Nämä kuusi VOC-LUM linjaa ovat Kiertävien VOC-varianttien alalinjoja, joissa on huomattu olevan joitain kasvuetupiirteitä ja omia mutaatioitkin.
Ne ovat ensinnäkin BA.1 -ja BA.2 -linjojen sisarlinjat BA.4 ja BA.5 .
Sitten muut ovatkin BA.2 alalinjoja ja niistä seuraavat: BA.2.9.1, sitten BA.2.11 ja BA.2.12.1 sekä BA.2.13.
Sitaatti:
VOC lineages under monitoring (VOC-LUM)
Latest VOCs have largely replaced other co-circulating
SARS-CoV-2 variants. Delta reached almost 90% of all viral sequences
submitted on GISAID by October 2021, and Omicron is currently the
dominant variant circulating globally, accounting for >98% of viral
sequences shared on GISAID after February 2022. As transmission of these
VOCs has been sustained, this has led to significant intra-VOC
evolution. Since its designation as a VOC by WHO on 26 November 2021,
viruses part of the Omicron complex have continued to evolve, leading to
descendent lineages with different genetic constellations of mutations.
Each constellation may or may not differ in the public health risk it
poses, and each lineage that includes substitutions in key sites may
need further investigation to assess whether its characteristics diverge
or not from those that define the variant of concern they stem from.
In
light of the widespread transmission of the Omicron VOC across the
globe and the subsequent expected increased viral diversity, WHO has
added a new category to its variant tracking system, termed “VOC
lineages under monitoring” (VOC-LUM) to signal to public health
authorities globally, which VOC lineages may require prioritized
attention and monitoring. The main objective of this category is to
investigate if these lineages may pose an additional threat to global
public health as compared to other circulating viruses. If any of these
lineages is proven to have distinct characteristics as compared to the
original VOC it belongs to, the TAG-VE will convene and may advice WHO
to give it a separate WHO label.
A variant that, according to phylogenetic analysis, belongs to a currently circulating VOC
AND
shows signals of transmission advantage compared to other circulating VOC lineages
AND
has
additional amino acid changes that are known or suspected to confer the
observed change in epidemiology and fitness advantage as compared to
other circulating variants.
VOC-LUMs*:
| Pango lineage | GISAID clade | Nextstrain clade | Relationship to circulating VOC lineages | Genetic features | Earliest documented samples |
|---|
| BA.4# | GRA22A | 22A | BA.1 and BA.2 sister lineage | BA.2-like constellation in the spike protein + S:del69/70, S:L452R, S:F486V, S:Q493 reversion | South Africa, Jan-2022 |
BA.5# | GRA | 22B | BA.1 and BA.2 sister lineage | BA.2-like constellation in the spike protein + S:del69/70, S:L452R, S:F486V, S:Q493 reversion | South Africa, Jan-2022 |
BA.2.12.1 | GRA | 22C | BA.2 sublineage | BA.2 + S:L452Q, S:S704F | United States of America, Dec-2021 |
BA.2.9.1§ | GRA | - | BA.2 sublineage | BA.2 + S;L452M | Multiple countries, Feb-2022 |
BA.2.11** | GRA | - | BA.2 sublineage | BA.2 + S:L452R | Multiple countries, Mar-2022 |
BA.2.13§ | GRA | - | BA.2 sublineage | BA.2 + S:L452M | Multiple countries, Feb-2022 |
*VOC-LUMs
are tracked under Omicron unless/until sufficient evidence arises that
the virus characteristics are substantially different from what is known
about the VOC they belong to. If this evidence arises, WHO will decide,
in consultation with the TAG-VE, if designation of the emerging variant
warrants a separate WHO label.
# these lineages have
identical constellation of mutations in the spike and the following
differences outside the spike: BA.4: ORF7b:L11F, N:P151S; BA.5: M:D3N.
Both have reversions at nsp4: L438 and ORF6:D61
§these
lineages have identical constellation of mutations in the spike and the
following differences outside the spike: BA.2.9.1: ORF3a:H78Y, N: P67S,
N: S412I
**additional mutation outside the spike protein: ORF1a:S2519P