SARS-CoV-2 nasopharyngeal viral load in individuals infected with BA.2, compared to Alpha, Gamma, Delta and BA.1 variants: A single-center comparative analysis

•Higher nasopharyngeal viral load can influence SARS-CoV-2 transmissibility.•Higher nasopharyngeal viral load for Omicron BA.2 compared to previous variants.•Vaccination did not seem to influence the amount of nasopharyngeal viral RNA.•Our findings support the increased inherent transmissibility for...

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Veröffentlicht in:Journal of clinical virology 2022-12, Vol.157, p.105299-105299, Article 105299
Hauptverfasser: Mastrorosa, Ilaria, Cozzi-Lepri, Alessandro, Colavita, Francesca, Lalle, Eleonora, Mazzotta, Valentina, Cimaglia, Claudia, Paulicelli, Jessica, Matusali, Giulia, Fabeni, Lavinia, Carletti, Fabrizio, Rosati, Silvia, Vita, Serena, Giannico, Giuseppina, Piselli, Pierluca, Biliotti, Elisa, Moghazi, Samir Al, Mosti, Silvia, Girardi, Enrico, Nicastri, Emanuele, Garbuglia, Anna Rosa, Maggi, Fabrizio, Vaia, Francesco, Antinori, Andrea
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container_title Journal of clinical virology
container_volume 157
creator Mastrorosa, Ilaria
Cozzi-Lepri, Alessandro
Colavita, Francesca
Lalle, Eleonora
Mazzotta, Valentina
Cimaglia, Claudia
Paulicelli, Jessica
Matusali, Giulia
Fabeni, Lavinia
Carletti, Fabrizio
Rosati, Silvia
Vita, Serena
Giannico, Giuseppina
Piselli, Pierluca
Biliotti, Elisa
Moghazi, Samir Al
Mosti, Silvia
Girardi, Enrico
Nicastri, Emanuele
Garbuglia, Anna Rosa
Maggi, Fabrizio
Vaia, Francesco
Antinori, Andrea
description •Higher nasopharyngeal viral load can influence SARS-CoV-2 transmissibility.•Higher nasopharyngeal viral load for Omicron BA.2 compared to previous variants.•Vaccination did not seem to influence the amount of nasopharyngeal viral RNA.•Our findings support the increased inherent transmissibility for BA.2. SARS-CoV-2 has evolved, leading to the emergence of new Variants Of Concern (VOCs) with significant impact on transmissibility. Although the transmission process is complex, higher nasopharyngeal viral load (NP-VL) can be considered as a proxy for greater transmissibility. The aim of this analysis was to compare NP-VL across a set of representative VOCs observed in mildly symptomatic patients. Observational single-center comparative analysis of patients with early mild-to-moderate COVID-19, enrolled within the early treatment access program of Lazzaro Spallanzani Institute (March 2021-March 2022). NP-VL before drug administration was estimated through RT-PCR, based on cycle threshold values (CTs); VOCs were identified by Sanger sequencing. VOCs’ average treatment effect (ATE) was estimated on the CTs fitted in the log2 scale, controlling for potential confounders. A total of 707 patients were included. VOCs were: 10% Alpha, 3% Gamma, 34% Delta, 34% BA.1, 19% BA.2. Mean CTs for BA.1 and BA.2 were lower than Delta and BA.1, respectively. After adjusting for calendar time, age, immunodeficiency and vaccination, CTs for Gamma were lower than those seen for Alpha and higher than Delta, for Delta were similar to BA.1, for BA.2 were lower than Delta and BA.1. Our analysis shows higher NP-VL of BA.2 compared to previously circulating VOCs, even after controlling for factors potentially contributing to the amount of nasopharyngeal viral RNA, included vaccination, supporting the increased transmissibility of BA.2. Further studies are necessary to clarify this mechanism and to provide guidance for public health measures.
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SARS-CoV-2 has evolved, leading to the emergence of new Variants Of Concern (VOCs) with significant impact on transmissibility. Although the transmission process is complex, higher nasopharyngeal viral load (NP-VL) can be considered as a proxy for greater transmissibility. The aim of this analysis was to compare NP-VL across a set of representative VOCs observed in mildly symptomatic patients. Observational single-center comparative analysis of patients with early mild-to-moderate COVID-19, enrolled within the early treatment access program of Lazzaro Spallanzani Institute (March 2021-March 2022). NP-VL before drug administration was estimated through RT-PCR, based on cycle threshold values (CTs); VOCs were identified by Sanger sequencing. VOCs’ average treatment effect (ATE) was estimated on the CTs fitted in the log2 scale, controlling for potential confounders. A total of 707 patients were included. VOCs were: 10% Alpha, 3% Gamma, 34% Delta, 34% BA.1, 19% BA.2. Mean CTs for BA.1 and BA.2 were lower than Delta and BA.1, respectively. After adjusting for calendar time, age, immunodeficiency and vaccination, CTs for Gamma were lower than those seen for Alpha and higher than Delta, for Delta were similar to BA.1, for BA.2 were lower than Delta and BA.1. Our analysis shows higher NP-VL of BA.2 compared to previously circulating VOCs, even after controlling for factors potentially contributing to the amount of nasopharyngeal viral RNA, included vaccination, supporting the increased transmissibility of BA.2. 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SARS-CoV-2 has evolved, leading to the emergence of new Variants Of Concern (VOCs) with significant impact on transmissibility. Although the transmission process is complex, higher nasopharyngeal viral load (NP-VL) can be considered as a proxy for greater transmissibility. The aim of this analysis was to compare NP-VL across a set of representative VOCs observed in mildly symptomatic patients. Observational single-center comparative analysis of patients with early mild-to-moderate COVID-19, enrolled within the early treatment access program of Lazzaro Spallanzani Institute (March 2021-March 2022). NP-VL before drug administration was estimated through RT-PCR, based on cycle threshold values (CTs); VOCs were identified by Sanger sequencing. VOCs’ average treatment effect (ATE) was estimated on the CTs fitted in the log2 scale, controlling for potential confounders. A total of 707 patients were included. VOCs were: 10% Alpha, 3% Gamma, 34% Delta, 34% BA.1, 19% BA.2. Mean CTs for BA.1 and BA.2 were lower than Delta and BA.1, respectively. After adjusting for calendar time, age, immunodeficiency and vaccination, CTs for Gamma were lower than those seen for Alpha and higher than Delta, for Delta were similar to BA.1, for BA.2 were lower than Delta and BA.1. Our analysis shows higher NP-VL of BA.2 compared to previously circulating VOCs, even after controlling for factors potentially contributing to the amount of nasopharyngeal viral RNA, included vaccination, supporting the increased transmissibility of BA.2. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects COVID-19
Cycle threshold (CT) values
Humans
Increased transmissibility
Nasopharyngeal viral load
Nasopharynx
Omicron BA.2
RNA, Viral - analysis
RNA, Viral - genetics
SARS-CoV-2
Variants of concern (VOCs)
Viral Load
title SARS-CoV-2 nasopharyngeal viral load in individuals infected with BA.2, compared to Alpha, Gamma, Delta and BA.1 variants: A single-center comparative analysis
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