spike protein variant</article-title><source>Cell</source><volume>183</volume><fpage>739</fpage><lpage>751</lpage><pub-id pub-id-type="doi">10.1016/j.cell.2020.09.032</pub-id><pub-id pub-id-type="pmid">32991842</pub-id></element-citation></ref><ref id="bib158"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zeng</surname><given-names>HL</given-names></name><name><surname>Dichio</surname><given-names>V</given-names></name><name><surname>Rodríguez Horta</surname><given-names>E</given-names></name><name><surname>Thorell</surname><given-names>K</given-names></name><name><surname>Aurell</surname><given-names>E</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Global analysis of more than 50,000 SARS-CoV-2 genomes reveals epistasis between eight viral genes</article-title><source>PNAS</source><volume>117</volume><fpage>31519</fpage><lpage>31526</lpage><pub-id pub-id-type="doi">10.1073/pnas.2012331117</pub-id><pub-id pub-id-type="pmid">33203681</pub-id></element-citation></ref><ref id="bib159"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Cai</surname><given-names>Y</given-names></name><name><surname>Xiao</surname><given-names>T</given-names></name><name><surname>Lu</surname><given-names>J</given-names></name><name><surname>Peng</surname><given-names>H</given-names></name><name><surname>Sterling</surname><given-names>SM</given-names></name><name><surname>Walsh</surname><given-names>RM</given-names><suffix>Jr</suffix></name><name><surname>Rits-Volloch</surname><given-names>S</given-names></name><name><surname>Zhu</surname><given-names>H</given-names></name><name><surname>Woosley</surname><given-names>AN</given-names></name><name><surname>Yang</surname><given-names>W</given-names></name><name><surname>Sliz</surname><given-names>P</given-names></name><name><surname>Chen</surname><given-names>B</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Structural impact on SARS-CoV-2 spike protein by D614G substitution</article-title><source>Science</source><volume>372</volume><fpage>525</fpage><lpage>530</lpage><pub-id pub-id-type="doi">10.1126/science.abf2303</pub-id><pub-id pub-id-type="pmid">33727252</pub-id></element-citation></ref><ref id="bib160"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>T</given-names></name><name><surname>Tsybovsky</surname><given-names>Y</given-names></name><name><surname>Gorman</surname><given-names>J</given-names></name><name><surname>Rapp</surname><given-names>M</given-names></name><name><surname>Cerutti</surname><given-names>G</given-names></name><name><surname>Chuang</surname><given-names>GY</given-names></name><name><surname>Katsamba</surname><given-names>PS</given-names></name><name><surname>Sampson</surname><given-names>JM</given-names></name><name><surname>Schön</surname><given-names>A</given-names></name><name><surname>Bimela</surname><given-names>J</given-names></name><name><surname>Boyington</surname><given-names>JC</given-names></name><name><surname>Nazzari</surname><given-names>A</given-names></name><name><surname>Olia</surname><given-names>AS</given-names></name><name><surname>Shi</surname><given-names>W</given-names></name><name><surname>Sastry</surname><given-names>M</given-names></name><name><surname>Stephens</surname><given-names>T</given-names></name><name><surname>Stuckey</surname><given-names>J</given-names></name><name><surname>Teng</surname><given-names>IT</given-names></name><name><surname>Wang</surname><given-names>P</given-names></name><name><surname>Wang</surname><given-names>S</given-names></name><name><surname>Zhang</surname><given-names>B</given-names></name><name><surname>Friesner</surname><given-names>RA</given-names></name><name><surname>Ho</surname><given-names>DD</given-names></name><name><surname>Mascola</surname><given-names>JR</given-names></name><name><surname>Shapiro</surname><given-names>L</given-names></name><name><surname>Kwong</surname><given-names>PD</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Cryo-EM structures of SARS-CoV-2 spike without and with ACE2 reveal a pH-dependent switch to mediate endosomal positioning of receptor-binding domains</article-title><source>Cell Host &amp; Microbe</source><volume>28</volume><fpage>867</fpage><lpage>879</lpage><pub-id pub-id-type="doi">10.1016/j.chom.2020.11.004</pub-id><pub-id pub-id-type="pmid">33271067</pub-id></element-citation></ref></ref-list></back><sub-article article-type="editor-report" id="sa0"><front-stub><article-id pub-id-type="doi">10.7554/eLife.92063.3.sa0</article-id><title-group><article-title>eLife assessment</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hamelberg</surname><given-names>Donald</given-names></name><role specific-use="editor">Reviewing Editor</role><aff><institution>Georgia State University</institution><country>United States</country></aff></contrib></contrib-group><kwd-group kwd-group-type="claim-importance"><kwd>Important</kwd></kwd-group><kwd-group kwd-group-type="evidence-strength"><kwd>Solid</kwd></kwd-group></front-stub><body><p>This <bold>important</bold> study investigates various variants of the SARS-COV-2 spike protein using established computational methods, complemented by experimental validation efforts. The evidence, bolstered by an evolutionary approach and protein dynamics, is <bold>solid</bold>. Placing this research in the broader context of the field could further enrich the article. It will interest biophysicists focused on allostery and protein evolution.</p></body></sub-article><sub-article article-type="referee-report" id="sa1"><front-stub><article-id pub-id-type="doi">10.7554/eLife.92063.3.sa1</article-id><title-group><article-title>Reviewer #2 (Public review):</article-title></title-group><contrib-group><contrib contrib-type="author"><anonymous/><role specific-use="referee">Reviewer</role></contrib></contrib-group></front-stub><body><p>The authors set out to identify CAPs (Candidate Adaptive Polymorphyisms), i.e., simply put mutations that carry a potential functional advantage, and utilize computational methods based on the perturbation of C-alpha positions with an Elastic Network Model to determine if dynamics of CAP residues are different in any way.</p><p>The authors have addressed the main methodological concerns.</p><p>However, one point remains. The specific comparison of which CAPs have been previously identified by other means, particularly with other computational methods that look into dynamics is still lacking. It is unfortunate that the authors do not present such analysis, particularly with respect to single point mutational analysis of Teruel et al. in Plos Comp. Bio. If CAP positions were previously identified by other means it adds strength to the methodology used by the authors. The authors also do not discuss their results in light of the work of Lam et al. (Sci. Comm, 2020) where an evolutionary analysis of Spike/ACE2 binding across homologues is performed. I believe that such deeper discussion of the current results in light of previous work, adds strength to the analysis presented in this manuscript as the methodology is different. Even if all results were not new, with the method being different from the other means by which such results were obtained, it would be still a worthy contribution to the field. Furthermore, for the community at large trying to understand the importance of particular positions in Spike, knowing that a particular position identified here was also identified by works X, Y, Z adds a lot of to the field. I can only think that the authors may imagine that if one of their CAPs was identified by other means previously, it takes away from the merit of their work, but it is actually the opposite. I urge the authors to not brush away this. In fact, more important than any methodological aspect of the present work, this strengthening of evidence for particular positions by several independent methods is the most important evidence that the authors can contribute to the field.</p></body></sub-article><sub-article article-type="referee-report" id="sa2"><front-stub><article-id pub-id-type="doi">10.7554/eLife.92063.3.sa2</article-id><title-group><article-title>Reviewer #3 (Public review):</article-title></title-group><contrib-group><contrib contrib-type="author"><anonymous/><role specific-use="referee">Reviewer</role></contrib></contrib-group></front-stub><body><p>Summary:</p><p>The manuscript uses a combination of evolutionary approaches and structural/dynamics observations to provide mechanistic insights in the adaptation of the Spike protein during the evolution of SARS-COV-2 variants. The conclusion that CAP sites should be taken in particular account when considering the impact of the emergence of new strains and mutations is warranted.</p><p>Strengths:</p><p>The results presented in this work are very well outlined with well-written text, pleasant and well-described pictures, didactical and clear description of the methods, e.g. the discussion of how the MD equilibration procedure is applied and evaluated is clear and well argument.</p><p>The citation of relevant similar results with different approaches strengthens the reasoning; in particular, comparing the calculated scores with previous experimentally obtained data is one of the strongest points of the manuscript.</p><p>Weaknesses:</p><p>There are no replicas of the molecular dynamics (MD) simulations, understandable since it's not a MD-focused paper. However, the comparison of multiple replicas could enhance the reliability of the findings.</p></body></sub-article><sub-article article-type="author-comment" id="sa3"><front-stub><article-id pub-id-type="doi">10.7554/eLife.92063.3.sa3</article-id><title-group><article-title>Author response</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ose</surname><given-names>Nicholas James</given-names></name><role specific-use="author">Author</role><aff><institution>Arizona State University</institution><addr-line><named-content content-type="city">Tempe</named-content></addr-line><country>United States</country></aff></contrib><contrib contrib-type="author"><name><surname>Campitelli</surname><given-names>Paul</given-names></name><role specific-use="author">Author</role><aff><institution>Arizona State University</institution><addr-line><named-content content-type="city">Tempe</named-content></addr-line><country>United States</country></aff></contrib><contrib contrib-type="author"><name><surname>Modi</surname><given-names>Tushar</given-names></name><role specific-use="author">Author</role><aff><institution>Arizona State University</institution><addr-line><named-content content-type="city">Tempe</named-content></addr-line><country>United States</country></aff></contrib><contrib contrib-type="author"><name><surname>Kazan</surname><given-names>I Can</given-names></name><role specific-use="author">Author</role><aff><institution>Arizona State University</institution><addr-line><named-content content-type="city">Tempe</named-content></addr-line><country>United States</country></aff></contrib><contrib contrib-type="author"><name><surname>Kumar</surname><given-names>Sudhir</given-names></name><role specific-use="author">Author</role><aff><institution>Temple University</institution><addr-line><named-content content-type="city">Philadelphia</named-content></addr-line><country>United States</country></aff></contrib><contrib contrib-type="author"><name><surname>Ozkan</surname><given-names>Sefika Banu</given-names></name><role specific-use="author">Author</role><aff><institution>Arizona State University</institution><addr-line><named-content content-type="city">Tempe</named-content></addr-line><country>United States</country></aff></contrib></contrib-group></front-stub><body><p>The following is the authors’ response to the original reviews.</p><p>We would like to extend our gratitude to the reviewers for their meticulous analysis and constructive feedback on our manuscript. We have revised our paper based on the suggestions regarding supporting literature and the theory behind CAPs along with detailed insights regarding our methods. Their suggestions have been extremely useful in strengthening the clarity and rigor of our manuscript.</p><disp-quote content-type="editor-comment"><p><bold>Reviewer #1 (Recommendations For The Authors):</bold></p><p>(1) There are no obvious problems with this paper and it is relatively straightforward. There are some challenges that I would like to suggest. These variants have multiple mutations, so it would be interesting if you could drill down to find out which mutation is the most important for the collective changes reported here. I would like to see a sequence alignment of these variants, perhaps in the supplemental material, just to get some indication of the extent of mutations involved.</p></disp-quote><p>Finding the most important mutation within a set is a tricky question, as each mutation changes the way future mutations will affect function due to epistasis. Indeed, this is what we aim to explore in this work. To illustrate this point, we included a new supplementary figure S5A. Three critical mutations that emerged quickly, and were frequently observed in other dominant variants, were S477N, T478K, and N501Y. Thus, we computed the EpiScore values of these three mutations, with several critical residues contributing to hACE2 binding. The EpiScore distribution indicates that residues 477, 478, and 501 have strong epistatic (i.e., non-additive) interactions, as indicated by EpiScore values above 2.0.</p><p>To further investigate these epistatic interactions, we first conducted MD simulations and computed the DFI profile of these three single mutants. We analyzed how different the DFI scores of the hACE2 binding interface residues of the RBD are, across three single mutants with Omicron, Delta, and Omicron XBB variants (Fig S5B). Fig S5B shows how mutations at these particular sites affect the binding interface DFI in various backgrounds, as the three mutations are also observed in the Omicron, XBB, and XBB 1.5 variants. If the difference in the DFI profile of the mutant and the given variant is close to 0, then we could safely state that this mutation affected the variant the most. However, what we observe is quite the opposite: the DFI profile of the mutation is significantly different in different variant backgrounds. While these mutations may change overall behavior, their individual contributions to overall function are more difficult to pin down because overall function is dependent on the non-additive interactions between many different residues.</p><fig id="sa3fig1" position="float"><label>Author response image 1.</label><caption><title>(A) Three critical mutations that emerged quickly, and were frequently observed in other dominant variants, were S477N, T478K, and N501Y.</title><p>EpiScores of sites 477, 478, and 501 with one another are shown with k = the binding interface of the open chain. These residues are highly epistatic, producing higher responses than expected when perturbed together. (B) The difference in the dynamic flexibility profiles between the single mutants and the most common variants for the hACE2 binding residues of the RBD. DFI profiles exhibit significant variation from zero, and also show different flexibility in each background variant, highlighting the critical non-additive interactions of the other mutation in the given background variant. Thus, these three critical mutations, impacting binding affinity, do not solely contribute to the binding. There are epistatic interactions with the other mutations in VOCs that shape the dynamics of the binding interface to modulate binding affinity with hACE2.</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-sa3-fig1-v1.tif"/></fig><p>As we discussed above, while the epistatic interactions are crucial and the collective impact of the mutations shape the mutational landscape of the spike protein, we would like note that mutation S486P is one of the critical mutations we identify, modulating both antibody and hACE2 binding and our analysis reveals the strong non-additive interactions with the other mutational sites. This mutational site appears in both XBB1.5 and earlier Omicron strains which highlights its importance in functional evolution of the spike protein. CAPs 346R, 486F, and 498Q also may be important, as they have a high EpiScore, indicating critical epistatic interaction with many mutation sites.</p><p>Regarding to the suggestion about presenting the alignment of the different variants, we have attached a mutation table, highlighting the mutated residues for each strain compared to the reference sequence as supplemental Figure S1 along with the full alignment file.</p><disp-quote content-type="editor-comment"><p>(2) Also, I am wondering if it would be possible to insert some of these flexibilities and their correlations directly into the elastic network models to enable a simpler interpretation of these results. I realize this is beyond the scope of the present work, but such an effort might help in understanding these relatively complex effects.</p></disp-quote><p>This is great suggestion. A similar analysis has been performed for different proteins by Mcleash (See doi: 10.1016/j.bpj.2015.08.009) by modulating the spring constants of specific position to alter specific flexibility and evaluate change in elastic free energy to identify critical mutation (in particular, allosteric mutation) sites. We will be happy to pursue this as future work.</p><disp-quote content-type="editor-comment"><p>Minor</p><p>(3) 1 typo on line 443 - should be binding instead of biding.</p></disp-quote><p>Fixed, thanks for spotting that.</p><disp-quote content-type="editor-comment"><p>(4) The two shades of blue in Fig. 4B were not distinguishable in my version.</p></disp-quote><p>To fix this, we have changed the overlapping residues between Delta and Omicron to a higher contrast shade of blue.</p><disp-quote content-type="editor-comment"><p>(5) Compensatory is often used in an entirely different way - additional mutations that help to recover native function in the presence of a deleterious mutation.</p></disp-quote><p>Although our previous study (Ose et al. 2022, Biophysical Journal) shows that compensatory mutations were generally additive, the two ideas are not one and the same. We thank the reviewer for pointing this out. Therefore, to clarify, we have now described our results in terms of dynamic additivity, rather than compensation.</p><disp-quote content-type="editor-comment"><p><bold>Reviewer #2 (Recommendations For The Authors):</bold></p><p>(1) The authors note that the identified CAPs overlap with those of others (Cagliani et al. 2020; Singh and Yi 2021; Starr, Zepeda, et al. 2022). In itself, this merits a deeper discussion and explicit indication of which positions are not identified. However, there is one point that I believe may represent a fundamental flaw in this study in that the calculation of EP from the alignment of S proteins ignores entirely the differences in the interacting interface with which S for different coronaviruses in the alignment interact in the different receptors in each host species. This may be the reason why so many &quot;CAPs&quot; are in the RBD. The authors should at the very least make a convincing case of why they are not simply detecting constraints imposed by the different interacting partners, at least in the case of positions within the RBD interface with ACE2. Another point that the authors should discuss is that ACE2 is not the only receptor that facilitates infection, TMPRSS2 and possibly others have been identified as well. The results should be discussed in light of this.</p></disp-quote><p>To begin with, we have now explicitly noted (on line 135) that “sites 478, 486, 498, and 681 have already been implicated in SARS-CoV-2 evolution, leaving the remaining 11 CAPs as undiscovered candidate sites for adaptation.” Evolutionary analyses are done using orthologous protein sequences, so there is no way to integrate information on different receptors in each host species in the calculation of EPs. However, we appreciate that the preponderance of CAPs in the RBD is likely due to different binding environments. We have added the following text (on line 83) to clarify our point: “Adaptation in this case means a virus which can successfully infect human hosts. As CAPs are unexpected polymorphisms under neutral theory, their existence implies a non-neutral effect. This can come in the form of functional changes (Liu et al. 2016) or compensation for functional changes (Ose et al. 2022). Therefore, we suspect that these CAPs, being unexpected changes from coronaviruses across other host species with different binding substrates, may be partially responsible for the functional change of allowing human infection.” This hypothesis is supported by the overlap of CAPs we identified with the positions identified in other studies (e.g., 478, 486, 498, and 681). Binding to TMPRSS2 and other substrates are also covered by this analysis as it is a measure of overall evolutionary fitness, rather than binding to any specific substrate. Our paper does focus on discussing hACE2 binding and mentions furin cleavage, but indeed lacks discussion on the role of TMPRSS2. We have added the following text to line 157: “Another host cell protease, TMPRSS2, facilitates viral attachment to the surface of target cells upon binding either to sites Arg815/Ser816, or Arg685/Ser686 which overlaps with the furin cleavage site 676-689, further emphasizing the importance of this area (Hoffmann et al. 2020b; Fraser et al. 2022).”</p><disp-quote content-type="editor-comment"><p>(2) Turning now to the computational methods utilized to study dynamics, I have serious reservations about the novelty of the results as well as the validity of the methodology. First of all, the authors mention the work of Teruel et al. (PLOS Comp Bio 2021) in an extremely superficial fashion and do not mention at all a second manuscript by Teruel et al. (Biorxiv 2021.12.14.472622 (2021)). However, the work by Teruel et al. identifies positions and specific mutations that affect the dynamics of S and the evolution of the SARS-CoV-2 virus in light of immune escape, ACE2 binding, and open and closed state dynamics. The specific differences in approach should be noted but the results specifically should be compared. This omission is evident throughout the manuscript. Several other groups have also published on the use of nomal-mode analysis methods to understand the Spike protein, among them Verkhivker et al., Zhou et al., Majumder et al., etc.</p></disp-quote><p>Thank you for your suggestions. Upon further examination of the listed papers, we have added citations to other groups employing similar methods. However, it's worth noting that the results of Teruel et al.'s studies are generally not directly comparable to our own. Particularly, they examine specific individual mutations and overall dynamical signatures associated with them, whereas our results are always considered in the context of epistasis and joint effects with CAPs, and all mutations belong to the common variants. Although important mutations may be highlighted in both cases, it is for very different reasons. Nevertheless, we provide a more detailed mention of the results of both studies. See lines 178, 255, and 393.</p><disp-quote content-type="editor-comment"><p>(3) The last concern that I have is with respect to the methodology. The dynamic couplings and the derived index (DCI) are entirely based on the use of the elastic network model presented which is strictly sequence-agnostic. Only C-alpha positions are taken into consideration and no information about the side-chain is considered in any manner. Of course, the specific sequence of a protein will affect the unique placement of C-alpha atoms (i.e., mutations affect structure), therefore even ANM or ENM can to some extent predict the effect of mutations in as much as these have an effect on the structure, either experimentally determined or correctly and even incorrectly modelled. However, such an approach needs to be discussed in far deeper detail when it comes to positions on the surface of a protein such that the reader can gauge if the observed effects are the result of modelling errors.</p></disp-quote><p>We would like to clarify that most of our results do not involve simulations of different variants, but rather how characteristic mutation sites for those variants contribute to overall dynamics. For the full spike, we operate on only two simulations: open and closed. When we do analyze different variants, starting on line 438, the observed difference does not come from the structure, but from the covariance matrix obtained from molecular dynamics (MD) simulations, which are sensitive to single amino acid changes.</p><disp-quote content-type="editor-comment"><p><bold>Reviewer #3 (Recommendations For The Authors):</bold></p><p>(1) On line 99 there is a misspelling, 'withing'.</p></disp-quote><p>It has been fixed. Thanks for spotting that.</p><disp-quote content-type="editor-comment"><p>(2) Some graphical suggestions to make the figures easier to read:</p><p>In Figure 1C, a labeled circle around the important sites, the receptor binding domain, and the Furin cleavage site, would help the reader orient themselves. Moreover, it would make clear which CAPs are NOT in the noteworthy sites described in the text.</p></disp-quote><p>Good idea. We have added transparent spheres and labels to show hACE2 binding sites and Furin cleavage sites.</p><disp-quote content-type="editor-comment"><p>In Figure 2C the colors are a bit low contrast; moreover, there are multiple text sizes on the same figure which should perhaps be avoided to ensure legibility.</p></disp-quote><p>We have made yellow brighter and standardized font sizes.</p><disp-quote content-type="editor-comment"><p>Figure 3 is a bit dry, perhaps indicating in which bins the 'interesting' sites could be informative.</p></disp-quote><p>Thank you for the suggestion, but the overall goal of Figure 3 is to illustrate that the mutational landscape is governed by the equilibrium dynamics in which flexible sites undergo more mutations during the evolution of the CoV2 spike protein. Therefore, adding additional positional information may complicate our message.</p><disp-quote content-type="editor-comment"><p>Figure 4, the previous suggestions about readability apply.</p></disp-quote><p>We ensured same sized text and higher contrast colors.</p><disp-quote content-type="editor-comment"><p>Figure 5B, the residue labels are too small.</p></disp-quote><p>We increased the font size of the residue labels.</p><disp-quote content-type="editor-comment"><p>In Figure 8 maybe adding Delta to let the reader orient themselves would be helpful to the discussion.</p></disp-quote><p>Unfortunately, there is no single work that has experimentally quantified binding affinities towards hACE2 for all the variants. When we conducted the same analysis for the Delta variant in Figure 8, the experimental values were obtained from a different source (doi: 10.1016/j.cell.2022.01.001) and the values were significantly different from the experimental work we used for Omicron (Yue et al. 2023). When we could adjust based on the difference in experimentally measured binding affinity values of the original Wuhan strain in these two separate studies, we observed a similar correlation, as seen below. However, we think this might not be a proper representation. Therefore, we chose to keep the original figure.</p><fig id="sa3fig2" position="float"><label>Author response image 2.</label><caption><title>The %DFI calculations for variants Delta, Omicron, XBB, and XBB 1.</title><p>5. (A) %DFI profile of the variants are plotted in the same panel. The grey shaded areas and dashed lines indicate the ACE2 binding regions, whereas the red dashed lines show the antibody binding residues. (B) The sum of %DFI values of RBD-hACE2 interface residues. The trend of total %DFI with the log of Kd values overlaps with the one seen with the experiments. (C) The RBD antibody binding residues are used to calculate the sum of %DFI. The ranking captured with the total %DFI agrees with the susceptibility fold reduction values from the experiments.</p></caption><graphic mimetype="image" mime-subtype="tiff" xlink:href="elife-92063-sa3-fig2-v1.tif"/></fig><disp-quote content-type="editor-comment"><p>(3) Replicas of the MD simulations would make the conclusions stronger in my opinion.</p></disp-quote><p>We ran a 1µs long simulation and performed convergence analysis for the MD simulations using the prior work (Sawle L, Ghosh K. 2016.) More importantly, we also evaluated the statistical significance of computed DFI values as explained in detail below (Please see the answer to question 3 of Reviewer #3 (Public Review):)</p><disp-quote content-type="editor-comment"><p><bold>Reviewer #3 (Public Review):</bold></p><p>(1) A longer discussion of how the 19 orthologous coronavirus sequences were chosen would be helpful, as the rest of the paper hinges on this initial choice.</p></disp-quote><p>The following explanation has been added on line 114: EP scores of the amino acid variants of the S protein were obtained using a Maximum Likelihood phylogeny (Kumar et al. 2018) built from 19 orthologous coronavirus sequences. Sequences were selected by examining available non-human sequences with a sequence identity of 70% or above to the human SARS CoV-2’s S protein sequence. This cutoff allows for divergence over evolutionary history such that each amino acid position had ample time to experience purifying selection, whilst limiting ourselves to closely related coronaviruses. (Figure 1A).</p><disp-quote content-type="editor-comment"><p>(2) The 'reasonable similarity' with previously published data is not well defined, nor there was any comment about some of the residues analyzed (namely 417-484). We have revised this part of the manuscript and add to the revised version.</p></disp-quote><p>We removed the line about reasonable similarity as it was vague, added a line about residues 417-484, and revised the text accordingly, starting on line 354.</p><disp-quote content-type="editor-comment"><p>(3) There seem to be no replicas of the MD simulations, nor a discussion of the convergence of these simulations. A more detailed description of the equilibration and production schemes used in MD would be helpful. Moreover, there is no discussion of how the equilibration procedure is evaluated, in particular for non-experts this would be helpful in judging the reliability of the procedure.</p></disp-quote><p>We opted for a single, extended equilibrium simulation to comprehensively explore the longterm behavior of the system. Given the specific nature of our investigation and resource constraints, a well-converged, prolonged simulation was deemed a practical and scientifically valid approach, providing a thorough understanding of the system's dynamics. (doi: 10.33011/livecoms.1.1.5957, <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1146/annurev-biophys-042910-155255">https://doi.org/10.1146/annurev-biophys-042910-155255</ext-link> )</p><p>We updated our methods section starting on line 605 with extended information about the MD simulations and the converge criteria for the equilibrium simulations. We also added a section that explains our analysis to check statistical significance of obtained DFI values.</p></body></sub-article></article>