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Propagation of the omicron variant BA.2

18. February 2022
in News, Pharmaceuticals, Processing Technologies

In Berlin, as pre­vi­ous­ly in Den­mark, anoth­er sub­type of the omi­cron vari­ant is spread­ing: BA.2. This was revealed by the eval­u­a­tion of waste­water sam­ples at MDC in coop­er­a­tion with Berlin­er Wasser­be­triebe and the Berlin lab­o­ra­to­ry of the amedes group. BA.2 could pro­long the cur­rent coro­na wave.

The coro­n­avirus is con­stant­ly mutat­ing. After Alpha and Beta came Delta, also Gam­ma, Lamb­da, Epsilon and Iota are cir­cu­lat­ing in parts of the world. Since Omikron came on the scene, Delta has almost com­plete­ly dis­ap­peared in Ger­many. Two sub­types of omi­cron are known, BA.1 and BA.2. In Berlin, BA.1 has dom­i­nat­ed until now. How­ev­er, sci­en­tists from the Max Del­brück Cen­ter for Mol­e­c­u­lar Med­i­cine in the Helmholtz Asso­ci­a­tion (MDC), the Berlin­er Wasser­be­triebe (BWB) and the lab­o­ra­to­ry com­pa­ny amedes have now been able to detect the omi­cron sub­type BA.2 in Berlin waste­water: At the begin­ning of Jan­u­ary, the pro­por­tion was bare­ly vis­i­ble, but by about Jan­u­ary 13, BA.2 already account­ed for six per­cent, and by Jan­u­ary 20, about twelve per­cent. So it is grow­ing rapidly.

The two sub­types dif­fer from each oth­er in about 20 muta­tions. In Den­mark and South Africa, BA.2 has almost dis­placed the BA.1 sub­type, and in the UK, the pro­por­tion of BA.2 has also been increas­ing rapid­ly since the begin­ning of Jan­u­ary. A study by Dan­ish researchers* shows that BA.2 appears to be spread­ing even faster than BA.1.

“It is pos­si­ble that BA.2 is some­what pro­long­ing the cur­rent omi­cron wave. But the data from the U.K. and Den­mark so far tend to sug­gest that in terms of dis­ease sever­i­ty and vac­cine effect, BA.1 and BA.2 are comparable.”

- Dr. Emanuel Wyler, mol­e­c­u­lar biologist

Computer tool predicts whether incidence will increase or decrease

In mak­ing their pre­dic­tion, the sci­en­tists* rely on a com­put­er-based tool devel­oped by Vic-Fabi­enne Schu­mann and Dr. Rafael Cuadrat of Dr. Altuna Akalin’s Bioin­for­mat­ics and Omics Data Sci­ence tech­nol­o­gy plat­form at the Berlin Insti­tute of Med­ical Sys­tems Biol­o­gy (BIMSB) togeth­er with col­leagues. With “PiGx SARS-CoV­‑2” they can detect the spread of SARS-CoV­‑2 as well as the fre­quen­cy of muta­tions or virus vari­ants. It works inde­pen­dent­ly of the num­ber of coro­nat­ests and dis­ease progression.

Their results are con­sis­tent with those of Berlin­er Wasser­be­triebe, which has devel­oped its own detec­tion mod­el, includ­ing sequenc­ing of the virus vari­ants, and an app for visu­al­iz­ing the data in coop­er­a­tion with the Berlin lab­o­ra­to­ry of the amedes group, led by Dr. Mar­tin Meixn­er. The cen­ter and Berlin­er Wasser­be­triebe share the work: While the focus of the Wasser­be­triebe is on the rapid deter­mi­na­tion and trans­mis­sion of the viral load, the MDC pri­mar­i­ly ana­lyzes sub­types and mutations.

For more than a year, the researchers have been search­ing for the genet­ic mate­r­i­al of the coro­n­avirus in Berlin’s waste­water. Once a week, Berlin­er Wasser­be­triebe, which is cur­rent­ly set­ting up its own virus sequenc­ing facil­i­ty in its lab­o­ra­to­ry, pre­pares waste­water sam­ples and sends them to BIMSB and amedes. The sci­en­tists enrich the virus par­ti­cles and ampli­fy the virus genome using PCR. In a next step, they can use high-through­put sequenc­ing to see what pro­por­tion of the indi­vid­ual virus vari­ants make up among the coro­n­avirus­es found. The waste­water sequenc­ing at BIMSB is the respon­si­bil­i­ty of Markus Landthaler’s research group in par­tic­u­lar, as well as the genomics plat­form head­ed by Dr. Janine Altmüller.

Up to now, when sam­ples from the throat are sequenced, no dis­tinc­tion is made between virus vari­ants. Waste­water analy­ses make this easier:

“For a mean­ing­ful result on the spread of new virus vari­ants, sig­nif­i­cant­ly few­er sam­ples need to be exam­ined than in the analy­sis of nasopha­ryn­geal swabs. They can also serve as an ear­ly warn­ing, as they show which vari­ant is cir­cu­lat­ing with a few days’ lead. The data on BA.2 show how sen­si­tive and effi­cient waste­water mon­i­tor­ing is in deter­min­ing pathogens. This is also impor­tant beyond SARS-CoV­‑2.”

- Markus Landthaler

Inves­ti­ga­tions of waste­water have not yet been estab­lished in Ger­many as part of a coro­na ear­ly warn­ing sys­tem — nei­ther for known nor for com­plete­ly new virus vari­ants. That could now change: Berlin is one of 20 pilot sites in the waste­water mon­i­tor­ing pro­gram, which the Ger­man Fed­er­al Min­istries for the Envi­ron­ment, Nature Con­ser­va­tion and Nuclear Safe­ty (BMU), for Health (BMG) and for Edu­ca­tion and Research (BMBF) are fund­ing with the help of EU funds. The project part­ners are Berlin­er Wasser­be­triebe and the State Office for Health and Social Affairs. The goal is a nation­al waste­water mon­i­tor­ing sys­tem. It is to col­lect data on SARS-CoV­‑2 and, in par­tic­u­lar, its vari­ants in waste­water and trans­mit them to the respon­si­ble health author­i­ties and to a Euro­pean exchange platform.

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