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印度 SARS-CoV-2 的临床和全基因组特征。

Clinical and whole genome characterization of SARS-CoV-2 in India.

机构信息

Virus Research Laboratory, Department of Zoology, Osmania University, Hyderabad, India.

Department of Microbiology, Gandhi Medical College and Hospital, Secunderabad, India.

出版信息

PLoS One. 2021 Feb 2;16(2):e0246173. doi: 10.1371/journal.pone.0246173. eCollection 2021.

DOI:10.1371/journal.pone.0246173
PMID:33529260
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7853523/
Abstract

We report clinical profile of hundred and nine patients with SARS CoV-2 infection, and whole genome sequences (WGS) of seven virus isolates from the first reported cases in India, with various international travel histories. Comorbidities such as diabetes, hypertension, and cardiovascular disease were frequently associated with severity of the disease. WBC and neutrophil counts showed an increase, while lymphocyte counts decreased in patients with severe infection suggesting a possible neutrophil mediated organ damage, while immune activity may be diminished with decrease in lymphocytes leading to disease severity. Increase in SGOT, SGPT and blood urea suggests the functional deficiencies of liver, heart, and kidney in patients who succumbed to the disease when compared to the group of recovered patients. The WGS analysis showed that these isolates were classified into two clades: I/A3i, and A2a (four according to GISAID: O, L, GR, and GH). Further, WGS phylogeny and travel history together indicate possible transmission from Middle East and Europe. Three S protein variants: Wuhan reference, D614G, and Y28H were identified predicted to possess different binding affinities to host ACE2.

摘要

我们报告了 109 例 SARS-CoV-2 感染患者的临床特征,以及印度首例报告病例的 7 个病毒分离株的全基因组序列 (WGS),这些病毒分离株均有不同的国际旅行史。糖尿病、高血压和心血管疾病等合并症常与疾病的严重程度相关。白细胞和中性粒细胞计数增加,而淋巴细胞计数减少,这表明严重感染的患者可能存在中性粒细胞介导的器官损伤,而淋巴细胞减少可能导致免疫活性降低,从而导致疾病加重。与康复组相比,死于该病的患者的 SGOT、SGPT 和血尿素水平升高,表明肝、心和肾功能受损。WGS 分析表明,这些分离株分为两个分支:I/A3i 和 A2a(根据 GISAID 分为 O、L、GR 和 GH)。此外,WGS 系统发育和旅行史共同表明,可能来自中东和欧洲的传播。鉴定出三种 S 蛋白变体:武汉参考株、D614G 和 Y28H,它们可能具有不同的与宿主 ACE2 的结合亲和力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/7853523/47e40b96701d/pone.0246173.g007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/7853523/dfc1612b6668/pone.0246173.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/7853523/e5cba7f69f16/pone.0246173.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/7853523/a1f6e2233fa1/pone.0246173.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/7853523/47e40b96701d/pone.0246173.g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/7853523/d5ea0ca4991b/pone.0246173.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/7853523/01b18ada5756/pone.0246173.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/7853523/9945f57b209c/pone.0246173.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/7853523/dfc1612b6668/pone.0246173.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/7853523/e5cba7f69f16/pone.0246173.g005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d369/7853523/47e40b96701d/pone.0246173.g007.jpg

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