Tom Peacock Profile picture
Sep 7, 2022 15 tweets 5 min read Read on X
With the BA.5 in the rearview mirror in most places I thought I'd do a quick thread on 'whats next for SARS-CoV-2 variants?' (TL:DR - not really sure but probably a BA.2 offshoot?)
First off: BA.2.75 - this is by far the most prevelent new variant out there - its caused a bit of a wave in India but I'm not sure it has the right combination of properties to cause a global wave like BA.5 did.. Image
More likely perhaps is a BA.2.75 sublineage (of which there are many) - BA.2.75.2 is the most prelevent of these and contains several additional potent antigenic mutations on top of normal BA.2.75 (in black). Image
Finally there are some potential dark horses - as many people are aware BA.2.75 is a 'second generation variant' - a variant that has gone through a second round of 'variant evolution' and is genetically distinct from anything else
However BA.2.75 isnt the only second generation BA.2 out there - 3 more such lineages have been identified in the past month or two - all are at low numbers of sequences currently (<50) but have troubling combos of potent antigenic mutations (particularly BJ.1 and BA.2.3.20). Image
This sudden appearance of multiple second generation BA.2s represents a changing phase of SARS2 evolution - albeit somewhat similar to early 2021 where lots of variants arose at once (though from an ancestral strain, rather than an existing variant like BA.2).
Finally there are a couple of long shots BA.2 x Delta recombinants that have appeared in the last few months - these arent showing any signs of growth but I wanted to acknowledge them
At the moment my feeling is BA.2.75.2 is most likely to win out, but I definitley wouldnt rule out one of the other second gen BA.2s coming from behind...
I have no idea how any of these will look in terms of causing future waves, etc - I think anything from a silent takeover to further waves (like earlier this year) is entirely possible.
I also strongly suspect we will see further second gen BA.2s appear in the coming months...
Full credit to the folks generating and sharing the sequences, as well as the folks trawling through looking for new lineages and variants - QTing @LongDesertTrain's (who spotted one of these 2nd gen BA.2s) great in-depth thread on BA.2.3.20 here
Final stray throught - its now clear the jumping/variant/saltation evolution of SARS2 is an intrisic property of the virus - although we also see flu-like stepwise drift I think the 'variant evolution' will continue to be the main driver of variation going forwards.
Quick update with early data coming in: BA.2.75.2 definitley has the antigenic distance from prior variants that parental BA.2.75 lacks - I think this is probably most likely to be the next variant to take over (whether causing a wave or not).
Another quick update here - BQ.1.1 (a descendent of BA.5) has been showing very quick growth in the last couple of weeks, particularly in the UK - no data on antigenicity, etc yet but definitely yet another one to watch...
BQ.1.1 is BA.5 but has gained several additional mutations in the RBD - R346T, K444T and N460K - if those positions sound familiar its because they're very similar to whats appearing in a lot of other variants right now - some massive convergent evolution happening Image
(Also full credit to @siamosolocani for spotting BQ.1.1 extremely early and putting in the lineage request!)
github.com/cov-lineages/p…

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More from @PeacockFlu

Sep 26, 2024
Delighted our perspective piece on recent outbreaks of H5N1 in mammals is out now!
nature.com/articles/s4158…
with @LouiseHMoncla @evogytis @dvaninsberghe Ksenia Sukhova, @jlloydsmith @MichaelWorobey @anice_lowen and @swientist
Some of the ideas in this review have been percolating for a while and can be found (in earlier forms) in this thread:
Read 4 tweets
Apr 20, 2024
It's been getting on for a year since I wrote this thread - heres a bit of an update of where we are with the evidence for mammal-to-mammal transmission of H5N1s.
What I'm not really able to cover yet is the North American cattle situation - not enough sequencing or epidemiological data has been shared to draw any strong conclusions - see this recent piece by @HelenBranswell This is frustrating to say the least...
So instead this will mostly be updates on previous (putative) mammal to mammal H5N1 clusters. What do we think now? Whats the state of the evidence.
Read 36 tweets
Jan 2, 2024
Thinking about pandemic preparedness, H5N1 has (rightfully I think?) recieved a lot of attention over the last couple of years.

However I think there is another group of flu viruses that most folks working on flu might say pose a higher pandemic risk - swine influenza viruses. Image
Swine influenza viruses have recieved a bit of attention recently - with 'cryptic' (ie no know contact with pigs) infections found in the UK and the Netherlands in the last few months
gov.uk/government/new…
Swine influenza viruses with pandemic potential more or less come in two flavours - those with haemagglutinin (HA) and other genes from historic human seasonal influenza viruses - often from 'reverse zoonotic' (human to pig) events from the 1970-1990s
Read 19 tweets
Jul 22, 2023
There have been some interesting developments with the panzootic (aka a pandemic of animals) H5N1 in mammals over the last few months.

Though I'd write a brief thread covering Polish cats, South American sealions and European fur farms. Image
Firstly, a quick situational update on the panzootic in birds. We're now 3 years into this outbreak and the virus is continuing to spread across the world, largely impacting waterfowl and seabirds (including many that are endangered)
Beyond birds though, we're seeing more and more infections in wild mammals that we've ever seen before. This is particularly widespread in scavengers and predators (for example foxes in Europe)
Read 33 tweets
Jun 28, 2023
Excited to see our paper on coronavirus discovery in UK bats out. Its a cool story with some great multidisciplinary work between conservationists, molecular biologists, bioinformaticians, virologists, structural biologists, and more.

A few things I found interesting below:
First off we did find some sarbecoviruses (distantly related to sars1 and 2) that had detecatable human ace2 binding, however this was pretty weak. We also know that it doesnt take that much go switch from weak to strong binding with sarbecos though.
We also found that these viruses apparently cant use the ACE2 from the species they were isolated from. This isnt unheard of with sarbecos (particular clade 2) but is a little surprising I think?
Read 11 tweets
Apr 26, 2023
Inspired by some recent discussion we wrote a short report for virological about how one of SARS-CoV-2's accessory proteins (called ORF8) appears to have gone missing over the last year (with @LongDesertTrain and @siamosolocani)
What does ORF8 do?

Good question... if you ask 10 different virologists they may give you 20 different answers... in animal models it doesnt seem that important, and variants such as Alpha were missing most of it (but still did fine)...

virological.org/t/preliminary-…
Dominant XBB.1 lineages mostly also have a truncated ORF8 (due to a premature stop codon).

As well as this we noticed BA.5 lineages had a mutation in a regulatory sequence that likely stopped ORF8 being expressed Image
Read 6 tweets

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