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Genomic epidemiology of SARS-CoV-2 reveals multiple lineages and early spread of SARS-CoV-2 infections in Lombardy, Italy
Claudia Alteri; Valeria Cento; Antonio Piralla; Valentino Costabile; Monica Tallarita; Luna Colagrossi; Silvia Renica; Federica Giardina; Federica Novazzi; Stefano Gaiarsa; Elisa Matarazzo; Maria Antonello; Chiara Vismara; Roberto Fumagalli; Oscar Massimiliano Epis; Massimo Puoti; Carlo Federico Perno; Fausto Baldanti.
Affiliation
  • Claudia Alteri; University of Milan
  • Valeria Cento; University of Milan
  • Antonio Piralla; Fondazione IRCCS Policlinico San Matteo
  • Valentino Costabile; University of Milan
  • Monica Tallarita; Fondazione IRCCS Policlinico San Matteo
  • Luna Colagrossi; Bambino Gesu Children's Hospital
  • Silvia Renica; University of Milan
  • Federica Giardina; Fondazione IRCCS Policlinico San Matteo
  • Federica Novazzi; Fondazione IRCCS Policlinico San Matteo
  • Stefano Gaiarsa; Fondazione IRCCS Policlinico San Matteo
  • Elisa Matarazzo; University of Milan
  • Maria Antonello; University of Milan
  • Chiara Vismara; ASST Grande Ospedale Metropolitano Niguarda
  • Roberto Fumagalli; ASST Grande Ospedale Metropolitano Niguarda
  • Oscar Massimiliano Epis; ASST Grande Ospedale Metropolitano Niguarda
  • Massimo Puoti; ASST Grande Ospedale Metropolitano Niguarda
  • Carlo Federico Perno; University of Milan
  • Fausto Baldanti; Fondazione IRCCS Policlinico San Matteo
Preprint in English | medRxiv | ID: ppmedrxiv-20152322
Journal article
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ABSTRACT
From February to April, 2020, Lombardy (Italy) was the area who worldwide registered the highest numbers of SARS-CoV-2 infection. By extensively analyzing 346 whole SARS-CoV-2 genomes, we demonstrated the simultaneous circulation in Lombardy of two major viral lineages, likely derived from multiple introductions, occurring since the second half of January. Seven single nucleotide polymorphisms (five of them non-synonymous) characterized the SARS-CoV-2 sequences, none of them affecting N-glycosylation sites. These two lineages, and the presence of two well defined clusters inside Lineage 1, revealed that a sustained community transmission was ongoing way before the first COVID-19 case found in Lombardy.
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Full text: Available Collection: Preprints Database: medRxiv Type of study: Observational study Language: English Year: 2020 Document type: Preprint
Full text: Available Collection: Preprints Database: medRxiv Type of study: Observational study Language: English Year: 2020 Document type: Preprint
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