Genomics and epidemiology of the P.1 SARS-CoV-2 lineage in Manaus, Brazil
File(s)science.abh2644.pdf (10.32 MB)
Published version
Author(s)
Type
Journal Article
Abstract
Cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in Manaus, Brazil, resurged in late 2020 despite previously high levels of infection. Genome sequencing of viruses sampled in Manaus between November 2020 and January 2021 revealed the emergence and circulation of a novel SARS-CoV-2 variant of concern. Lineage P.1 acquired 17 mutations, including a trio in the spike protein (K417T, E484K, and N501Y) associated with increased binding to the human ACE2 (angiotensin-converting enzyme 2) receptor. Molecular clock analysis shows that P.1 emergence occurred around mid-November 2020 and was preceded by a period of faster molecular evolution. Using a two-category dynamical model that integrates genomic and mortality data, we estimate that P.1 may be 1.7- to 2.4-fold more transmissible and that previous (non-P.1) infection provides 54 to 79% of the protection against infection with P.1 that it provides against non-P.1 lineages. Enhanced global genomic surveillance of variants of concern, which may exhibit increased transmissibility and/or immune evasion, is critical to accelerate pandemic responsiveness.
Date Issued
2021-05-21
Date Acceptance
2021-04-11
Citation
Science, 2021, 372 (6544), pp.815-821
ISSN
0036-8075
Publisher
AMER ASSOC ADVANCEMENT SCIENCE
Start Page
815
End Page
821
Journal / Book Title
Science
Volume
372
Issue
6544
Copyright Statement
© 2021 The Author(s). This work is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/. This license does not apply to figures/photos/artwork or other content included in the article that is credited to a third party; obtain authorization from the rights holder before using such material.
License URL
Sponsor
Bill & Melinda Gates Foundation
Wellcome Trust
Medical Research Council (MRC)
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000653997000037&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
1705CR001/LD1
221350/Z/20/Z
MR/R015600/1
Subjects
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
RESPIRATORY-SYNDROME-CORONAVIRUS
RECEPTOR-BINDING DOMAIN
LOCAL TRANSMISSION
MOLECULAR CLOCK
COVID-19
PERFORMANCE
DYNAMICS
SITES
Publication Status
Published
Article Number
ARTN abh2644
Date Publish Online
2021-05-21