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10.1016/j.ijid.2021.03.068

http://scihub22266oqcxt.onion/10.1016/j.ijid.2021.03.068
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33785459!7997945!33785459
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suck abstract from ncbi


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pmid33785459      Int+J+Infect+Dis 2021 ; 106 (ä): 228-236
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  • Emergence and outcomes of the SARS-CoV-2 Marseille-4 variant #MMPMID33785459
  • Fournier PE; Colson P; Levasseur A; Devaux CA; Gautret P; Bedotto M; Delerce J; Brechard L; Pinault L; Lagier JC; Fenollar F; Raoult D
  • Int J Infect Dis 2021[May]; 106 (ä): 228-236 PMID33785459show ga
  • BACKGROUND: In Marseille, France, following a first severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in March-May 2020, a second epidemic phase occurred from June, involving 10 new variants. The Marseille-4 variant caused an epidemic that started in August and is still ongoing. METHODS: The 1038 SARS-CoV-2 whole genome sequences obtained in our laboratory by next-generation sequencing with Illumina technology were analysed using Nextclade and nextstrain/ncov pipelines and IQ-TREE. A Marseille-4-specific qPCR assay was implemented. Demographic and clinical features were compared between patients with the Marseille-4 variant and those with earlier strains. RESULTS: Marseille-4 harbours 13 hallmark mutations. One leads to an S477N substitution in the receptor binding domain of the spike protein targeted by current vaccines. Using a specific qPCR, it was observed that Marseille-4 caused 12-100% of SARS-CoV-2 infections in Marseille from September 2020, being involved in 2106 diagnoses. This variant was more frequently associated with hypoxemia than were clade 20A strains before May 2020. It caused a re-infection in 11 patients diagnosed with different SARS-CoV-2 strains before June 2020, suggesting either short-term protective immunity or a lack of cross-immunity. CONCLUSIONS: Marseille-4 should be considered as a major SARS-CoV-2 variant. Its sudden appearance points towards an animal reservoir, possibly mink. The protective role of past exposure and current vaccines against this variant should be evaluated.
  • |*Genome, Viral[MESH]
  • |*Mutation[MESH]
  • |*Whole Genome Sequencing[MESH]
  • |Animals[MESH]
  • |COVID-19/*genetics/virology[MESH]
  • |Epidemics[MESH]
  • |France/epidemiology[MESH]
  • |Humans[MESH]
  • |Mink/virology[MESH]
  • |Molecular Epidemiology[MESH]
  • |Phylogeny[MESH]
  • |Reinfection/virology[MESH]


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