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Suggested assays to detect currently circulating SARS-CoV-2 variants of interest and variants of concern

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20 Jun 2022 || By Manoj Gandhi, M.D., Ph.D. Shares: 1 Versions of this article Original article. Tags COVID-19, Mutations, Surveillance, Variants

This blog represents the most up-to-date information about the circulating SARS-CoV-2 variants based on available data from outbreak.info accessed on August 31, 2022.

As per the World Health Organization (WHO), the currently circulating variant of concern (VOC) of SARS-CoV-2 is the Omicron variant which GISAID has reclassified to “BA.” lineages. The Omicron variant also includes sublineages and recombinants. Using the Lineage Comparison tool available on outbreak.info, it is possible to use the following suggested assays to detect these currently circulating VOCs:

 

Variant S.delH69V70 ORF1a.A2710T.GCT.ACT C12280T* ORF7b.L11F.TTG.TTT M.D3N.GAT.AAT
Assay ID / SKU A51808 CVZTDZ7 CVEPRZD CVCE3VH CVAAAAK
Omicron BA.1 FAM FAM VIC VIC No amp or low FAM from M:D3G mutation
Omicron BA.2 VIC VIC FAM VIC VIC
Omicron BA.3 FAM VIC FAM VIC VIC
Omicron BA.4 FAM VIC FAM FAM VIC
Omicron BA.5 FAM VIC FAM VIC FAM
XE Omicron recombinant VIC FAM FAM VIC VIC

 

In addition, the following assays may be used to identify VOC lineages under monitoring (VOC-LUM), which belong to currently circulating VOC, show signals of transmission advantage and have additional amino acid changes that are known or suspected to confer the observed change in epidemiology and fitness advantage:

Variant T15009C**  S.N460K.AAT.AAG  ORF7b.L11F.TTG.TTT  M.D3N.GAT.AAT 
Assay ID / SKU CVFVKKA CV9HHWN CVCE3VH CVAAAAK
Omicron BA.2.12.1 FAM VIC VIC VIC
Omicron BA.2.75 VIC FAM VIC VIC
Omicron BA.4 VIC VIC FAM VIC
Omicron BA.5 VIC VIC VIC FAM

 

Notes:

* Silent mutation in BA.2, BA.3, BA.4 and BA.5 as per GISAID data on covSPECTRUM, accessed August 31, 2022
** Silent mutation in BA.2.12.1 as per Github, accessed August 31, 2022

Please note that S:L452M, S:L452Q and S:L452R are independent mutations that are located at the same position in the SARS-CoV-2 virus genome. This can complicate genotype analysis as the probes of an assay to one mutation will fail to bind to viral sequences that contain the other. It is recommended that both L452M and L452R mutation assays are run on the same samples, and that the results of both assays are compared, to facilitate accurate genotype analysis.

 

Genotype Associated Variant
L452 (CTG) Wild type Omicron: BA.1 & BA.2 [1]
L452Q (CAG) Omicron: BA.2.12.1
Lambda [2]
L452M (ATG) Omicron: BA.2.9.1 & BA.2.13
L452R (CGG) Delta: All lineages [2]
Epsilon: B.1.429 [2]
Omicron: BA.4, BA.5, & BA.2.11

[1] Includes all sublineages of BA.1 and BA.2 except BA.2.12.1
[2] No longer VOC or VOI due to decline in frequency

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