Translational Medicine Centre, All India Institute of Medical Sciences, Bhopal 462020, India.
Department of Microbiology, All India Institute of Medical Sciences, Bhopal 462020, India.
Genes (Basel). 2021 Nov 16;12(11):1803. doi: 10.3390/genes12111803.
India experienced a tragic second wave after the end of March 2021, which was far more massive than the first wave and was driven by the emergence of the novel delta variant (B.1.617.2) of the SARS-CoV-2 virus. In this study, we explored the local and national landscape of the viral variants in the period immediately preceding the second wave to gain insight into the mechanism of emergence of the delta variant and thus improve our understanding of the causation of the second wave. We randomly selected 20 SARS-CoV-2 positive samples diagnosed in our lab between 3 February and 8 March 2021 and subjected them to whole genome sequencing. Nine of the 20 sequenced genomes were classified as kappa variant (B.1.617.1). The phylogenetic analysis of pan-India SARS-CoV-2 genome sequences also suggested the gradual replacement of the α variant with the kappa variant during this period. This relative consolidation of the kappa variant was significant, since it shared 3 of the 4 signature mutations (L452R, E484Q and P681R) observed in the spike protein of delta variant and thus was likely to be the precursor in its evolution. This study demonstrates the predominance of the kappa variant in the period immediately prior to the second wave and underscores its role as the "bridging variant" between the α and delta variants that drove the first and second waves of COVID-19 in India, respectively.
印度在 2021 年 3 月底结束后经历了悲惨的第二波疫情,这波疫情比第一波规模更大,是由新型 delta 变体(B.1.617.2)引发的。在这项研究中,我们探索了第二波疫情之前的病毒变体的本地和国家情况,以深入了解 delta 变体出现的机制,从而更好地了解第二波疫情的原因。我们随机选择了 2021 年 2 月 3 日至 3 月 8 日期间在我们实验室诊断的 20 个 SARS-CoV-2 阳性样本,并对其进行了全基因组测序。20 个测序基因组中有 9 个被归类为 kappa 变体(B.1.617.1)。对全印度 SARS-CoV-2 基因组序列的系统发育分析也表明,在此期间,α变体逐渐被 kappa 变体取代。这种 kappa 变体的相对巩固是显著的,因为它在刺突蛋白中共享了 delta 变体的 4 个特征突变中的 3 个(L452R、E484Q 和 P681R),因此很可能是其进化的前身。本研究表明,kappa 变体在第二波疫情之前的时期占主导地位,并强调了其作为“桥梁变体”的作用,分别推动了印度 COVID-19 的第一波和第二波疫情。