SARS-CoV-2 Mutations: B.1.1.7, B.1.351 & D614G Research

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    Covid-19 Mutation
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Discussion Overview

The discussion centers on the various mutations of the SARS-CoV-2 virus, specifically the B.1.1.7, B.1.351, and D614G variants. Participants explore the implications of these mutations on transmissibility, immune response, and detection methods, while referencing recent research and pre-prints related to these variants.

Discussion Character

  • Exploratory
  • Technical explanation
  • Debate/contested
  • Mathematical reasoning

Main Points Raised

  • Some participants note that the B.1.1.7 variant has specific mutations, such as N501Y, which may enhance binding to human ACE2, and deletions that could help evade immune responses.
  • Others point out that increased transmissibility of a variant does not necessarily indicate it is inherently more transmissible, citing the example of the 20A.EU1 variant that spread widely without evidence of increased transmissibility.
  • Concerns were raised about the sensitivity of RT-qPCR tests to mutations, particularly with the B.1.1.7 variant, where specific mutations may lead to false negatives in tests designed to detect the virus.
  • Some participants discuss the potential for designing RT-qPCR tests that target specific strains, including the B.1.1.7 variant, to improve detection accuracy.
  • A participant shared a pre-publication regarding the effectiveness of the Pfizer vaccine against the N501Y variant, suggesting ongoing research in this area.

Areas of Agreement / Disagreement

Participants express a range of views regarding the implications of mutations on transmissibility and detection methods, indicating that multiple competing perspectives remain without a clear consensus on the effects of these variants.

Contextual Notes

Discussions include references to various studies and pre-prints, highlighting the evolving nature of research on SARS-CoV-2 mutations. Limitations in detection methods due to mutations and the context of variant spread are noted but remain unresolved.

Who May Find This Useful

This discussion may be of interest to researchers, healthcare professionals, and individuals studying virology, epidemiology, and public health, particularly in relation to COVID-19 variants and their implications.

  • #91
A potentially faster-spreading "sub-lineage" of the coronavirus Delta variant named AY.4.2 has been spotted by labs in at least 8 states, and health authorities in the United Kingdom say they are investigating a growing share of cases from this strain of the virus.

Labs in California, Florida, Maryland, Massachusetts, Nevada, North Carolina, Rhode Island and Washington state, plus the District of Columbia, have so far spotted at least one case of AY.4.2.
https://www.cbsnews.com/news/covid-delta-plus-variant-ay-4-2-states/

There are variants of the Covid-19 Coronavirus like the Delta variant. Then there are subvariants, which are variants of the variants. And AY.4.2 is a Delta subvariant that has now spread to at least 42 different countries, including the U.S., according to the latest World Health Organization (WHO) Weekly epidemiological update on Covid-19. This AY.4.2 takes the Delta variant and raises it three additional mutations, including two that affect the oh-so-important spike proteins that studs the surface of the virus. These mutations are called A222V and Y145H, . . .
https://www.forbes.com/sites/brucel...avirus-subvariant-has-spread-to-42-countries/

https://gvn.org/covid-19/delta-b-1-617-2/

https://www.bbc.com/news/health-58965650

https://www.cnbc.com/2021/10/21/the-delta-variant-has-a-mutation-what-we-know-so-far.html

I can't find any statement from WHO.int yet.

Repeating myself: What doesn't kill you, mutates and tries again, and again, . . .
 
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  • #92
Regarding AY.4.2, data from England do suggest that AY.4.2 infections (purple on the graph below) continued to rise as delta infections (B.1.617.2, green on graph below) leveled off in Sep-Oct, which does suggest potential increased transmissibility of AY.4.2 over B.1.617.2:
1635872730413.png

https://covid19.sanger.ac.uk/lineages/raw

Unfortunately, it does not look like the US CDC variant tracking site tracks AY.4.2, as all of the delta lineages (except AY.1 and AY.2) are aggregated with B.1.617.2.
 
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  • #94
While most studies of COVID-19 variants have focused on mutations in the spike protein (which are important for determining the strength with which the virus binds to the ACE2 receptor in the cells it infects as well as binding to antibodies), here's a paper studying mutations to other proteins encoded by the SARS-CoV-2 virus. In particular, they find some mutations help to enhance the activity of Orf9b in helping the virus to evade the innate immune system.

Evolution of enhanced innate immune evasion by SARS-CoV-2
https://www.nature.com/articles/s41586-021-04352-y

Abstract:
Emergence of SARS-CoV-2 variants of concern (VOCs) suggests viral adaptation to enhance human-to-human transmission1,2. Although much effort has focused on characterisation of spike changes in VOCs, mutations outside spike likely contribute to adaptation. Here we used unbiased abundance proteomics, phosphoproteomics, RNAseq and viral replication assays to show that isolates of the Alpha (B.1.1.7) variant3 more effectively suppress innate immune responses in airway epithelial cells, compared to first wave isolates. We found that Alpha has dramatically increased subgenomic RNA and protein levels of N, Orf9b and Orf6, all known innate immune antagonists. Expression of Orf9b alone suppressed the innate immune response through interaction with TOM70, a mitochondrial protein required for RNA sensing adaptor MAVS activation. Moreover, the activity of Orf9b and its association with TOM70 was regulated by phosphorylation. We propose that more effective innate immune suppression, through enhanced expression of specific viral antagonist proteins, increases the likelihood of successful Alpha transmission, and may increase in vivo replication and duration of infection4. The importance of mutations outside Spike in adaptation of SARS-CoV-2 to humans is underscored by the observation that similar mutations exist in the Delta and Omicron N/Orf9b regulatory regions.
 
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