IMPACT OF RAPID VACCINATION ON SARS-COV-2 GENOMIC DIVERSITY: AN INTERVENTION TO MINIMISE THE PUBLIC BURDEN OF THE PANDEMIC
DOI:
https://doi.org/10.37268/mjphm/vol.23/no.2/art.2305Keywords:
SARS-CoV-2; Malaysia variant; genetic diversity; spike protein; pangolin replacementAbstract
Global sharing of SARS-CoV-2 sequences enabled comprehensive analyses of COVID-19 genomic diversity and demographics. Yet, regional genomic surveillance is often neglected, leading to the possible oversight of novel mutations by public health authorities. Our study used the Global Initiative on Sharing Avian Influenza Data (GISAID) database to analyse infection patterns in the state of Negeri Sembilan, and compare infection patterns to the state of Selangor, in Malaysia. We discuss the impact of rapid vaccination on resulting single nucleotide variants (SNVs) and identified novel sporadic mutations may affect viral fitness and pathogenicity. Four hundred and seventeen SARS-CoV-2 sequences extracted from Negeri Sembilan from July 2021 until June 2022. Infection patterns based on pangolin lineages from Negeri Sembilan was compared to infections of the same period from Selangor. SNVs from the spike protein were sorted by frequency, with the lowest frequency variant submitted for functional prediction using PredictSNP. Negeri Sembilan exhibited a comparable infection pattern to Selangor, but with fewer Omicron sequences which was postulated to occur due to the rapid vaccination strategies by Negeri Sembilan. Omicron outbreaks were associated with eased lockdowns and policy changes in December 2021. From our extracted data, seventy novel SNVs in the spike protein of SARS-CoV-2 were extracted from this study. In silico predictions indicated five of the SNVs (S221L, L226S, V826L, C1240F and C1243F) to may cause functional defects to the spike protein. Rapid sequencing and analysis will aid policymaking for public health controls by detecting potential outbreaks within transient variants.
References
A. Muhammad Azami et al., “SARS-CoV-2 genomic surveillance in Malaysia: displacement of B.1.617.2 with AY lineages as the dominant Delta variants and the introduction of Omicron during the fourth epidemic wave,” Int J Infect Dis 2022, 125:216-226.
Bendl et al., “PredictSNP: Robust and Accurate Consensus Classifier for Prediction of Disease-Related Mutations,” PLoS Comput Biol 2014, 10(1): e1003440.
Department of Statistics Malaysia Official Portal. Available online: https://www.dosm.gov.my (Accessed Dec. 12, 2022).
First-level Administrative Divisions, Malaysia, 2015 | Stanford Digital Repository. Available online: https://purl.stanford.edu/qg469kj1734. (Accessed Jan. 06, 2023).
H. Hashim, M. A. Adman, Z. Hashim, M. F. Mohd Radi, and S. C. Kwan, “COVID-19 Epidemic in Malaysia: Epidemic Progression, Challenges, and Response,” Front Public Health 2021, 9:560792.
H. M. Mengist, A. J. Kombe Kombe, D. Mekonnen, A. Abebaw, M. Getachew, and T. Jin, Mutations of SARS-CoV-2 spike protein: Implications on immune evasion and vaccine-induced immunity, Semin Immunol 2021, 55:101533.
J. Rozewicki, S. Li, K. M. Amada, D. M. Standley, and K. Katoh, “MAFFT-DASH: integrated protein sequence and structural alignment,” Nucleic Acids Res 2019, 47(W1): W5-W10.
Verity Hill, George Githinji et al., “Toward a global virus genomic surveillance network”, Cell Host & Microbe 2023, 31:6:6
Caroline Dushoff, David JD Dushhoff et al., “First Nations Health: The need for linked genomic surveillance of SARS-CoV-2”, Canada Communicable Disease Report 2022, 48:4:4
Letunic and P. Bork, “Interactive Tree of Life (iTOL) v5: an online tool for phylogenetic tree display and annotation,” Nucleic Acids Res 2021, 49(W1): W293-W296.
Mohamad et al., Compliance to Infection Prevention and Control Practices Among Healthcare Workers During COVID-19 Pandemic in Malaysia, Front Public Health 2022, 10:878396.
Negeri Sembilan, Selangor, Perak Record Biggest COVID-19 Vaccination Surges - CodeBlue. Available online: https://codeblue.galencentre.org/2021/07/15/negeri-sembilan-selangor-perak-record-biggest-covid-19-vaccination-surges/. (Accessed Jan. 18, 2023).
Pan health Organization (PAHO), Guidance on SARS-CoV-2 sampling for genomic surveillance Guidance for SARS-CoV-2 samples selection for genomic characterization and surveillance, no. February, pp. 1–3, 2021, Available: https://www.paho.org/en/documents/guidance-sars-cov-2-samples-selection-genomic-characterization-and-surveillance. (Accessed Apr. 13, 2023).
R. Isnain, N. C. Dom, S. Abdullah, N. Precha, and H. Salim, Efficiency of Malaysian states in managing the COVID-19 outbreak in 2020 and 2021, PLoS One 2022, 17(10).
RM15 million in additional funds for third phase of SARS-CoV-2 genomic surveillance project. Available online: https://www.nst.com.my/news/nation/2022/05/794802/rm15-million-additional-funds-third-phase-sars-cov-2-genomic-surveillance. (Accessed Dec. 06, 2022).
S. M. Ghazali et al., COVID-19 in Malaysia: Descriptive Epidemiologic Characteristics of the First Wave, International Journal of Environmental Research and Public Health 2022 2022, 19(328).
S. Shrivastava and P. Shrivastava, 2019-nCoV Outbreak Declared as Public Health Emergency of International Concern: What Next? Int J Prev Med 2020, 11(1).’
Tamura, G. Stecher, and S. Kumar, MEGA11: Molecular Evolutionary Genetics Analysis Version 11, Mol Biol Evol 2021, 25;38(7):3022-3027.
V. J. Jayaraj, S. Rampal, C. W. Ng, and D. W. Q. Chong, The Epidemiology of COVID-19 in Malaysia, Lancet Reg Health West Pac 2021, 17:100295.
Wang S, Sundaram JP, Spiro D. VIGOR, an annotation program for small viral genomes. BMC Bioinformatics 2010, 11(451).
WHO and ECDC, Methods for The Detection and Characterisation of SARS-CoV-2 Variants-Second Update, European Centre for Disease Prevention and Control/World Health Organization Regional Office for Europe, no. August, pp. 1–14, 2022, [Online]. [Retrieved Apr. 13, 2023]. Available online: https://www.ecdc.europa.eu/en/publications-data/methods-detection-and-characterisation-sars-cov-2-variants-second-update
WHO Coronavirus (COVID-19) Dashboard | WHO Coronavirus (COVID-19) Dashboard with Vaccination Data. Available online: https://covid19.who.int/. (Accessed Dec. 06, 2022).
Y. Yu et al., Whole genome sequencing analysis of SARS-CoV-2 from Malaysia: From alpha to Omicron, Front Med (Lausanne) 2022, 9:1001022.
Yin, “Genotyping coronavirus SARS-CoV-2: methods and implications,” Genomics 2022, 112(5):3588-3596.