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SARS-CoV-2 within-host diversity and transmission

SARS-CoV-2 within-host diversity and transmission
SARS-CoV-2 within-host diversity and transmission

Extensive global sampling and sequencing of the pandemic virus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have enabled researchers to monitor its spread and to identify concerning new variants. Two important determinants of variant spread are how frequently they arise within individuals and how likely they are to be transmitted. To characterize within-host diversity and transmission, we deep-sequenced 1313 clinical samples from the United Kingdom. SARS-CoV-2 infections are characterized by low levels of within-host diversity when viral loads are high and by a narrow bottleneck at transmission. Most variants are either lost or occasionally fixed at the point of transmission, with minimal persistence of shared diversity, patterns that are readily observable on the phylogenetic tree. Our results suggest that transmission-enhancing and/or immune-escape SARS-CoV-2 variants are likely to arise infrequently but could spread rapidly if successfully transmitted.

COVID-19/immunology, Coinfection/virology, Coronavirus Infections/virology, Coronavirus OC43, Human, Family Characteristics, Genetic Variation, Genome, Viral, Humans, Immune Evasion, Mutation, Phylogeny, RNA, Viral/genetics, RNA-Seq, SARS-CoV-2/genetics, Selection, Genetic, Spike Glycoprotein, Coronavirus/genetics, United Kingdom, Viral Load
0036-8075
Lythgoe, Katrina A.
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Hall, Matthew
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Ferretti, Luca
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de Cesare, Mariateresa
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MacIntyre-Cockett, George
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Trebes, Amy
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Andersson, Monique
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Otecko, Newton
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Wise, Emma L.
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Moore, Nathan
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Lynch, Jessica
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Kidd, Stephen
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Cortes, Nicholas
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Mori, Matilde
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Williams, Rebecca
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Vernet, Gabrielle
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Justice, Anita
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Green, Angie
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Nicholls, Samuel M.
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Ansari, M. Azim
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Abeler-Dörner, Lucie
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Moore, Catrin E.
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Peto, Timothy E.A.
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Eyre, David W.
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Shaw, Robert
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Simmonds, Peter
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Buck, David
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Todd, John A.
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Connor, Thomas R.
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Ashraf, Shirin
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da Silva Filipe, Ana
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Shepherd, James
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Thomson, Emma C.
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Bonsall, David
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Fraser, Christophe
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Golubchik, Tanya
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Oxford Virus Sequencing Analysis Group (OVSG)
COVID-19 Genomics UK (COG-UK) consortium
Lythgoe, Katrina A.
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Hall, Matthew
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Ferretti, Luca
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de Cesare, Mariateresa
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MacIntyre-Cockett, George
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Trebes, Amy
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Andersson, Monique
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Otecko, Newton
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Wise, Emma L.
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Moore, Nathan
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Lynch, Jessica
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Kidd, Stephen
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Cortes, Nicholas
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Mori, Matilde
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Williams, Rebecca
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Vernet, Gabrielle
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Justice, Anita
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Green, Angie
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Nicholls, Samuel M.
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Ansari, M. Azim
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Abeler-Dörner, Lucie
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Moore, Catrin E.
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Peto, Timothy E.A.
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Eyre, David W.
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Shaw, Robert
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Simmonds, Peter
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Buck, David
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Todd, John A.
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Connor, Thomas R.
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Ashraf, Shirin
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da Silva Filipe, Ana
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Shepherd, James
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Thomson, Emma C.
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Bonsall, David
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Fraser, Christophe
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Golubchik, Tanya
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Oxford Virus Sequencing Analysis Group (OVSG) and COVID-19 Genomics UK (COG-UK) consortium (2021) SARS-CoV-2 within-host diversity and transmission. Science, 372 (6539), [eabg0821]. (doi:10.1126/SCIENCE.ABG0821).

Record type: Article

Abstract

Extensive global sampling and sequencing of the pandemic virus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have enabled researchers to monitor its spread and to identify concerning new variants. Two important determinants of variant spread are how frequently they arise within individuals and how likely they are to be transmitted. To characterize within-host diversity and transmission, we deep-sequenced 1313 clinical samples from the United Kingdom. SARS-CoV-2 infections are characterized by low levels of within-host diversity when viral loads are high and by a narrow bottleneck at transmission. Most variants are either lost or occasionally fixed at the point of transmission, with minimal persistence of shared diversity, patterns that are readily observable on the phylogenetic tree. Our results suggest that transmission-enhancing and/or immune-escape SARS-CoV-2 variants are likely to arise infrequently but could spread rapidly if successfully transmitted.

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More information

Accepted/In Press date: 3 March 2021
e-pub ahead of print date: 16 April 2021
Published date: 16 April 2021
Keywords: COVID-19/immunology, Coinfection/virology, Coronavirus Infections/virology, Coronavirus OC43, Human, Family Characteristics, Genetic Variation, Genome, Viral, Humans, Immune Evasion, Mutation, Phylogeny, RNA, Viral/genetics, RNA-Seq, SARS-CoV-2/genetics, Selection, Genetic, Spike Glycoprotein, Coronavirus/genetics, United Kingdom, Viral Load

Identifiers

Local EPrints ID: 451845
URI: http://eprints.soton.ac.uk/id/eprint/451845
ISSN: 0036-8075
PURE UUID: 5980ad24-dacb-4caa-9c71-93d4af8fd32d

Catalogue record

Date deposited: 01 Nov 2021 17:31
Last modified: 17 Mar 2024 12:52

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Contributors

Author: Katrina A. Lythgoe
Author: Matthew Hall
Author: Luca Ferretti
Author: Mariateresa de Cesare
Author: George MacIntyre-Cockett
Author: Amy Trebes
Author: Monique Andersson
Author: Newton Otecko
Author: Emma L. Wise
Author: Nathan Moore
Author: Jessica Lynch
Author: Stephen Kidd
Author: Nicholas Cortes
Author: Matilde Mori
Author: Rebecca Williams
Author: Gabrielle Vernet
Author: Anita Justice
Author: Angie Green
Author: Samuel M. Nicholls
Author: M. Azim Ansari
Author: Lucie Abeler-Dörner
Author: Catrin E. Moore
Author: Timothy E.A. Peto
Author: David W. Eyre
Author: Robert Shaw
Author: Peter Simmonds
Author: David Buck
Author: John A. Todd
Author: Thomas R. Connor
Author: Shirin Ashraf
Author: Ana da Silva Filipe
Author: James Shepherd
Author: Emma C. Thomson
Author: David Bonsall
Author: Christophe Fraser
Author: Tanya Golubchik
Corporate Author: Oxford Virus Sequencing Analysis Group (OVSG)
Corporate Author: COVID-19 Genomics UK (COG-UK) consortium

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