Evidence map›Paper›PMID 35896970›Full record

ArticleBMC infectious diseases2022

SARS-CoV-2 lineage dynamics in England from September to November 2021: high diversity of Delta sub-lineages and increased transmissibility of AY.4.2.

Oliver Eales, Andrew J Page, Leonardo de Oliveira Martins, Haowei Wang, Barbara Bodinier, David Haw, Jakob Jonnerby, Christina Atchison, COVID-19 Genomics UK (COG-UK) Consortium, Deborah Ashby and 9 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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  7. Emergence, spread and characterisation of the SARS-CoV-2 variant B.1.640 circulating in France, October 2021 to February 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Oliver EalesSchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK.
Andrew J PageQuadram Institute, Norwich, UK.
Leonardo de Oliveira MartinsQuadram Institute, Norwich, UK.
Haowei WangSchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK.
Barbara BodinierSchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK.
David HawSchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK.
Jakob JonnerbySchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK.
Christina AtchisonSchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK.
COVID-19 Genomics UK (COG-UK) Consortium
Deborah AshbySchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK.
Wendy BarclayDepartment of Infectious Disease, Imperial College London, London, UK.
Graham TaylorDepartment of Infectious Disease, Imperial College London, London, UK.
Graham CookeDepartment of Infectious Disease, Imperial College London, London, UK.
Helen WardSchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK.
Ara DarziImperial College Healthcare NHS Trust, London, UK.
Steven RileySchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK.
Marc Chadeau-HyamSchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK.
Christl A DonnellySchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK. c.donnelly@imperial.ac.uk.
Paul ElliottSchool of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, UK. p.elliott@imperial.ac.uk.

Funding

Cancer Research UK 22184Medical Research Council MC_PC_17114Medical Research Council MC_PC_19012Medical Research Council MC_PC_19027Medical Research Council MR/J008761/1Medical Research Council MR/L01341X/1Medical Research Council MR/R015600/1Medical Research Council MR/S019669/1Wellcome Trust 200861/Z/16/Z
6 · The paper itself

Abstract

backgroundSince the emergence of SARS-CoV-2, evolutionary pressure has driven large increases in the transmissibility of the virus. However, with increasing levels of immunity through vaccination and natural infection the evolutionary pressure will switch towards immune escape. Genomic surveillance in regions of high immunity is crucial in detecting emerging variants that can more successfully navigate the immune landscape.

methodsWe present phylogenetic relationships and lineage dynamics within England (a country with high levels of immunity), as inferred from a random community sample of individuals who provided a self-administered throat and nose swab for rt-PCR testing as part of the REal-time Assessment of Community Transmission-1 (REACT-1) study. During round 14 (9 September-27 September 2021) and 15 (19 October-5 November 2021) lineages were determined for 1322 positive individuals, with 27.1% of those which reported their symptom status reporting no symptoms in the previous month.

resultsWe identified 44 unique lineages, all of which were Delta or Delta sub-lineages, and found a reduction in their mutation rate over the study period. The proportion of the Delta sub-lineage AY.4.2 was increasing, with a reproduction number 15% (95% CI 8-23%) greater than the most prevalent lineage, AY.4. Further, AY.4.2 was less associated with the most predictive COVID-19 symptoms (p = 0.029) and had a reduced mutation rate (p = 0.050). Both AY.4.2 and AY.4 were found to be geographically clustered in September but this was no longer the case by late October/early November, with only the lineage AY.6 exhibiting clustering towards the South of England.

conclusionsAs SARS-CoV-2 moves towards endemicity and new variants emerge, genomic data obtained from random community samples can augment routine surveillance data without the potential biases introduced due to higher sampling rates of symptomatic individuals.

Indexed as

COVID-19SARS-CoV-2EnglandHumansPhylogenyCOVID-19Delta variantGenetic diversityMutationSARS-CoV-2Transmission advantage

Identifiers

PMID35896970
PMCPMC9326417

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.