Servicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University Hospital, Madrid, Spain.
Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Madrid, Spain.
Microbiol Spectr. 2021 Dec 22;9(3):e0112821. doi: 10.1128/Spectrum.01128-21. Epub 2021 Nov 17.
The SARS-CoV-2 variant of concern (VOC) Delta (B.617.2 lineage) displaced the predominant VOC Alpha (B.1.1.7 lineage) in the United Kingdom. In Madrid, recent start of the decline of predominant VOC Alpha suggested an equivalent phenomenon. However, 11 different variants, none overrepresented in frequency, occupied progressively over a period of 7 weeks the niche previously dominated by VOC Alpha. Only after these 7 weeks, VOC Delta started to emerge. Viral competition due to the entry of VOC Delta is not the major force driving the start of VOC Alpha decline in Madrid. Our data indicate that the dynamics of SARS-CoV-2 VOCs turnover in our setting differ from those proposed for other countries. A systematic genomic analysis, updated on a weekly basis, of representative randomly selected samples of SARS-CoV-2 circulating variants allowed us to define a lapse of 7 weeks between the start of VOC Alpha decline and the final emergence of VOC Delta. During this period, VOC Alpha showed a sustained decline, while 11 VOCs, variants of interest (VOIs), and other identified variants, none overrepresented, occupied the niche left by VOC Alpha. Only after these 7 weeks, emergence of VOC Delta occurred, indicating that viral competition involving VOC Delta was not the exclusive direct driving force behind the starting of VOC Alpha decline.
在英国,引发关注的 SARS-CoV-2 变异株(VOC)Delta(B.617.2 谱系)取代了主要的 VOC Alpha(B.1.1.7 谱系)。在马德里,主要 VOC Alpha 的流行率近期开始下降,表明出现了类似的情况。然而,在 7 周的时间内,有 11 种不同的变异株(均未表现出频率优势)逐渐取代了之前由 VOC Alpha 占据的优势地位。只有在这 7 周之后,VOC Delta 才开始出现。VOC Delta 的出现引发的病毒竞争并不是导致马德里 VOC Alpha 流行率下降的主要因素。我们的数据表明,在我们的研究环境中,SARS-CoV-2 VOC 更替的动态与其他国家提出的模式不同。对代表性随机选择的 SARS-CoV-2 循环变异株进行每周更新的系统基因组分析,使我们能够确定在 VOC Alpha 流行率下降开始和 VOC Delta 最终出现之间存在 7 周的时间间隔。在此期间,VOC Alpha 持续下降,而 11 种 VOC、关注变异株(VOIs)和其他已确定的变异株(均未表现出频率优势)占据了 VOC Alpha 留下的生态位。只有在这 7 周之后,VOC Delta 才开始出现,这表明涉及 VOC Delta 的病毒竞争并不是 VOC Alpha 流行率下降的唯一直接驱动因素。