SARS-CoV-2 mutations on diagnostic gene targets in the second wave in Zimbabwe: A retrospective genomic analysis
DOI:
https://doi.org/10.7196/SAMJ.2023.v113i3.16762Keywords:
SARS-CoVAbstract
Background. SARS-CoV-2 continues to be a major issue in resource-limited settings, particularly owing to the limited supply of vaccines
caused by inequitable distribution.
Objective. To monitor diagnostic gene targets to identify potential test failures caused by mutations, which is important for public health.
Methods. Here we analysed the genome sequence of SARS-CoV-2 from the second wave in Zimbabwe. A total of 377 samples were
sequenced at Quadram Institute Bioscience. After quality control, 192 sequences passed and were analysed.
Results. The Beta variant was dominant during this period, contributing 77.6% (149) of the genomes sequenced and having a total of 2994
mutations in diagnostic polymerase chain reaction target genes. Many single nucleotide polymorphism mutations resulted in amino acid
substitution that had the potential to impact viral fitness by increasing the rate of transmission or evading the immune response to previous
infection or vaccination.
Conclusion. There were nine lineages circulating in Zimbabwe during the second wave. The B.1.351 was dominant, accounting for >75%.
There were over 3 000 mutations on the diagnostic genes and lineage B.1.351, contributing almost two-thirds of the mutations. The S-gene
had the most mutations and the E-gene was the least mutated.
References
European Centre for Disease, Jin Y, Yang H, et al. Virology, epidemiology, pathogenesis, and control of COVID-19. MDPI Viruses 2020;12(4):372. https://doi.org/10.3390/v12040372
Wilkinson E, Giovanetti M, Tegally H. Science 2021;374(6566):423-431. https://doi.org/10.1126/ science.abj 4336
Mashe T, Takawira FT, Martins L de O, et al. Genomic epidemiology and the role of international and regional travel in the SARS-CoV-2 epidemic in Zimbabwe: A retrospective study of routinely collected surveillance data. Lancet Glob Health 2021;12:E1658-E16661. https://doi.org/10.1016/ S2214-109X(21)00434-4
Tegally H, Wilkinson E, Giovanetti M, et al. Emergence and rapid spread of a new severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) lineage with multiple spike mutations in South Africa. Nature 20212;592:438-443. https://doi.org/10.1038/s41586-021-03402-9
Volz E, Mishra S, Chand M, et al. Assessing transmissibility of SARS-CoV-2 lineage B.1.1.7 in England. Nature 2021;593(7858):266-269. https://doi.org/10.1038/s41586-021-03470-x
European Centre for Disease Prevention and Control (ECDC). SARS-CoV-2 variants of concern as of 8 July 2021. ECDC newsletters, July 2021.
Helmy YA, Fawzy M, Elaswad A, Sobieh A, Kenney SP, Shehata AA. The COVID-19 pandemic: A comprehensive review of taxonomy, genetics, epidemiology, diagnosis, treatment, and control. MDPI J Clin Med 2020;9(4). https://doi.org/10.3390/jcm9041225
Kim J-S, Jang J-H, Kim J-M, Chung Y-S, Yoo C-K, Han M-G. Genome-wide identification and characterisation of point mutations in the SARS-CoV-2 genome. Osong Pub Health Res Perspect 2020;11(3):101-111. https://doi.org/10.24171/j.phrp.2020.11.3.05
Page AJ, Mather AE, Viet TL, et al. Scale sequencing of SARS-CoV-2 genomes from one region allows detailed epidemiology and enables local outbreak management. Microbial Genomics 2021;7(6):000589. https://doi.org/10.1099/mgen.0.000589
Adashek JJ, Kurzrock R. Balancing clinical evidence in the context of a pandemic. Nat Biotechnol 2021;39(3):270-274.https://doi.org/10.1038/s41587-021-00834-6
Ripa T, Nilsson P. A variant of Chlamydia trachomatis with a deletion in a cryptic plasmid. BMJ Sexual Transmitted Dis 2007;83( 6):488-489. https://doi.org/10.1136/sti.2007.027698
Artesis M, Bontems S, Gobbels P, et al. A recurrent mutation at position 26340 of SARS-CoV-2 is associated with failure of the E gene quantitative reverse. J Clin Microbiol 2020;58(10):e01598-20. https://doi.org/10.1128/JCM.01598-20
Ziegler K, Steininger P, Ziegler R, Steinmann J, Korn K, Ensser A. SARS-CoV-2 samples may escape detection because of a single point mutation in the N gene. Eurosurveillance 2020;25(39):2001650. https://doi.org/10.2807/1560-7917.ES.2020.25.39.2001650
Ministry of Health and Child Care, Zimbabwe. No. II/2018 Public Health Act Chapter 15: 171. Arrangement of Sections Sub-Part A: National health system administration. National Health Consultative Forum 2018;(II):439-514.
Sisya L. COVID-19 extraction using Biomerieux EasyMag platform SOP. Microbiology 2020;1-7.
Thermo Fisher Scientific Inc. QuantStudio 3 and 5 real-time PCR systems installation and maintenance. https://assets.fishersci.com/TFS-Assets/LSG/manuals/MAN0010407_QuantStudio3_5_
InstallUseMaint_UG.pdf (accessed 7 July 2021).
Mugabe M. Laboratory NMRL 300P10 SOP. Detection kit for novel coronavirus 2019-nCoV-2 PCR
fluorescent Probing DaAn Gene. 2020.
Baker DJ, Aydin A, Le-Viet T, et al. CoronaHiT: High-throughput sequencing of SARS-CoV-2
genomes. Genome Med J 2021;13(1):1-11. https://doi.org/10.1186/s13073-021-00839-5
Cleemput S, Dumon W, Fonseca V, et al. Genome Detective Coronavirus TypingTool for rapid identification and characterisation of novel coronavirus genomes. Bioinformatics 2020;36(11):3552-
https://doi.org/10.1093/bioinformatics/btaa145
Toole ÁO, Scher E, Underwood A, et al. Assignment of epidemiological lineages in an emerging
pandemic using the pangolin tool.Virus Evol J 2021;7(2):veab064. https://doi.org/10.1093/ve/veab064 21. Leech S. Preventing false positive and false negative PCR results. Today’s Clinical Lab, 2022. https/
www.clinicallab.com (accessed 20 February 2022).
Mashe T, Takawira FT, Gumbo H, et al. Surveillance of SARS-CoV-2 in Zimbabwe shows the
dominance of variants of concern. Lancet Microbe 2021;2(5):e177. https://doi.org/10.1016/S2666-
(21)00061-6
Yuan F, Wang L, Fang Y, Wang L. Global SNP analysis of 11,183 SARS-CoV-2 strains reveals high genetic diversity. Transbound Emerg Dis 2021;68(6):3288-3304. https://doi.org/10.1111/tbed.13931
Ruiz-Rodriguez P, Francés-Gómez C, Chiner-Omens Á, López MG, Jiménez-Serrano S. Evolutionary and phenotypic characterisation of two spike mutations in European lineage 20E of SARS-CoV-2. Am Soc Microbiol 2021;12(6):e02315-21. https://doi.org/https://doi.org/10.1128/mBio.02315-21
World Health Organization. Methods for the detection and identification of SARS-CoV-2 variants summary diagnostic screening assays of known VOCs S-gene drop out or target failure. Geneva: WHO, 2021. https://www.who.int/publications/i/item/diagnostic (accessed 14 July 2021).
Brown KA, Gubbay J, Hopkins J, et al. S-Gene target failure as a marker of variant B.1.1.7 among SARS- CoV-2 isolates in the greater Toronto area, December 2020 to March 2021. JAMA 2021;325(20):2115- 2116. https://doi.org/10.1001/jama.2021.5607
Narayanan S, Ritchey JC, Patil G, et al. SARS-CoV-2 genomes from Oklahoma, United States. Front Gen J 2021;11:612571. https://doi.org/10.3389/fgene.2020.612571
Sacks JA. Impact of novel variant on the COVID-19 diagnosis. Find Diagnostics, 2021.
World Health Organization. Brief and priority actions for the member states. Geneva: WHO, 2021. 30. Kumar S, Thambiraja TS, Karuppanan K, Subramaniam G. Omicron and Delta variant of SARS-
CoV-2: A comparative computational study of the spike protein. J Med Virol 2021;94(4):1641-
https://doi.org/10.1002/jmv.27526
Saito A, Irie T, Ruzuki R, et al. Enhanced fusogenicity and pathogenicity of SARS-CoV-2 Delta P681R
mutation. Nature 2021;602(7896):300-306. https://doi.org/10.1038/s41586-021-04266-9
Downloads
Published
Issue
Section
License
Copyright (c) 2023 C Nyagupe, L de Oliveira Martins, H Gumbo, T Mashe, T Takawira, KK Maeka, A Juru, LK Chikanda, AR Tauya, AJ Page, RA Kingsley, R Simbi, J Chirenda, J Manasa, V Ruhanya, RT Mavenyengwa

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Licensing Information
The SAMJ is published under an Attribution-Non Commercial International Creative Commons Attribution (CC-BY-NC 4.0) License. Under this license, authors agree to make articles available to users, without permission or fees, for any lawful, non-commercial purpose. Users may read, copy, or re-use published content as long as the author and original place of publication are properly cited.
Exceptions to this license model is allowed for UKRI and research funded by organisations requiring that research be published open-access without embargo, under a CC-BY licence. As per the journals archiving policy, authors are permitted to self-archive the author-accepted manuscript (AAM) in a repository.
Publishing Rights
Authors grant the Publisher the exclusive right to publish, display, reproduce and/or distribute the Work in print and electronic format and in any medium known or hereafter developed, including for commercial use. The Author also agrees that the Publisher may retain in print or electronic format more than one copy of the Work for the purpose of preservation, security and back-up.




