Petrone Mary E, Lucas Carolina, Menasche Bridget, Breban Mallery I, Yildirim Inci, Campbell Melissa, Omer Saad B, Ko Albert I, Grubaugh Nathan D, Iwasak Akiko, Wilen Craig B, Vogels Chantal B F, Fauver Joseph R
Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.
School of Life and Environmental Sciences, University of Sydney, Sydney, NSW, Australia.
medRxiv. 2022 Mar 30:2022.03.28.22273077. doi: 10.1101/2022.03.28.22273077.
SARS-CoV-2 'Variants of Concern' (VOCs) continue to reshape the trajectory of the COVID-19 pandemic. However, why some VOCs, like Omicron, become globally dominant while the spread of others is limited is not fully understood. To address this question, we investigated the VOC Mu, which was first identified in Colombia in late 2020. Our study demonstrates that, although Mu is less sensitive to neutralization compared to variants that preceded it, it did not spread significantly outside of South and Central America. Additionally, we find evidence that the response to Mu was impeded by reporting delays and gaps in the global genomic surveillance system. Our findings suggest that immune evasion alone was not sufficient to outcompete highly transmissible variants that were circulating concurrently with Mu. Insights into the complex relationship between genomic and epidemiological characteristics of previous variants should inform our response to variants that are likely to emerge in the future.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的“关注变体”(VOCs)持续重塑新冠疫情的发展轨迹。然而,为何有些VOCs,如奥密克戎,会在全球占据主导地位,而其他一些变体的传播却受到限制,这一点尚未完全明确。为解决这一问题,我们对2020年末在哥伦比亚首次发现的VOC Mu进行了研究。我们的研究表明,尽管与之前的变体相比,Mu对中和作用的敏感性较低,但它并未在南美洲和中美洲以外地区显著传播。此外,我们发现有证据表明,全球基因组监测系统的报告延迟和漏洞阻碍了对Mu的应对。我们的研究结果表明,仅免疫逃逸不足以胜过与Mu同时传播的高传播性变体。深入了解先前变体的基因组和流行病学特征之间的复杂关系,应能为我们应对未来可能出现的变体提供参考。