ArticleFrontiers in microbiology2025
Dynamic changes of Ct values of N gene and ORF1ab genes and laboratory parameters in patients with COVID-19 caused by SARS-CoV-2 B.1, BA.2, and BA.5 variants and their correlation with clinical characteristics.
Article in Frontiers in microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To characterize the dynamic patterns of ORF1ab and N gene Ct values in oropharyngeal swabs from COVID-19 patients infected with different SARS-CoV-2 variants and assess their clinical and laboratory correlations. Methods: We conducted a retrospective cohort study of 259 COVID-19 patients hospitalized in Jilin Province between 2021-2023. Comparative analyses were performed on: (1) variant-specific Ct value trajectories for ORF1ab and N genes, (2) nucleic acid conversion times, and (3) longitudinal hematological and biochemical parameters. Results: B.1 variant exhibited the lowest median Ct values (ORF1ab: 31.37; N gene: 30.49) and longest median nucleic acid conversion time (18 days). BA.2 variant demonstrated the highest median Ct values (ORF1ab: 33.00; N gene: 32.00) and shortest conversion time (14 days). Disease progression correlated with: increased creatinine (CREA), neutrophil percentage (NE%), and coagulation markers (D-dimer). Decreased lymphocyte percentage (LY%). Conclusion: Significant inter-variant differences were observed in viral clearance kinetics (Ct values and conversion times) and organ dysfunction markers. These findings highlight variant-specific pathophysiological profiles, with B.1 showing prolonged viral shedding and Omicron subvariants (particularly BA.2) exhibiting faster clearance but distinct hematological perturbations.
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