Soeorg Hiie, Abroi Aare, Päll Taavi, Dotsenko Liidia, Jaaniso Erik, Kaarna Katrin, Lahesaare Andrio, Naaber Paul, Niglas Heiki, Oopkaup Ott Eric, Peterson Hedi, Reisberg Tuuli, Sadikova Olga, Smit Steven, Talas Ulvi Gerst, Avi Radko, Lutsar Irja, Huik Kristi
Department of Microbiology, Faculty of Medicine, Institute of Biomedicine and Translational Medicine, University of Tartu, Tartu, Estonia.
Infection, Immunity and Inflammation Research & Teaching Department, Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.
PLoS One. 2024 Dec 20;19(12):e0316213. doi: 10.1371/journal.pone.0316213. eCollection 2024.
PURPOSE: We aimed to describe SARS-CoV-2 lineages and diversity in children and adults in Estonia and similarity to travel-related cases and neighbouring countries. METHODS: SARS-CoV-2 sequences in 2021-2022 from a nationwide study were included. The proportion of predominant lineages in Estonian regions and among travel-related cases was described by multinomial logistic regression. Simpson's indices of diversity were compared using linear regression. Dynamics of Bray-Curtis dissimilarity was described by applying fuzzy clustering to non-metrical dimensional scaling results. RESULTS: A total of 2,630 sequences from children (<15 years) and 23,031 from adults (≥15 years) were included. The increase in the proportion of Alpha/Delta/Omicron BA.1/BA.2 lineages was delayed in smaller regions (by 3.5-27.5 days). The proportion of Alpha/Delta/Omicron BA.1 increased earlier among travel-related (n = 4,654) than non-travel-related cases (10.5 days). Diversity was lower in non-travel-related than travel-related cases until Delta period by 0.066. Dynamics of lineages and diversity were similar in adults and children. Similarity of lineages was delayed compared to Finland during Alpha/Omicron BA.1/BA.2 periods and different from all neighbouring countries during Delta period. CONCLUSION: SARS-CoV-2 lineages in children and adults were similar. Differences between regions and travel-related cases and varying similarity to neighbouring countries suggest the importance of mobility in the spread.
目的:我们旨在描述爱沙尼亚儿童和成人中新冠病毒(SARS-CoV-2)的谱系和多样性,以及与旅行相关病例和邻国的相似性。 方法:纳入了2021年至2022年一项全国性研究中的SARS-CoV-2序列。通过多项逻辑回归描述了爱沙尼亚各地区以及与旅行相关病例中主要谱系的比例。使用线性回归比较了辛普森多样性指数。通过对非度量多维尺度分析结果应用模糊聚类来描述布雷-柯蒂斯相异度的动态变化。 结果:共纳入了2630条来自儿童(<15岁)的序列和23031条来自成人(≥15岁)的序列。在较小地区,阿尔法/德尔塔/奥密克戎BA.1/BA.2谱系比例的上升延迟(延迟3.5 - 27.5天)。与旅行无关的病例相比,与旅行相关的病例(n = 4654)中阿尔法/德尔塔/奥密克戎BA.1的比例更早上升(早10.5天)。在德尔塔时期之前,与旅行无关的病例的多样性低于与旅行相关的病例,相差0.066。成人和儿童的谱系动态和多样性相似。在阿尔法/奥密克戎BA.1/BA.2时期,与芬兰相比,谱系相似性出现延迟,在德尔塔时期与所有邻国不同。 结论:儿童和成人中的SARS-CoV-2谱系相似。地区与旅行相关病例之间的差异以及与邻国不同的相似性表明流动性在病毒传播中的重要性。
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