T. Ryan Gregory Profile picture
Jun 15 9 tweets 4 min read Read on X
Is SARS-CoV-2 running out of evolutionary space? Is variant evolution slowing down? Is immune escape unlikely anymore? Let's explore. 🧵
Here are some phylogenies (evolutionary trees) of the major SARS-CoV-2 variant lineages from . One is in radial format, the other unrooted, but they show the same information and are both scaled to divergence (number of mutations). nextstrain.org

Evolutionary tree of SARS-CoV-2 variants, radial format, scaled to divergence. "Omicron" variants are vastly more divergent and diverse than the other variants that received Greek letters in 2021.
Evolutionary tree of SARS-CoV-2 variants, unrooted format, scaled to divergence. "Omicron" variants are vastly more divergent and diverse than the other variants that received Greek letters in 2021.
And here are some plots of mutations over time, again from . There is no sign of this rate of accumulation of mutations slowing down (if anything, more recent variants are above the trend line). nextstrain.org
Mutations over time for SARS-CoV-2 variants.
It's worth looking at spike (S1) mutations specifically. Note two things here:

1) We're still getting a LOT of new mutations.

2) These come in rather discrete jumps, then a flatter plateau. That's because of recombination or within-host evolution in persistent infections. Spike mutations over time for SARS-CoV-2 variants.
Here is some info on immune escape and ACE2 binding -- that is, how well the variant avoids existing antibodies and how well it can attach to the receptors on our cells. The top right is the "uh oh" zone where it is good at both. From . nextstrain.org
Immune escape vs. ACE2 binding compared to BA.2 for SARS-CoV-2 variants. Many of the most recent variants are in the "uh oh zone" with both high immune escape and receptor binding.
Looking at global trends for immune escape and ACE2 binding for the last 20 days, we see lots of variants with very high immune escape compared to BA.2, and some that also have high ACE2 binding. Note the change between BA.2.86 (circled) and its descendants. From @RajlabN. Immune escape vs. ACE2 binding compared to BA.2 for the most recent SARS-CoV-2 variants. Both have generally increased between BA.2.86 and its descendants.
Here's immune escape (vs. BA.2) over time, from . Again, the virus is not running out of ways to escape current immunity (which is partial, temporary, and changing according to vaccinations and infections). From . nextstrain.org
nextstrain.org
Immune escape compared to BA.2 over time for SARS-CoV-2 variants. The trend line continues to be highly positive -- that is, immune escape continues to evolve.
Why does this keep happening, contrary to minimizer assumptions? Because:

1) Orgel's second rule: "Evolution is cleverer than you are".

2) This: More infections means more variant evolution.
A reminder about Greek letters and the decision to keep calling everything "Omicron".

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More from @TRyanGregory

Jun 24
Lower acute severity of SARS-CoV-2 vs. 2020-2022 is welcome, but there's a danger in reading too much into it, in the same way that it's misguided to deny climate change because it's been cold where you live.

A few thoughts as to why our optimism should be cautious.

🧵
1. The lower acute severity seen right now is very likely due to host immunity, not to a reduction in inherent virulence. That immunity comes from two sources: vaccination and past infection (or both, so-called "hybrid immunity").

Cont'd...
There are issues with relying on "hybrid immunity" to keep us safer from severe acute illness:

i. It doesn't necessarily stop transmission. More infections means more variant evolution, often specifically in the direction of increased immune escape. Increased immune escape over time
Read 12 tweets
Jun 23
Confused about the variants you're hearing about most right now? Here they are, explained. 🧵
XBB.1.5 ("Kraken")

What it is: A descendant of XBB, which was a recombinant between two BA.2 lineages.

Status: Not circulating anymore.

Why relevant: It is the variant targeted by current vaccine boosters. XBB.1.5 vs. XBB mutations. From cob-spectrum.org
BA.2.86 ("Pirola")

What it is: A highly divergent variant that evolved within a single host who was infected for a year. Descended from BA.2.

Status: Not circulating anymore.

Why relevant: Most of what is circulating now descended from it, having replaced the XBBs. BA.2.86 vs. BA.2 mutations. From cob-spectrum.org
Read 7 tweets
Jun 18
We have both continuous and continual SARS-CoV-2 variant evolution happening. What do I mean? 🧵
Viruses evolve at (at least) two levels: among hosts and within hosts. Among hosts, the main determinant of viral fitness (i.e., reproductive success and continued existence of that lineage) is getting into new hosts.
In very general terms, traits like transmissibility and infectiousness are under selection at the among-host (interhost) level. When there is some degree of immunity in the population, characteristics like immune escape also become very relevant to viral fitness.
Read 24 tweets
May 19
When you're accustomed to extreme privilege, feeling uncomfortable becomes feeling unsafe, and those feelings become more important than other people's lives.
And that's the most generous explanation for why one of these bothers some folks way more than the other. There are far more disturbing explanations, of course.
The pro-Palestine encampment at the University of Toronto
Destruction of a neighbourhood in Gaza
“I have almost reached the regrettable conclusion that the Negro’s great stumbling block in the stride toward freedom is not the White Citizens Councilor or the Ku Klux Klanner but the White moderate who is more devoted to ‘order’ than to justice.” - MLK

cnn.com/2022/01/15/opi…
Read 4 tweets
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

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