Longitudinal analysis of genomic mutations in SARS-CoV-2 isolates from persistent COVID-19 patient

Bibliographic Details
Title: Longitudinal analysis of genomic mutations in SARS-CoV-2 isolates from persistent COVID-19 patient
Authors: Hiroki Futatsusako, Rina Hashimoto, Masaki Yamamoto, Jumpei Ito, Yasufumi Matsumura, Hajime Yoshifuji, Kotaro Shirakawa, Akifumi Takaori-Kondo, Kei Sato, Miki Nagao, Kazuo Takayama
Source: iScience, Vol 27, Iss 5, Pp 109597- (2024)
Publisher Information: Elsevier, 2024.
Publication Year: 2024
Collection: LCC:Science
Subject Terms: Genomics, Microbiology and Virology, Science
More Details: Summary: A primary reason for the ongoing spread of coronavirus disease 2019 (COVID-19) is the continuous acquisition of mutations by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, the mechanism of acquiring mutations is not fully understood. In this study, we isolated SARS-CoV-2 from an immunocompromized patient persistently infected with Omicron strain BF.5 for approximately 4 months to analyze its genome and evaluate drug resistance. Although the patient was administered the antiviral drug remdesivir (RDV), there were no acquired mutations in RDV binding site, and all isolates exhibited susceptibility to RDV. Notably, upon analyzing the S protein sequence of the day 119 isolate, we identified mutations acquired by mutant strains emerging from the BF.5 variant, suggesting that viral genome analysis in persistent COVID-19 patients may be useful in predicting viral evolution. These results suggest mutations in SARS-CoV-2 are acquired during long-term viral replication rather than in response to antiviral drugs.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2589-0042
Relation: http://www.sciencedirect.com/science/article/pii/S2589004224008198; https://doaj.org/toc/2589-0042
DOI: 10.1016/j.isci.2024.109597
Access URL: https://doaj.org/article/008d9180ada1461eb8bfedb9a9288e05
Accession Number: edsdoj.008d9180ada1461eb8bfedb9a9288e05
Database: Directory of Open Access Journals
More Details
ISSN:25890042
DOI:10.1016/j.isci.2024.109597
Published in:iScience
Language:English