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
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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/
This is cool. I was poking around at the Rhinovirus (common cold) data and realized that my perception about these viruses was completely wrong. 1/
Rhinoviruses (Rhino is Greek for nose) are picornaviruses in the enterovirus genus (same as polio). Enteros can be GI or respiratory (or both), but Rhinos are usually respiratory, and are the main cause of the common cold.
The first big improvement is that the output is more precise, and interactive. For each data point we tell you the date, the reads mapped, the total reads in each sample, and the reads/billion for each pathogen.
The heat map color is dictated by reads/billion.
2/
As before, we have a dropdown menu (now divided into categories) where you can do a city-to-city comparison of the different pathogens.
There haven’t been a ton of changes to the manuscript since I wrote a post on the preprint, so I’ll make this summary brief and focus on the things that changed. 2/
Cryptic lineages are anachronistic, evolutionarily advanced SARS-CoV-2 lineages detected from wastewater. We are pretty certain they are all from persistent infections.
We developed techniques for finding these lineages and partially reconstruction their genomes. 3/