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Microbes & Immunity                                                SARS-CoV-2 complementary classification



            1. Introduction                                      During the initial phase of the COVID-19 pandemic,
                                                               the relatively low number of infections limited the
            Severe acute respiratory syndrome coronavirus 2    opportunities for genetic diversification within the SARS-
            (SARS-CoV-2) is a member of the family  Coronaviridae   CoV-2 genome. With fewer viral replication cycles, the
            that was first characterized in early 2020.  This virus is the   accumulation of mutations was constrained, resulting in a
                                            1-3
            causative agent of coronavirus disease 2019 (COVID-19)                                        37
            and long COVID.  COVID-19 has been recognized as the   lower frequency of SARS-CoV-2 variant emergence.  At
                          4,5
            pandemic of the 21  century.  It ranges in manifestations from   this stage, mutations in the spike (S) protein, particularly
                                 6
                          st
            asymptomatic infections and mild cold-like illnesses to more   within the receptor-binding domain (RBD), which
            severe forms that result in significant morbidity and mortality,   mediates interaction with the human angiotensin-
            especially in elderly patients with chronic illnesses. 7-11  converting enzyme-2 (ACE2) receptor, were rarely
                                                               observed.  As transmission increased globally, the virus
                                                                       37
              Like other members of  Coronaviridae, SARS-CoV-2   evolved, with a positive selection of certain substitutions
            has a genome comprising a positive-sense, single-  that conferred higher transmissibility (e.g., D614G). 38,39
            stranded RNA with a linear configuration. 12,13  Despite the   Over time, specific S protein substitutions that enhanced
            lack of accurate characterization of the exact origins of   SARS-CoV-2’s ability to bind more efficiently to human
            SARS-CoV-2, the early spread of the virus has been well   cells became more prevalent and led to the emergence of
            documented. 14-18  Phylogenetic analyses of SARS-CoV-2   genetic variants with epidemiological advantages. Notably,
            sequences from the early infections in China suggested   the Alpha (B.1.1.7) variant, first identified in the UK, and
            that the first human cases likely occurred in late 2019. 19,20    the Delta (B.1.617.2) variant, which originated in India,
            The present evidence suggests that the emergence of   both demonstrated significantly higher transmission rates
            SARS-CoV-2 resulted from recombination events      than earlier circulating strains. 40-42  These variants carried
            between  bat  SARS-like  coronaviruses  and,  possibly,   key S protein mutations, such as N501Y in the Alpha
            coronaviruses found in pangolins, leading to cross-species   variant and L452R and P681R in the Delta variant, which
            transmission. 21-24  More recent research suggested that   enhanced  their  ability to infect  host  cells  and  possibly
            direct spillover from bats remains the most likely scenario,   contributed to their global dominance at different phases
            with limited genomic evidence supporting a significant   during the pandemic. 43,44  The progressive emergence of
            role of pangolins in the emergence of SARS-CoV-2. 25,26
                                                               more transmissible variants indicates the role of natural
              The earliest available SARS-CoV-2 genomes were   selection in shaping SARS-CoV-2 evolution, favoring
            obtained from patients in December 2019.  These    mutations that increase infectivity while the virus continues
                                                   27
            early viral sequences provided key insights into the   to adapt to human hosts. 45
            genetic structure and early divergence of SARS-CoV-2.
                                                          3
            Chinese researchers conducted phylogenetic analyses   At present, SARS-CoV-2 variants are designated
            comparing these genomes with known bat and pangolin   as distinct viral lineages when they exhibit genetic
            coronaviruses to infer the likely ancestral form of the   changes deemed significant enough to warrant separate
            virus.  Based on mutational differences, they identified   classification,  as determined by  the  WHO Coronavirus
                28
            an ancestral genome type, designated “S”, and a more   Network (CoViNet). 35,46  Since the onset of the COVID-19
            dominant derived type, labeled “L”, to reflect specific   pandemic, the continuous evolution of SARS-CoV-2 has
            amino acid substitutions.  Concurrently, Western   led to the identification of multiple VOCs and variants
                                   29
            researchers conducted independent analyses using similar   of interest (VOIs). 43,47,48  These designations have been
            methodologies but assigned different nomenclatures to   based on the projected capacity of emerging variants
            describe the early divergence of SARS-CoV-2. Instead of   to outcompete previously circulating strains through
            “S” and “L,” they labeled the ancestral strain as “A” and the   increased transmissibility or the necessity to adjust public
            derived strain as “B”. 30-33  Over time, the B lineage continued   health interventions. 49-51  This classification system has been
            to mutate, giving rise to sub-lineages, including B.1, which   important to facilitate epidemiological surveillance and
            became the predominant SARS-CoV-2 lineage globally.    risk assessment. However, its primary reliance on limited
                                                         34
            This lineage eventually diversified into major global   genetic divergence and evolving phenotypic criteria, rather
            variants of concern (VOCs), which the World Health   than on consistent, functionally meaningful differentiation,
            Organization (WHO) formally labeled as Alpha, Beta,   highlights the opportunity for refining the system.
            Gamma, Delta, and Omicron variants.  The early genomic   Incorporating genetic and evolutionary benchmarks could
                                          35
            studies illustrated the complex evolutionary dynamics of   enhance the alignment between nomenclature and the
            SARS-CoV-2, highlighting both early genetic bottlenecks   underlying virological or clinical significance of emerging
            and the subsequent rapid adaptation of the virus. 36  SARS-CoV-2 variants. 52-54


            Volume 2 Issue 3 (2025)                         88                           doi: 10.36922/MI025190042
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