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Genomic epidemiology of superspreading events in Austria reveals mutational dynamics and transmission properties of SARS-CoV-2.


ABSTRACT: Superspreading events shaped the coronavirus disease 2019 (COVID-19) pandemic, and their rapid identification and containment are essential for disease control. Here, we provide a national-scale analysis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) superspreading during the first wave of infections in Austria, a country that played a major role in initial virus transmissions in Europe. Capitalizing on Austria's well-developed epidemiological surveillance system, we identified major SARS-CoV-2 clusters during the first wave of infections and performed deep whole-genome sequencing of more than 500 virus samples. Phylogenetic-epidemiological analysis enabled the reconstruction of superspreading events and charts a map of tourism-related viral spread originating from Austria in spring 2020. Moreover, we exploited epidemiologically well-defined clusters to quantify SARS-CoV-2 mutational dynamics, including the observation of low-frequency mutations that progressed to fixation within the infection chain. Time-resolved virus sequencing unveiled viral mutation dynamics within individuals with COVID-19, and epidemiologically validated infector-infectee pairs enabled us to determine an average transmission bottleneck size of 103 SARS-CoV-2 particles. In conclusion, this study illustrates the power of combining epidemiological analysis with deep viral genome sequencing to unravel the spread of SARS-CoV-2 and to gain fundamental insights into mutational dynamics and transmission properties.

SUBMITTER: Popa A 

PROVIDER: S-EPMC7857414 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Genomic epidemiology of superspreading events in Austria reveals mutational dynamics and transmission properties of SARS-CoV-2.

Popa Alexandra A   Genger Jakob-Wendelin JW   Nicholson Michael D MD   Penz Thomas T   Schmid Daniela D   Aberle Stephan W SW   Agerer Benedikt B   Lercher Alexander A   Endler Lukas L   Colaço Henrique H   Smyth Mark M   Schuster Michael M   Grau Miguel L ML   Martínez-Jiménez Francisco F   Pich Oriol O   Borena Wegene W   Pawelka Erich E   Keszei Zsofia Z   Senekowitsch Martin M   Laine Jan J   Aberle Judith H JH   Redlberger-Fritz Monika M   Karolyi Mario M   Zoufaly Alexander A   Maritschnik Sabine S   Borkovec Martin M   Hufnagl Peter P   Nairz Manfred M   Weiss Günter G   Wolfinger Michael T MT   von Laer Dorothee D   Superti-Furga Giulio G   Lopez-Bigas Nuria N   Puchhammer-Stöckl Elisabeth E   Allerberger Franz F   Michor Franziska F   Bock Christoph C   Bergthaler Andreas A  

Science translational medicine 20201123 573


Superspreading events shaped the coronavirus disease 2019 (COVID-19) pandemic, and their rapid identification and containment are essential for disease control. Here, we provide a national-scale analysis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) superspreading during the first wave of infections in Austria, a country that played a major role in initial virus transmissions in Europe. Capitalizing on Austria's well-developed epidemiological surveillance system, we identified  ...[more]

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