4.6 Review

SARS-CoV-2 Genomic Surveillance in Brazil: A Systematic Review with Scientometric Analysis

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Interacting Epidemics in Amazonian Brazil: Prior Dengue Infection Associated With Increased Coronavirus Disease 2019 (COVID-19) Risk in a Population-Based Cohort Study

Vanessa C. Nicolete et al.

Summary: A study in Amazonian Brazil found that individuals with prior dengue virus infection had a higher risk of clinically apparent COVID-19 after contracting SARS-CoV-2, with those over 60 years old being more likely to have symptomatic COVID-19. Local SARS-CoV-2 isolates belonged to the B.1.1.33 lineage.

CLINICAL INFECTIOUS DISEASES (2021)

Article Infectious Diseases

Detection of SARS-CoV-2 lineage P.1 in patients from a region with exponentially increasing hospitalisation rate, February 2021, Rio Grande do Sul, Southern Brazil

Andreza Francisco Martins et al.

Summary: A study in Brazil found that the emergence of the SARS-CoV-2 P.1 lineage coincided with a surge in hospitalisations. Severe COVID-19 cases in the South region rose significantly in February 2021, raising concerns about a possible association between the P.1 lineage and rapid increases in cases.

EUROSURVEILLANCE (2021)

Article Virology

Epidemiological dynamics of SARS-CoV-2 VOC Gamma in Rio de Janeiro, Brazil

Filipe Romero Rebello Moreira et al.

Summary: The research investigated the spread of the Gamma variant of the coronavirus in Rio de Janeiro, Brazil, between December 2020 and May 2021, and found that this variant spread rapidly, leading to the third local epidemic wave. Molecular clock analysis and Bayesian phylogeographic reconstruction showed that the variant began circulating locally in early 2021 and rapidly reached a frequency of over 70% in just 7 weeks. Additionally, comparative analysis of RT-qPCR cycle threshold (Ct) values indicated that the Gamma variant induces higher viral loads.

VIRUS EVOLUTION (2021)

Article Virology

Identification of a novel SARS-CoV-2 P.1 sub-lineage in Brazil provides new insights about the mechanisms of emergence of variants of concern

Tiago Graf et al.

Summary: The study describes a new SARS-CoV-2 P.1 sub-lineage circulating in Brazil, denoted as Gamma-like-II, which shares several lineage-defining mutations with the VOC Gamma. This suggests a complex interplay between the emergence of mutations of concern and viral spread in Brazil.

VIRUS EVOLUTION (2021)

Article Medicine, General & Internal

Atypical Prolonged Viral Shedding With Intra-Host SARS-CoV-2 Evolution in a Mildly Affected Symptomatic Patient

Marielton dos Passos Cunha et al.

Summary: A study showed that some individuals mildly affected by SARS-CoV-2 infection exhibited atypical durations of viral shedding, with one HIV-positive patient shedding SARS-CoV-2 RNA and sgRNA for 232 and 224 days respectively after onset. These results suggest that some infected patients might shed potentially infectious SARS-CoV-2 virus for longer periods of time.

FRONTIERS IN MEDICINE (2021)

Article Public, Environmental & Occupational Health

The Emergence of the New P.4 Lineage of SARS-CoV-2 With Spike L452R Mutation in Brazil

Cintia Bittar et al.

Summary: The emergence of a new SARS-CoV-2 lineage named P.4 in Porto Ferreira, Sao Paulo, Brazil has been increasing in frequency since its first detection in March 2021, becoming the second most prevalent lineage after P.1. It is circulating in 30 cities in the state of Sao Paulo, and has also been detected in samples from the states of Sergipe and Rio de Janeiro. Further studies are needed to determine if P.4 poses a new threat.

FRONTIERS IN PUBLIC HEALTH (2021)

Letter Public, Environmental & Occupational Health

SARS-CoV-2 genomic surveillance in Northeast Brazil: timing of emergence of the Brazilian variant of concern P1

Cliomar Alves dos Santos et al.

Summary: Since March 2020, 11 lineages of severe acute respiratory syndrome coronavirus 2 have been identified in Sergipe state, Northeast Brazil. During the first 6 months of the COVID-19 outbreak, there was a higher frequency of B.1 and B.1.1.33 lineages. During the second wave, there was an increased frequency of the new Brazilian variant of concern, P.1.

JOURNAL OF TRAVEL MEDICINE (2021)

Article Multidisciplinary Sciences

Spatiotemporal pattern of COVID-19 spread in Brazil

Marcia C. Castro et al.

Summary: The study found that COVID-19 in Brazil is spreading rapidly across municipalities with distinct spatial and temporal patterns of clustering, trajectories, and speed. Analysis shows that inadequate policy measures have led to high transmission and mortality burdens. The current surge in cases and deaths, along with the circulation of concerning variants, highlights the need for government to strengthen prevention and control measures.

SCIENCE (2021)

Article Multidisciplinary Sciences

Genomics and epidemiology of the P.1 SARS-CoV-2 lineage in Manaus, Brazil

Nuno R. Faria et al.

Summary: A new variant of concern, P.1, with 17 mutations including three spike protein mutations associated with increased binding to human ACE2 receptors, emerged in Manaus, Brazil between November 2020 and January 2021. Molecular analysis suggests P.1 may be 1.7- to 2.4-fold more transmissible and that previous infection may provide 54 to 79% protection against P.1 infection compared to other lineages. Enhanced global genomic surveillance of such variants is crucial for pandemic response.

SCIENCE (2021)

Article Virology

Pervasive transmission of E484K and emergence of VUI-NP13L with evidence of SARS-CoV-2 co-infection events by two different lineages in Rio Grande do Sul, Brazil

Ronaldo da Silva Francisco Jr et al.

Summary: The emergence of novel SARS-CoV-2 lineages, including B.1.1.28 (E484K), in Rio Grande do Sul, Brazil has raised global concerns. Co-infection events and the identification of a new sample cluster named VUI-NP13L underscore the importance of strict and effective social distancing measures to combat the spread of potentially more hazardous SARS-CoV-2 strains.

VIRUS RESEARCH (2021)

Article Public, Environmental & Occupational Health

SARS-CoV-2 variants in severely symptomatic and deceased persons who had been vaccinated against COVID-19 in Sao Paulo, Brazil

Karoline Rodrigues Campos et al.

Summary: COVID-19 vaccination began in Sao Paulo, Brazil in January 2021, targeting healthcare workers and the elderly first. Studies have shown efficacy of the vaccines in preventing severe cases and deaths. Data from the Instituto Adolfo Lutz in Sao Paulo revealed that most severe cases were among CoronaVac vaccinated individuals with the gamma variant.

REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH (2021)

Article Virology

A Potential SARS-CoV-2 Variant of Interest (VOI) Harboring Mutation E484K in the Spike Protein Was Identified within Lineage B.1.1.33 Circulating in Brazil

Paola Cristina Resende et al.

Summary: This study reports the identification of a new SARS-CoV-2 VOI within lineage B.1.1.33 in Brazil, which carries the S:E484K mutation. This VOI, designated as lineage N.9, emerged in August 2020 and has spread across different regions in Brazil.

VIRUSES-BASEL (2021)

Article Multidisciplinary Sciences

Field and classroom initiatives for portable sequence-based monitoring of dengue virus in Brazil

Talita Emile Ribeiro Adelino et al.

Summary: Brazil faced a significant dengue virus epidemic in 2019, and through the use of Oxford Nanopore sequencing, researchers successfully monitored and generated 227 novel genome sequences of DENV1-2 from 85 municipalities. The study revealed complex transmission patterns of DENV1-2, with lineage co-circulation and replacement, and estimated effective reproduction numbers and patterns of seasonality for two lineages within the DENV2 BR-4 clade. The surveillance outputs and training initiatives presented here demonstrate the potential of real-time portable sequencing for genomic surveillance of emerging viruses.

NATURE COMMUNICATIONS (2021)

Review Medicine, General & Internal

The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

Matthew J. Page et al.

Summary: The PRISMA statement was designed to help systematic reviewers transparently report the purpose, methods, and findings of their reviews. The updated PRISMA 2020 statement includes new reporting guidance, a 27-item checklist, an abstract checklist, and revised flow diagrams for reviews.

BMJ-BRITISH MEDICAL JOURNAL (2021)

Article Biotechnology & Applied Microbiology

Genomic epidemiology of SARS-CoV-2 in Esteio, Rio Grande do Sul, Brazil

Vinicius Bonetti Franceschi et al.

Summary: This study tracked the molecular evolution and spread of SARS-CoV-2 in Esteio, Southern Brazil, highlighting mutations from May to October 2020, including common mutations in spike glycoprotein and an emergent mutation in spike Receptor Binding Domain. The study also found epidemiologically-related clusters, demonstrating multiple introductions of prevalent Brazilian lineages and their spread to other regions. The correlation of clinical, epidemiological, and genomic information is crucial for understanding viral evolution and informing policy making strategies to combat COVID-19.

BMC GENOMICS (2021)

Article Infectious Diseases

Molecular surveillance of the on-going SARS-COV-2 epidemic in Ribeirao Preto City, Brazil

Svetoslav Nanev Slavov et al.

Summary: This study examined the SARS-CoV-2 genotypes in Ribeira Preto city through genomic surveillance data. Results showed that most strains obtained in the initial period of the pandemic in Ribeira Preto belonged to the B1.1.33 lineage, while the second wave strains were exclusively composed of the Brazilian variant of concern (VOC) P.1 lineage. These phylogenetic results suggest successive lineage substitutions by the P.1 VOC in this Brazilian region.

INFECTION GENETICS AND EVOLUTION (2021)

Letter Infectious Diseases

Genomic evidence of SARS-CoV-2 reinfection case with the emerging B.1.2 variant in Brazil

Vagner Fonseca et al.

JOURNAL OF INFECTION (2021)

Article Virology

Genomic monitoring unveil the early detection of the SARS-CoV-2 B.1.351 (beta) variant (20H/501Y.V2) in Brazil

Svetoslav N. Slavov et al.

Summary: Sao Paulo State in Brazil is facing a second wave of COVID-19, with a network established to monitor the spread of SARS-CoV-2 variants. Analysis of 210 genomes revealed multiple circulating lineages, with the P.1 lineage predominant and the first detection of the South African B.1.351 (beta) variant in Brazil. Vigilant monitoring is crucial for pandemic control and vaccination strategies.

JOURNAL OF MEDICAL VIROLOGY (2021)

Article Biochemistry & Molecular Biology

COVID-19 in Amazonas, Brazil, was driven by the persistence of endemic lineages and P.1 emergence

Felipe Gomes Naveca et al.

Summary: Analysis of circulating SARS-CoV-2 viruses during the first and second waves of COVID-19 in Amazonas, Brazil, shows successive lineage replacements led to predominance of the variant of concern P.1 and are associated with variable levels of social distancing.

NATURE MEDICINE (2021)

Article Biochemistry & Molecular Biology

Reduction in life expectancy in Brazil after COVID-19

Marcia C. Castro et al.

Summary: Brazil has been heavily impacted by COVID-19, with a significant increase in deaths in 2020 and 2021, leading to a decline in life expectancy and mortality levels not seen since 20 years ago.

NATURE MEDICINE (2021)

Article Environmental Sciences

The presence of SARS-CoV-2 RNA in human sewage in Santa Catarina, Brazil, November 2019

Gislaine Fongaro et al.

Summary: SARS-CoV-2 RNA was detected in human sewage samples from Florianopolis, Brazil from November 2019 to March 2020, earlier than the first reported case in the Americas. This suggests that the virus may have been circulating undetected in the community.

SCIENCE OF THE TOTAL ENVIRONMENT (2021)

Article Virology

Case Study of Two Post Vaccination SARS-CoV-2 Infections with P1 Variants in CoronaVac Vaccinees in Brazil

Cassia F. Estofolete et al.

Summary: The development of effective vaccines against COVID-19 has helped in reducing the transmission of the virus, but the emergence of variants poses challenges. Breakthrough infections after vaccination highlight the importance of continued vigilance and efforts to prevent and diagnose infections among vaccinated individuals.

VIRUSES-BASEL (2021)

Editorial Material Virology

Epidemic Spread of SARS-CoV-2 Lineage B.1.1.7 in Brazil

Filipe R. R. Moreira et al.

VIRUSES-BASEL (2021)

Article Microbiology

Recurrent Dissemination of SARS-CoV-2 Through the Uruguayan-Brazilian Border

Daiana Mir et al.

Summary: Despite successfully containing the COVID-19 epidemic, Uruguay faced challenges due to intense human mobility with Brazil. Genetic analyses indicated multiple introductions of SARS-CoV-2 from Brazil to Uruguay, leading to local outbreaks in border areas. Enhanced bi-national surveillance is essential for controlling virus spread in such highly permeable border regions.

FRONTIERS IN MICROBIOLOGY (2021)

Editorial Material Microbiology

SARS-CoV-2 Variants of Interest and Concern naming scheme conducive for global discourse

Frank Konings et al.

Summary: A group convened and led by the Virus Evolution Working Group of the World Health Organization has announced a naming scheme to enable clear communication about SARS-CoV-2 variants of interest and concern.

NATURE MICROBIOLOGY (2021)

Article Virology

Assignment of epidemiological lineages in an emerging pandemic using the pangolin tool

Aine O'Toole et al.

Summary: The global virus genomics community has responded unprecedentedly to the SARS-CoV-2 pandemic, leading to significant advances in 'real-time' generation and sharing of genomic data. The development of new analytical methods, such as pangolin, has been necessary to handle the rapid growth in virus genome data production. Pangolin has processed nearly two million virus genomes, aiding in SARS-CoV-2 genomic epidemiology and providing researchers with valuable information about the pandemic's transmission lineages.

VIRUS EVOLUTION (2021)

Article Virology

The ongoing evolution of variants of concern and interest of SARS-CoV-2 in Brazil revealed by convergent indels in the amino (N)-terminal domain of the spike protein

Paola Cristina Resende et al.

Summary: Mutations in both the receptor-binding domain (RBD) and the amino-terminal domain (NTD) of the SARS-CoV-2 Spike glycoprotein can alter its antigenicity, with Brazilian lineages showing convergent deletions and insertions in the NTD region, potentially impacting antibody neutralization.

VIRUS EVOLUTION (2021)

Article Immunology

Large-Scale Screening of Asymptomatic Persons for SARS-CoV-2 Variants of Concern and Gamma Takeover, Brazil

Douglas Adamoski et al.

Summary: This study conducted a large-scale screening campaign for SARS-CoV-2 using two PCR-based approaches and variant genotyping to ensure a safer environment for employees of Federal University in Curitiba, Brazil. The rapid spread of the Gamma variant of concern was observed, which replaced other variants within less than 3 months.

EMERGING INFECTIOUS DISEASES (2021)

Article Infectious Diseases

SARS-CoV-2 reinfection: report of two cases in Southeast Brazil

Ana Lucia Frugis Yu et al.

Summary: Between February 26, 2020 and March 11, 2021, Brazil experienced a significant COVID-19 pandemic with a total of 11,439,558 cases and 277,102 deaths, with a particularly high number of cases in Sao Paulo State. The emergence of new variants of SARS-CoV-2 and cases of COVID-19 reinfections have raised concerns in Brazil.

REVISTA DO INSTITUTO DE MEDICINA TROPICAL DE SAO PAULO (2021)

Article Parasitology

SARS-CoV-2 variant N.9 identified in Rio de Janeiro, Brazil

Luis Fernando Lopez Tort et al.

Summary: The first detection of the N.9 variant in Rio de Janeiro State has been described, with four independent introductions of the N.9 lineage in October and December 2020, January and March 2021. The N.9 dissemination in Rio de Janeiro may have been limited by the emergence of other variants, such as the P.2 VOI Zeta.

MEMORIAS DO INSTITUTO OSWALDO CRUZ (2021)

Article Infectious Diseases

Early detection of SARS-CoV-2 P.1 variant in Southern Brazil and reinfection of the same patient by P.2

Mariana Soares da Silva et al.

Summary: The article describes an early case of P.1 primary infection in Southern Brazil in late November 2020, followed by a reinfection with P.2 variant in March 2021. Genomic analysis confirmed significant genetic differences between the two infections, indicating the spread and prominence of the P.1 variant in the region.

REVISTA DO INSTITUTO DE MEDICINA TROPICAL DE SAO PAULO (2021)

Article Immunology

Emergence of the novel SARS-CoV-2 lineage VUI-NP13L and massive spread of P.2 in South Brazil

Fernando Hayashi Sant'Anna et al.

Summary: This study analyzed 340 whole genomes of SARS-CoV-2 sampled between April and November 2020 in 33 cities of Rio Grande do Sul, South Brazil. Two novel emergent lineages and five major lineages were identified, emphasizing the importance of constant genomic surveillance.

EMERGING MICROBES & INFECTIONS (2021)

Letter Immunology

Respiratory Viral Shedding in Healthcare Workers Reinfected with SARS-CoV-2, Brazil, 2020

Mariene R. Amorim et al.

Summary: This study documented 4 cases of severe acute respiratory syndrome coronavirus 2 reinfection among healthcare workers in Campinas Brazil, with non-variant of cancern strains. Infectious particles were isolated from nasopharyngeal secretions during both infection episodes. Improved and continuous protection measures are necessary to mitigate the risk for reinfection among healthcare workers.

EMERGING INFECTIOUS DISEASES (2021)

Article Immunology

Severe Acute Respiratory Syndrome Coronavirus 2 P.2 Lineage Associated with Reinfection Case, Brazil, June October 2020

Paola Cristina Resende et al.

Summary: A 37-year-old healthcare worker in northeastern Brazil experienced two clinical episodes of COVID-19 caused by the B.1.1.33 and emerging P.2 lineages. The findings not only suggest a reinfection case but also the geographic dissemination of the emerging Brazil clade P.2.

EMERGING INFECTIOUS DISEASES (2021)

Article Immunology

Genetic Evidence and Host Immune Response in Persons Reinfected with SARS-CoV-2, Brazil

Natalia Fintelman-Rodrigues et al.

Summary: This study found that some patients with mild COVID-19 may have controlled SARS-CoV-2 replication without developing detectable humoral immunity, leading to a higher likelihood of reinfection. These patients showed higher viral loads and clinical symptoms in the second infection.

EMERGING INFECTIOUS DISEASES (2021)

Letter Immunology

Genomic Evidence of SARS-CoV-2 Reinfection Involving E484K Spike Mutation, Brazil

Carolina Kymie Vasques Nonaka et al.

Summary: The case of reinfection from distinct virus lineages in Brazil with the E484K mutation raises concerns about the duration of protective immune responses against SARS-CoV-2, especially with the variant associated with escape from neutralizing antibodies. This highlights potential challenges for virus control measures.

EMERGING INFECTIOUS DISEASES (2021)

Letter Immunology

Local Transmission of SARS-CoV-2 Lineage B.1.1.7, Brazil, December 2020

Ingra Morales Claro et al.

Summary: In December 2020, the B.1.1.7 lineage of SARS-CoV-2 was detected in Sao Paulo, Brazil, with two distinct introductions identified through rapid genomic sequencing. There may be more infections with this lineage in Brazil than officially reported.

EMERGING INFECTIOUS DISEASES (2021)

Letter Infectious Diseases

An interactive web-based dashboard to track COVID-19 in real time

Ensheng Dong et al.

LANCET INFECTIOUS DISEASES (2020)

Article Biochemistry & Molecular Biology

IQ-TREE 2: New Models and Efficient Methods for Phylogenetic Inference in the Genomic Era

Bui Quang Minh et al.

MOLECULAR BIOLOGY AND EVOLUTION (2020)

Article Medicine, General & Internal

A Novel Coronavirus from Patients with Pneumonia in China, 2019

Na Zhu et al.

NEW ENGLAND JOURNAL OF MEDICINE (2020)

Article Microbiology

A dynamic nomenclature proposal for SARS-CoV-2 lineages to assist genomic epidemiology

Andrew Rambaut et al.

NATURE MICROBIOLOGY (2020)

Article Multidisciplinary Sciences

Evolution and epidemic spread of SARS-CoV-2 in Brazil

Darlan S. Candido et al.

SCIENCE (2020)

Article Parasitology

Genomic and phylogenetic characterisation of an imported case of SARS-CoV-2 in Amazonas State, Brazil

Valdinete Alves do Nascimento et al.

MEMORIAS DO INSTITUTO OSWALDO CRUZ (2020)

Article Parasitology

SARS-CoV-2 isolation from the first reported patients in Brazil and establishment of a coordinated task network

Danielle Bastos Araujo et al.

MEMORIAS DO INSTITUTO OSWALDO CRUZ (2020)

Article Infectious Diseases

Genomic, epidemiological and digital surveillance of Chikungunya virus in the Brazilian Amazon

Felipe Gomes Naveca et al.

PLOS NEGLECTED TROPICAL DISEASES (2019)

Article Biochemical Research Methods

Nextstrain: real-time tracking of pathogen evolution

James Hadfield et al.

BIOINFORMATICS (2018)

Article Multidisciplinary Sciences

Zika virus in the Americas: Early epidemiological and genetic findings

Nuno Rodrigues Faria et al.

SCIENCE (2016)

Review Medicine, General & Internal

The nuts and bolts of PROSPERO: an international prospective register of systematic reviews

Alison Booth et al.

SYSTEMATIC REVIEWS (2012)

Article Computer Science, Interdisciplinary Applications

Software survey: VOSviewer, a computer program for bibliometric mapping

Nees Jan van Eck et al.

SCIENTOMETRICS (2010)