Hartford Courant

Lessons from gamma, iota and mu

Vanishing variants provide informatio­n amid the pandemic

- Emily Anthes

In early 2021, scientists in Colombia discovered a worrisome new coronaviru­s variant. This variant, eventually known as mu, had several troubling mutations that experts believed could help it evade the immune system’s defenses.

Over the following months, mu spread swiftly in Colombia, fueling a new surge of COVID-19 cases. By the end of August, it had been detected in dozens of countries, and the World Health Organizati­on called it a “variant of interest.”

“Mu was starting to make some noise globally,” said Joseph Fauver, a genomic epidemiolo­gist at the University of Nebraska Medical Center and an author of a recent study on the variant.

And then it fizzled and has since all but vanished.

For every delta or omicron there is a gamma, iota or mu, variants that drove local surges but never swept to global dominance. And while understand­ing omicron remains a critical public health priority, there are lessons to be learned from these lesser lineages, experts say.

“This virus has no incentive to stop adapting and evolving,” said Joel Wertheim, a molecular epidemiolo­gist at the University of California, San Diego. “And seeing how it did that in the past will help us prepare for what it might do in the future.”

Studies of the also-rans have shed light on surveillan­ce gaps and policy blunders — providing more evidence that America’s internatio­nal travel bans were not effective — and on what makes the virus successful, suggesting that in the early phase of the

pandemic, transmissi­bility was more important than immune evasion.

The research also highlights how much context matters. Variants that make an impact in some places never gain a foothold in others. As a result, predicting which variants will surge to dominance is difficult, and staying on top of future variants and pathogens will require comprehens­ive, nearly real-time surveillan­ce.

“We can gain a lot by looking at the viral genomic sequence and saying, ‘This one is probably worse than another one,’ ” Wertheim said. “But the only way to really know is to watch it spread, because there are a whole lot of potentiall­y dangerous variants that never took hold.”

The coronaviru­s is constantly changing, and most new variants never get noticed or named. But others raise alarms, either because they quickly become more

common or because their genomes look ominous.

Both were true of mu as it spread in Colombia.

“It contained a couple of mutations that people had been watching very closely,” said Mary Petrone, a genomic epidemiolo­gist at the University of Sydney and an author of the new mu paper. Several of the mutations in its spike protein had been documented in other immune-evasive variants, including beta and gamma.

In the new study, which has not yet been published in a scientific journal, scientists compared mu’s biological characteri­stics to those of alpha, beta, delta, gamma and the original virus. Mu did not replicate faster than any other variant, they found, but it was the most immune-evasive of the bunch — more resistant to antibodies than any known variant besides omicron, Fauver said.

By analyzing the genomic sequences of mu samples

collected from all over the world, the researcher­s reconstruc­ted the variant’s spread. They concluded that mu had likely emerged in South America in mid-2020. It then circulated for months before it was detected.

Genomic surveillan­ce in many parts of South America was “patchy and incomplete,” said Jesse Bloom, an expert in viral evolution at the Fred Hutchinson Cancer Research Center in Seattle. “If there had been better surveillan­ce in those regions, possibly it would have been easier to make a faster assessment of how worried to be about mu.”

Mu presented another challenge, too. It happened to have a type of mutation, known as a frameshift mutation, that was rare in coronaviru­s samples. Such mutations were flagged as errors when scientists, including Fauver, tried to upload their mu sequences to GISAID, an internatio­nal repository of viral genomes used to keep tabs on new variants.

That complicati­on created delays in the public sharing of mu sequences. The time that elapsed between when a virus sample was collected from a patient and when it was made publicly available on GISAID was consistent­ly longer for mu cases than for delta cases, the researcher­s found.

Combine these surveillan­ce gaps with mu’s immune evasivenes­s and the variant seemed poised to take off. But that is not what happened. Instead, mu radiated from South and Central America to other continents but did not circulate widely once it got there, the scientists found.

“That was an indication that this variant was not as fit necessaril­y in maybe the North American and European population­s as we had expected,” Petrone said.

That was likely because mu found itself competing with an even more formidable variant. Delta was not as skilled at dodging antibodies as mu, but it was more transmissi­ble.

Delta overtook several immune-evasive variants besides mu, including beta, gamma and lambda. This pattern suggests that immune evasion alone was not enough to allow a variant to outdo a highly transmissi­ble version of the virus — or at least it was not during the early phase of the pandemic, when few people had immunity.

But vaccinatio­ns and multiple waves of infection have changed the immune landscape. A highly immune-evasive variant should now have more of an edge, scientists said, which is likely part of the reason omicron has been so successful.

Looking back at previous variants can also provide insight into what worked — or didn’t — in containing them. The new gamma study provides further evidence that internatio­nal travel bans, at least as the United States implemente­d them, are unlikely to prevent a variant’s global spread.

Gamma was identified in Brazil in late 2020. In May of that year, the United States barred most non-u.s. citizens from traveling into the country from Brazil, a restrictio­n that remained in place until November 2021. Yet gamma was detected in the United States in January 2021 and soon spread to dozens of states.

Because gamma never came to dominate worldwide, studying its spread provided a “cleaner” picture of the effectiven­ess of travel bans, said Tetyana Vasylyeva, a molecular epidemiolo­gist at the University of California, San Diego and an author of the study.

“When it comes to studying variants ... it is really difficult at times to find patterns, because it happens on a very large scale and very fast,” she said.

 ?? MARK SCHIEFELBE­IN/AP ?? A worker clad in a protective suit swabs a child’s throat for COVID-19 testing Wednesday in Beijing.
MARK SCHIEFELBE­IN/AP A worker clad in a protective suit swabs a child’s throat for COVID-19 testing Wednesday in Beijing.

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