Review article: Biomedical intelligence
Vol. 151 No. 4950 (2021)
PCR performance in the SARS-CoV-2 Omicron variant of concern?
- César M. J. A. Metzger
- Reto Lienhard
- Helena M. B. Seth-Smith
- Tim Roloff
- Fanny Wegner
- Jonas Sieber
- Michael Bel
- Gilbert Greub
- Adrian Egli
-
Cite this as:
-
Swiss Med Wkly. 2021;151:w30120
-
Published
-
10.12.2021
Summary
Summary
The new SARS-CoV-2 Omicron variant (B.1.1.529) has been recently declared a Variant of Concern due to a series of important mutations in the viral spike protein and especially in the receptor-binding domain. While investigations into the spread of this new variant are ongoing, the first cases have been detected in Switzerland. Important questions have been raised: (1) Will the PCR assays commonly used to detect SARS-CoV-2 still work for the Omicron variant? (2) Can specific PCR features, e.g. S-gene dropout, be used to identify potential Omicron samples?
In this minireview we provide current knowledge on the Omicron variant and guidance on its PCR validation.
References
- Hodcroft E. CoVariants. 2021. https://covariants.org/variants/21K.Omicron (accessed 06.12.2021).
- Lan J, Ge J, Yu J, Shan S, Zhou H, Fan S, et al. Structure of the SARS-CoV-2 spike receptor-binding domain bound to the ACE2 receptor. Nature. 2020 May;581(7807):215–20. https://doi.org/10.1038/s41586-020-2180-5
- Lazarevic I, Pravica V, Miljanovic D, Cupic M. Immune Evasion of SARS-CoV-2 Emerging Variants: What Have We Learnt So Far? Viruses. 2021 Jun;13(7):1192. https://doi.org/10.3390/v13071192
- Zhang J, Xiao T, Cai Y, Lavine CL, Peng H, Zhu H, et al. Membrane fusion and immune evasion by the spike protein of SARS-CoV-2 Delta variant. Science. 2021 Oct;374(6573):eabl9463. https://doi.org/10.1126/science.abl9463
- Filkins L, SoRelle JA, Schoggins J, Park JY. Laboratory Action Plan for Emerging SARS-CoV-2 Variants. Clin Chem. 2021 Apr;67(5):720–3. https://doi.org/10.1093/clinchem/hvab020
- Babb de Villiers C, Blackburn L, Cook S, et al. SARS-CoV-2 variants. In: Diagnostics FfIN, editor.; 2021. p. 1.
- Hodcroft EB, Zuber M, Nadeau S, Vaughan TG, Crawford KH, Althaus CL, et al.; SeqCOVID-SPAIN consortium. Spread of a SARS-CoV-2 variant through Europe in the summer of 2020. Nature. 2021 Jul;595(7869):707–12. https://doi.org/10.1038/s41586-021-03677-y
- Liu Y, Liu J, Plante KS, Plante JA, Xie X, Zhang X, et al. The N501Y spike substitution enhances SARS-CoV-2 infection and transmission. Nature. 2021 Nov. https://doi.org/10.1038/s41586-021-04245-0
- Washington NL, White S, Barrett KM, Cirulli ET, Bolze A, Lu JT. S gene dropout patterns in SARS-CoV-2 tests suggest spread of the H69del/V70del mutation in the US. medRxiv 2020: 2020.12.24.20248814. https://doi.org/10.1101/2020.12.24.20248814
- Goncalves Cabecinhas AR, Roloff T, Stange M, Bertelli C, Huber M, Ramette A, et al. SARS-CoV-2 N501Y Introductions and Transmissions in Switzerland from Beginning of October 2020 to February 2021-Implementation of Swiss-Wide Diagnostic Screening and Whole Genome Sequencing. Microorganisms. 2021 Mar;9(4):677. https://doi.org/10.3390/microorganisms9040677
- Mlcochova P, Kemp SA, Dhar MS, Papa G, Meng B, Ferreira IA, et al.; Indian SARS-CoV-2 Genomics Consortium (INSACOG); Genotype to Phenotype Japan (G2P-Japan) Consortium; CITIID-NIHR BioResource COVID-19 Collaboration. SARS-CoV-2 B.1.617.2 Delta variant replication and immune evasion. Nature. 2021 Nov;599(7883):114–9. https://doi.org/10.1038/s41586-021-03944-y
- Campbell F, Archer B, Laurenson-Schafer H, Jinnai Y, Konings F, Batra N, et al. Increased transmissibility and global spread of SARS-CoV-2 variants of concern as at June 2021. Euro Surveill. 2021 Jun;26(24). https://doi.org/10.2807/1560-7917.ES.2021.26.24.2100509
- Organization WH. Update on Omicron. 2021. https://www.who.int/news/item/28-11-2021-update-on-omicron (accessed 02.12.2021 2021).
- Control ECfDPa. European Centre for Disease Prevention and Control. Implications of the further emergence and spread of the SARS CoV 2 B.1.1.529 variant of concern (Omicron) for the EU/EEA first update. 2021. https://www.ecdc.europa.eu/en/publications-data/covid-19-threat-assessment-spread-omicron-first-update (accessed 03.12.2021 2021).
- Gu H, Krishnan P, Ng DY, Chang LD, Liu GY, Cheng SS, et al. Probable Transmission of SARS-CoV-2 Omicron Variant in Quarantine Hotel, Hong Kong, China, November 2021. Emerg Infect Dis. 2021 Dec;28(2). https://doi.org/10.3201/eid2802.212422
- Cele S, Jackson L, Khan K, et al. SARS-CoV-2 Omicron has extensive but incomplete escape of Pfizer BNT162b2 elicited neutralization and requires ACE2 for infection. MedRxiv 2021; 267417v1. https://doi.org/10.1101/2021.12.08.21267417
- Mullen JL, Tsueng G, Abdel Latif A, et al. Outbreak.info. 2020. https://outbreak.info/ (accessed 03.12.2021 2021).
- Vogels CB, Breban MI, Ott IM, Alpert T, Petrone ME, Watkins AE, et al.; Brazil-UK CADDE Genomic Network; Network for Genomic Surveillance in South Africa. Multiplex qPCR discriminates variants of concern to enhance global surveillance of SARS-CoV-2. PLoS Biol. 2021 May;19(5):e3001236. https://doi.org/10.1371/journal.pbio.3001236
- Lienhard R, Metzger CM, Sieber J, et al. What does the UK variant tell the clinical microbiologists? Pipette. 2021;(2):3.
- ERSTER O. Beth Din A, Asraf H, et al. SPECIFIC DETECTION OF SARS-COV-2 B.1.1.529 (OMICRON) VARIANT BY FOUR RT-qPCR DIFFERENTIAL ASSAYS. medRxiv 2021: 2021.12.07.21267293.
- SARS-CoV-2 V4.1 update for Omicron variant. 01.12.2021. https://community.artic.network/t/sars-cov-2-v4-1-update-for-omicron-variant/342 (accessed 05.12.2021 2021).
- Health FOoP. COVID-19 Switzerland. 2021. https://www.covid19.admin.ch/en/epidemiologic/case (accessed 05.12.2021 2021).