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Genomic reconstruction of the SARS-CoV-2 epidemic in England.

Vöhringer, HS; Sanderson, T; Sinnott, M; De Maio, N; Nguyen, T; Goater, R; Schwach, F; Harrison, I; Hellewell, J; Ariani, CV; et al. Vöhringer, HS; Sanderson, T; Sinnott, M; De Maio, N; Nguyen, T; Goater, R; Schwach, F; Harrison, I; Hellewell, J; Ariani, CV; Gonçalves, S; Jackson, DK; Johnston, I; Jung, AW; Saint, C; Sillitoe, J; Suciu, M; Goldman, N; Panovska-Griffiths, J; Wellcome Sanger Institute COVID-19 Surveillance Team; COVID-19 Genomics UK (COG-UK) Consortium*; Birney, E; Volz, E; Funk, S; Kwiatkowski, D; Chand, M; Martincorena, I; Barrett, JC; Gerstung, M (2021) Genomic reconstruction of the SARS-CoV-2 epidemic in England. Nature, 600 (7889). pp. 506-511. ISSN 1476-4687 https://doi.org/10.1038/s41586-021-04069-y
SGUL Authors: Laing, Kenneth

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Abstract

The evolution of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus leads to new variants that warrant timely epidemiological characterization. Here we use the dense genomic surveillance data generated by the COVID-19 Genomics UK Consortium to reconstruct the dynamics of 71 different lineages in each of 315 English local authorities between September 2020 and June 2021. This analysis reveals a series of subepidemics that peaked in early autumn 2020, followed by a jump in transmissibility of the B.1.1.7/Alpha lineage. The Alpha variant grew when other lineages declined during the second national lockdown and regionally tiered restrictions between November and December 2020. A third more stringent national lockdown suppressed the Alpha variant and eliminated nearly all other lineages in early 2021. Yet a series of variants (most of which contained the spike E484K mutation) defied these trends and persisted at moderately increasing proportions. However, by accounting for sustained introductions, we found that the transmissibility of these variants is unlikely to have exceeded the transmissibility of the Alpha variant. Finally, B.1.617.2/Delta was repeatedly introduced in England and grew rapidly in early summer 2021, constituting approximately 98% of sampled SARS-CoV-2 genomes on 26 June 2021.

Item Type: Article
Additional Information: Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. © The Author(s) 2021
Keywords: Amino Acid Substitution, COVID-19, England, Epidemiological Monitoring, Genome, Viral, Genomics, Humans, Molecular Epidemiology, Mutation, Quarantine, SARS-CoV-2, Spatio-Temporal Analysis, Spike Glycoprotein, Coronavirus, Wellcome Sanger Institute COVID-19 Surveillance Team, COVID-19 Genomics UK (COG-UK) Consortium*, MD Multidisciplinary, General Science & Technology
SGUL Research Institute / Research Centre: Academic Structure > Infection and Immunity Research Institute (INII)
Journal or Publication Title: Nature
ISSN: 1476-4687
Language: eng
Dates:
DateEvent
16 December 2021Published
14 October 2021Published Online
29 September 2021Accepted
Publisher License: Creative Commons: Attribution 4.0
Projects:
Project IDFunderFunder ID
210758/Z/18/ZWellcome Trusthttp://dx.doi.org/10.13039/100004440
UNSPECIFIEDMedical Research Councilhttp://dx.doi.org/10.13039/501100000265
220885/Z/20/ZWellcome Trusthttp://dx.doi.org/10.13039/100004440
210918/Z/18/ZWellcome Trusthttp://dx.doi.org/10.13039/100004440
210818/Z/18/ZWellcome Trusthttp://dx.doi.org/10.13039/100004440
NNF17OC0027594Novo Nordisk FoundationUNSPECIFIED
PubMed ID: 34649268
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/114023
Publisher's version: https://doi.org/10.1038/s41586-021-04069-y

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