Cape Times

Covid-19 Mu variant not yet detected in SA

- NICOLA DANIELS nicola.daniels@inl.co.za

NO cases of “Mu”, the recently classified PANGO lineage B.1.621 variant of interest (VOI) have been detected in South Africa yet, the National Institute for Communicab­le Diseases (NICD) said.

The variant was first detected in Colombia in January, and has since spread across North America, South America and Europe, with some detections in Asia.

“The majority of the Mu sequences (5 123) have been detected in North America (55%), followed by South America (23%), Europe (18%), and Asia (0.1%).

“As at September 3, there have been no cases of Mu detected on the African continent, including South Africa. Currently, it accounts for less than 1% of the globally circulatin­g viruses, with Delta accounting for 88%,” the organisati­on added.

The mutations within the spike protein, that define Mu, have been seen before in other VOIs or variants of concern (VOCs), including Beta and Delta.

“Some of these mutations have previously been associated with decreased antibody responses and increased transmissi­bility. This variant will likely, therefore, have similar properties to other variants, with increased transmissi­bility and reduced sensitivit­y to antibodies in vaccines and those who have recovered from Covid-19,” the NICD cautioned.

Vaccines currently being used in the country had high levels of protection “against severe disease, requiring hospitalis­ation and death, even against VOI/VOCs such as Beta and Delta and, therefore, will likely also protect against Mu,” added the NICD.

South African Medical Research Council director of the HIV Prevention Research Unit Professor Ameena Goga said they would have to investigat­e whether current vaccines induce a robust antibody response.

“According to the NICD, we have no cases with the Mu variant, but we will have to be vigilant and ensure ongoing genomic surveillan­ce. We will have to investigat­e whether current vaccines induce a robust antibody response, neutralisi­ng antibody response and T-cell responses against the Mu variant. Data, thus far, shows that vaccines are still effective against the Beta and Delta variant, and that T-cell responses are preserved, regardless of variant.

“The research agenda needs to move forward to develop a vaccine that is not only based on the spike protein – a variant vaccine is needed to induce robust immune responses, independen­t of the spike protein, and thus regardless of mutations and variants of concern,” said Goga.

The World Health Organizati­on (WHO) last week said that the Mu variant has a constellat­ion of mutations, that indicate potential properties of immune escape.

“Although the global prevalence of the Mu variant, among sequenced cases, has declined and is currently below 0.1%, the prevalence in Colombia (39%) and Ecuador (13%) has consistent­ly increased,” said the WHO.

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