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Molecular epidemiological characterization of SARS-CoV-2 Omicron variants in Quzhou, 2023–2024
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Shiteng HUANG, Bingdong ZHAN, Lei LYU, Jialing YOU, Chenghua YE, Sheng WAN, Ruijun YANG
Chinese Journal of Public Health | 2025, 41(10) : 1232 - 1239
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Chinese Journal of Public Health | 2025, 41(10): 1232-1239
• Survey and Report •
Molecular epidemiological characterization of SARS-CoV-2 Omicron variants in Quzhou, 2023–2024
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Shiteng HUANG, Bingdong ZHAN, Lei LYU, Jialing YOU, Chenghua YE, Sheng WAN, Ruijun YANG
Affiliations
  • Microbiology Laboratory, Quzhou Center for Disease Control and Prevention, Quzhou 324000, China
Published: 2025-10-10 doi: 10.11847/zgggws1148021
Outline
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Objective

To understand the epidemiological trends of SARS-CoV-2 Omicron variants and evolutionary variations of the spike protein in Quzhou city of Zhejiang province from 2023 to 2024.

Methods

Respiratory specimens (including nasopharyngeal swabs and sputum specimens) were collected from COVID-19 cases at sentinel surveillance sites for SARS-CoV-2 variants and influenza in Quzhou between January 2023 and September 2024. The whole genome sequences of SARS-CoV-2 from 267 cases were obtained by nanopore sequencing. The genotypes and amino acid variations were analyzed through Pangolin v4.3 and Nextclade v3.13.1 platforms. Heatmaps of amino acid mutations in the key domains of the spike protein were generated by TBtools-Ⅱ v2.222, while the impact of amino acid mutations on viral adaptability was assessed by the VarEPS system.

Results

All the 246 sequences were Omicron variants of SARS-CoV-2, showing the turnover of BA.5-XBB-BA.2 lineages. These variants were classified into ten sub-lineages, with JN.1 and its sub-lineages showing the highest prevalence (42.28%, 104/246). This classification was consistent with the results of the phylogenetic analysis. The distribution of SARS-CoV-2 genotypes across different age groups showed differences (P < 0.001). Amino acid mutation analysis revealed frequent mutations in the spike protein, with the number of mutation sites gradually increasing over time and involving substitutions, insertions, and deletions. JN.1, XDV.1, and their sub-lineages exhibited higher mutation frequency in the spike protein, accumulating novel mutations (K356T, R403K, N450D, N481K, E544K, A570V, P621S, etc.) in key domains. Functional assessments indicated that multiple spike protein mutations (R346T, S371F, S373P, T376A, D405N, R408S, K417N, G446S, F456L, Y505H, etc.) may reduce the binding stability between the spike protein with neutralizing antibodies.

Conclusion

The Omicron variants were the predominant circulating variants in Quzhou during 2023–2024, exhibiting diverse genotypes. Monitoring and analyzing amino acid mutations in the spike protein facilitate timely understanding of the evolutionary characteristics of SARS-CoV-2, providing a theoretical basis for risk assessment of COVID-19 variant prevalence and the implementation of epidemic prevention and control measures.

SARS-CoV-2  /  Omicron  /  spike protein  /  whole genome sequencing  /  Quzhou city
黄世腾, 占炳东, 吕磊, 游佳玲, 叶承华, 万圣, 杨瑞军. 2023—2024年衢州市新型冠状病毒Omicron变异株分子流行病学特征分析. 中国公共卫生, 2025 , 41 (10) : 1232 -1239 . DOI: 10.11847/zgggws1148021
Shiteng HUANG, Bingdong ZHAN, Lei LYU, Jialing YOU, Chenghua YE, Sheng WAN, Ruijun YANG. Molecular epidemiological characterization of SARS-CoV-2 Omicron variants in Quzhou, 2023–2024[J]. Chinese Journal of Public Health, 2025 , 41 (10) : 1232 -1239 . DOI: 10.11847/zgggws1148021
Year 2025 volume 41 Issue 10
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Article Info
doi: 10.11847/zgggws1148021
  • Receive Date:2025-06-26
  • Online Date:2026-10-25
  • Published:2025-10-10
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History
  • Received:2025-06-26
  • Revised:2025-07-14
  • Accepted:2025-08-04
Affiliations
    Microbiology Laboratory, Quzhou Center for Disease Control and Prevention, Quzhou 324000, China

Corresponding:

YANG Ruijun, E-mail:
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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