2021
DOI: 10.3390/v13050751
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Within-Host and Between-Host Evolution in SARS-CoV-2—New Variant’s Source

Abstract: Some of the newly emerging corona viral variants show high numbers of mutations. This is unexpected for a virus with a low mutation rate due to an inherent proof-reading system. Could such a variant arise under very special conditions occurring in a host where the virus replicates and mutates in a rather unlimited fashion, such as in immune compromised patients? The virus was shown to replicate in an immunosuppressed cancer patient for more than 105 days and might be a source of new variants. These patients ar… Show more

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Cited by 30 publications
(19 citation statements)
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“…We highlight that, broadly across phase space, match number distributions tend to increase in width as immunity decreases. This observation is consistent with previous clinical findings that immuno-compromised or -suppressed patients exhibit greater diversity of viral variants than those with stronger immune systems [13,31,32].…”
Section: Probability Distributionssupporting
confidence: 92%
“…We highlight that, broadly across phase space, match number distributions tend to increase in width as immunity decreases. This observation is consistent with previous clinical findings that immuno-compromised or -suppressed patients exhibit greater diversity of viral variants than those with stronger immune systems [13,31,32].…”
Section: Probability Distributionssupporting
confidence: 92%
“…The B.1.617.2 initially identified in India in December 2020 that is responsible for the second COVID-19 wave in India rapidly spread to more than 163 countries. The Delta variant has 13 mutations of which two are in the RBD (E484Q and L452R) ( 110 ). The Delta virus is more contagious (40%−60%) than the B.1.1.7 variant and twice as transmissible as the original SARS-CoV-2 Wuhan strain ( 101 ).…”
Section: Methodsmentioning
confidence: 99%
“…In addition, patients with B-cell malignancies such as MM may serve as reservoirs for the generation of viral variants. 9 Optimizing protection of these patients may also therefore be critical for control of the pandemic.…”
Section: Introductionmentioning
confidence: 99%