Building structure of DNA and RNA molecules. – Credits: © Zsofia Keszei / CeMM

The building blocks of the human genome are four different types of nucleotides linked one after the other in a long chain. Two such chains (blue and orange on our figure) join together to make up the shape of a giant twisted ladder of the DNA. Every nucleotide contains one of four different bases: Adenine (A), Guanine (G), Cytosine (C) or Thymine (T), that make up the “rungs” or “steps of this giant twisted “ladder”.

Similar to a book, where the letters encode words and sentences, the information of the DNA is hidden in the sequence of the nucleotides. When our body “reads” the letters, different proteins will be made from different sequences.

Similarly, when “typos” are made in the genetic material, which we call mutations, it is possible that the characteristics of the encoded proteins will change. (Learn more about DNA structure and how its code is translated) SARS-CoV-2, the virus causing COVID-19 also uses nucleotides to store genetic information, but its letters are written in a different molecular ladder: RNA. Although very similar to DNA, RNA has only one chain and is chemically less stable than DNA.

When we sequence the viral genome, we want to “read” the whole RNA sequence containing 30,000 nucleotide letters.

In a first step the RNA has to be isolated from the human sample. Next, the RNA is copied into DNA. This means that we generate DNA, that has the same sequence of letters as the original RNA molecule. Human cells cannot make DNA from RNA, so for this, we need to use special enzymes, that can only be found in some viruses.

After the isolation from the virus particle, the information of the viral RNA is copied into complementary DNA (cDNA) – Credits: © Zsofia Keszei / CeMM

Then, the DNA is amplified by a method called polymerase chain reaction, or PCR (Learn more about PCR).

A common diagnostic PCR only amplifies one small ~120 nucleotide-long piece of the viral genome to detect the presence of virus. As we want to know the sequence of the entire genome, we have to amplify each and every part of the 30,000-letters-long sequence. At the end of this step, we have thousands and thousands of small DNA fragments that are identical copies of different parts of the viral RNA genome.

After amplification via PCR, adaptor sequences are added to the small fragments. These help bind the DNA fragments to the glass chip. Fluorescently marked nucleotides are used to read out the sequence. – Credits: © Zsofia Keszei / CeMM

Adaptor sequences represented by black squares are added to the end of these small fragments. Then the fragments are loaded on a small glass chip. Here, they attach with the help of the adaptor sequences. On these chips, the attached fragments will be copied again, but the nucleotide letters that are used to make the new copies are labelled with fluorescent molecules. Each letter fluoresces in a different color, and the colors are used to read which letter was added. As the copies are built by adding nucleotides, images are taken at each step, and the colors tell us one by one what nucleotide was added (Learn more about sequencing).

The so-called “Next-generation sequencing” is capable of elucidating the sequence of millions of nucleotides in a short time. Today, a human genome, that is more than 3 billion nucleotides long, only takes a couple of days to sequence, while the same task took 13 years when it was performed the first time, from 1990 to 2003!

After aligning the small fragments of DNA to one complete genome, Mutations can be found by comparing the newly acquired sequences with a reference sequence. – Credits: © Zsofia Keszei / CeMM

The technique used by CeMM for Next-generation sequencing can only read DNA fragments of 200-500 nucleotides at a time. These short “reads” then have to be stitched together like a puzzle to get the entire, 30,000-long sequence. This is done by using a “reference genome” (orange on our figure), the first ever sequenced SARS-CoV-2 genome, that was isolated in December 2019 in Wuhan, China. When the whole 30.000 nucleotide long “puzzle” is put together, we can finally compare it to the reference genome and see where differences (mutations) can be found.

Finally, we analyze the sequences by bioinformatic tools.  With this information, the spread of the virus and the accumulation of mutations can be monitored. This allows for better tracing of transmission chains as well as understanding changes in the properties of the virus.

Each time DNA or RNA is copied, there is a chance that an error (“Mutation”) will occur. For DNA replications, the specific enzyme that copy DNA, called polymerase, can proofread and fix errors, which results in fewer mutations. RNA polymerase on the other hand lacks this skill for the most part, leading to a higher mutation rate in RNA viruses.

Coronaviruses have a lower mutation rate than many other RNA viruses, as they are capable of some light error-correction. Most of these mutations are harmful for the virus itself and vanish quickly, however some of them give the virus an advantage and will be carried into the next virus generation. After a while the mutation becomes a “fixed” part of the genome in a virus population. The amount of fixed mutation over time is called the fixation rate and gives a sense of how fast the virus is evolving.

For SARS-CoV-2 it is estimated that about every 11 days a new fixed mutation emerges. See Martin et al., Science 371, Vol. 6528 (2021)  

This is a coding mutation in the genome of SARS-CoV-2 which alters the spike protein. D614G emerged in January 2020 and since then is found in many virus strains worldwide. The majority of the Austrian SARS-CoV-2 genomes sequenced by us from end of February/March onwards contained this mutation already.

Laboratory experiments showed that the mutation stabilises the spike protein, which is present as a trimer on the surface of the virion, and improves the binding to the cellular receptor ACE2. These studies suggest that the mutation may confer increased infectivity to SARS-CoV-2 in the human population.

RNA viruses are prone to random mutations in their genomes and accumulate continuously new mutations as drivers of their evolution. In our study by Popa, Genger et al., we investigated cases from a transmission chain with 8 transmission events and were able to observe the establishment of a new mutation. We observed that this mutation appeared first as a minority variant with 3.6% in one individual.

After transmission, this virus mutant reached a frequency of 25% in one case and established as a “fixed” (100%) mutation in two other infects. The particular observed non-coding mutation has no effect on the protein sequence of the virus but we cannot predict its impact on the overall virus fitness.

– Credits: © Zsofia Keszei, Thomas Winkler-Penz, Andreas Bergthaler / CeMM

Here is an illustration to demonstrate that a standard next-generation sequencing and data analysis pipeline for SARS-CoV-2 viral genomes takes approximately seven days (Credits: Zsofia Keszei, Thomas Winkler-Penz, Andreas Bergthaler / CeMM). Yes, there are other methods that are faster, but our aim is to obtain viral full-length genomes with low frequency variants at high quality. See also our publication Popa et al. Science Translational Medicine 2020.

The project “Mutational Dynamics of SARS-CoV-2 in Austria” was launched on 27 March 2020 by CeMM, the Research Center for Molecular Medicine of the Austrian Academy of Sciences, in close collaboration with the Medical University of Vienna. For more information about the project aims see our project page.

We have sequenced more than 10 000 samples since March 2020. Samples which resulted in full-length high quality SARS-CoV-2 genomes are deposited in the public database GISAID. (June 17 2021)

Our research has no commercial purpose and is supported by the Austrian Agency for Health and Food Safety (AGES), the Research Center for Molecular Medicine of the Austrian Academy of Sciences (CeMM), the Vienna Science and Technology Fund (WWTF) and several other institutions.

Several epidemiological studies from e.g. Iceland, Denmark and Germany suggested that tourists returning from Austria were infected with SARS-CoV-2. In our study by Popa, Genger et al., we performed phylogenetic studies of the circulating viruses in Ischgl/Paznaun and other places in Austria, reconstructed the genetic cluster structure and validated the epidemiological data obtained through contact tracing.

In our study by Popa, Genger et al., combined virus deep sequencing with information about epidemiologically-confirmed infector-infectee pairs to calculate the likely initial number of virions that led to productive infection. To this end we asked the question how many of the mutations found in the infector are also present in the infectee. Our analyses considered mutations down to low frequencies of 1%. The result of these calculations were that there are on average 1000 virions that give rise to a new infection (“transmission bottleneck”). You find more information about this here Popa, Genger et al..

Importantly, this number is not absolute but we find a considerable range of different transmission bottleneck sizes. Further, inference of the transmission bottleneck is affected by how recurrent mutations are filtered. Current research aims to understand whether there are certain factors (e.g. specific protection measures, indoor vs. outdoor) that may affect this number. We are also keen on understanding whether the size of the initial virus inoculum may impact the later clinical course of COVID-19 disease.

Please see the page with our team, which encompasses colleagues from numerous scientific and medical institutions in Austria and abroad.

Identification of UK and South Africa variants in Austria

4. January 2021: Our team from the CeMM Research Center of Molecular Medicine of the Austrian Academy of Sciences and the Austrian Agency for Health and Food Safety (AGES) reports the identification of the UK variant VO-202012/01 (= B.1.1.7 = 501Y.V1) in four cases in Austria. We also found the South African variant 501Y.V2 (= B.1.351) in one case in Austria. Four persons were tested positive at Vienna airport, and 3 persons had a recent travel history with the United Kingdom respectively with South Africa.

To increase the chances of finding the variants, samples were PCR pre-screened for the characteristic N501Y mutation in the spike protein. Several hundred samples sequenced side by side from different regions of Austria taken between October to December tested negative for either of the two variants, suggesting that the variants were likely not widespread in Austria in the covered time period.  Following sequence analyses and more virus sequences will be required to illuminate this question and surveil SARS-CoV-2 variants in Austria.

You can find a list of our publications here.

You can find our graphics for download here.

Our whole genome sequences are deposited in the public database GISAID. Additionally we are building and maintaining a Nextstrain Build for Austria, which offers an overview of the Austrian SARS-CoV-2 patient derived samples in the general context of worldwide transmission.