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2021 年 4 月之前俄罗斯地方性 SARS-CoV-2 谱系的传播。

Spread of endemic SARS-CoV-2 lineages in Russia before April 2021.

机构信息

A.A. Kharkevich Institute for Information Transmission Problems of the Russian Academy of Sciences, Moscow, Russia.

Skolkovo Institute of Science and Technology (Skoltech), Moscow, Russia.

出版信息

PLoS One. 2022 Jul 20;17(7):e0270717. doi: 10.1371/journal.pone.0270717. eCollection 2022.

Abstract

In 2021, the COVID-19 pandemic was characterized by global spread of several lineages with evidence for increased transmissibility. Throughout the pandemic, Russia has remained among the countries with the highest number of confirmed COVID-19 cases, making it a potential hotspot for emergence of novel variants. Here, we show that among the globally significant variants of concern that have spread globally by late 2020, alpha (B.1.1.7), beta (B.1.351) or gamma (P.1), none have been sampled in Russia before the end of 2020. Instead, between summer 2020 and spring 2021, the epidemic in Russia has been characterized by the spread of two lineages that were rare in most other countries: B.1.1.317 and a sublineage of B.1.1 including B.1.1.397 (hereafter, B.1.1.397+). Their frequency has increased concordantly in different parts of Russia. On top of these lineages, in late December 2020, alpha (B.1.1.7) emerged in Russia, reaching a frequency of 17.4% (95% C.I.: 12.0%-24.4%) in March 2021. Additionally, we identify three novel distinct lineages, AT.1, B.1.1.524 and B.1.1.525, that have started to spread, together reaching the frequency of 11.8% (95% C.I.: 7.5%-18.1%) in March 2021. These lineages carry combinations of several notable mutations, including the S:E484K mutation of concern, deletions at a recurrent deletion region of the spike glycoprotein (S:Δ140-142, S:Δ144 or S:Δ136-144), and nsp6:Δ106-108 (also known as ORF1a:Δ3675-3677). Community-based PCR testing indicates that these variants have continued to spread in April 2021, with the frequency of B.1.1.7 reaching 21.7% (95% C.I.: 12.3%-35.6%), and the joint frequency of B.1.1.524 and B.1.1.525, 15.2% (95% C.I.: 7.6%-28.2%). Although these variants have been displaced by the onset of delta variant in May-June 2021, lineages B.1.1.317, B.1.1.397+, AT.1, B.1.1.524 and B.1.1.525 and the combinations of mutations comprising them that are found in other lineages merit monitoring.

摘要

2021 年,COVID-19 疫情呈现出多种具有更高传染性证据的谱系在全球范围内传播的特征。在整个疫情期间,俄罗斯一直是确诊 COVID-19 病例最多的国家之一,使其成为新型变异株出现的潜在热点。在这里,我们表明,在 2020 年底已在全球传播的具有全球重要意义的关切变异株中,alpha(B.1.1.7)、beta(B.1.351)或 gamma(P.1)均未在 2020 年底之前在俄罗斯采样。相反,在 2020 年夏季至 2021 年春季期间,俄罗斯的疫情特征是两种在大多数其他国家很少见的谱系的传播:B.1.1.317 和包括 B.1.1.397(以下简称 B.1.1.397+)在内的 B.1.1 的一个亚谱系。它们在俄罗斯不同地区的频率一致增加。在这些谱系之上,2020 年 12 月底,alpha(B.1.1.7)出现在俄罗斯,到 2021 年 3 月,其频率达到 17.4%(95%置信区间:12.0%-24.4%)。此外,我们发现了三种新的不同谱系 AT.1、B.1.1.524 和 B.1.1.525,它们已开始传播,到 2021 年 3 月,它们的频率达到 11.8%(95%置信区间:7.5%-18.1%)。这些谱系携带多种显著突变的组合,包括受关注的 S:E484K 突变、刺突糖蛋白中反复缺失区(S:Δ140-142、S:Δ144 或 S:Δ136-144)和 nsp6:Δ106-108(也称为 ORF1a:Δ3675-3677)的缺失。基于社区的 PCR 检测表明,这些变异株在 2021 年 4 月继续传播,B.1.1.7 的频率达到 21.7%(95%置信区间:12.3%-35.6%),B.1.1.524 和 B.1.1.525 的联合频率达到 15.2%(95%置信区间:7.6%-28.2%)。尽管这些变异株已被 2021 年 5 月至 6 月 delta 变异株的出现所取代,但 B.1.1.317、B.1.1.397+、AT.1、B.1.1.524 和 B.1.1.525 谱系以及在其他谱系中发现的包含它们的突变组合值得监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8499/9299347/2dac5e27bed3/pone.0270717.g001.jpg

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