SARS-CoV-2 intra-host evolution during prolonged infection in an immunocompromised patient

Objectives: Intra-host SARS-CoV-2 evolution during chronic infection in immunocompromised hosts has been suggested as being the possible trigger of the emergence of new variants. Methods: Using a deep sequencing approach, we investigated the SARS-CoV-2 intra-host genetic evolution in a patient with...

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Main Authors: Erika Giorgia Quaranta, Alice Fusaro, Edoardo Giussani, Valeria D'Amico, Maria Varotto, Matteo Pagliari, Maria Teresa Giordani, Maira Zoppelletto, Francesca Merola, Antonio Antico, Paola Stefanelli, Calogero Terregino, Isabella Monne
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971222003599
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author Erika Giorgia Quaranta
Alice Fusaro
Edoardo Giussani
Valeria D'Amico
Maria Varotto
Matteo Pagliari
Maria Teresa Giordani
Maira Zoppelletto
Francesca Merola
Antonio Antico
Paola Stefanelli
Calogero Terregino
Isabella Monne
author_facet Erika Giorgia Quaranta
Alice Fusaro
Edoardo Giussani
Valeria D'Amico
Maria Varotto
Matteo Pagliari
Maria Teresa Giordani
Maira Zoppelletto
Francesca Merola
Antonio Antico
Paola Stefanelli
Calogero Terregino
Isabella Monne
author_sort Erika Giorgia Quaranta
collection DOAJ
description Objectives: Intra-host SARS-CoV-2 evolution during chronic infection in immunocompromised hosts has been suggested as being the possible trigger of the emergence of new variants. Methods: Using a deep sequencing approach, we investigated the SARS-CoV-2 intra-host genetic evolution in a patient with HIV over a period of 109 days. Results: Sequencing of nasopharyngeal swabs at three time points demonstrated dynamic changes in the viral population, with the emergence of 26 amino acid mutations and two deletions, 57% of them in the Spike protein. Such a combination of mutations has never been observed in other SARS-CoV-2 lineages detected so far. Conclusion: Our data confirm that persistent infection in certain immunocompromised individuals for a long time may favor the dangerous emergence of new SARS-CoV-2 variants with immune evasion properties.
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spelling doaj.art-462e382bbc8b4ee2b3ffd8e5349b59262022-12-22T04:24:03ZengElsevierInternational Journal of Infectious Diseases1201-97122022-09-01122444448SARS-CoV-2 intra-host evolution during prolonged infection in an immunocompromised patientErika Giorgia Quaranta0Alice Fusaro1Edoardo Giussani2Valeria D'Amico3Maria Varotto4Matteo Pagliari5Maria Teresa Giordani6Maira Zoppelletto7Francesca Merola8Antonio Antico9Paola Stefanelli10Calogero Terregino11Isabella Monne12Division of Comparative Biomedical Sciences, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, Italy; Corresponding author: Erika Giorgia Quaranta, Laboratory for Viral Genomics and Trascriptomics, Istituto Zooprofilattico Sperimentale delle Venezie (IZSVe), Viale dell'Università 10, 35020 Legnaro (Padova), Italy.Division of Comparative Biomedical Sciences, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, ItalyDivision of Comparative Biomedical Sciences, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, ItalyDivision of Comparative Biomedical Sciences, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, ItalyDivision of Comparative Biomedical Sciences, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, ItalyDivision of Comparative Biomedical Sciences, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, ItalyInfectious Diseases Unit, Alto Vicentino Hospital, ULSS 7 Pedemontana, Santorso, Vicenza, ItalySan Bassiano Hospital, ULSS 7 Pedemontana, Bassano del Grappa, Vicenza, ItalySan Bassiano Hospital, ULSS 7 Pedemontana, Bassano del Grappa, Vicenza, ItalySan Bassiano Hospital, ULSS 7 Pedemontana, Bassano del Grappa, Vicenza, ItalyDepartment of Infectious Diseases, Istituto Superiore di Sanità, Roma, ItalyDivision of Comparative Biomedical Sciences, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, ItalyDivision of Comparative Biomedical Sciences, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padova, ItalyObjectives: Intra-host SARS-CoV-2 evolution during chronic infection in immunocompromised hosts has been suggested as being the possible trigger of the emergence of new variants. Methods: Using a deep sequencing approach, we investigated the SARS-CoV-2 intra-host genetic evolution in a patient with HIV over a period of 109 days. Results: Sequencing of nasopharyngeal swabs at three time points demonstrated dynamic changes in the viral population, with the emergence of 26 amino acid mutations and two deletions, 57% of them in the Spike protein. Such a combination of mutations has never been observed in other SARS-CoV-2 lineages detected so far. Conclusion: Our data confirm that persistent infection in certain immunocompromised individuals for a long time may favor the dangerous emergence of new SARS-CoV-2 variants with immune evasion properties.http://www.sciencedirect.com/science/article/pii/S1201971222003599SARS-CoV-2Immunocompromised patientIntra-host evolutionProlonged infectionSequencing
spellingShingle Erika Giorgia Quaranta
Alice Fusaro
Edoardo Giussani
Valeria D'Amico
Maria Varotto
Matteo Pagliari
Maria Teresa Giordani
Maira Zoppelletto
Francesca Merola
Antonio Antico
Paola Stefanelli
Calogero Terregino
Isabella Monne
SARS-CoV-2 intra-host evolution during prolonged infection in an immunocompromised patient
International Journal of Infectious Diseases
SARS-CoV-2
Immunocompromised patient
Intra-host evolution
Prolonged infection
Sequencing
title SARS-CoV-2 intra-host evolution during prolonged infection in an immunocompromised patient
title_full SARS-CoV-2 intra-host evolution during prolonged infection in an immunocompromised patient
title_fullStr SARS-CoV-2 intra-host evolution during prolonged infection in an immunocompromised patient
title_full_unstemmed SARS-CoV-2 intra-host evolution during prolonged infection in an immunocompromised patient
title_short SARS-CoV-2 intra-host evolution during prolonged infection in an immunocompromised patient
title_sort sars cov 2 intra host evolution during prolonged infection in an immunocompromised patient
topic SARS-CoV-2
Immunocompromised patient
Intra-host evolution
Prolonged infection
Sequencing
url http://www.sciencedirect.com/science/article/pii/S1201971222003599
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