What basic genetic principle most likely accounts for the increased prevalence of the D614G mutation?
Answer - A SARS-CoV-2 variant carrying the Spike protein amino
acid change D614G has become
the most prevalent form in the global pandemic. Dynamic tracking of
variant frequencies revealed a recurrent pattern of G614 increase
at multiple geographic levels: national, regional and municipal.
The shift occurred even in local epidemics where the original D614
form was well established prior to the introduction of the G614
variant. The consistency of this pattern was highly statistically
significant, suggesting that the G614 variant may have a fitness
advantage. We found that the G614 variant grows to higher titer as
pseudotyped virions. In infected individuals G614 is associated
with lower RT-PCR cycle thresholds, suggestive of higher upper
respiratory tract viral loads, although not with
increased disease severity.These changes are important for a
mechanistic understanding of the virus, and support continuing
surveillance of Spike mutations to aid in the development of
immunological interventions.
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