Phylogenomic tracing of asymptomatic transmission in a COVID-19 outbreak.

Ju Zhang, Nan Ding, Yangzi Song, Rui Song, Yang Pan, Linghang Wang, Shuo Yan, Qi Wang, Shanfang Ma, Lirong Wei, Fengting Yu, Lianhe Lu, Fujie Zhang, Chen Chen, Hui Zeng
Author Information
  1. Ju Zhang: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  2. Nan Ding: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  3. Yangzi Song: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  4. Rui Song: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  5. Yang Pan: Institute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing 100013, China.
  6. Linghang Wang: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  7. Shuo Yan: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  8. Qi Wang: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  9. Shanfang Ma: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  10. Lirong Wei: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  11. Fengting Yu: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  12. Lianhe Lu: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  13. Fujie Zhang: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  14. Chen Chen: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
  15. Hui Zeng: Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.

Abstract

SARS-CoV-2 has caused over 100 million deaths and continues to spread rapidly around the world. Asymptomatic transmission of SARS-CoV-2 is the Achilles' heel of COVID-19 public health control measures. Phylogenomic data on SARS-CoV-2 could provide more direct information about asymptomatic transmission. In this study, using a novel MINERVA sequencing technology, we traced asymptomatic transmission of COVID-19 patients in Beijing, China. One hundred and seventy-eight close contacts were quarantined, and 14 COVID-19 patients were laboratory confirmed by RT-PCR. We provide direct phylogenomic evidence of asymptomatic transmission by constructing the median joining network in the cluster. These data could help us to determine whether the current symptom-based screening should cover asymptomatic persons.

Keywords

References

  1. Emerg Infect Dis. 2020 Jul;26(7):1470-1477 [PMID: 32255761]
  2. Mol Cell. 2020 Sep 3;79(5):710-727 [PMID: 32853546]
  3. N Engl J Med. 2020 May 28;382(22):2158-2160 [PMID: 32329972]
  4. Lancet. 2020 Apr 18;395(10232):1305-1314 [PMID: 32247320]
  5. mSystems. 2020 Jul 28;5(4): [PMID: 32723797]
  6. Cell Death Dis. 2020 Jun 8;11(6):438 [PMID: 32513951]
  7. Genomics Proteomics Bioinformatics. 2017 Feb;15(1):14-18 [PMID: 28387199]
  8. N Engl J Med. 2020 May 28;382(22):2081-2090 [PMID: 32329971]
  9. Natl Sci Rev. 2020 Sep 28;7(12):1865-1867 [PMID: 34676084]
  10. J Virol. 2020 Nov 9;94(23): [PMID: 32938769]
  11. Emerg Infect Dis. 2020 Sep;26(9): [PMID: 32603652]
  12. Euro Surveill. 2020 Apr;25(17): [PMID: 32372755]
  13. N Engl J Med. 2020 Jun 11;382(24):2302-2315 [PMID: 32289214]
  14. Environ Res. 2020 Dec;191:110155 [PMID: 32871151]
  15. N Engl J Med. 2020 Mar 26;382(13):1199-1207 [PMID: 31995857]
  16. Biosens Bioelectron. 2021 Feb 15;174:112830 [PMID: 33339696]
  17. Mol Biol Evol. 2013 Apr;30(4):772-80 [PMID: 23329690]
  18. Virus Evol. 2018 Jan 08;4(1):vex042 [PMID: 29340210]
  19. J Infect Dis. 2020 Jun 11;221(12):1948-1952 [PMID: 32319519]
  20. Natl Sci Rev. 2020 Sep 24;8(1):nwaa246 [PMID: 34676089]
  21. Nat Med. 2020 Aug;26(8):1200-1204 [PMID: 32555424]
  22. Science. 2020 May 8;368(6491): [PMID: 32234805]
  23. eNeurologicalSci. 2021 Mar;22:100294 [PMID: 33283061]
  24. Natl Sci Rev. 2020 Oct 23;7(12):1861-1864 [PMID: 34676083]
  25. N Engl J Med. 2020 Mar 5;382(10):929-936 [PMID: 32004427]
  26. Sci Total Environ. 2020 Aug 10;729:138474 [PMID: 32498152]
  27. J Theor Biol. 2021 Feb 7;510:110539 [PMID: 33242489]
  28. Nucleic Acids Res. 2019 Jul 2;47(W1):W256-W259 [PMID: 30931475]
  29. N Engl J Med. 2020 Mar 19;382(12):1177-1179 [PMID: 32074444]
  30. Clin Infect Dis. 2021 May 18;72(10):e448-e457 [PMID: 32785683]
  31. Nat Methods. 2012 Mar 04;9(4):357-9 [PMID: 22388286]
  32. Mol Biol Evol. 2015 Jan;32(1):268-74 [PMID: 25371430]
  33. Emerg Infect Dis. 2021 Jan;27(1): [PMID: 33063657]
  34. Mol Cell. 2020 Dec 17;80(6):1123-1134.e4 [PMID: 33290743]
  35. JAMA. 2021 Feb 2;325(5):489-492 [PMID: 33528529]
  36. Natl Sci Rev. 2020 Sep 19;7(12):1847-1851 [PMID: 34676082]
  37. Nat Med. 2020 May;26(5):672-675 [PMID: 32296168]

Word Cloud

Created with Highcharts 10.0.0transmissionasymptomaticCOVID-19SARS-CoV-2Phylogenomicdataprovidedirectpatientsphylogenomicoutbreakcaused100milliondeathscontinuesspreadrapidlyaroundworldAsymptomaticAchilles'heelpublichealthcontrolmeasuresinformationstudyusingnovelMINERVAsequencingtechnologytracedBeijingChinaOnehundredseventy-eightclosecontactsquarantined14laboratoryconfirmedRT-PCRevidenceconstructingmedianjoiningnetworkclusterhelpusdeterminewhethercurrentsymptom-basedscreeningcoverpersonstracing

Similar Articles

Cited By