Unknown

Dataset Information

0

Drivers of adaptive evolution during chronic SARS-CoV-2 infections.


ABSTRACT: In some immunocompromised patients with chronic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, considerable adaptive evolution occurs. Some substitutions found in chronic infections are lineage-defining mutations in variants of concern (VOCs), which has led to the hypothesis that VOCs emerged from chronic infections. In this study, we searched for drivers of VOC-like emergence by consolidating sequencing results from a set of 27 chronic infections. Most substitutions in this set reflected lineage-defining VOC mutations; however, a subset of mutations associated with successful global transmission was absent from chronic infections. We further tested the ability to associate antibody evasion mutations with patient-specific and virus-specific features and found that viral rebound is strongly correlated with the emergence of antibody evasion. We found evidence for dynamic polymorphic viral populations in most patients, suggesting that a compromised immune system selects for antibody evasion in particular niches in a patient's body. We suggest that a tradeoff exists between antibody evasion and transmissibility and that extensive monitoring of chronic infections is necessary to further understanding of VOC emergence.

SUBMITTER: Harari S 

PROVIDER: S-EPMC9307477 | biostudies-literature |

REPOSITORIES: biostudies-literature

Similar Datasets

| S-EPMC7610568 | biostudies-literature
| S-EPMC10776306 | biostudies-literature
| S-EPMC9258298 | biostudies-literature
| S-EPMC7359527 | biostudies-literature
| S-EPMC8307621 | biostudies-literature
| S-EPMC7646009 | biostudies-literature
| S-EPMC7574262 | biostudies-literature
| S-EPMC7923870 | biostudies-literature
| S-SCDT-10_15252-EMMM_202317580 | biostudies-other
| S-EPMC8500031 | biostudies-literature