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      Peer Review of “Emergence of the First Strains of SARS-CoV-2 Lineage B.1.1.7 in Romania: Genomic Analysis”

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      , MA, MS 1
      JMIRx Med
      JMIR Publications
      infectious disease, COVID-19, strain, virus, Romania, transmission, spread, mutation, impact, case study, genome, sequencing, genetics, epidemiology, variant, virology, lineage

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          Emergence of the First Strains of SARS-CoV-2 Lineage B.1.1.7 in Romania: Genomic Analysis

          Background The United Kingdom reported the emergence of a new and highly transmissible SARS-CoV-2 variant (B.1.1.7) that rapidly spread to other countries. The impact of this new mutation—which occurs in the S protein—on infectivity, virulence, and current vaccine effectiveness is still under evaluation. Objective The aim of this study is to sequence SARS-CoV-2 samples of cases in Romania to detect the B.1.1.7 variant and compare these samples with sequences submitted to GISAID. Methods SARS-CoV-2 samples were sequenced and amino acid substitution analysis was performed using the CoV-GLUE platform. Results We have identified the first cases of the B.1.1.7 variant in samples collected from Romanian patients, of which one was traced to the region of the United Kingdom where the new variant was originally sequenced. Mutations in nonstructural protein 3 (Nsp3; N844S and D455N) and ORF3a (L15F) were also detected, indicating common ancestry with UK strains as well as remote connections with strains from Nagasaki, Japan. Conclusions These results indicate, for the first time, the presence and characteristics of the new variant B.1.1.7 in Romania and underscore the need for increased genomic sequencing in patients with confirmed COVID-19.

            Author and article information

            Journal
            JMIRx Med
            JMIRx Med
            JMIRxMed
            JMIRx Med
            JMIR Publications (Toronto, Canada )
            2563-6316
            Jul-Sep 2021
            13 August 2021
            13 August 2021
            : 2
            : 3
            : e32299
            Affiliations
            [1 ] Washington University School of Medicine in St. Louis St Louis, MO United States
            Author information
            https://orcid.org/0000-0003-2055-7618
            Article
            v2i3e32299
            10.2196/32299
            10414399
            d7dd506f-946a-4410-ba28-2c45d6fd95ab
            ©Lei Guo. Originally published in JMIRx Med (https://med.jmirx.org), 13.08.2021.

            This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIRx Med, is properly cited. The complete bibliographic information, a link to the original publication on https://med.jmirx.org/, as well as this copyright and license information must be included.

            History
            : 21 July 2021
            : 21 July 2021
            Categories
            Peer-Review Report
            Peer-Review Report

            infectious disease,covid-19,strain,virus,romania,transmission,spread,mutation,impact,case study,genome,sequencing,genetics,epidemiology,variant,virology,lineage

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