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Single spike mutation differentiating XBB.1 and XBB.1.5 enhances SARS-CoV-2 cell-to-cell transmission and facilitates serum-mediated enhancement
1 , 2 , 2 , 2 , 2 , 2 , 3 , 4 , 5 , * 2, 5
1  Laboratory of Microbiology and Virology, Vita-Salute San Raffaele University
2  Laboratory of Microbiology and Virology, Vita-Salute San Raffaele University, Milan, Italy
3  SCVSA Department, University of Parma, Parma, Italy
4  Laboratory of Medical Microbiology and Virology, Fondazione Macchi University Hospital, Varese, Italy
5  IRCCS San Raffaele Scientific Institute, Milan, Italy
Academic Editor: Eric Freed

Published: 09 March 2026 by MDPI in Viruses 2026 – New Horizons in Virology session Virus-Host Interactions
Abstract:

The emergence of new SARS-CoV-2 variants presents challenges for existing therapeutics. The spike glycoprotein plays a crucial role not only in initial viral entry but also in the transmission of SARS-CoV-2 components through syncytia formation. Spike-mediated cell-to-cell transmission exhibits strong resistance to extracellular therapeutic and convalescent antibodies via a mechanism that remains elusive.

In this study, we investigated two clinical SARS-CoV-2 isolates, XBB.1 and XBB.1.5, which differ by a single amino acid substitution in the S protein. Through biochemical and cell-based assays, we assessed entry kinetics, syncytia formation, and the neutralizing efficacy of convalescent sera, correlating these features with S-driven cell-cell fusion. Our findings reveal that this single mutation significantly alters viral entry dynamics and enhances syncytia formation, without compromising serum neutralization efficacy. Importantly, the mutation increases the efficiency of spike-mediated cell–cell fusion, suggesting a mechanism by which viral transmissibility and partial resistance to antibody-based interventions may be enhanced. These results underscore how even subtle changes in the S protein can profoundly affect SARS-CoV-2 transmissibility and immune evasion. A deeper understanding of spike-mediated fusion is critical to anticipating the impact of future variants and guiding the development of next-generation antiviral strategies.

Keywords: COVID-19; SARS-CoV-2; Spike; XBB.1; XBB.1.5; fusion; neutralizing antibodies
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