“…For this reason, different test antigen design strategies, trying to cope with the diversity of circulating viral isolates in a single sequence, have been developed in the past. These strategies include central sequence designs such as Center of Tree (COT) [ 28 , 29 , 30 , 31 , 32 ], Ancestral [ 33 , 34 , 35 , 36 ] or Consensus sequences [ 29 , 30 , 31 , 32 , 35 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ]; which may (Ancestral, COT) or may not (Consensus) represent naturally occurring sequences of replication competent viruses. All these designs are sensitive to the underlying sequence database and may change over time as new sequence information on additional isolates becomes available.…”