1. Emergence and outcomes of the SARS-CoV-2 ‘Marseille-4’ variant
- Author
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Christian Devaux, Jean-Christophe Lagier, Didier Raoult, Lucile Pinault, Marielle Bedotto, Florence Fenollar, Philippe Colson, Anthony Levasseur, Philippe Gautret, Ludivine Brechard, Pierre-Edouard Fournier, Jeremy Delerce, Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées (IRBA), Institut Hospitalier Universitaire Méditerranée Infection (IHU Marseille), Microbes évolution phylogénie et infections (MEPHI), Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU), Centre National de la Recherche Scientifique (CNRS), ANR-10-IAHU-0003,Méditerranée Infection,I.H.U. Méditerranée Infection(2010), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA), and Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS)
- Subjects
0301 basic medicine ,Microbiology (medical) ,[SDV]Life Sciences [q-bio] ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,030106 microbiology ,Spike ,Infectious and parasitic diseases ,RC109-216 ,Genome, Viral ,medicine.disease_cause ,Genome ,Article ,03 medical and health sciences ,0302 clinical medicine ,biology.animal ,medicine ,Animals ,Humans ,030212 general & internal medicine ,Variant ,Mink ,Epidemics ,Clade ,Phylogeny ,Whole genome sequencing ,Mutation ,Whole Genome Sequencing ,biology ,Molecular epidemiology ,SARS-CoV-2 ,COVID-19 ,Outbreak ,General Medicine ,Virology ,3. Good health ,Marseille-4 ,Infectious Diseases ,Reinfection ,[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology ,France ,Mutations - Abstract
International audience; Background: In Marseille, France, following a first severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in March-May 2020, a second epidemic phase occurred from June, involving 10 new variants. The Marseille-4 variant caused an epidemic that started in August and is still ongoing. Methods: The 1038 SARS-CoV-2 whole genome sequences obtained in our laboratory by next-generation sequencing with Illumina technology were analysed using Nextclade and nextstrain/ncov pipelines and IQ-TREE. A Marseille-4-specific qPCR assay was implemented. Demographic and clinical features were compared between patients with the Marseille-4 variant and those with earlier strains. Results: Marseille-4 harbours 13 hallmark mutations. One leads to an S477N substitution in the receptor binding domain of the spike protein targeted by current vaccines. Using a specific qPCR, it was observed that Marseille-4 caused 12-100% of SARS-CoV-2 infections in Marseille from September 2020, being involved in 2106 diagnoses. This variant was more frequently associated with hypoxemia than were clade 20A strains before May 2020. It caused a re-infection in 11 patients diagnosed with different SARS-CoV-2 strains before June 2020, suggesting either short-term protective immunity or a lack of cross-immunity. Conclusions: Marseille-4 should be considered as a major SARS-CoV-2 variant. Its sudden appearance points towards an animal reservoir, possibly mink. The protective role of past exposure and current vaccines against this variant should be evaluated.
- Published
- 2021
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