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Gene & Protein in Disease                                              SARS-CoV-2 Omicron variants in Iraq



            kbp that encodes for a number of accessory proteins and   classification. Mutations of each S protein sequences were
            four major structural proteins, such as spike (S) protein,   identified by manual checking of the recorded sequence
            nucleocapsid (N) protein, membrane protein (M), and   data, and the sequences were aligned with the first
            envelope (E) protein [11-13] . Comprising 1273 amino acids, S   sequence of SARS-CoV-2 isolate from Wuhan Hu-1/China
            protein is a trimeric protein having several domains that are   (accession number: NC_045512.2).
            known to facilitate the entry of the virus into the host cells
            through the attachment and fusion into the angiotensin-  2.3. Protein visualization and construction of the
            converting enzyme 2 (ACE2) receptor of the host cells .  phylogenic trees
                                                       [14]
              On completing the genetic sequencing of the virus for the   Data regarding the 3D structure of the S protein and its
            first time, several variants of the virus with varying levels of   common mutation sites were obtained the ViralZone
                                                                                               [22]
            pathogenicity and transmissibility were reported around the   database (https://viralzone.expasy.org/) . A  phylogenic
                [15]
            world . The Omicron variant (B.1.1.529 lineage) was first   tree was constructed based on the 381 Omicron variants
            identified in Botswana and South Africa on November 24,   sequences using the Nextstrain tool (https://nextstrain.
                                                                   [23]
            2021 and then classified as a variant of concern (VOC) on   org/) .
            November 26, 2021 [16,17] . This variant is characterized by high   3. Results
            environmental durability, high transmissibility, firm binding
            to human ACE2 receptor, attenuated viral replication, and   3.1. Pango lineage
            resistance against therapeutic antibodies produced as a result   The sequence analysis revealed that six SARS-CoV-2
            of vaccination [18,19] . This variant was primary accountable for   Omicron variants circulated in Iraq within the period of
            the fourth wave of the COVID-19 crisis in several countries .  this study (November 2021 – November 2022) (Figure 1).
                                                        [20]
              As of February 2023, approximately 15 million      Based on the mutation sequence analysis on the GISAID
            SARS-CoV-2 whole genome sequences were available on the   website, the most common lineage (52%) was BA.1.1,
            Global Initiative on Sharing All Influenza Data (GISAID)   followed by unassigned Omicron lineage accounting for
            database .  Numerous  studies  have  been  conducted  to   24% of the total cases. The lineages of BA.1, BA.2, and
                   [21]
            comprehend the evolution process of SARS-CoV-2 and to,   BA.1.17.2 accounted for 14%, 3%, and 2%, respectively.
            mostly by means of genomic sequencing, classify the virus
            into corresponding clades that may possess characteristics   The percentage of the different Omicron variants that
            phenotypes . Given the rampage caused by the Omicron   appeared during the period of the study was calculated.
                     [6]
            variant around the world and the irreversible health damage   As shown in Figure 1, all the reported Omicron variants
            it engenders, it is of great importance to undertake in-depth   in November 2021 belonged to the BA.1 Pango lineage.
            research to understand its evolutionary pattern, mutations   Between December and February 2022, BA.1.1 was one
            carried by the sub-variants, and clinical manifestations   of the prevalent assigned lineages. Despite accounting
            of the infectious disease. Therefore, this study aimed to
            investigate the different SARS-CoV-2 Omicron variants
            that appeared in Iraq and assess the impact of these variants
            on the viral transmissibility and virulence.

            2. Materials and methods
            2.1. Spike protein sequences
            All the 381 S protein sequences of the Iraqi SARS-
            CoV-2 Omicron variants were extracted from GISAID
            databank on January 23, 2023. The accessory data included
            collection date, accession ID, amino acid substitutions,
            gender, age, city, Pango lineage, originating and submitting
            laboratory, and authors’ name (see Raw Data File). The
            information was, then, wrangled and analyzed manually
            using Microsoft Excel.
                                                               Figure  1. Percentage of the different SARS-CoV-2 Omicron variants
            2.2. Pango lineages and S protein mutation analysis  circulated in Iraq from November 2021 to November 2022. The “others”
                                                               refers to the Pango lineage of the Omicron variant which did not fit into
            Variants  and sub-variants  of the  SARS-CoV-2 Omicron   any of the Pango lineages based on the computational analysis of the
            were determined based on the original GISAID       mutations.


            Volume 2 Issue 3 (2023)                         2                        https://doi.org/10.36922/gpd.1646
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