RT info:eu-repo/semantics/article T1 SARS-CoV-2 variants in Paraguay : detection and surveillance with an economical and scalable molecular protocol A1 Martínez Pereira, Iara Magaly A1 Nguyen, Phuong-Vi A1 Su, Maxwell A1 Cardozo Segovia, Fátima María A1 Valenzuela, Adriana Beatriz A1 Franco, Laura Ximena A1 Galeano, María Eugenia A1 Rojas, Leticia Elizabeth A1 Díaz Acosta, Chyntia Carolina A1 Fernández, Jonás A1 Ortíz, Joel A1 del Puerto Rodas, Ramona Florencia A1 Mendoza Torres, Laura Patricia A1 Nara, Eva A1 Rojas Segovia, Alejandra María A1 Waggoner, Jesse J. A2 Centro de Estudios y Formación para el Ecodesarrollo AB SARS-CoV-2 variant detection relies on resource-intensive whole-genome sequencing methods. We sought to develop a scalable protocol for variant detection and surveillance in Paraguay, pairing rRT-PCR for spike mutations with Nanopore sequencing. A total of 201 acute-phase nasopharyngeal samples were included. Samples were positive for the SARS-CoV-2 N2 target and tested with the Spike SNP assay to detect mutations associated with the following variants: alpha (501Y), beta/gamma (417variant/484K/501Y), delta (452R/478K), and lambda (452Q/490S). Spike SNP calls were confirmed using amplicon (Sanger) sequencing and whole-genome (Nanopore) sequencing on a subset of samples with confirmed variant lineages. Samples had a mean N2 Ct of 20.8 (SD 5.6); 198/201 samples (98.5%) tested positive in the Spike SNP assay. The most common genotype was 417variant/484K/501Y, detected in 102/198 samples (51.5%), which was consistent with the P.1 lineage (gamma variant) in Paraguay. No mutations (K417 only) were found in 64/198 (32.3%), and K417/484K was identified in 22/198 (11.1%), consistent with P.2 (zeta). Seven samples (3.5%) tested positive for 452R without 478K, and one sample with genotype K417/501Y was confirmed as B.1.1.7 (alpha). The results were confirmed using Sanger sequencing in 181/181 samples, and variant calls were consistent with Nanopore sequencing in 29/29 samples. The Spike SNP assay could improve population-level surveillance for mutations associated with SARS-CoV-2 variants and inform the judicious use of sequencing resources. PB Multidisciplinary Digital Publishing Institute SN 1999-4915 YR 2022 FD 2022-04-22 LK http://hdl.handle.net/20.500.14066/4369 UL http://hdl.handle.net/20.500.14066/4369 LA eng NO Martínez, M.; Nguyen, P.-V.; Su, M.; Cardozo, F.; Valenzuela, A.; Franco, L.; Galeano, M.E.; Rojas, L.E.; Díaz Acosta, C.C.; Fernández, J.; et al. SARS-CoV-2 Variants in Paraguay: Detection and Surveillance with an Economical and Scalable Molecular Protocol. Viruses 2022, 14, 873. https://doi.org/10.3390/v14050873 NO Correspondence: arojass@iics.una.py (A.R.); jjwaggo@emory.edu (J.J.W.); Tel.: +595-982-414456 (A.R.); +1-404-712-2360 (J.J.W.) NO Consejo Nacional de Ciencia y Tecnología DS MINDS@UW RD 31-ago-2024