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Microbes & Immunity                                                SARS-CoV-2 complementary classification



              Certain SARS-CoV-2 variants are classified as VOCs   implications.  Other public health agencies, such as the
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            due to their ability to maintain or enhance replication   United States Centers for Disease Control and Prevention
            fitness despite increasing levels of population immunity –   (CDC), maintain independent classification criteria,
            either through natural infection or vaccination. 43,45  These   which can lead to differences in the timing of variant
            variants often exhibit mutations that provide a selective   de-escalation. 62,63  For example, the CDC, the European
            advantage, allowing them to spread more efficiently in   Centre for Disease Prevention and Control (ECDC), and
            partially immune populations.  A defining feature of   the WHO de-escalated SARS-CoV-2 variants at different
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            many VOCs is the presence of mutations in the RBD of   times, reflecting regional epidemiological assessments and
            the S protein, which plays a critical role in host cell entry   risk evaluations. 35,64,65
            through the human ACE2 receptor.  Thus, the designation   At this point, it is important to consider the foundational
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            VOC is reserved for SARS-CoV-2 lineages in which specific   pillars in the field of virus evolution. It is well established
            genetic changes significantly enhance RBD binding affinity   that the accumulation of sufficient genetic divergence to
            – as seen with substitutions such as N501Y – while also   produce a biologically distinct virus lineage – one with
            demonstrating epidemiological evidence of increased   unique properties affecting transmission dynamics,
            transmissibility. 57,58                            pathogenicity, or immune interactions – typically requires
              Before being categorized as a  VOC, an emerging   several years of sustained evolutionary pressure. 66-70  The
            SARS-CoV-2 lineage is often first labeled as a VOI or, in   present classification framework for SARS-CoV-2, which
            some national surveillance frameworks, a variant under   designates new variants based on short-term genetic
            investigation.  If subsequent data confirm enhanced   fluctuations, contradicts this fundamental understanding
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            transmissibility, immune escape potential, or increased   of viral evolution.  The issue is particularly pronounced in
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            disease  severity, the  variant  is formally designated   SARS-CoV-2 due to its genomic stability relative to other
            as a VOC.  Once a variant reaches VOC status, it is   RNA viruses, such as human immunodeficiency virus type 1
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            systematically classified within the Pango nomenclature   (HIV-1), hepatitis C virus (HCV), and influenza A virus,
            system, which provides detailed lineage assignments based   all of which evolve under stronger selection pressures and
            on phylogenetic relationships.  In addition, the variant is   exhibit markedly higher mutation rates. 72-75  Unlike HIV-
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            assigned to specific clades within Nextstrain and Global   1, HCV, and influenza A virus, SARS-CoV-2 possesses a
            Initiative on Sharing All Influenza Data (GISAID), two   proofreading exonuclease (nsp14-ExoN), a unique feature
            global platforms used for genomic epidemiology and   among the majority of RNA viruses that reduces the
            viral evolution tracking. 59,60  These classification systems   accumulation of replication errors. 76,77  This proofreading
            facilitate real-time monitoring of SARS-CoV-2 evolution,   mechanism results in a significantly slower evolutionary
            aiding in public health responses and vaccine adaptation   rate  for SARS-CoV-2,  estimated  between 0.0004  and
            strategies.                                        0.002 substitutions per site per year (s/s/y). 49,73,78  This
                                                               evolutionary rate allows for gradual adaptation; however,
              The WHO played a central role in the classification and
            monitoring of SARS-CoV-2 variants, regularly updating its   it does not support the level of rapid divergence seen
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            framework to reflect emerging evidence on viral evolution,   among other RNA viruses.  Consequently, it is plausible
            transmissibility, and immune escape potential. 35,47  Thus,   to assume that the frequent designation of SARS-CoV-2
            the identification and designation of SARS-CoV-2 variants   variants as distinct entities, based on transient mutational
            rely on genomic surveillance efforts, with submissions   changes rather than sustained functional divergence,
            from member states analyzed through global platforms   represents a departure from well-established evolutionary
            such as GISAID. This is followed by field investigations to   virology principles.
            assess the public health impact of SARS-CoV-2 variants.    Thus, the present study argues that the currently adopted
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            Over time, the WHO expanded its classification system   classification of SARS-CoV-2 lineages has introduced
            to include additional categories beyond VOCs. The   significant challenges in COVID-19 risk communication.
            updated framework now includes VOIs and variants under   The existing SARS-CoV-2 classification systems are often
            monitoring.  A VOI is defined as a variant possessing   the source of unnecessarily amplified public concern and
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            genetic changes that are predicted or known to affect viral   inconsistent scientific justification that influences policy
            characteristics, such as transmissibility, virulence, antibody   decisions, leading to a cycle of reactionary responses
            evasion, therapeutic susceptibility, or detectability. 35,47  In   rather than well-balanced epidemiological measures.
            addition, to be classified as a VOI, a variant must exhibit   Accordingly, the present study aimed to: (1) Assess the
            increasing circulation in at least one WHO region,   genetic divergence of SARS-CoV-2 variants in comparison
            raising concerns about potential global public health   to established RNA virus speciation models (e.g., HIV-1,


            Volume 2 Issue 3 (2025)                         89                           doi: 10.36922/MI025190042
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