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Basic Characteristics of Mutations
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Mutation Site
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G227A |
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Mutation Site Sentence
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Furthermore, the viral shedding time significantly decreased when the A1,430G or C12,473T mutation occurred (P<0.01 and FDR<0.01) and increased when G227A occurred (P<0.05 and FDR<0.05). |
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Mutation Level
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Amino acid level |
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Mutation Type
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Nonsynonymous substitution |
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Gene/Protein/Region
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Standardized Encoding Gene
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|
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Genotype/Subtype
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- |
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Viral Reference
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MN908947.3
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Functional Impact and Mechanisms
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Disease
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COVID-19
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Immune
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- |
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Target Gene
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-
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Clinical and Epidemiological Correlations
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Clinical Information
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Y |
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Treatment
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- |
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Location
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China |
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Literature Information
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PMID
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33945070
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Title
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Longitudinal virological changes and underlying pathogenesis in hospitalized COVID-19 patients in Guangzhou, China
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Author
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Li Z,Li Y,Sun R,Li S,Chen L,Zhan Y,Xie M,Yang J,Wang Y,Zhu A,Gu G,Yu L,Li S,Liu T,Chen Z,Jian W,Jiang Q,Su X,Gu W,Chen L,Cheng J,Zhao J,Lu W,Zheng J,Li S,Zhong N,Ye F
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Journal
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Science China. Life sciences
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Journal Info
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2021 Dec;64(12):2129-2143
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Abstract
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Prolonged viral RNA shedding and recurrence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in coronavirus disease 2019 (COVID-19) patients have been reported. However, the clinical outcome and pathogenesis remain unclear. In this study, we recruited 43 laboratory-confirmed COVID-19 patients. We found that prolonged viral RNA shedding or recurrence mainly occurred in severe/critical patients (P<0.05). The average viral shedding time in severe/critical patients was more than 50 days, and up to 100 days in some patients, after symptom onset. However, chest computed tomography gradually improved and complete absorption occurred when SARS-CoV-2 RT-PCR was still positive, but specific antibodies appeared. Furthermore, the viral shedding time significantly decreased when the A1,430G or C12,473T mutation occurred (P<0.01 and FDR<0.01) and increased when G227A occurred (P<0.05 and FDR<0.05). High IL1R1, IL1R2, and TNFRSF21 expression in the host positively correlated with viral shedding time (P<0.05 and false discovery rate <0.05). Prolonged viral RNA shedding often occurs but may not increase disease damage. Prolonged viral RNA shedding is associated with viral mutations and host factors.
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Sequence Data
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CRA002522
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