2021
DOI: 10.1101/2021.07.07.21260122
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Viral infection and transmission in a large, well-traced outbreak caused by the SARS-CoV-2 Delta variant

Abstract: SummaryWe report the first local transmission of the Delta SARS-CoV-2 variant in mainland China. All 167 infections could be traced back to the first index case. The investigation on daily sequential PCR testing of the quarantined subjects indicated the viral load of the first positive test of Delta infections was ∼1000 times higher than that of the 19A/19B strains infections back in the initial epidemic wave of 2020, suggesting the potential faster viral replication rate and more infectiousness of the Delta v… Show more

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Cited by 233 publications
(175 citation statements)
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References 35 publications
(27 reference statements)
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“…Lastly, our unexpected finding of improved RNA packaging and luciferase induction by mutations within the N protein point to a previously unknown strategy for coronaviruses to evolve improved viral fitness. Although the mechanism for this improvement remains unclear, this finding is consistent with recent reports that the Delta variant (containing N:R203M) generates 1000-fold higher levels of RNA within patients ( 26 ). Our results point to a new and unanticipated mechanism that could explain why the SARS-CoV-2 Delta variant demonstrates improved viral fitness.…”
Section: Main Textsupporting
confidence: 91%
“…Lastly, our unexpected finding of improved RNA packaging and luciferase induction by mutations within the N protein point to a previously unknown strategy for coronaviruses to evolve improved viral fitness. Although the mechanism for this improvement remains unclear, this finding is consistent with recent reports that the Delta variant (containing N:R203M) generates 1000-fold higher levels of RNA within patients ( 26 ). Our results point to a new and unanticipated mechanism that could explain why the SARS-CoV-2 Delta variant demonstrates improved viral fitness.…”
Section: Main Textsupporting
confidence: 91%
“…S1). The high incidence of B.1.617.2 is consistent with recent studies showing that the B.1.617.2 variant has enhanced transmissibility, replication kinetics and viral loads in oropharyngeal and nose-throat swabs of infected individuals relative to the ancestral virus and other variants (37,44).…”
supporting
confidence: 88%
“…This study shows that the SARS-CoV-2 B.1.351 variant can establish infection in WT mice, in line with previous findings (Montagutelli et al, 2021). Compared to hACE2-expressing transgenic mice that developed a severe clinical course and pathology upon SARS-CoV-2 infection, WT mice displayed a milder phenotype.…”
Section: Resultssupporting
confidence: 93%
“…The landscape of susceptibility species is also governed by S protein mutations, which can modulate the affinity to animal ACE2 (Garry, 2021). Notably, it has already been reported that new variants such as B.1.351 can infect SARS-CoV-2 resistant species like mice (Montagutelli et al, 2021). However, a complete in vivo susceptibility analysis has not yet been carried out.…”
Section: Introductionmentioning
confidence: 99%