Department of Medicine (DAME), University of Udine, Udine, Italy.
Department of Laboratory Medicine, University Hospital of Udine, Udine, Italy.
PLoS One. 2021 Dec 14;16(12):e0261229. doi: 10.1371/journal.pone.0261229. eCollection 2021.
In-depth study of the entire SARS-CoV-2 genome has uncovered many mutations, which have replaced the lineage that characterized the first wave of infections all around the world. In December 2020, the outbreak of variant of concern (VOC) 202012/01 (lineage B.1.1.7) in the United Kingdom defined a turning point during the pandemic, immediately posing a worldwide threat on the Covid-19 vaccination campaign. Here, we reported the evolution of B.1.1.7 lineage-related infections, analyzing samples collected from January 1st 2021, until April 15th 2021, in Friuli Venezia Giulia, a northeastern region of Italy. A cohort of 1508 nasopharyngeal swabs was analyzed by High Resolution Melting (HRM) and 479 randomly selected samples underwent Next Generation Sequencing analysis (NGS), uncovering a steady and continuous accumulation of B.1.1.7 lineage-related specimens, joined by sporadic cases of other known lineages (i.e. harboring the Spike glycoprotein p.E484K mutation). All the SARS-CoV-2 genome has been analyzed in order to highlight all the rare mutations that may eventually result in a new variant of interest. This work suggests that a thorough monitoring of the SARS-CoV-2 genome by NGS is essential to contain any new variant that could jeopardize all the efforts that have been made so far to resolve the emergence of the pandemic.
对整个 SARS-CoV-2 基因组的深入研究揭示了许多突变,这些突变已经取代了在全球范围内首次感染的谱系。2020 年 12 月,在英国爆发的关切变异株(VOC)202012/01(谱系 B.1.1.7)定义了大流行期间的一个转折点,立即对全球的新冠疫苗接种运动构成了威胁。在这里,我们报告了与 B.1.1.7 谱系相关的感染的演变,分析了 2021 年 1 月 1 日至 2021 年 4 月 15 日在意大利东北部弗留利-威尼斯朱利亚地区采集的样本。通过高分辨率熔解(HRM)分析了 1508 份鼻咽拭子,随机选择了 479 份样本进行下一代测序分析(NGS),发现与 B.1.1.7 谱系相关的样本呈稳定且持续积累,同时还有其他已知谱系的散发病例(即携带 Spike 糖蛋白 p.E484K 突变)。对所有 SARS-CoV-2 基因组进行了分析,以突出可能最终导致新的关注变异的罕见突变。这项工作表明,通过 NGS 对 SARS-CoV-2 基因组进行彻底监测对于遏制任何可能危及迄今为止为解决大流行而做出的努力的新变体至关重要。
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