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Original Article
Phylogenetic and genome-wide mutational analysis of SARS-CoV-2 strains circulating in Nigeria: no implications for attenuated COVID-19 outcomes
Daniel B. Kolawoleorcid, Malachy I. Okekeorcid
Osong Public Health and Research Perspectives 2022;13(2):101-113.
DOI: https://doi.org/10.24171/j.phrp.2021.0329
Published online: April 22, 2022

Department of Natural and Environmental Sciences, Biomedical Science Concentration, School of Arts and Sciences, American University of Nigeria, Yola, Nigeria

Corresponding author: Malachy I. Okeke Department of Natural and Environmental Sciences, Biomedical Science Concentration, School of Arts and Sciences, American University of Nigeria, 98 Lamido Zubairu Way, PMB 2250 Yola, Adamawa State, Nigeria E-mail: malachy.okeke@aun.edu.ng
• Received: December 1, 2021   • Revised: January 27, 2022   • Accepted: March 28, 2022

© 2022 Korea Disease Control and Prevention Agency.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • Objectives
    Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the causative agent of coronavirus disease 2019 (COVID-19). The COVID-19 incidence and mortality rates are low in Nigeria compared to global trends. This research mapped the evolution of SARS-CoV-2 circulating in Nigeria and globally to determine whether the Nigerian isolates are genetically distinct from strains circulating in regions of the world with a high disease burden.
  • Methods
    Bayesian phylogenetics using BEAST 2.0, genetic similarity analyses, and genome-wide mutational analyses were used to characterize the strains of SARS-CoV-2 isolated in Nigeria.
  • Results
    SARS-CoV-2 strains isolated in Nigeria showed multiple lineages and possible introductions from Europe and Asia. Phylogenetic clustering and sequence similarity analyses demonstrated that Nigerian isolates were not genetically distinct from strains isolated in other parts of the globe. Mutational analysis demonstrated that the D614G mutation in the spike protein, the P323L mutation in open reading frame 1b (and more specifically in NSP12), and the R203K/G204R mutation pair in the nucleocapsid protein were most prevalent in the Nigerian isolates.
  • Conclusion
    The SARS-CoV-2 strains in Nigeria were neither phylogenetically nor genetically distinct from virus strains circulating in other countries of the world. Thus, differences in SARS-CoV-2 genomes are not a plausible explanation for the attenuated COVID-19 outcomes in Nigeria.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the etiological agent of coronavirus disease 2019 (COVID-19). This disease was first documented in Wuhan, Hubei Province, China in December 2019 and was later recognized as a pandemic by the World Health Organization (WHO) in March of the following year [1]. The first documentation of COVID-19 in Nigeria was on February 27, 2020, after an Italian citizen who worked in Lagos, Nigeria, returned from Milan, Italy on February 25 [2].
The COVID-19 outbreak in Sub-Saharan Africa and Nigeria has not mirrored that of the rest of the world despite realities such as poor health care systems for testing, reporting, tracing, and treating cases, lack of access to clean water, poor living conditions that make social distancing difficult, and the high burden of comorbidities and infectious diseases such as HIV [37]. Among African countries, Nigeria and a few others have been recognized as particular hotspots for the importation of COVID-19 from China [8,9]. Even the WHO had major concerns for Africa, estimating a death toll of up to 190,000 people [10]. However, this projection has not yet materialized, and Nigeria and most Sub-Saharan African countries have had relatively few cases of infection, morbidity, and mortality from COVID-19 according to statistical data provided by the WHO [11]. The low level of COVID-19 testing in Nigeria may partly account for this disparity. However, this study did not seek to test this hypothesis; instead, it considered another factor that may have contributed to the attenuated disease outcomes—namely, mutations. Mutations are random in nature, and disadvantageous mutations are more likely than advantageous mutations. It is worth considering whether the strains that entered Nigeria were naturally less transmissible and/or fatal than those that have circulated elsewhere in the world. A first step in examining this hypothesis is to compare the genomes of SARS-CoV-2 circulating in Nigeria with virus genomes from other parts of the world. Therefore, this study sought to characterize the identity of SARS-CoV-2 strains isolated within Nigeria by comparative phylogenetic and mutational analysis with strains obtained elsewhere in the world.
Data Acquisition and Sequence Alignment
SARS-CoV-2 genomes were obtained from the Global Initiative to Share All Influenza Data (GISAID) website (http://gisaid.com). A total of 230 sequences were collected; 100 of them were Nigerian sequences; which were randomly picked (from a total of 408 complete and high-coverage Nigerian SARS-CoV-2 genomes as of May 29, 2021), while the other 130 sequences, which included the reference Wuhan sequence (EPI_ISL_402125), were randomly picked from the rest of the world with a major focus on the 31 countries analysed in Table 1 along with Nigeria. The sequence IDs (GISAID, Pango, and Nextclade) of the 230 genomes, as well as the acknowledgement list of the sequence submitters of all 230 isolates, are shown in the supplementary data (Tables S1 and S2). Although the sequences were randomly chosen, only complete and high-coverage genomes were selected for analyses. Two sequence groups were created; the first contained only the Nigerian isolates and the reference sequence, and the other contained all isolates. The sequence groups were then aligned using MAFFT (for multiple alignment using fast Fourier transformation) [12]. After alignment, the Nigerian sequence group had a length of 29,903 nucleotides, while the second sequence group containing all local and global isolates had a length of 30,009 nucleotides.
COVID-19 statistical data, such as total cases, total deaths, total cases and deaths per 1 million population, and tests per 1 million cases for all countries and regions of the world were obtained from Worldometer’s website using the Wayback Machine to access the COVID-19 statistics from November 30, 2020 at 22:52:43 WAT (West Africa Time).
Bayesian Phylogenetics
The sequence alignments were entered into Bayesian Evolutionary Analysis Utility (BEAUti) to set up the parameters of the Bayesian analysis [13]. The tips of all taxa were dated with their corresponding collection date, the substitution model was set to general time reversible, and the gamma category count was set to 4. The strict clock model and coalescent exponential population tree prior were selected, and a monophyletic group was specified as a tree prior, excluding the Wuhan reference sequence (this was done in order to specify the Wuhan reference sequence as an outgroup). Finally, the analysis was set to run for 10 million generations. The above steps were repeated for the second sequence group (all 230 isolates); the only difference this time around was that a relaxed clock model was selected instead of the strict clock model. XML-formatted files were generated and inputted into the BEAST 2.0 program (BEAST Developers, https://www.beast2.org/), which ran Markov-chain Monte Carlo analyses using the specified parameters.
Maximum clade credibility trees were generated with the use of the package TreeAnnotator from the “trees” files that were output by the BEAST analyses. The maximum clade credibility trees were visualized using FigTree (http://tree.bio.ed.ac.uk/software/figtree/). A timescale was generated by selecting the “Reverse Axis” option in the Scale Axis panel and setting the “Offset by” option in the Time Scale panel to the collection time (in decimal dates) of the most recently collected sequence sample, which corresponded to 2021.36 (that is, May 13, 2021).
Sequence Similarity Matrices
A sequence similarity matrix for the amino acid transcripts of the Nigerian sequence group was generated using the Base-by-Base bioinformatics program [14]. The coding regions for all isolates in this group were extracted, translated, concatenated, and then realigned before their similarity was assessed. The extraction of the nucleotide-coding regions was made possible by the annotation provided by the National Center for Biotechnology Information.
Genome-Wide Mutational Analysis
After obtaining the amino acid coding sequences of all open reading frames (ORFs) within the SARS-CoV-2 genome for the Nigerian sequence group, each ORF was manually examined to note amino acid differences from the Wuhan reference sequence.
The COVID-19 Epidemic Was Mild in Nigeria Compared to the Rest of the World
Table 1 shows COVID-19 cases, deaths, and test statistics in 32 countries (as of November 30, 2020). Nigeria’s cases and deaths per 1 million population were among the lowest of the 32 countries presented in Table 1. In fact, Nigeria is among the 5 countries that have the lowest cases and deaths per 1 million population alongside other countries, such as China, New Zealand, Senegal, Singapore, and Taiwan (Table 1). However, the very low COVID-19 case count in Nigeria needs to be interpreted in the context that Nigeria’s rate of COVID-19 tests per 1 million population is among the lowest in the world (Table 1).
SARS-Cov-2 Isolated from Nigeria Resolved into Multiple Clades and Lineages
The Bayesian phylogenetic analysis of the Nigerian sequence group produced a phylogenetic tree showing that the SARS-CoV-2 strains circulating in Nigeria clustered into multiple clades (Figure 1). At the time of data collection (May 29, 2021), there were 7 clades of SARS-CoV-2 circulating in Nigeria, including G (B.1), GH (B.1), GR (B.1.1), GR (L.3), GRY (B.1.1.7), V (B), and S (A), with lineage frequencies of 7%, 10%, 32%, 16%, 24%, 4%, and 7%, respectively. The Nigerian isolates belonging to the S (A) and V (B) clades are shown as ancestral as they were closer to the reference Wuhan strain, whereas the GRY (B.1.1.7) clade was the most distant from the reference strain (Figure 1).
Time-Scaled Maximum Clade Credibility Trees of SARS-CoV-2
One aim of the Bayesian phylogenetic analyses was to identify the strains of SARS-CoV-2 circulating in Nigeria and possible regions from which they were imported. The clustering patterns of the Nigerian strains within the broader global cluster are depicted in Figures 2 and 3. The strict and relaxed clock phylogenies produced slightly different versions of the evolutionary history of SARS-CoV-2 worldwide. Although the clustering of isolates in the clock phylogenies was mostly similar, the overall branching patterns of some clades showed variance.
According to the strict clock Bayesian phylogenetic analyses, the Nigerian isolates of the GRY(B.1.1.7) clade clustered most closely with isolates from Israel (EPI_ISL_2182149 [B.1.17]) and India (EPI_ISL_2017759 [B.1.1]) (Figure 2). The isolates of the GR (B.1.1) clade in Nigeria were very diverse, and Figures 13 depict the diversity of this clade (highlighted in pink and appropriately labeled). The Bayesian phylogenetic analyses demonstrated that the GR (B.1.1) clade can be divided into at least 3 distinct sub-clades (Figure 1). As a result of this clade’s diversity, it clustered with a host of isolates from different regions all over the globe (Figures 2 and 3), including isolates from Peru (EPI_ISL_1111139 [B.1.1.348], EPI_ISL_1111445 [B.1.1]), Ecuador (EPI_ISL_660069 [B.1.1.203]), Argentina (EPI_ISL_2105573 [P.2], EPI_ISL_2135164 [P.2]), South Africa (EPI_ISL_498093 [B.1.1], EPI_ISL_2285331 [B.1.1.448]), Iceland (EPI_ISL_829280 [B.1.1.170], EPI_ISL_1586502 [B.1.1]), and Germany (EPI_ISL_572397 [B.1.1], EPI_ISL_574259 [B.1.1]) (Figure 2). GISAID analyses have previously depicted another distinct GR sub-clade other than GR (B.1.1) that has been designated with a different Pango lineage (L.3). The Nigerian isolates of this clade clustered most closely with other GR (B.1.1) isolates, probably because there were no foreign representatives of this clade. Notable examples were from Germany (EPI_ISL_732563 [B.1.1]) and Greece (EPI_ISL_451310 [B.1.1]). The Nigerian isolates belonging to the GH (B.1) clade (colored yellow) clustered notably with isolates from France (EPI_ISL_560644 [B.1], EPI_ISL_2293487 [B.1.160]), Colombia (EPI_ISL_445219 [B.1]), Norway (EPI_ISL_2226159 [B.1]), Israel (EPI_ISL_447432 [B.1]), and Egypt (EPI_ISL_2232405 [B.1.170]) (Figure 2). The Nigerian isolates of the G (B.1) clade (colored red) most closely clustered with other B.1 isolates, with noteworthy isolates from New Zealand (EPI_ISL_637094 [B.1]), India (EPI_ISL_1544153 [B.1]), and other African nations such as Senegal (EPI_ISL_1827949 [B.1], EPI_ISL_1167163 [B.1]), and South Africa (EPI_ISL_464129 [B.1.8]) (Figure 2). It is also important to note that, unlike what is clearly shown in Figure 1, the G clade more closely clustered with the GR (B.1.1) and GR (L.3) set of clades instead of the GH (B.1) clade. The Nigerian isolates within the V (B) clade clustered most closely with the other foreign isolates belonging to this clade. The V (B) clade did not have many representative isolates. Finally, the Nigerian isolates of the S (A) clade most closely clustered with the foreign representatives of this clade (Figure 2). This clade also did not have many representative isolates. There were no Nigerian isolate representatives belonging to the L (B), GR (C, N, P, and R), GV (B.1.177), GK (AY and B.1.617.2), and O (B) clades.
Another phylogenetic tree was constructed, this time using the relaxed clock model. Both trees were highly similar, except for a few differences. The GRY (B.1.1.7) clade in the relaxed-clock tree was basically identical to its counterpart in the strict-clock tree; clustering most closely with the exact same 2 sequences from India and Israel (Figures 2 and 3). As in the strict clock phylogenetic tree, the GR (B.1.1) clade was very diverse and clustered with a host of isolates from widely different global regions (Figures 2 and 3). Its common clustering patterns were also evident in the relaxed-clock tree. One major difference between the 2 clock trees is apparent in the GR (L.3) clade. While in the strict-clock tree, this clade most closely clustered with isolates EPI_ISL_732563 (B.1.1) and EPI_ISL_451310 (B.1) from Germany and Greece, respectively, the relaxed-clock tree did not show support for such close clustering patterns. Instead, the isolates of the L.3 lineage clustered most closely with 2 sequences from Italy and the United States; EPI_ISL_528947 (B.1.1) and EPI_ISL_1823584 (B.1.1.263) (Figure 3). The clustering patterns of the GH (B.1) clade were very similar for both clock trees; the same group of isolates that clustered with this clade in the strict-clock tree also closely clustered in the relaxed-clock tree (Figures 2 and 3). The G (B.1) clade here was also very similar to its counterpart in the strict-clock tree, also exhibiting a closer relationship with the GR (B.1.1 and L.3) set of clades than with the GH (B.1) clade, as suggested in Figure 1. The V (B) and S(A) clades in the relaxed-clock tree showcased a similar clustering pattern as in its strict clock counterpart (Figures 2 and 3). Finally, another major difference between the 2 clock trees was the positioning of the V (B), O (B), L (B), and S (A) clades on the trees. In the strict-clock tree, the V (B) and O (B) pair is shown to be more ancestral to the L (B) and S (A) pair (barring the Wuhan reference sequence), while in the relaxed-clock tree, the S (A) clade was depicted as being more ancestral to the other 3 clades, which formed a cluster (Figures 2 and 3).
Sequence Similarity Matrix of Isolates Correlated with Phylogenetic Grouping
As a means of evaluating the similarity of Nigerian isolates to one another and to the reference, a sequence similarity matrix is shown in Table 2. Isolates are represented by their GISAID accession identification/GISAID clade/Pango lineage. All isolates were highly similar, showing a similarity score of no less than 99.5% (Table 2). On average, isolates within the same clade were more similar than those of different clades. For example, the average sequence similarity value of isolates within a clade was 99.93%, while the average sequence similarity value of all isolates across different clades was only 99.84%. However, this was not always the case. As shown in Table 2, the S (A) clade was an exception to this rule. The intra-clade similarity score was only 99.76%, while the average inter-clade similarity score between the S clade and all other clades was 99.78% (Table 2).
D614G Was a Predominant Mutation in the S Gene of Nigerian Isolates, and Other SNPs and Deletions Occurred in Other Parts of the Genome
The D614G mutation in the spike (S) protein has received intense attention because of its association with increased infectivity. To check for the prevalence of this mutation in the available Nigerian isolates, position 614 of the S protein in respect to the reference Wuhan sequence was examined. This examination revealed that the D614G mutation existed in numerous Nigerian isolates (Table 3). A majority of the Nigerian isolates were G variants, only 10 isolates were D variants, and the isolate EPI_ISL_1173243 had an “N” amino acid at locus 614 of the S gene.
Tables 35 depict all single-nucleotide polymorphisms (SNPs) and deletions in all genes of the Nigerian isolates in comparison to the Wuhan reference sequence. Each isolate is represented by its GISAID accession identification number (Tables 35). Apart from the nucleotide substitutions observed at the 614th position of the spike gene, many other mutations occurred throughout the SARS-CoV-2 genome, most of which were SNPs. A few indels and run-on mutations were also noted. Twenty-nine amino acid mutations were present in over 10% of all Nigerian isolates. Out of these 29 mutations, 4 were present in over 70% of Nigerian isolates. These 4 were P323L in NSP12 (87.0%) (RNA-dependent RNA polymerase) of ORF1ab, D614G (88.0%) in the spike protein, and R203K (72.0%) and G204R (72.0%) in the nucleocapsid protein (ORFN).
The observation of a mild COVID-19 epidemic in Nigeria from the onset of the epidemic through November 30, 2020 is indeed unexpected, as the Nigerian numbers best those of some countries that are believed to have handled the pandemic better [1517]. Several hypotheses have been suggested to suggest this, primarily centering on the early action taken by Africa against the infection, likely fueled by African countries’ familiarity with emerging infectious diseases, a warmer climate, a reduced genetic predisposition to the disease as a result of the reduced expression of ACE2 (the receptor implicated SARS-CoV-2 infectivity) in Africans, and a relatively young population [3,4,9,1822]. Nonetheless, it should also be noted that only 3,632 tests were recorded per 1 million Nigerians, the lowest among the 32 countries shown in Table 1. As a result, the supposed mild COVID-19 epidemic in Nigeria is clouded by the fact that COVID-19 testing in that time period was very underwhelming. The proportion of COVID-19 tests per population should be considered as an important factor when interpreting the response of the country to the pandemic.
One aim of the Bayesian phylogenetic analyses in the present study was to identify the strains of SARS-CoV-2 circulating in Nigeria and possible regions from which they were imported. Bayesian trees with both strict and relaxed clock phylogenies showed that the individual SARS-CoV-2 clades in Nigeria clustered with and likely originated from various countries around the world. Some clades were likely imported from Asia, while others were likely imported from various countries in Europe and South America. The importation of SARS-CoV-2 from China into Nigeria is a very feasible occurrence considering air traffic flow patterns and bilateral trade agreements between the 2 nations [2327]. The importation of COVID-19 from Europe is also as likely; in fact, Nigeria’s index case was a man from Italy who traveled to Nigeria [2]. Other evidence supporting the importation of SARS-CoV-2 from Europe has been highlighted by 2 independent studies [28,29]. Therefore, with the observation that Nigerian isolates of SARS-CoV-2 were likely imported from Asia and Europe, the assumption that the strains circulating within Nigeria are different from strains circulating globally does not hold. This, in turn, does not explain the low transmissibility and fatality of the strains within Nigeria, especially considering the fact that most of the regions they are believed to have been imported from did not have attenuated disease outcomes, as highlighted in Table 1.
The sequence similarity analyses suggested that there was not much divergence between Nigerian isolates from the reference sequence (and from all SARS-CoV-2 isolates in general); therefore, the virus genome alone may not be a sufficient variable to explain the milder outcomes of COVID-19 in Nigeria. Other factors such as early action taken against COVID-19, a warmer climate, reduced genetic predisposition to the disease as a result of a reduced expression of ACE2, and a relatively young population may singly or in combination account for the attenuated disease outcomes in Nigeria. The sequence similarity matrix of Nigerian isolates corresponded to the phylogenetic groupings of clades; isolates within the same phylogenetic clade tended to have more similar sequences than isolates from different clades. This observation is significant because it further supports the result obtained via Bayesian phylogenetic inference.
The mutational analysis demonstrated that there were only very few non-synonymous substitutions in the genomes of Nigerian isolates compared to the reference Wuhan strain. Most non-synonymous mutations were present in 1 or a few isolates, although a few existed in numerous isolates. The D614G, P323L, R203K, and G204R mutations occurred in numerous Nigerian isolates. This same set of mutations was also discovered to be predominant in a SARS-CoV-2 epidemiological study conducted in Morocco [30].
There was an 88% prevalence of the D614G mutation in Nigerian isolates, and most of the D614G variants belonged to the S (A) clade of SARS-CoV-2, most likely because this clade is believed to be ancestral. Although this mutation is believed to be a relatively new mutation absent in the ancestral lineage, it has gained traction and is currently a dominant mutation in the population of SARS-CoV-2 worldwide, including in Nigeria and Africa [28,31,32]. Although there is a possibility that the G614 variant is evolutionarily favored over the D variant, there is no evidence of impact on disease severity and on therapeutic development [31,3335]. The G variant, however, has been associated with increased transmission fitness, viral loads, and younger patient age [36,37].
The P323L mutation was also another predominant mutation in the Nigerian isolates studied, with a prevalence of 87%. This mutation has been highlighted in the literature, and it was touted as an important variant in a large-scale study [38]. The P323L mutation may cause structural changes in NSP12, altering its interaction with NSP8 and affecting viral replication in host cells [39,40].
The R203K and G204R mutations were both present in ORFN, the nucleocapsid protein. These mutations have previously been identified in other studies [32,39,41]. Research on this mutation pair has shown that viruses possessing these mutations gain a replication advantage over the R203 and G204 variants [42]. This mutation pair has shown increased infectivity in the lung cells of humans and in hamsters [42]. In a study that modeled and analysed mutant protein structures, R203K and G204R were identified as mutations that caused significant changes to protein structure; moreover, this mutation pair also affected the affinity of intra-viral protein interactions [43].
Overall, we have shown that the SARS-CoV-2 strains circulating in Nigeria as of May 29, 2021 clustered into 7 different clades and were introduced into the country through multiple and unrelated introductions from Asia, Europe, South America, and Africa. The Nigerian SARS-CoV-2 isolates were also not genetically and phylogenetically distinct from strains circulating in other parts of the world. Future work will aim to associate the identified mutations with phenotypic characteristics through functional analysis.
Table S1. Sequence IDs, GISAID clades, Pango and Nextclade lineages of SARS-CoV-2 isolates used in the study; Table S2. Acknowledgement list of sequence submitters. Supplementary data are available at https://doi.org/10.24171/j.phrp.2021.0329.
Table S1.
Sequence IDs, GISAID clades, Pango and Nextclade lineages of SARS-CoV-2 isolates used in the study
j-phrp-2021-0329-suppl1.pdf
Table S2.
Acknowledgement list of sequence submitters
j-phrp-2021-0329-suppl2.pdf

Ethics Approval

Not applicable.

Conflicts of Interest

The authors have no conflicts of interest to declare.

Funding

None.

Availability of Data

Data are available on request to the corresponding author.

Figure 1.
Strict clock Bayesian phylogeny of 100 full-genome severe acute respiratory syndrome coronavirus 2 Nigerian isolates plus the reference Wuhan isolate (hCoV-19/Wuhan/Hu-1/2019|EPI_ISL_402125|2019-12-31). The parameters included a general time reversible substitution model, the gamma category count set to 4, a coalescent exponential tree prior, and a custom tree prior to specify the Wuhan isolate “Wuhan/Hu-1/2019” as an outgroup. The analysis was run for 10 million generations.
j-phrp-2021-0329f1.jpg
Figure 2.
Strict clock time-scaled Bayesian phylogeny of 230 full-genome severe acute respiratory syndrome coronavirus 2 global isolates, including the reference Wuhan isolate (hCoV-19/Wuhan/Hu-1/2019|EPI_ISL_402125|2019-12-31). The parameters included a general time reversible substitution model, the gamma category count set to 4, a coalescent exponential tree prior, and a custom tree prior to specify the Wuhan isolate “Wuhan/Hu-1/2019” as an outgroup. The branches of all isolates are colored according to the Global Initiative to Share All Influenza Data clade and Pango lineage they belong to. However, the taxon labels of the Nigerian isolates are left colored in the default black, while the other isolates are colored depending on their clade.
j-phrp-2021-0329f2.jpg
Figure 3.
Relaxed clock time-scaled Bayesian phylogeny of 230 full-genome severe acute respiratory syndrome coronavirus 2 global isolates, including the reference Wuhan isolate (hCoV-19/Wuhan/Hu-1/2019|EPI_ISL_402125|2019-12-31). The parameters included a general time reversible substitution model, the gamma category count set to 4, a coalescent exponential tree prior, and a custom tree prior to specify the Wuhan isolate “Wuhan/Hu-1/2019” as an outgroup. The Nigerian isolates are highlighted in red. The branches of all isolates are colored according to the Global Initiative to Share All Influenza Data clade and Pango lineage they belong to. However, the taxon labels of the Nigerian isolates are left colored in the default black, while the other isolates are colored depending on their clade.
j-phrp-2021-0329f3.jpg
j-phrp-2021-0329f4.jpg
Table 1.
COVID-19 cases, deaths, and tests in 32 random countries as of November 30, 2020
Country Total case Total death Total case/1 M population Death/1 M population Test/1 M population
Algeria 82,221 2,410 1,861 55 -
Argentina 1,418,807 38,473 31,274 848 85,375
Australia 27,902 908 1,089 35 390,289
Canada 374,051 12,076 9,875 319 301,291
China 86,530 4,634 60 3 111,163
Denmark 80,481 837 13,874 144 1,280,256
Egypt 115,541 6,636 1,120 64 9,697
Finland 24,912 399 4,493 72 348,911
France 2,222,488 52,731 34,018 807 315,590
Germany 1,068,980 16,830 12,742 201 332,072
Greece 105,271 2,406 10,121 231 228,189
Iceland 5,392 26 15,759 76 1,140,016
India 9,462,739 137,649 6,829 99 101,313
Ireland 72,544 2,053 14,624 414 396,069
Israel 336,160 2,864 36,549 311 609,406
Italy 1,601,554 55,576 26,505 920 363,181
Japan 146,760 2,119 1,162 17 27,729
Kazakhstan 131,659 1,990 6,977 105 222,942
New Zealand 2,056 25 411 5 254,998
Nigeria 67,412 1,173 324 6 3,632
Norway 35,971 332 6,614 61 408,924
Pakistan 398,024 8,025 1,788 36 24,742
Peru 962,530 35,923 29,026 1,083 152,566
Senegal 16,089 333 951 20 13,642
Singapore 58,218 29 9,919 5 757,851
South Africa 790,004 21,535 13,251 361 90,295
Spain 1,664,945 45,069 35,604 964 491,694
Sweden 243,129 6,681 24,012 660 313,550
Taiwan 675 7 28 0 4,629
United Arab Emirates 168,860 572 16,989 58 1,682,936
United Kingdom 1,629,657 58,448 23,954 859 639,079
United States of America 13,874,550 273,963 41,815 826 583,206

M, million; -, data unavailable.

Table 2.
Sequence similarity matrix of Nigerian isolates: 2 clade representatives are selected for each clade
Variable Reference 985098/GRY/B.1.1.7 985070/GRY/B.1.1.7 730024/GR/B.1.1.484 527915/GR/B.1.1 1242028/GR/L.3 729932/GR/L.3 729962/GH/B.1.462 730029/GH/B.1 729993/G/B.1 527881/G/B.1 527874/V/B 729947/V/B 985238/S/A.27 455426/S/A
Reference 99.81 99.79 99.93 99.95 99.87 99.93 99.97 99.94 99.93 99.98 99.96 99.95 99.77 99.95
985098/GRY/B.1.1.7 99.81 99.98 99.82 99.85 99.76 99.82 99.82 99.79 99.78 99.83 99.77 99.76 99.61 99.76
985070/GRY/B.1.1.7 99.79 99.98 99.80 99.82 99.74 99.80 99.80 99.77 99.76 99.81 99.75 99.74 99.59 99.74
730024/GR/B.1.1.484 99.93 99.82 99.80 99.96 99.88 99.94 99.94 99.91 99.90 99.95 99.89 99.88 99.70 99.88
527915/GR/B.1.1 99.95 99.85 99.82 99.96 99.90 99.96 99.96 99.93 99.92 99.97 99.91 99.90 99.72 99.90
1242028/GR/L.3 99.87 99.76 99.74 99.88 99.90 99.9 99.88 99.85 99.84 99.89 99.82 99.81 99.66 99.81
729932/GR/L.3 99.93 99.82 99.80 99.94 99.96 99.90 99.94 99.91 99.90 99.95 99.89 99.88 99.70 99.88
729962/GH/B.1.462 99.97 99.82 99.80 99.94 99.96 99.88 99.94 99.97 99.94 99.99 99.93 99.92 99.74 99.92
730029/GH/B.1 99.94 99.79 99.77 99.91 99.93 99.85 99.91 99.97 99.91 99.96 99.90 99.89 99.71 99.89
729993/G/B.1 99.93 99.78 99.76 99.9 99.92 99.84 99.90 99.94 99.91 99.95 99.89 99.88 99.70 99.88
527881/G/B.1 99.98 99.83 99.81 99.95 99.97 99.89 99.95 99.99 99.96 99.95 99.94 99.93 99.75 99.93
527874/V/B 99.96 99.77 99.75 99.89 99.91 99.82 99.89 99.93 99.90 99.89 99.94 99.99 99.73 99.91
729947/V/B 99.95 99.76 99.74 99.88 99.90 99.81 99.88 99.92 99.89 99.88 99.93 99.99 99.72 99.90
985238/S/A.27 99.77 99.61 99.59 99.70 99.72 99.66 99.70 99.74 99.71 99.70 99.75 99.73 99.72 99.76
455426/S/A 99.95 99.76 99.74 99.88 99.90 99.81 99.88 99.92 99.89 99.88 99.93 99.91 99.90 99.76
Table 3.
Mutational profile of ORFS, ORF3a, ORF4, and ORF5 showing single-nucleotide polymorphisms and deletions
Variable Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation
ORFS (surface glycoprotein) 730020 L5F 985238 L18F 1035813 +6 T22I 1093467 +1 Q52R 1093467 +1 A67V
1093440 +25 Del 69-70 872616 G75R 985068 +1 D80Y 487111 +1 Del 141-144 1093440 +27 Del 144
487109 Del 241-243 124025 G261R 527901 A262S 1035813 +5 T385I 2241981 +2 N439K
1035813 +20 L452R 1035820 S477I 1093467 +2 E484K 1093440 +24 N501Y 872614 A520S
487109 A522V 1093440 +23 A570D 1035813 +88 D614G 1173243 D614N 906283 V622F
985238 A653V 906283 H655Y 527901 Q675R 729953 Q675H 872614 Q677H
1093440 +27 P681H 730006 Q690L 1093440 +23 T716I 872604 +1 E780Q 985238 D796Y
1093467 +1 F888L 1093440 +23 S982A 1035818 T1117I 1093440 +23 D1118H 730038 D1118Y
729925 G1167V 985238 G1219V 985097 C1250F 729978 +1 L54F
ORF3a protein 487099 D27Y 729966 I35T 985238 V50A 527901 L52F 487109 +9 Q57H
872611 V77F 729966 L85F 872622 L101P 487109 +1 A110V 729993 T151I
1173243 S171L 1173243 G172C 487111 Q185R 2241981 +2 S195F 872614 T223I
729957 G224C 906296 D238Y 730029 P240S 455431 +3 G251V 729976 T269M
1173243 257-271 point mutations 985238 258-271 point mutations
ORFE (envelope protein) 1093467 +1 L21F
ORFM (membrane glycoprotein) 1235659 W75L 1093467 +1 I82T 527878 C86F

ORF, open reading frame.

Table 4.
Mutational profile of ORF1ab and all its constituent non-structural proteins showing single-nucleotide polymorphisms and deletions
ORF1ab polyproteins Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation
NSP1 729932 P6H
872614 Q66R
872609 +2 Del 141-143
NSP2 985099 G29C 985238 P106L 729976 H208Y 730038 Q431H
906283 K82Q 1173243 K110N 729976 T256I 729930 T528I
730029 +2 T85I 941293 D155G 1035818 +12 L266F 455426 D582G
729993 K102E 730042 G165D 730013 A336V 455431 +3 P585S
906303 N168D 729976 Q376K 729995 T601A
NSP3 729978 +1 P108L 2241981 G250R 527889 T428I 729930 S1038F 527901 H1307Y
729978 +1 P108L 729930 G307C 527912 G476D 906285 T1063I 1093440 +23 I1412T
906283 S176G 872616 V325F 872604 A480V 730042 P1103L 1173243 I1426T
1093440 +22 T183I 1173243 S370L 729957 P822S 1093440 Y1185C 730042 P1469H
872614 Del 206-207 2241981 P395L 729993 P874S 1093467 +1 T1189I 729976 A1527V
906296 A231V 729966 D411Y 1093440 +23 A890D 730013 I1239T 527889 Q1756H
487099 P968H 527901 L1244F 1035818 +12 P1921L
NSP4 729925 V30F
985238 D217G
1035818 +12 Y300S
NSP5 527889 G15S
2241981 T21I
1235659 P241L
1173243 A255V
527901 +1 A260V
NSP6 906285 W31C 729966 A136V
1035813 +17 L37F 906296 L146F
487109 +1 A46V 906285 +1 V149F
985060 A51V 730038 V182F
1093440 +25 Del 106-108 729993 C197F
1035818 +12 P198L
NSP7 872622 L71F
1242025 +1 A80V
NSP8 729930 R51C
1235659 +1 T145I
872616 T148I
729957 A152V
NSP12 (RNA-dependent RNA polymerase) 1173243 T141I 1093467 +1 P323F
1093440 +22 P227L 730013 A529V
527889 G228D 730006 G774C
1093442 +1 V299F 455426 T806I
1035813 +87 P323L 729985 Q822H
NSP13 (Helicase) 729985 S38L 985078 V98F
1173243 +1 S74L 729966 D105G
729978 +1 S74P 1093467 G118C
985238 P77L 487109 +1 V169F
1035818 A296T
NSP14 730020 +3 A119S 527889 F326L
1093467 D222Y 487113 S418I
1173243 T250I 941284 +2 P451S
NSP15 1715380 K12N 729957 R206M
985129 S147I
455426 S154F
NSP16 729995 A83S
1093467 A116S
730020 +2 K182N

ORF, open reading frame.

Table 5.
Mutational profile of ORF6, ORF7a, ORF8, ORF9, and ORF10 showing single-nucleotide polymorphisms and deletions
Variable Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation
ORF6 protein 1093473 Del 2 2241981 N39Y
ORF7a protein 1242028 T14I 1173230 C35R 729957 P99L 527912 T120I
ORF8 protein 729978 +1 S24L 527889 T26I 1093440 +23 Del 27 985097 W45C 1093440 +23 R52I
730020 Del 59 729953 Del 65 729976 A65V 906299 +1 Del 66 906299 +1 S67A
729953 K68E 1093440 +22 Del 68 1093440 +22 Y73C 1242013 S82A 455426 +6 L84S
730013 Del 110 985238 D119I 2241981 +2 F120V 985238 Del 120-121
ORFN (nucleocapsid phosphoprotein) 1093467 +1 Del 2 1093440 +23 D3L 1093467+1 D3Y 1093467 +1 A12G 730042 A35V
872604 D128G 941291 D128Y 527912 T141I 1173243 D144H 729957 T148A
729947 S193I 1173208 S194L 1035813 +72 R203K 1035813 +72 G204R 1093467 +3 T205I
730032 A208G 730032 Del 209 1035813 +6 G212C 1093440 +23 S235F 2241981 +1 G238C
906296 G238R
ORF10 protein 487111 +1 I4T

ORF, open reading frame.

Figure & Data

References

    Citations

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    • A retrospective whole genome sequencing of SARS-CoV-2 isolate from respiratory sample of an individual from Ota – Ogun State, Nigeria
      Olajumoke Olufunmilayo Joseph, Samuel Olatunde Dahunsi, Anthony Okoh
      Gene Reports.2024; 37: 102032.     CrossRef

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    Phylogenetic and genome-wide mutational analysis of SARS-CoV-2 strains circulating in Nigeria: no implications for attenuated COVID-19 outcomes
    Image Image Image Image
    Figure 1. Strict clock Bayesian phylogeny of 100 full-genome severe acute respiratory syndrome coronavirus 2 Nigerian isolates plus the reference Wuhan isolate (hCoV-19/Wuhan/Hu-1/2019|EPI_ISL_402125|2019-12-31). The parameters included a general time reversible substitution model, the gamma category count set to 4, a coalescent exponential tree prior, and a custom tree prior to specify the Wuhan isolate “Wuhan/Hu-1/2019” as an outgroup. The analysis was run for 10 million generations.
    Figure 2. Strict clock time-scaled Bayesian phylogeny of 230 full-genome severe acute respiratory syndrome coronavirus 2 global isolates, including the reference Wuhan isolate (hCoV-19/Wuhan/Hu-1/2019|EPI_ISL_402125|2019-12-31). The parameters included a general time reversible substitution model, the gamma category count set to 4, a coalescent exponential tree prior, and a custom tree prior to specify the Wuhan isolate “Wuhan/Hu-1/2019” as an outgroup. The branches of all isolates are colored according to the Global Initiative to Share All Influenza Data clade and Pango lineage they belong to. However, the taxon labels of the Nigerian isolates are left colored in the default black, while the other isolates are colored depending on their clade.
    Figure 3. Relaxed clock time-scaled Bayesian phylogeny of 230 full-genome severe acute respiratory syndrome coronavirus 2 global isolates, including the reference Wuhan isolate (hCoV-19/Wuhan/Hu-1/2019|EPI_ISL_402125|2019-12-31). The parameters included a general time reversible substitution model, the gamma category count set to 4, a coalescent exponential tree prior, and a custom tree prior to specify the Wuhan isolate “Wuhan/Hu-1/2019” as an outgroup. The Nigerian isolates are highlighted in red. The branches of all isolates are colored according to the Global Initiative to Share All Influenza Data clade and Pango lineage they belong to. However, the taxon labels of the Nigerian isolates are left colored in the default black, while the other isolates are colored depending on their clade.
    Graphical abstract
    Phylogenetic and genome-wide mutational analysis of SARS-CoV-2 strains circulating in Nigeria: no implications for attenuated COVID-19 outcomes
    Country Total case Total death Total case/1 M population Death/1 M population Test/1 M population
    Algeria 82,221 2,410 1,861 55 -
    Argentina 1,418,807 38,473 31,274 848 85,375
    Australia 27,902 908 1,089 35 390,289
    Canada 374,051 12,076 9,875 319 301,291
    China 86,530 4,634 60 3 111,163
    Denmark 80,481 837 13,874 144 1,280,256
    Egypt 115,541 6,636 1,120 64 9,697
    Finland 24,912 399 4,493 72 348,911
    France 2,222,488 52,731 34,018 807 315,590
    Germany 1,068,980 16,830 12,742 201 332,072
    Greece 105,271 2,406 10,121 231 228,189
    Iceland 5,392 26 15,759 76 1,140,016
    India 9,462,739 137,649 6,829 99 101,313
    Ireland 72,544 2,053 14,624 414 396,069
    Israel 336,160 2,864 36,549 311 609,406
    Italy 1,601,554 55,576 26,505 920 363,181
    Japan 146,760 2,119 1,162 17 27,729
    Kazakhstan 131,659 1,990 6,977 105 222,942
    New Zealand 2,056 25 411 5 254,998
    Nigeria 67,412 1,173 324 6 3,632
    Norway 35,971 332 6,614 61 408,924
    Pakistan 398,024 8,025 1,788 36 24,742
    Peru 962,530 35,923 29,026 1,083 152,566
    Senegal 16,089 333 951 20 13,642
    Singapore 58,218 29 9,919 5 757,851
    South Africa 790,004 21,535 13,251 361 90,295
    Spain 1,664,945 45,069 35,604 964 491,694
    Sweden 243,129 6,681 24,012 660 313,550
    Taiwan 675 7 28 0 4,629
    United Arab Emirates 168,860 572 16,989 58 1,682,936
    United Kingdom 1,629,657 58,448 23,954 859 639,079
    United States of America 13,874,550 273,963 41,815 826 583,206
    Variable Reference 985098/GRY/B.1.1.7 985070/GRY/B.1.1.7 730024/GR/B.1.1.484 527915/GR/B.1.1 1242028/GR/L.3 729932/GR/L.3 729962/GH/B.1.462 730029/GH/B.1 729993/G/B.1 527881/G/B.1 527874/V/B 729947/V/B 985238/S/A.27 455426/S/A
    Reference 99.81 99.79 99.93 99.95 99.87 99.93 99.97 99.94 99.93 99.98 99.96 99.95 99.77 99.95
    985098/GRY/B.1.1.7 99.81 99.98 99.82 99.85 99.76 99.82 99.82 99.79 99.78 99.83 99.77 99.76 99.61 99.76
    985070/GRY/B.1.1.7 99.79 99.98 99.80 99.82 99.74 99.80 99.80 99.77 99.76 99.81 99.75 99.74 99.59 99.74
    730024/GR/B.1.1.484 99.93 99.82 99.80 99.96 99.88 99.94 99.94 99.91 99.90 99.95 99.89 99.88 99.70 99.88
    527915/GR/B.1.1 99.95 99.85 99.82 99.96 99.90 99.96 99.96 99.93 99.92 99.97 99.91 99.90 99.72 99.90
    1242028/GR/L.3 99.87 99.76 99.74 99.88 99.90 99.9 99.88 99.85 99.84 99.89 99.82 99.81 99.66 99.81
    729932/GR/L.3 99.93 99.82 99.80 99.94 99.96 99.90 99.94 99.91 99.90 99.95 99.89 99.88 99.70 99.88
    729962/GH/B.1.462 99.97 99.82 99.80 99.94 99.96 99.88 99.94 99.97 99.94 99.99 99.93 99.92 99.74 99.92
    730029/GH/B.1 99.94 99.79 99.77 99.91 99.93 99.85 99.91 99.97 99.91 99.96 99.90 99.89 99.71 99.89
    729993/G/B.1 99.93 99.78 99.76 99.9 99.92 99.84 99.90 99.94 99.91 99.95 99.89 99.88 99.70 99.88
    527881/G/B.1 99.98 99.83 99.81 99.95 99.97 99.89 99.95 99.99 99.96 99.95 99.94 99.93 99.75 99.93
    527874/V/B 99.96 99.77 99.75 99.89 99.91 99.82 99.89 99.93 99.90 99.89 99.94 99.99 99.73 99.91
    729947/V/B 99.95 99.76 99.74 99.88 99.90 99.81 99.88 99.92 99.89 99.88 99.93 99.99 99.72 99.90
    985238/S/A.27 99.77 99.61 99.59 99.70 99.72 99.66 99.70 99.74 99.71 99.70 99.75 99.73 99.72 99.76
    455426/S/A 99.95 99.76 99.74 99.88 99.90 99.81 99.88 99.92 99.89 99.88 99.93 99.91 99.90 99.76
    Variable Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation
    ORFS (surface glycoprotein) 730020 L5F 985238 L18F 1035813 +6 T22I 1093467 +1 Q52R 1093467 +1 A67V
    1093440 +25 Del 69-70 872616 G75R 985068 +1 D80Y 487111 +1 Del 141-144 1093440 +27 Del 144
    487109 Del 241-243 124025 G261R 527901 A262S 1035813 +5 T385I 2241981 +2 N439K
    1035813 +20 L452R 1035820 S477I 1093467 +2 E484K 1093440 +24 N501Y 872614 A520S
    487109 A522V 1093440 +23 A570D 1035813 +88 D614G 1173243 D614N 906283 V622F
    985238 A653V 906283 H655Y 527901 Q675R 729953 Q675H 872614 Q677H
    1093440 +27 P681H 730006 Q690L 1093440 +23 T716I 872604 +1 E780Q 985238 D796Y
    1093467 +1 F888L 1093440 +23 S982A 1035818 T1117I 1093440 +23 D1118H 730038 D1118Y
    729925 G1167V 985238 G1219V 985097 C1250F 729978 +1 L54F
    ORF3a protein 487099 D27Y 729966 I35T 985238 V50A 527901 L52F 487109 +9 Q57H
    872611 V77F 729966 L85F 872622 L101P 487109 +1 A110V 729993 T151I
    1173243 S171L 1173243 G172C 487111 Q185R 2241981 +2 S195F 872614 T223I
    729957 G224C 906296 D238Y 730029 P240S 455431 +3 G251V 729976 T269M
    1173243 257-271 point mutations 985238 258-271 point mutations
    ORFE (envelope protein) 1093467 +1 L21F
    ORFM (membrane glycoprotein) 1235659 W75L 1093467 +1 I82T 527878 C86F
    ORF1ab polyproteins Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation
    NSP1 729932 P6H
    872614 Q66R
    872609 +2 Del 141-143
    NSP2 985099 G29C 985238 P106L 729976 H208Y 730038 Q431H
    906283 K82Q 1173243 K110N 729976 T256I 729930 T528I
    730029 +2 T85I 941293 D155G 1035818 +12 L266F 455426 D582G
    729993 K102E 730042 G165D 730013 A336V 455431 +3 P585S
    906303 N168D 729976 Q376K 729995 T601A
    NSP3 729978 +1 P108L 2241981 G250R 527889 T428I 729930 S1038F 527901 H1307Y
    729978 +1 P108L 729930 G307C 527912 G476D 906285 T1063I 1093440 +23 I1412T
    906283 S176G 872616 V325F 872604 A480V 730042 P1103L 1173243 I1426T
    1093440 +22 T183I 1173243 S370L 729957 P822S 1093440 Y1185C 730042 P1469H
    872614 Del 206-207 2241981 P395L 729993 P874S 1093467 +1 T1189I 729976 A1527V
    906296 A231V 729966 D411Y 1093440 +23 A890D 730013 I1239T 527889 Q1756H
    487099 P968H 527901 L1244F 1035818 +12 P1921L
    NSP4 729925 V30F
    985238 D217G
    1035818 +12 Y300S
    NSP5 527889 G15S
    2241981 T21I
    1235659 P241L
    1173243 A255V
    527901 +1 A260V
    NSP6 906285 W31C 729966 A136V
    1035813 +17 L37F 906296 L146F
    487109 +1 A46V 906285 +1 V149F
    985060 A51V 730038 V182F
    1093440 +25 Del 106-108 729993 C197F
    1035818 +12 P198L
    NSP7 872622 L71F
    1242025 +1 A80V
    NSP8 729930 R51C
    1235659 +1 T145I
    872616 T148I
    729957 A152V
    NSP12 (RNA-dependent RNA polymerase) 1173243 T141I 1093467 +1 P323F
    1093440 +22 P227L 730013 A529V
    527889 G228D 730006 G774C
    1093442 +1 V299F 455426 T806I
    1035813 +87 P323L 729985 Q822H
    NSP13 (Helicase) 729985 S38L 985078 V98F
    1173243 +1 S74L 729966 D105G
    729978 +1 S74P 1093467 G118C
    985238 P77L 487109 +1 V169F
    1035818 A296T
    NSP14 730020 +3 A119S 527889 F326L
    1093467 D222Y 487113 S418I
    1173243 T250I 941284 +2 P451S
    NSP15 1715380 K12N 729957 R206M
    985129 S147I
    455426 S154F
    NSP16 729995 A83S
    1093467 A116S
    730020 +2 K182N
    Variable Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation Isolate Mutation
    ORF6 protein 1093473 Del 2 2241981 N39Y
    ORF7a protein 1242028 T14I 1173230 C35R 729957 P99L 527912 T120I
    ORF8 protein 729978 +1 S24L 527889 T26I 1093440 +23 Del 27 985097 W45C 1093440 +23 R52I
    730020 Del 59 729953 Del 65 729976 A65V 906299 +1 Del 66 906299 +1 S67A
    729953 K68E 1093440 +22 Del 68 1093440 +22 Y73C 1242013 S82A 455426 +6 L84S
    730013 Del 110 985238 D119I 2241981 +2 F120V 985238 Del 120-121
    ORFN (nucleocapsid phosphoprotein) 1093467 +1 Del 2 1093440 +23 D3L 1093467+1 D3Y 1093467 +1 A12G 730042 A35V
    872604 D128G 941291 D128Y 527912 T141I 1173243 D144H 729957 T148A
    729947 S193I 1173208 S194L 1035813 +72 R203K 1035813 +72 G204R 1093467 +3 T205I
    730032 A208G 730032 Del 209 1035813 +6 G212C 1093440 +23 S235F 2241981 +1 G238C
    906296 G238R
    ORF10 protein 487111 +1 I4T
    Table 1. COVID-19 cases, deaths, and tests in 32 random countries as of November 30, 2020

    M, million; -, data unavailable.

    Table 2. Sequence similarity matrix of Nigerian isolates: 2 clade representatives are selected for each clade

    Table 3. Mutational profile of ORFS, ORF3a, ORF4, and ORF5 showing single-nucleotide polymorphisms and deletions

    ORF, open reading frame.

    Table 4. Mutational profile of ORF1ab and all its constituent non-structural proteins showing single-nucleotide polymorphisms and deletions

    ORF, open reading frame.

    Table 5. Mutational profile of ORF6, ORF7a, ORF8, ORF9, and ORF10 showing single-nucleotide polymorphisms and deletions

    ORF, open reading frame.


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