从持续的COVID-19患者中分离的SARS-CoV-2中基因组突变的纵向分析
Hiroki Futatsusako1, Rina Hashimoto1, Masaki Yamamoto2
1Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto 6068507, Japan.
iScience
|April 19, 2024
概括
在持续的COVID-19感染期间,严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 的突变来自病毒复制,而不是药物反应. 分析受感染患者的基因组可以预测病毒的演变.
科学领域:
- 病毒学 病毒学
- 基因组学就是基因组学.
- 传染性疾病 传染性疾病
背景情况:
- 持续传播的COVID-19是由SARS-CoV-2突变驱动的.
- 了解病毒突变获取机制至关重要.
研究的目的:
- 分析来自持续感染患者的SARS-CoV-2基因组.
- 评估耐药性和识别新兴菌株中的突变.
主要方法:
- 从患有持续4个月的Omicron BF.5感染的免疫受损患者中隔离SARS-CoV-2.
- 基因组测序和病毒分离物的分析,包括S蛋白序列.
- 评估雷梅西维尔 (RDV) 敏感性和结合部位突变.
主要成果:
- 尽管服用了雷梅西维尔,但在RDV结合部位没有观察到获得的突变.
- 所有的病毒分离物仍然对remdesivir敏感.
- 在第119天从BF.5变种的新兴菌株中发现了突变,这表明在长期复制过程中发生了进化.
结论:
- 持续性感染中的SARS-CoV-2突变是在长时间的病毒复制过程中获得的.
- 持续感染患者的病毒基因组分析可以帮助预测病毒演变.
- 在这种情况下,remdesivir等抗病毒药物似乎没有推动特定突变的获取.
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