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Article: High Prevalence of SARS-CoV-2 Genetic Variation and D614G Mutation in Pediatric Patients With COVID-19.

Pandey, Utsav / Yee, Rebecca / Shen, Lishuang / Judkins, Alexander R / Bootwalla, Moiz / Ryutov, Alex / Maglinte, Dennis T / Ostrow, Dejerianne / Precit, Mimi / Biegel, Jaclyn A / Bender, Jeffrey M / Gai, Xiaowu / Dien Bard, Jennifer

Open forum infectious diseases

2020  Volume 8, Issue 6, Page(s) ofaa551

Abstract: ... between March 13 and June 16, 2020. Viral genetic variations across the SARS-CoV-2 genome were identified ... than expected genetic diversity, presence of the D614G mutation, increased mutation rate, and evidence ... genome sequencing was performed on respiratory specimens collected for all SARS-CoV-2-positive children (n = 141 ...

Abstract Background: The full spectrum of the disease phenotype and viral genotype of coronavirus disease 2019 (COVID-19) have yet to be thoroughly explored in children. Here, we analyze the relationships between viral genetic variants and clinical characteristics in children.
Methods: Whole-genome sequencing was performed on respiratory specimens collected for all SARS-CoV-2-positive children (n = 141) between March 13 and June 16, 2020. Viral genetic variations across the SARS-CoV-2 genome were identified and investigated to evaluate genomic correlates of disease severity.
Results: Higher viral load was detected in symptomatic patients (
Conclusions: Genomic evaluation demonstrated greater than expected genetic diversity, presence of the D614G mutation, increased mutation rate, and evidence of multiple introductions of SARS-CoV-2 into Southern California. Our findings suggest a possible association of phylogenetic clade 20C with severe disease, but small sample size precludes a definitive conclusion. Our study warrants larger and multi-institutional genomic evaluation and has implications for infection control practices.
Language English
Publishing date 2020-11-13
Publishing country United States
Document type Journal Article
ZDB-ID 2757767-3
ISSN 2328-8957
ISSN 2328-8957
DOI 10.1093/ofid/ofaa551
Database MEDical Literature Analysis and Retrieval System OnLINE

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