Ontology highlight
ABSTRACT: Objectives
Recombination related to coinfection is a huge driving force in determining the virus genetic variability, particularly in conditions of partial immune control, leading to prolonged infection. Here, we characterized a distinctive mutational pattern, highly suggestive of Delta-Omicron double infection, in a lymphoma patient.Methods
The specimen was characterized through a combined approach, analyzing the results of deep sequencing in primary sample, viral culture, and plaque assay.Results
Bioinformatic analysis on the sequences deriving from the primary sample supports the hypothesis of a double viral population within the host. Plaque assay on viral culture led to the isolation of a recombinant strain deriving from Delta and Omicron lineages, named XS, which virtually replaced its parent lineages within a single viral propagation.Conclusion
It is impossible to establish whether the recombination event happened within the host or in vitro; however, it is important to monitor co-infections, especially in the exceptional intrahost environment of patients who are immunocompromised, as strong driving forces of viral evolution.
SUBMITTER: Zannoli S
PROVIDER: S-EPMC10014127 | biostudies-literature | 2023 Mar
REPOSITORIES: biostudies-literature

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases 20230315
<h4>Objectives</h4>Recombination related to coinfection is a huge driving force in determining the virus genetic variability, particularly in conditions of partial immune control, leading to prolonged infection. Here, we characterized a distinctive mutational pattern, highly suggestive of Delta-Omicron double infection, in a lymphoma patient.<h4>Methods</h4>The specimen was characterized through a combined approach, analyzing the results of deep sequencing in primary sample, viral culture, and p ...[more]