It’s been 2 years since BA.2.86 first appeared (and I’m give the variant update to SAVE on Monday), so I thought I would do a little summary about this era of SARS-CoV-2 evolution. 1/
SARS-CoV-2 lineages come up with new constellations of mutations in 3 main ways. 1. Sequential acquisition of mutations during normal circulation. 2. Recombination. 3. Sweeping new lineages (almost certainly from persistent infections).
2/
BA.2.86 was one of the sweeping changes. When it first appeared in Israel I thought it was a persistent infection, most of which never spread. Then it appeared in Denmark too. 3/
However, our immunity was holding up. There was still a class of antibodies that did a pretty good job of neutralizing BA.2.86.
However, a single AA variation changed that.
The new lineage was designated JN.1 5/
JN.1 displaced all other lineages in the world within a few months.
There was a lot of convergent evolution in the JN.1 offspring (+F456L), but no single lineage became dominant until KP.3.1.1 about 6 months later. 6/
After KP.3.1.1 can the recombinant XEC.
XEC was a recombination of KP.3.1.1 with another JN.1, so KP.3.1.1. and XEC were very similar.
XEC slowly won out over KP.3.1.1, but never became world dominant. 7/
Next came LP.8.1, which was another JN.1 lineage that had been gradually evolving in SE Asia. It displaced XEC, but also did not become world dominant. 8/
Next came NB.1.8.1, which was derived from a recombinant of a JN.1 with an even older XBB recombinant.
Fun fact, most of the current NB.1.8.1 genome is derived from XBB and not JN.1. 9/
Finally, that brings us to XFG. XFG is a recombinant between LP.8.1 and another JN.1. XFG expanded more rapidly than most of the others, and is the first lineage to reach world dominance (it seems) in a year.
This is our US wastewater readout for XFG. Steadily growing, and appears to be over 60% of the US sequences. There is a corresponding surge (small one) in total virus, which likely is variant driven. 11/
There is an odd disconnect though. NB.1.8.1 remains completely dominant in Australia and China. 12/
I’m not sure what is next, but we are all still keeping an eye on BA.3.2. This sweeping lineage appeared a few months ago. It hasn’t pulled a ‘JN.1’ yet, but it has appeared on 4 continents.
We’ll be watching.
13/13
• • •
Missing some Tweet in this thread? You can try to
force a refresh
I obviously knew there was some manipulation of post metrics on social media, but I really didn’t realize just how hard this platform slams the breaks on posts it doesn’t like.
Here’s my experiment.
1/
This weekend I posted 3 threads.
1. on a cryptic lineage 2. on H5N1 3. on seasonal respiratory viruses
Each time I posted the threads on X and bsky at the same time.
2/
The three threads each got roughly the same attention on bsky.
However, on X the first 2 each had hundreds of RTs and over 1k likes.
The 3rd was practically invisible. It had only 5 RTs and 28 likes after 2 days. Over 40-times fewer views.
3/
I’ve found cryptic lineages from sequencing wastewater.
I’ve found cryptic lineages from screening databases.
This is the first time I’ve found a cryptic lineage from social media.
This was an interesting story.
1/
Earlier this summer someone poked me to ask what the deal was with Coeur d’Alene, ID whose COVID numbers were consistently the highest in the country (by far).
I couldn’t find the post, so if this was you, please take credit. 2/
It did look suspicious, extremely high and sustained COVID levels, but my sources said they didn’t have any out of the ordinary case levels.
It’s been 2 days, 143 comments, and I’ve been called lots of bad names.
Here’s what I learned about protein based Novavax (NV) vs mRNA COVID vaccines. 1/
The pretty universally agreed on difference is that Novavax has fewer side effects.
If you have bad vaccine reactions, it is probably the better choice.
2/
There are other differences too. NV is protein based, so the immune response is antibody focused, while the mRNA is response is broader and produces both antibodies and CTLs.
3/
Fact 1, it’s not just genetics.
@EricTopol spent years sequencing the genomes of the ‘wellderly’ (people over 80 that have never had a chronic illness) to find the genes associated with healthy aging.
Their conclusion – there wasn’t much there. It’s not just genetics.
2/
Fact 2, intake matters.
1. Drinking coffee has real health benefits (who knew?) 2. Drinking alcohol really doesn’t (bummer) 3. Ultra Processed Foods (UPFs) are REALLY bad for you. It goes well beyond being empty calories.
3/