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Basic Characteristics of Mutations
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Mutation Site
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N440K |
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Mutation Site Sentence
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TABLE 3.Shared amino acid substitutions in the spike protein of BA.1, BA.1.1, BA.1.1.7, BA.2, and BA.2.10 lineages. |
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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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S |
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Standardized Encoding Gene
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S
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Genotype/Subtype
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BA.1 |
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Viral Reference
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NC_045512.2
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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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North India |
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Literature Information
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PMID
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36405589
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Title
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Omicron BA.2 lineage predominance in severe acute respiratory syndrome coronavirus 2 positive cases during the third wave in North India
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Author
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Zaman K,Shete AM,Mishra SK,Kumar A,Reddy MM,Sahay RR,Yadav S,Majumdar T,Pandey AK,Dwivedi GR,Deval H,Singh R,Behera SP,Kumar N,Patil S,Kumar A,Dudhmal M,Joshi Y,Shukla A,Gawande P,Kavathekar A,Kumar N,Kumar V,Kumar K,Singh RS,Kumar M,Tiwari S,Verma A,Yadav PD,Kant R
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Journal
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Frontiers in medicine
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Journal Info
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2022 Nov 2;9:955930
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Abstract
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BACKGROUND: Recent studies on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reveal that Omicron variant BA.1 and sub-lineages have revived the concern over resistance to antiviral drugs and vaccine-induced immunity. The present study aims to analyze the clinical profile and genome characterization of the SARS-CoV-2 variant in eastern Uttar Pradesh (UP), North India. METHODS: Whole-genome sequencing (WGS) was conducted for 146 SARS-CoV-2 samples obtained from individuals who tested coronavirus disease 2019 (COVID-19) positive between the period of 1 January 2022 and 24 February 2022, from three districts of eastern UP. The details regarding clinical and hospitalized status were captured through telephonic interviews after obtaining verbal informed consent. A maximum-likelihood phylogenetic tree was created for evolutionary analysis using MEGA7. RESULTS: The mean age of study participants was 33.9 +/- 13.1 years, with 73.5% accounting for male patients. Of the 98 cases contacted by telephone, 30 (30.6%) had a travel history (domestic/international), 16 (16.3%) reported having been infected with COVID-19 in past, 79 (80.6%) had symptoms, and seven had at least one comorbidity. Most of the sequences belonged to the Omicron variant, with BA.1 (6.2%), BA.1.1 (2.7%), BA.1.1.1 (0.7%), BA.1.1.7 (5.5%), BA.1.17.2 (0.7%), BA.1.18 (0.7%), BA.2 (30.8%), BA.2.10 (50.7%), BA.2.12 (0.7%), and B.1.617.2 (1.3%) lineages. BA.1 and BA.1.1 strains possess signature spike mutations S:A67V, S:T95I, S:R346K, S:S371L, S:G446S, S:G496S, S:T547K, S:N856K, and S:L981F, and BA.2 contains S:V213G, S:T376A, and S:D405N. Notably, ins214EPE (S1- N-Terminal domain) mutation was found in a significant number of Omicron BA.1 and sub-lineages. The overall Omicron BA.2 lineage was observed in 79.5% of women and 83.2% of men. CONCLUSION: The current study showed a predominance of the Omicron BA.2 variant outcompeting the BA.1 over a period in eastern UP. Most of the cases had a breakthrough infection following the recommended two doses of vaccine with four in five cases being symptomatic. There is a need to further explore the immune evasion properties of the Omicron variant.
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Sequence Data
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EPI_ISL_12157232-EPI_ISL_12157237;EPI_ISL_12155377-EPI_ISL_12155438;EPI_ISL_12155440-EPI_ISL_1215551
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