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Basic Characteristics of Mutations
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Mutation Site
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T716I |
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Mutation Site Sentence
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The presence of T716I and absence of Q414K and N450K in an earlier B.1.214 sequence from the Republic of the Congo (EPI_ISL_1654214) suggests that the insertion sequence could have been found in ancestors of B.1.214.2, and brought stability to the spike protein to allow for more virulent mutations such as first T716I, and then Q414K and N450K, bringing rise to the B.1.214.2 clade. |
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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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B.1.214.2 |
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Viral Reference
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MN908947
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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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- |
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Treatment
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- |
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Location
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Belgium |
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Literature Information
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PMID
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39390446
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Title
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Emergence of the B.1.214.2 SARS-CoV-2 lineage with an Omicron-like spike insertion and a unique upper airway immune signature
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Author
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Holtz A,Van Weyenbergh J,Hong SL,Cuypers L,O'Toole A,Dudas G,Gerdol M,Potter BI,Ntoumi F,Mapanguy CCM,Vanmechelen B,Wawina-Bokalanga T,Van Holm B,Menezes SM,Soubotko K,Van Pottelbergh G,Wollants E,Vermeersch P,Jacob AS,Maes B,Obbels D,Matheeussen V,Martens G,Gras J,Verhasselt B,Laffut W,Vael C,Goegebuer T,van der Kant R,Rousseau F,Schymkowitz J,Serrano L,Delgado J,Wenseleers T,Bours V,Andre E,Suchard MA,Rambaut A,Dellicour S,Maes P,Durkin K,Baele G
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Journal
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BMC infectious diseases
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Journal Info
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2024 Oct 10;24(1):1139
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Abstract
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We investigate the emergence, mutation profile, and dissemination of SARS-CoV-2 lineage B.1.214.2, first identified in Belgium in January 2021. This variant, featuring a 3-amino acid insertion in the spike protein similar to the Omicron variant, was speculated to enhance transmissibility or immune evasion. Initially detected in international travelers, it substantially transmitted in Central Africa, Belgium, Switzerland, and France, peaking in April 2021. Our travel-aware phylogeographic analysis, incorporating travel history, estimated the origin to the Republic of the Congo, with primary European entry through France and Belgium, and multiple smaller introductions during the epidemic. We correlate its spread with human travel patterns and air passenger data. Further, upon reviewing national reports of SARS-CoV-2 outbreaks in Belgian nursing homes, we found this strain caused moderately severe outcomes (8.7% case fatality ratio). A distinct nasopharyngeal immune response was observed in elderly patients, characterized by 80% unique signatures, higher B- and T-cell activation, increased type I IFN signaling, and reduced NK, Th17, and complement system activation, compared to similar outbreaks. This unique immune response may explain the variant's epidemiological behavior and underscores the need for nasal vaccine strategies against emerging variants.
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Sequence Data
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-
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