Monitoring emerging
SARS-CoV-2 variants
Detect the presence and manage the impact of SARS-CoV-2 variants
Widespread, standardised efforts to monitor and sequence SARS-CoV-2 samples will enable fast, efficient identification and management of viral mutations.
Arising mutations of the SARS-CoV-2 genome calls for global due diligence to closely monitor any variants to ensure diagnostic tests, vaccines, antiviral therapies and public health control measures remain effective.
In order to track variants, a portion of positive SARS-CoV-2 samples should be sequenced to detect novel variants or confirm known variants. Once the variant sequences are available, PCR genotyping assays have been developed to target particular mutations, thereby detecting the presence of variants in a region. This process constitutes the genomic surveillance programmes to detect, characterise and monitor SARS-CoV-2 variants over time.
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Whole genome
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Genotyping
by RT-PCR
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PCR testing protocols
Whole genome sequencing (WGS)
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Whole genome sequencing services
“WHO [advises] countries, where feasible, to increase routine systematic sequencing of SARS-CoV-2 viruses to better understand SARS-CoV-2 transmission and to monitor for the emergence of variants.”
- The World Health Organisation
Genotyping by RT-PCR
Monitor known variants
SARS-CoV-2 Variant ValuPanel assays
How are SARS-CoV-2 variants classified?
The World Health Organisation (WHO) classifies variants into two groupings: Variants of Interest and Variants of Concern. Variants of Interest escalate to Variants of Concern after they reach certain criteria as listed by the table below:
Variants of Concern (VOC) 1
WHO label
Pango lineage
First identified
Alpha
B.1.1.7
UK
Beta
B.1.351
South Africa
Gamma
P.1
Brazil
Delta
B.1.617.2
India
Omicron
B.1.1.529
South Africa
A mutation becomes a VOC when it impacts one or more of these public health concerns:
Increase in transmissibility or detrimental change in COVID-19 epidemiology;
Worsening in the severity of the disease or changes in symptoms;
Reduced efficacy of public health and social measures, diagnostics, vaccines and therapeutics.
Variants of Interest (VOI) 1
A SARS-CoV-2 mutation becomes a Variant of Interest when:
The mutant is suspected or confirmed to exhibit a different trait when compared to the wild type (the dominant phenotype of the virus)
Worsening in the severity of the disease or changes in symptoms;
It has been identified to cause community spread, a cluster of COVID-19 cases, appear in multiple countries, or otherwise indicated by the WHO SARS-CoV-2 Virus Evolution Working Group.
1 Definitions of variants as deemed by the WHO.
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LGC Clinical Diagnostics SARS-CoV-2 Quality Solutions
Variant resources
Stay in the know on SARS-CoV-2 variants
Technical bulletin: Emerging SARS-CoV-2 mutations and their effect on the immune response
Panel discussion: Lessons learned on the critical role of collaboration for effective genomic surveillance of SARS-CoV-2 variants
Blog: Genomic surveillance: 3 techniques to detect and characterise SARS-CoV-2 variants
Keeping up with COVID: Designing novel monitoring assays to tackle the rise of variants editorial
References
Tracking SARS-CoV-2 variants. Published 31 May 2021. [Accessed 08 June 2021].
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