Heliyon (Apr 2024)

SARS-CoV-2 genomic surveillance and reliability of PCR single point mutation assay (SNPsig® SARS-CoV-2 EscapePLEX CE) for the rapid detection of variants of concern in Cameroon

  • Joseph Fokam,
  • Davy-Hyacinthe Gouissi Anguechia,
  • Desire Takou,
  • Ezechiel Ngoufack Jagni Semengue,
  • Collins Chenwi,
  • Grace Beloumou,
  • Sandrine Djupsa,
  • Alex Durand Nka,
  • Willy Le Roi Togna Pabo,
  • Aissatou Abba,
  • Aude Christelle Ka'e,
  • Aurelie Kengni,
  • Naomi Karell Etame,
  • Larissa Gaelle Moko,
  • Evariste Molimbou,
  • Rachel Audrey Nayang Mundo,
  • Michel Tommo,
  • Nadine Fainguem,
  • Lionele Mba Fotsing,
  • Luna Colagrossi,
  • Claudia Alteri,
  • Dorine Ngono,
  • John Otokoye Otshudiema,
  • Clement Ndongmo,
  • Yap Boum,
  • Georges Mballa Etoundi,
  • Edie G.E. Halle,
  • Emmanuel Eben-Moussi,
  • Carla Montesano,
  • Anne-Genevieve Marcelin,
  • Vittorio Colizzi,
  • Carlo-Federico Perno,
  • Alexis Ndjolo,
  • Nicaise Ndembi

Journal volume & issue
Vol. 10, no. 7
p. e29243

Abstract

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Background: Surveillance of SARS-CoV-2 variants of concern (VOCs) and lineages is crucial for decision-making. Our objective was to study the SARS-CoV-2 clade dynamics across epidemiological waves and evaluate the reliability of SNPsig® SARS-CoV-2 EscapePLEX CE in detecting VOCs in Cameroon. Material and methods: A laboratory-based study was conducted on SARS-CoV-2 positive nasopharyngeal specimens cycle threshold (Ct)≤30 at the Chantal BIYA International Reference Centre in Yaoundé-Cameroon, between April-2020 to August-2022. Samples were analyzed in parallel with Sanger sequencing and (SNPsig® SARS-CoV-2 EscapePLEX CE), and performance characteristics were evaluated by Cohen's coefficient and McNemar test. Results: Of the 130 sequences generated, SARS-CoV-2 clades during wave-1 (April–November 2020) showed 97 % (30/31) wild-type lineages and 3 % (1/31) Gamma-variant; wave-2 (December-2020 to May-2021), 25 % (4/16) Alpha-variant, 25 % (4/16) Beta-variant, 44 % (7/16) wild-type and 6 % (1/16) mu; wave-3 (June–October 2021), 94 % (27/29) Delta-variant, 3 % (1/29) Alpha-variant, 3 % (1/29) wild-type; wave-4 (November-2021 to August-2022), 98 % (53/54) Omicron-variant and 2 % (1/54) Delta-variant. Omicron sub-variants were BA.1 (47 %), BA.5 (34 %), BA.2 (13 %) and BA.4 (6 %). Globally, the two genotyping methods accurately identified the SARS-CoV-2 VOCs (P = 0.17, McNemar test; Ka = 0.67). Conclusion: Genomic surveillance reveals a rapid dynamic in SARS-CoV-2 strains between epidemiological waves in Cameroon. For wide-spread variant surveillance in resource-limited settings, SNPsig® SARS-CoV-2 EscapePLEX CEkit represents a suitable tool, pending upgrading for distinguishing Omicron sub-lineages.

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