2021
DOI: 10.1016/j.cell.2020.11.020
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Evaluating the Effects of SARS-CoV-2 Spike Mutation D614G on Transmissibility and Pathogenicity

Abstract: Highlights d Increasing frequency of SARS-CoV-2 D614G is consistent with a selective advantage d Phylodynamic analyses do not show significantly different growth of D614G clusters d There is no association of D614G replacement with greater severity of infection d The D614G replacement is associated with higher viral loads and younger patient age

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Cited by 909 publications
(838 citation statements)
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References 55 publications
(52 reference statements)
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“…Further work should clarify the role, if any, of increased mobility and population mixing that may have been concurrent with the circulation of the 501Y Variant 2 in explaining higher transmissibility. In particular, this should be done through comparison with contact tracing results of clusters of cases of 501Y Variant 2 [ 19 ]. Assessment of clinical severity changes associated with the new variants would require several more weeks of close and careful observation [ 19 , 20 ].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Further work should clarify the role, if any, of increased mobility and population mixing that may have been concurrent with the circulation of the 501Y Variant 2 in explaining higher transmissibility. In particular, this should be done through comparison with contact tracing results of clusters of cases of 501Y Variant 2 [ 19 ]. Assessment of clinical severity changes associated with the new variants would require several more weeks of close and careful observation [ 19 , 20 ].…”
Section: Discussionmentioning
confidence: 99%
“…In particular, this should be done through comparison with contact tracing results of clusters of cases of 501Y Variant 2 [ 19 ]. Assessment of clinical severity changes associated with the new variants would require several more weeks of close and careful observation [ 19 , 20 ]. Finally, given the numerous mutations associated with 501Y variants, and thus the potential for antigenic changes, intensified immunogenomic surveillance is necessary to identify instances of re-infection in previous confirmed COVID-19 patients, as well as breakthrough infections among those who have been vaccinated.…”
Section: Discussionmentioning
confidence: 99%
“…2). Preliminary studies suggest that the D614G mutation can enhance viral infectivity in cell culture 18 and phylodynamic approaches have shown an increase in growth and size of lineages with this mutation 19 . Nevertheless, it is noteworthy that the increase in glycine in New Zealand samples is due to multiple importation events of this variant rather than selection for this mutation within New Zealand.…”
Section: Resultsmentioning
confidence: 99%
“…While infectiousness and transmissibility are closely related, they are not necessarily synonymous to one another, and therefore, detailed studies are needed to decide whether or not the D614G mutation has contributed to an increase in the number of infections and not simply higher viral loads during infection ( Volz et al, 2021 and COVID-19 Genomics UK Consortium, 2020a ). Interestingly the entire region is sharing the same common mutations within the same clades ( COVID-19 Genomics UK Consortium, 2020b ).…”
Section: Discussionmentioning
confidence: 99%