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Sonnleitner, ST; Prelog, M; Sonnleitner, S; Hinterbichler, E; Halbfurter, H; Kopecky, DBC; Almanzar, G; Koblmüller, S; Sturmbauer, C; Feist, L; Horres, R; Posch, W; Walder, G.
Cumulative SARS-CoV-2 mutations and corresponding changes in immunity in an immunocompromised patient indicate viral evolution within the host.
Nat Commun. 2022; 13(1):2560
Doi: 10.1038/s41467-022-30163-4
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- Leading authors Med Uni Graz
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Lamprecht-Sonnleitner Sissy Therese
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- Abstract:
- Different scenarios explaining the emergence of novel variants of concern (VOC) of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have been reported, including their evolution in scarcely monitored populations, in animals as alternative hosts, or in immunocompromised individuals. Here we report SARS-CoV-2 immune escape mutations over a period of seven months in an immunocompromised patient with prolonged viral shedding. Signs of infection, viral shedding and mutation events are periodically analyzed using RT-PCR and next-generation sequencing based on naso-pharyngeal swabs, with the results complemented by immunological diagnostics to determine humoral and T cell immune responses. Throughout the infection course, 17 non-synonymous intra-host mutations are noted, with 15 (88.2%) having been previously described as prominent immune escape mutations (S:E484K, S:D950N, S:P681H, S:N501Y, S:del(9), N:S235F and S:H655Y) in VOCs. The high frequency of these non-synonymous mutations is consistent with multiple events of convergent evolution. Thus, our results suggest that specific mutations in the SARS-CoV-2 genome may represent positions with a fitness advantage, and may serve as targets in future vaccine and therapeutics development for COVID-19.
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Animals - administration & dosage
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COVID-19 - administration & dosage
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Immunocompromised Host - administration & dosage
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Mutation - administration & dosage
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SARS-CoV-2 - genetics
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Spike Glycoprotein, Coronavirus - genetics