T. Ryan Gregory Profile picture
Oct 5, 2022 26 tweets 8 min read Read on X
It needs to be emphasized that what we're seeing with SARS-CoV-2 variant evolution now is something new. 🧵
In the past, we've had distinct waves caused by one variant rising quickly in frequency (percentage of infections by that variant) and abundance (total number of infections by that variant), then dropping off. Alpha, Delta, and the Omicron BA.1 and BA.2 waves were like that. Waves of COVID deaths in Ca...Waves of COVID hospitalizat...Waves of COVID hospitalizat...
Where one occurred, the third Omicron wave was driven by BA.5, but it did not reach the same frequency or abundance as BA.1 and BA.2 did. In some places, the summer BA.5 wave plateaued and never really came back down. Wastewater signal in Ontari...
.@DGBassani proposed months ago that what we were beginning to see was multiple variants evolving and overlapping in parallel, rather than replacing each other in series. As he noted, the less we do to stop transmission, the more this will occur. Diagram showing distinct wa...Diagram showing overlapping...
Seeing as how we did not try to mitigate transmission (quite the opposite -- many places dropped what protections we did have), it is not surprising that this is exactly what has happened. Graph of variant frequencie...Graph of variant frequencie...Graph of variant frequencie...
We have not seen the evolution of major new, deeply divergent lineages of variants recently, but instead it has all been rapid diversification of lineages within the large Omicron clade. I talked about variant naming and evolution in this recent thread:

Mutations happen as chance errors, but what happens to them once they arise is non-random if they happen to confer some advantage in a particular environment.

For an overview of basic evolutionary concepts as applied to viruses, check out this thread:

The current environment for SARS-CoV-2 is a population of hosts with varying levels of immunity, be it from vaccination, prior infection, or both. Immunity wanes, but there is strong selective pressure whereby mutations that confer an ability to circumvent immunity are very fit.
What we're seeing as a result is the same mutations arising by chance in multiple variant lineages, with the variants that happen to have those mutations increasing in frequency as they escape immunity and outcompete variants that lack immune-evading traits.
Similar traits can occur in different species for a couple of reasons. First, they may be similar simply because they all inherited the same trait from a shared ancestor (this is known as "homology"). Fur in different mammal species is homologous, for example.
Similar traits can also evolve independently in different lineages, which is known as "homoplasy" or "convergent evolution" (or "analogous [vs. homologous] traits").

Convergent evolution often happens when separate lineages evolve under similar environmental pressures.
Bird wings and bat wings are homoplasious (though the bones in the limbs are homologous).

What is happening with Omicron lineages is convergent evolution in which clusters of mutations that confer immune escape in the current host environment are evolving repeatedly. Diagram showing convergent ...
We don't know what this will mean for the upcoming fall/winter wave. Again, this situation is new. Very smart people are working hard to try to make predictions. You can follow many of them on Twitter:

twitter.com/i/lists/156947…
The new situation also poses challenges for communication. We've previously talked about single variants (and I still think we need nicknames), but now we also need to convey what is happening with many variants at the same time.
Terms like "variant soup", "swarm", or "cloud" are being used. (There's a technical term, "viral quasispecies" as well, but that could be confusing because it uses the chemical rather than biological meaning of species pubmed.ncbi.nlm.nih.gov/31622336/).
Maybe we need to refer to the SARS-CoV-2 "variome" at this point, or think of it the way we consider microbiomes / metagenomics. (I know, everything is an 'ome nowadays.)

en.wikipedia.org/wiki/Variome
Or perhaps we need a new term. I am a fan of portmanteaux, so maybe something like:

* Convergent variants --> "Convars"

* Clouds of variants --> "Clovars" 🍀 (more leaves/mutations means worse luck for us)

Or maybe something like "Constels" (short for "constellations").
I also wonder whether there can be some naming convention that indicates which soup/cloud/swarm/clovar is being discussed, when it appeared, how many mutations it involves, so on.
Huge thank you to the folks who continue to track new variants and share their expertise. There are many, but singling out a few with recent threads that are very useful:

Note that some of the current rise in infections looks to be due to a resurgence of BA.5 -- again, that wave has never really ended in many places. Maybe schools, people moving indoors more, etc.? The variant soup (clovar?) has not had its impact yet.

It also bears noting that some experts had suggested that this kind of thing was possible some time ago as well.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with T. Ryan Gregory

T. Ryan Gregory Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @TRyanGregory

Apr 4
The best we get now is *relative* lows. Here are numbers of hospital patients with COVID in Canada. It's as low as it has been since the first Omicron wave (early 2022), on par with the relative lull of mid-summer 2023. But still much higher than summer 2020 and summer 2021. Hospitalizations in Canada
*Maybe* it will continue to drop as thr weather warms and if there are no new major variants that displace JN.1* in the meantime (fingers crossed, and wastewater signal is low), but the reality is that the baseline has never come back down in Canada post-Omicron.
Relative lows do not mean no risk, they mean less risk. If you've been putting off doing things while cases were higher, a relative low is a better (but again, not risk-free) time to do them than during a relative high, obviously.

Read 4 tweets
Mar 4
Let's be clear about what happened here. 🧵

1. Israeli real estate companies held Jews-only events to sell land in Israel and contested (Jerusalem) or occupied (West Bank) territories in Palestine.

1/
Note that some of the events are taking place in synagogues and some include properties that are within the illegally occupied West Bank. Other events have been held at public venues.

2/

2. Politicians preemptively labelled planned protests of events being held at synagogues as antisemitic.



3/
Read 14 tweets
Feb 7
Measles touted as an example of the effectiveness of working out one's immune system muscle.

A few reminders about measles...

🧵 "For some bugs, once you've fought it once, your muscles are so strong against it they may never need another work out to fend it off (e.g. measles, smallpox"
Measles has been known for 1,000 years and it still hasn't evolved to be benign.

pubmed.ncbi.nlm.nih.gov/36414136/
Measles can cause "immune amnesia", wiping out immunity to other pathogens.

(This was discovered only a few years ago. The measles virus was identified in 1954 and the disease has been described since the 9th century.)

bbc.com/future/article…
Read 7 tweets
Feb 4
Now that Pirola clan (BA.2.86 and descendants, most notably JN.1*) is the dominant variant lineage globally, the question arises as to whether it might undergo recombination with earlier XBB lineages.

Yep. Already has.

🧵
So far...

Pirola x Arcturus:
XDK = JN.1.1.1 x XBB.1.16.11

Pirola x Eris:
XDD = JN.1 x EG.5.1.1
XDS = JN.3.2.1 x EG.5.1.3

Pirola x Kraken:
XDN = JN.1. x JD.1*
XDR = JN.1.1 x JD.1.1.1

Pirola x Hyperion:
XDP = JN.1.4 x FL.15
Reminder of how recombination occurs.

Read 8 tweets
Feb 1
Here are some excellent threads about more highly divergent BA.2 lineage variants showing up after having evolved within a single host with a chronic infection. Within-host evolution is going to be an increasingly important issue.

🧵
Read 6 tweets
Jan 28
Whoa. Japan. Small samples, but obviously do not want an HK.3 wave on top of JN.1 or even just a sustained high baseline.

Reminder:

JN.1 (Pirola clan) = BA.2.86.1.1

HK.3 (Eris + FLip) = EG.5.1.1.3
Read 5 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(