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



























































            Figure 5. Percentage of the amino acid substitutions of the S protein among the Iraqi Omicron variants that emerged from November 2021 to November 2022.
            Abbreviations: NTD: N-terminal domain; RBD: Receptor-binding domain; FP: Fusion peptide; HR1: Heptad Repeat 1.

            4.2. Mutation in Iraqi Omicron variants            account for prevalence rates of 7%, 49%, 50%, and 49%,
            In our study, 23 out of 60 mutations (38%), including   respectively, were among the Omicron variants detected in
            ten deletions and one substitution, were located in the   Iraq (Figure 6). Furthermore, the G142D mutation, which
            NTD of the S protein (Figures 4–6). The top three most   was found in 55% of the available sequences (Figure 5),
            prevalent substitution mutations were A67V (67%), L212I   can cause alteration to the binding sites of the protein,
            (63%), and G142D (55%). A few studies have illustrated   which help foster resistance of the protein to monoclonal
                                                                      [37,38]
            the importance of the NTD mutations, especially T19I   antibody  . Other deletions that were detected among
            and P25del, V143del, Y144del, and Y145del in conferring   the S protein sequences, which can interfere with the
                                                                                    [39]
            the immune escape capacity on the variants against the   pathogenicity of the virus , were H69/V70  (70%) and
            neutralizing antibodies produced by the host cells [35,36] .   Y144/145del deletion (50%) (Figure 6).
            Interestingly, T95I which accounted for 49% of the total   The RBD of the Omicron variant is a highly mutable
            cases (Figure 5), as well as del25 and del143–145 which   region [40,41] , and 42% (n = 25) of all the mutations are located



            Volume 2 Issue 3 (2023)                         6                        https://doi.org/10.36922/gpd.1646
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