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Published on 02/04/2021

COVID-19 Genomics and Precision Public Health Weekly Update Content

Pathogen and Human Genomics Studies

  • Bioaerosol sampling for SARS-CoV-2 in a referral center with critically ill COVID-19 patients March-May 2020
    Lane MA, et al. Clin Infect Dis. 2021 Jan 28;ciaa1880.
    Findings from Emory U study: "Of 528 aerosol samples collected, none were positive for SARS-CoV-2 RNA by the estimated limit of detection of 8 viral copies/m 3 of air.... Aerosolized SARS-CoV-2 outside of patient rooms was undetectable. While healthcare personnel should avoid unmasked close contact with each other, these findings may provide reassurance for the use of alternatives to tight-fitting respirators in areas outside of patient rooms during the current pandemic.
  • Sequencing Data of North American SARS-CoV-2 Isolates Shows Widespread Complex Variants
    CT Ford et al, MEDRXIV, January 29, 2021
    Several new variants of the SARS-CoV-2 have been isolated in the United States, Mexico, and Canada. Many of the variants contain single variants of functional significance. To study the occurrence and co-circulation of these variants, we have developed an easy-to-use dashboard. We find that viral variants that have raised concern in a few US States in recent reports are widespread. Based on the increase in the proportion of variant viruses being sampled, these variants are likely to lead to increased transmission of SARS-CoV-2 across North America in the coming months.
  • The effectiveness of the first dose of BNT162 b 2 vaccine in reducing SARS-CoV-2 infection 13-24 days after immunization: real-world evidence
    G Chodcik et al, MEDRXIV, January 29, 2021
    We conducted a retrospective cohort study using data from 2.6 million-member state-mandated health provider in Israel. Study population consisted of all members aged 16 or above years who were vaccinated with BNT162b2-vaccine between December/19/2020 and January/15/2021. We demonstrated an effectiveness of 51% of BNT162b2 vaccine against SARS-CoV-2 infection 13-24 days after immunization with the first dose.
  • The effect of SARS-CoV-2 variant B.1.1.7 on symptomatology, re-infection and transmissibility
    MS Graham et al, MEDRXIV, January 29, 2021
    Using longitudinal symptom and test reports of 36,920 users of the Covid Symptom Study app testing positive for COVID-19 between 28 September and 27 December 2020,we found no evidence for changes in reported symptoms, disease severity and disease duration associated with B.1.1.7. We found a likely reinfection rate of around 0.7%, but no evidence that this was higher compared to older strains. We found an increase in R(t) by a factor of 1.35.
  • Predictive power of SARS-CoV-2 wastewater surveillance for diverse populations across a large geographical range
    RG Melvin et al, MEDRXIV, January 30, 2021
    We monitored SARS-CoV-2 RNA at the population-level using municipal wastewater influent from 19 cities across the state of Minnesota. Data showed that viral RNA trends appeared to precede clinically confirmed cases across the state by several days. Lag analysis of statewide trends confirmed that wastewater SARS-CoV-2 RNA levels preceded new clinical cases by 15-17 days. At the regional level, new clinical cases lagged behind wastewater viral RNA anywhere from 4- 20 days.
  • Detection of SARS-CoV-2 from patient fecal samples by whole genome sequencing.
    Papoutsis Andreas et al. Gut pathogens 2021 Jan (1) 7
    This study sought to identify SARS-CoV-2 by enrichment next-generation sequencing (NGS) from fecal samples, and to utilize whole genome analysis to characterize SARS-CoV-2 mutational variations in COVID-19 patients. Study participants underwent testing for SARS-CoV-2 from fecal samples by whole genome enrichment NGS (n = 14), and RT-PCR nasopharyngeal swab analysis (n = 12). Concordance of SARS-CoV-2 detection by enrichment NGS from stools with RT-PCR nasopharyngeal analysis was 100%.
  • SARS-CoV-2 B.1.1.7 escape from mRNA vaccine-elicited neutralizing antibodies
    D Collier et al, MEDRXIV, February 2, 2021
    We measured neutralising antibody responses following a single immunization using pseudoviruses expressing the wild-type Spike protein or the 8 mutations found in the B.1.1.7 Spike protein. The vaccine sera exhibited a broad range of neutralizing titres against the wild-type pseudoviruses (<1:4 to 3449) that were reduced against B.1.1.7 variant by 3.85 fold (IQR 2.68-5.28). This reduction was also evident in sera from some convalescent patients.
  • Minor Clinical Impact of COVID-19 Pandemic on Patients With Primary Immunodeficiency in Israel.
    Marcus Nufar et al. Frontiers in immunology 2020 614086
    A total of 20 PID patients, aged 4 months to 60 years, were tested positive for SARS-CoV-2, all but one, were detected during the second wave. Fourteen of the patients were on routine monthly IVIG replacement therapy at the time of virus detection. None of the patients displayed severe illness and none required hospitalization; moreover, 7/20 patients were completely asymptomatic.
  • Sixteen novel lineages of SARS-CoV-2 in South Africa
    H Tegally et al, Nature Medicine, February 2, 2021
    We analyzed 1,365 near whole genomes and report the identification of 16 new lineages of SARS-CoV-2. Most of these lineages have unique mutations that have not been identified elsewhere. We also show that three lineages (B.1.1.54, B.1.1.56 and C.1) spread widely in South Africa during the first wave, comprising ~42% of all infections in the country at the time. The newly identified C lineage of SARS-CoV-2, C.1, which has 16 nucleotide mutations as compared with the Wuhan sequence.
  • Recurrent deletions in the SARS-CoV-2 spike glycoprotein drive antibody escape
    McCarthy KR, et al. Science, Feb 3, 2021.
    "Coronaviruses acquire substitutions more slowly than other RNA viruses, due to a proofreading polymerase. In the spike glycoprotein, we find recurrent deletions overcome this slow substitution rate. Deletion variants arise in diverse genetic and geographic backgrounds, transmit efficiently, and are present in novel lineages, including those of current global concern. They frequently occupy recurrent deletion regions (RDRs), which map to defined antibody epitopes. Deletions in RDRs confer resistance to neutralizing antibodies. By altering stretches of amino acids, deletions appear to accelerate SARS-CoV-2 antigenic evolution and may, more generally, drive adaptive evolution."

Non-Genomics Precision Health Studies

  • Bioaerosol sampling for SARS-CoV-2 in a referral center with critically ill COVID-19 patients March-May 2020
    Lane MA, et al. Clin Infect Dis. 2021 Jan 28;ciaa1880.
    Findings from Emory U study: "Of 528 aerosol samples collected, none were positive for SARS-CoV-2 RNA by the estimated limit of detection of 8 viral copies/m 3 of air.... Aerosolized SARS-CoV-2 outside of patient rooms was undetectable. While healthcare personnel should avoid unmasked close contact with each other, these findings may provide reassurance for the use of alternatives to tight-fitting respirators in areas outside of patient rooms during the current pandemic.
  • Sequencing Data of North American SARS-CoV-2 Isolates Shows Widespread Complex Variants
    CT Ford et al, MEDRXIV, January 29, 2021
    Several new variants of the SARS-CoV-2 have been isolated in the United States, Mexico, and Canada. Many of the variants contain single variants of functional significance. To study the occurrence and co-circulation of these variants, we have developed an easy-to-use dashboard. We find that viral variants that have raised concern in a few US States in recent reports are widespread. Based on the increase in the proportion of variant viruses being sampled, these variants are likely to lead to increased transmission of SARS-CoV-2 across North America in the coming months.
  • The effectiveness of the first dose of BNT162 b 2 vaccine in reducing SARS-CoV-2 infection 13-24 days after immunization: real-world evidence
    G Chodcik et al, MEDRXIV, January 29, 2021
    We conducted a retrospective cohort study using data from 2.6 million-member state-mandated health provider in Israel. Study population consisted of all members aged 16 or above years who were vaccinated with BNT162b2-vaccine between December/19/2020 and January/15/2021. We demonstrated an effectiveness of 51% of BNT162b2 vaccine against SARS-CoV-2 infection 13-24 days after immunization with the first dose.
  • The effect of SARS-CoV-2 variant B.1.1.7 on symptomatology, re-infection and transmissibility
    MS Graham et al, MEDRXIV, January 29, 2021
    Using longitudinal symptom and test reports of 36,920 users of the Covid Symptom Study app testing positive for COVID-19 between 28 September and 27 December 2020,we found no evidence for changes in reported symptoms, disease severity and disease duration associated with B.1.1.7. We found a likely reinfection rate of around 0.7%, but no evidence that this was higher compared to older strains. We found an increase in R(t) by a factor of 1.35.
  • Predictive power of SARS-CoV-2 wastewater surveillance for diverse populations across a large geographical range
    RG Melvin et al, MEDRXIV, January 30, 2021
    We monitored SARS-CoV-2 RNA at the population-level using municipal wastewater influent from 19 cities across the state of Minnesota. Data showed that viral RNA trends appeared to precede clinically confirmed cases across the state by several days. Lag analysis of statewide trends confirmed that wastewater SARS-CoV-2 RNA levels preceded new clinical cases by 15-17 days. At the regional level, new clinical cases lagged behind wastewater viral RNA anywhere from 4- 20 days.
  • Detection of SARS-CoV-2 from patient fecal samples by whole genome sequencing.
    Papoutsis Andreas et al. Gut pathogens 2021 Jan (1) 7
    This study sought to identify SARS-CoV-2 by enrichment next-generation sequencing (NGS) from fecal samples, and to utilize whole genome analysis to characterize SARS-CoV-2 mutational variations in COVID-19 patients. Study participants underwent testing for SARS-CoV-2 from fecal samples by whole genome enrichment NGS (n = 14), and RT-PCR nasopharyngeal swab analysis (n = 12). Concordance of SARS-CoV-2 detection by enrichment NGS from stools with RT-PCR nasopharyngeal analysis was 100%.
  • SARS-CoV-2 B.1.1.7 escape from mRNA vaccine-elicited neutralizing antibodies
    D Collier et al, MEDRXIV, February 2, 2021
    We measured neutralising antibody responses following a single immunization using pseudoviruses expressing the wild-type Spike protein or the 8 mutations found in the B.1.1.7 Spike protein. The vaccine sera exhibited a broad range of neutralizing titres against the wild-type pseudoviruses (<1:4 to 3449) that were reduced against B.1.1.7 variant by 3.85 fold (IQR 2.68-5.28). This reduction was also evident in sera from some convalescent patients.
  • Minor Clinical Impact of COVID-19 Pandemic on Patients With Primary Immunodeficiency in Israel.
    Marcus Nufar et al. Frontiers in immunology 2020 614086
    A total of 20 PID patients, aged 4 months to 60 years, were tested positive for SARS-CoV-2, all but one, were detected during the second wave. Fourteen of the patients were on routine monthly IVIG replacement therapy at the time of virus detection. None of the patients displayed severe illness and none required hospitalization; moreover, 7/20 patients were completely asymptomatic.
  • Sixteen novel lineages of SARS-CoV-2 in South Africa
    H Tegally et al, Nature Medicine, February 2, 2021
    We analyzed 1,365 near whole genomes and report the identification of 16 new lineages of SARS-CoV-2. Most of these lineages have unique mutations that have not been identified elsewhere. We also show that three lineages (B.1.1.54, B.1.1.56 and C.1) spread widely in South Africa during the first wave, comprising ~42% of all infections in the country at the time. The newly identified C lineage of SARS-CoV-2, C.1, which has 16 nucleotide mutations as compared with the Wuhan sequence.
  • Recurrent deletions in the SARS-CoV-2 spike glycoprotein drive antibody escape
    McCarthy KR, et al. Science, Feb 3, 2021.
    "Coronaviruses acquire substitutions more slowly than other RNA viruses, due to a proofreading polymerase. In the spike glycoprotein, we find recurrent deletions overcome this slow substitution rate. Deletion variants arise in diverse genetic and geographic backgrounds, transmit efficiently, and are present in novel lineages, including those of current global concern. They frequently occupy recurrent deletion regions (RDRs), which map to defined antibody epitopes. Deletions in RDRs confer resistance to neutralizing antibodies. By altering stretches of amino acids, deletions appear to accelerate SARS-CoV-2 antigenic evolution and may, more generally, drive adaptive evolution."

News, Reviews and Commentaries

  • Bioaerosol sampling for SARS-CoV-2 in a referral center with critically ill COVID-19 patients March-May 2020
    Lane MA, et al. Clin Infect Dis. 2021 Jan 28;ciaa1880.
    Findings from Emory U study: "Of 528 aerosol samples collected, none were positive for SARS-CoV-2 RNA by the estimated limit of detection of 8 viral copies/m 3 of air.... Aerosolized SARS-CoV-2 outside of patient rooms was undetectable. While healthcare personnel should avoid unmasked close contact with each other, these findings may provide reassurance for the use of alternatives to tight-fitting respirators in areas outside of patient rooms during the current pandemic.
  • Sequencing Data of North American SARS-CoV-2 Isolates Shows Widespread Complex Variants
    CT Ford et al, MEDRXIV, January 29, 2021
    Several new variants of the SARS-CoV-2 have been isolated in the United States, Mexico, and Canada. Many of the variants contain single variants of functional significance. To study the occurrence and co-circulation of these variants, we have developed an easy-to-use dashboard. We find that viral variants that have raised concern in a few US States in recent reports are widespread. Based on the increase in the proportion of variant viruses being sampled, these variants are likely to lead to increased transmission of SARS-CoV-2 across North America in the coming months.
  • The effectiveness of the first dose of BNT162 b 2 vaccine in reducing SARS-CoV-2 infection 13-24 days after immunization: real-world evidence
    G Chodcik et al, MEDRXIV, January 29, 2021
    We conducted a retrospective cohort study using data from 2.6 million-member state-mandated health provider in Israel. Study population consisted of all members aged 16 or above years who were vaccinated with BNT162b2-vaccine between December/19/2020 and January/15/2021. We demonstrated an effectiveness of 51% of BNT162b2 vaccine against SARS-CoV-2 infection 13-24 days after immunization with the first dose.
  • The effect of SARS-CoV-2 variant B.1.1.7 on symptomatology, re-infection and transmissibility
    MS Graham et al, MEDRXIV, January 29, 2021
    Using longitudinal symptom and test reports of 36,920 users of the Covid Symptom Study app testing positive for COVID-19 between 28 September and 27 December 2020,we found no evidence for changes in reported symptoms, disease severity and disease duration associated with B.1.1.7. We found a likely reinfection rate of around 0.7%, but no evidence that this was higher compared to older strains. We found an increase in R(t) by a factor of 1.35.
  • Predictive power of SARS-CoV-2 wastewater surveillance for diverse populations across a large geographical range
    RG Melvin et al, MEDRXIV, January 30, 2021
    We monitored SARS-CoV-2 RNA at the population-level using municipal wastewater influent from 19 cities across the state of Minnesota. Data showed that viral RNA trends appeared to precede clinically confirmed cases across the state by several days. Lag analysis of statewide trends confirmed that wastewater SARS-CoV-2 RNA levels preceded new clinical cases by 15-17 days. At the regional level, new clinical cases lagged behind wastewater viral RNA anywhere from 4- 20 days.
  • Detection of SARS-CoV-2 from patient fecal samples by whole genome sequencing.
    Papoutsis Andreas et al. Gut pathogens 2021 Jan (1) 7
    This study sought to identify SARS-CoV-2 by enrichment next-generation sequencing (NGS) from fecal samples, and to utilize whole genome analysis to characterize SARS-CoV-2 mutational variations in COVID-19 patients. Study participants underwent testing for SARS-CoV-2 from fecal samples by whole genome enrichment NGS (n = 14), and RT-PCR nasopharyngeal swab analysis (n = 12). Concordance of SARS-CoV-2 detection by enrichment NGS from stools with RT-PCR nasopharyngeal analysis was 100%.
  • SARS-CoV-2 B.1.1.7 escape from mRNA vaccine-elicited neutralizing antibodies
    D Collier et al, MEDRXIV, February 2, 2021
    We measured neutralising antibody responses following a single immunization using pseudoviruses expressing the wild-type Spike protein or the 8 mutations found in the B.1.1.7 Spike protein. The vaccine sera exhibited a broad range of neutralizing titres against the wild-type pseudoviruses (<1:4 to 3449) that were reduced against B.1.1.7 variant by 3.85 fold (IQR 2.68-5.28). This reduction was also evident in sera from some convalescent patients.
  • Minor Clinical Impact of COVID-19 Pandemic on Patients With Primary Immunodeficiency in Israel.
    Marcus Nufar et al. Frontiers in immunology 2020 614086
    A total of 20 PID patients, aged 4 months to 60 years, were tested positive for SARS-CoV-2, all but one, were detected during the second wave. Fourteen of the patients were on routine monthly IVIG replacement therapy at the time of virus detection. None of the patients displayed severe illness and none required hospitalization; moreover, 7/20 patients were completely asymptomatic.
  • Sixteen novel lineages of SARS-CoV-2 in South Africa
    H Tegally et al, Nature Medicine, February 2, 2021
    We analyzed 1,365 near whole genomes and report the identification of 16 new lineages of SARS-CoV-2. Most of these lineages have unique mutations that have not been identified elsewhere. We also show that three lineages (B.1.1.54, B.1.1.56 and C.1) spread widely in South Africa during the first wave, comprising ~42% of all infections in the country at the time. The newly identified C lineage of SARS-CoV-2, C.1, which has 16 nucleotide mutations as compared with the Wuhan sequence.
  • Recurrent deletions in the SARS-CoV-2 spike glycoprotein drive antibody escape
    McCarthy KR, et al. Science, Feb 3, 2021.
    "Coronaviruses acquire substitutions more slowly than other RNA viruses, due to a proofreading polymerase. In the spike glycoprotein, we find recurrent deletions overcome this slow substitution rate. Deletion variants arise in diverse genetic and geographic backgrounds, transmit efficiently, and are present in novel lineages, including those of current global concern. They frequently occupy recurrent deletion regions (RDRs), which map to defined antibody epitopes. Deletions in RDRs confer resistance to neutralizing antibodies. By altering stretches of amino acids, deletions appear to accelerate SARS-CoV-2 antigenic evolution and may, more generally, drive adaptive evolution."
Disclaimer: Articles listed in COVID-19 Genomics and Precision Public Health Weekly Update are selected by Public Health Genomics Branch to provide current awareness of the scientific literature and news. Inclusion in the update does not necessarily represent the views of the Centers for Disease Control and Prevention nor does it imply endorsement of the article's methods or findings. CDC and DHHS assume no responsibility for the factual accuracy of the items presented. The selection, omission, or content of items does not imply any endorsement or other position taken by CDC or DHHS. Opinion, findings and conclusions expressed by the original authors of items included in the Clips, or persons quoted therein, are strictly their own and are in no way meant to represent the opinion or views of CDC or DHHS. References to publications, news sources, and non-CDC Websites are provided solely for informational purposes and do not imply endorsement by CDC or DHHS.
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