Infections with the SARS-CoV-2 Delta variant exhibit fourfold increased viral loads in the upper airways compared to Alpha or non-variants of concern

Abstract There has been a growing body of evidence that the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Delta variant (B.1.617.2) shows enhanced transmissibility and increased viral loads compared to other variants. A recent study has even suggested that respiratory samples from peo...

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Main Authors: Christian J. H. von Wintersdorff, Jozef Dingemans, Lieke B. van Alphen, Petra F. G. Wolffs, Brian M. J. W. van der Veer, Christian J. P. A. Hoebe, Paul H. M. Savelkoul
Format: Article
Language:English
Published: Nature Portfolio 2022-08-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-18279-5
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author Christian J. H. von Wintersdorff
Jozef Dingemans
Lieke B. van Alphen
Petra F. G. Wolffs
Brian M. J. W. van der Veer
Christian J. P. A. Hoebe
Paul H. M. Savelkoul
author_facet Christian J. H. von Wintersdorff
Jozef Dingemans
Lieke B. van Alphen
Petra F. G. Wolffs
Brian M. J. W. van der Veer
Christian J. P. A. Hoebe
Paul H. M. Savelkoul
author_sort Christian J. H. von Wintersdorff
collection DOAJ
description Abstract There has been a growing body of evidence that the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Delta variant (B.1.617.2) shows enhanced transmissibility and increased viral loads compared to other variants. A recent study has even suggested that respiratory samples from people infected with the Delta variant can harbor up to 1000 times higher viral loads compared to samples with variants that are more closely related to the original Wuhan strain, although the sample size of this study (n = 125) was very limited. Here, we have compared the viral load in 16,185 samples that were obtained in periods during which non-VOC, the Alpha (B.1.1.7) or Delta variant (B.1.617.2) were dominant as evidenced by genomic surveillance. We found that the Delta variant contained about fourfold higher viral loads across all age groups compared to the non-VOC or Alpha variants, which is significantly lower than reported earlier. Interestingly, the increased viral load for the Delta variant seemed to be age-dependent, regardless of sex, as the viral load was about 14-fold higher for Delta compared to the non-VOC or Alpha variant in age group 0–20 years and fourfold higher in age group 21–40 years, while there was no difference in viral load between variants in age groups 41–60 and 61+ years, most likely as a consequence of a higher degree of vaccination in the older age groups.
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spelling doaj.art-13706417e5ac4021862dcdf657d430fe2022-12-22T02:34:40ZengNature PortfolioScientific Reports2045-23222022-08-011211710.1038/s41598-022-18279-5Infections with the SARS-CoV-2 Delta variant exhibit fourfold increased viral loads in the upper airways compared to Alpha or non-variants of concernChristian J. H. von Wintersdorff0Jozef Dingemans1Lieke B. van Alphen2Petra F. G. Wolffs3Brian M. J. W. van der Veer4Christian J. P. A. Hoebe5Paul H. M. Savelkoul6Department of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center+ (MUMC+)Department of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center+ (MUMC+)Department of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center+ (MUMC+)Department of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center+ (MUMC+)Department of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center+ (MUMC+)Department of Sexual Health, Infectious Diseases and Environment, South Limburg Public Health ServiceDepartment of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center+ (MUMC+)Abstract There has been a growing body of evidence that the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Delta variant (B.1.617.2) shows enhanced transmissibility and increased viral loads compared to other variants. A recent study has even suggested that respiratory samples from people infected with the Delta variant can harbor up to 1000 times higher viral loads compared to samples with variants that are more closely related to the original Wuhan strain, although the sample size of this study (n = 125) was very limited. Here, we have compared the viral load in 16,185 samples that were obtained in periods during which non-VOC, the Alpha (B.1.1.7) or Delta variant (B.1.617.2) were dominant as evidenced by genomic surveillance. We found that the Delta variant contained about fourfold higher viral loads across all age groups compared to the non-VOC or Alpha variants, which is significantly lower than reported earlier. Interestingly, the increased viral load for the Delta variant seemed to be age-dependent, regardless of sex, as the viral load was about 14-fold higher for Delta compared to the non-VOC or Alpha variant in age group 0–20 years and fourfold higher in age group 21–40 years, while there was no difference in viral load between variants in age groups 41–60 and 61+ years, most likely as a consequence of a higher degree of vaccination in the older age groups.https://doi.org/10.1038/s41598-022-18279-5
spellingShingle Christian J. H. von Wintersdorff
Jozef Dingemans
Lieke B. van Alphen
Petra F. G. Wolffs
Brian M. J. W. van der Veer
Christian J. P. A. Hoebe
Paul H. M. Savelkoul
Infections with the SARS-CoV-2 Delta variant exhibit fourfold increased viral loads in the upper airways compared to Alpha or non-variants of concern
Scientific Reports
title Infections with the SARS-CoV-2 Delta variant exhibit fourfold increased viral loads in the upper airways compared to Alpha or non-variants of concern
title_full Infections with the SARS-CoV-2 Delta variant exhibit fourfold increased viral loads in the upper airways compared to Alpha or non-variants of concern
title_fullStr Infections with the SARS-CoV-2 Delta variant exhibit fourfold increased viral loads in the upper airways compared to Alpha or non-variants of concern
title_full_unstemmed Infections with the SARS-CoV-2 Delta variant exhibit fourfold increased viral loads in the upper airways compared to Alpha or non-variants of concern
title_short Infections with the SARS-CoV-2 Delta variant exhibit fourfold increased viral loads in the upper airways compared to Alpha or non-variants of concern
title_sort infections with the sars cov 2 delta variant exhibit fourfold increased viral loads in the upper airways compared to alpha or non variants of concern
url https://doi.org/10.1038/s41598-022-18279-5
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