IHU Méditerranée Infection, Marseille, France.
Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France.
J Med Virol. 2023 Jan;95(1):e28102. doi: 10.1002/jmv.28102. Epub 2022 Sep 10.
The nature and dynamics of mutations associated with the emergence, spread, and vanishing of SARS-CoV-2 variants causing successive waves are complex. We determined the kinetics of the most common French variant ("Marseille-4") for 10 months since its onset in July 2020. Here, we analyzed and classified into subvariants and lineages 7453 genomes obtained by next-generation sequencing. We identified two subvariants, Marseille-4A, which contains 22 different lineages of at least 50 genomes, and Marseille-4B. Their average lifetime was 4.1 ± 1.4 months, during which 4.1 ± 2.6 mutations accumulated. Growth rate was 0.079 ± 0.045, varying from 0.010 to 0.173. Most of the lineages exhibited a bell-shaped distribution. Several beneficial mutations at unpredicted sites initiated a new outbreak, while the accumulation of other mutations resulted in more viral heterogenicity, increased diversity and vanishing of the lineages. Marseille-4B emerged when the other Marseille-4 lineages vanished. Its ORF8 gene was knocked out by a stop codon, as reported in SARS-CoV-2 of mink and in the Alpha variant. This subvariant was associated with increased hospitalization and death rates, suggesting that ORF8 is a nonvirulence gene. We speculate that the observed heterogenicity of a lineage may predict the end of the outbreak.
与导致 SARS-CoV-2 变体出现、传播和消失的连续波相关的突变的性质和动态是复杂的。自 2020 年 7 月首次出现以来,我们已经确定了最常见的法国变体(“马赛 4 号”)的动力学特征,为期 10 个月。在这里,我们分析并将通过下一代测序获得的 7453 个基因组分类为亚变体和谱系。我们确定了两个亚变体,马赛 4A,其中包含至少 50 个基因组的 22 个不同谱系,以及马赛 4B。它们的平均寿命为 4.1±1.4 个月,在此期间积累了 4.1±2.6 个突变。增长率为 0.079±0.045,变化范围从 0.010 到 0.173。大多数谱系表现出钟形分布。一些未预测到的位点的有益突变引发了新的爆发,而其他突变的积累则导致了更多的病毒异质性、多样性增加以及谱系的消失。当其他马赛 4 谱系消失时,马赛 4B 出现。它的 ORF8 基因被一个终止密码子敲除,正如在水貂的 SARS-CoV-2 和 Alpha 变体中报道的那样。这个亚变体与住院和死亡率的增加有关,这表明 ORF8 是一个非毒性基因。我们推测,谱系的观察到的异质性可能预示着疫情的结束。