COVID 19 Mutations: An Update

COVID 19 Mutations: an update

India is currently experiencing a very high rate of infections across the country, resulting in record hospitalisations, ICU admissions and now a severe shortage of oxygen. How did this happen? As with all things, it is likely multifactorial, and blame cannot be associated with one single issue. Socioeconomic issues preventing effective lockdown, stretched healthcare resources, poor communication and maintenance of social distancing and mask use. And of course, viral variants, something we will be discussing below.

GENETIC MUTATIONS

Mutations are integrated deeply into the backbone of genetics. When DNA replicates, its two strands split apart and are used as blueprints to create two new strands, each containing half the original DNA. Mutation’s sneak into the replication phase, and can change the proteins the DNA encodes. If these mutations are compatible with life, they survive and may be passed down the generations. If the mutations provide an evolutionary benefit that improves the survival of the organism and allows it to outcompete other organisms, its descendants will survive, and the mutation will flourish.

Complex organisms such as plants and animals have inherent DNA repair mechanisms that reduce the rate of mutations. This is because most mutations are incompatible with life, as they destroy critical proteins required for the most basic functions of cell function and life. Cancer is evidence of what happens when these repair mechanisms fail. Viruses do not have such protection; when the high mutation rate is combined with the high replication rate, viral variants are inevitable.

COVID MUTATIONS

Scientists have been tracking mutations of the SARS-CoV-2 virus closely. Countries across the world are basing the re-opening and recovery of their societies on reducing infection rates and preventing re-infections through vaccination programmes. If the virus mutates, it can result in increased infectivity, mortality, and potentially the ability to escape from natural immunity offered by antibodies.

Indian genome scientists first detected the “double variant” of the novel coronavirus in October 2020, and in the UK in Feb 2021. It has been on the rise, and B.1.617 accounts for almost 70% of genomes submitted by India to the global database GISAID. It has a total of 13 mutations, which in turn lead to the change in multiple amino acids. B.1.617 has multiple mutations and describing it as a “double mutant” virus is therefore inaccurate.

L452R

B1617 s more contagious because of a mutation in the spike protein known as L452R.This mutation has been studied as it has also been found in variants identified in California (including apes in San Diego Zoo). It is thought this improves the binding to the ACE2 receptors in the lung and may also have some ability to escape from neutralising antibodies.

E484Q

The second mutation is E484Q, which also affects the spike protein to make it less susceptible to pre-existing antibodies, though there is limited evidence for this. Looking at convalescent plasma donated by people it appears to have weaker neutralisation of B.1.617 in some people, though this isn’t a consistent finding.

Mutations at position 484 have also been found in other global variants, though these E484K mutations lead to different functions. One study looking at the UK B.1.1.7 variant looked at how this E484K mutation affected viral interactions in vaccinated patients. Patients who have been vaccinated produce antibodies with a wide range of actions targeting multiple sections of the spike protein. When these patient serums were exposed to the B.1.1.7 mutation, it was found to have decreased neutralisation. This raised the risk of reduced vaccine efficacy and threatened the vaccine programme. Currently, public health officials are confident our vaccine programmes cover the emerging variants.

CONCERNS

Whilst B.1.617 is concerning, it currently accounts for about 20% of cases in Maharashtra, and likely a low percentage of total infections in the country. There is not yet enough evidence to classify it as a “variant of concern”, and further research is required. Though it has increased potential for spreading, currently the UK variant B.1.1.7 may be on the rise, and more concerning. It has over 50% increased transmissibility and 60% lethality and contributed to the UK’s most recent wave of infections. Genomic studies have shown it is now the dominant form of the virus in the Indian state of Punjab.

What is most concerning, however, is the risk of more variants emerging. As the infection spreads unimpeded through the population, viral replication remains at an all-time high, which in turn increases the risk of mutations. Current mutations are covered by vaccines, future mutations may not be. This is why we need to lower infection rates as soon as possible.

Social distancing, use of masks, vaccinations, lockdowns, and quarantine when expressing symptoms. We have to follow public health advice, to prevent our infection rates from spiralling further out of control

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World Cancer Day 2025: The Role of Comprehensive Diagnostic Centers in Personalized Cancer Care

World Cancer Day, observed annually on February 4th, serves as a global initiative to raise awareness and promote action against cancer. The theme for 2025, "United by Unique," emphasizes the importance of personalized, patient-centered care in the fight against cancer. Comprehensive diagnostic centres play a pivotal role in this approach, offering tailored services that address the unique needs of each patient.

The Importance of Personalized Cancer Care Diagnostic Centers

Personalized cancer care diagnostic centres are at the forefront of modern oncology, providing individualized assessments that guide treatment decisions. These centres utilize advanced technologies to analyze the specific characteristics of a patient's cancer, including genetic mutations and molecular profiles. This detailed understanding enables healthcare providers to develop targeted therapies that improve outcomes and minimize side effects.

Comprehensive Cancer Diagnostics Services

Comprehensive cancer diagnostics services encompass a range of tests and evaluations designed to detect cancer at its earliest stages and monitor its progression. These services include imaging studies, laboratory tests, genetic screenings, and biopsies. By integrating these diagnostic tools, centres can offer a holistic view of a patient's health, facilitating timely and accurate diagnoses. Early detection through comprehensive diagnostics is crucial, as it significantly increases the chances of successful treatment and survival.

Advancements in Personalized Cancer Diagnostics

The field of personalized cancer diagnostics has seen remarkable advancements in recent years. Innovations such as liquid biopsies, which detect cancer cells or DNA fragments in blood samples, and AI-powered imaging analysis have revolutionized the way cancers are detected and characterized. These technologies allow for less invasive procedures, quicker results, and more precise treatment planning. For instance, AI-powered platforms have been developed to assist in the diagnosis and evaluation of lung cancer, providing fully automated and in-depth analysis of tissues.

The Role of Diagnostic Centers in Personalized Cancer Therapy

Diagnostic centres are integral to personalized cancer therapy, as they provide the essential information needed to tailor treatments to individual patients. By conducting thorough assessments, these centres identify specific biomarkers and genetic alterations that can be targeted with precision therapies. This approach not only enhances the effectiveness of treatments but also reduces the likelihood of adverse effects, leading to improved patient outcomes. Moreover, diagnostic centres often offer comprehensive cancer screening services, enabling the early detection of malignancies and the implementation of timely interventions.

Benefits of Personalized Diagnostics in Cancer Treatment

Personalized diagnostics offer numerous benefits in cancer treatment. By understanding the unique genetic makeup of a patient's tumour, clinicians can select therapies that are more likely to be effective, thereby increasing the chances of remission. Additionally, personalized diagnostics can identify patients who are unlikely to respond to certain treatments, sparing them from unnecessary side effects and allowing for alternative strategies to be pursued. This individualized approach ensures that each patient receives the most appropriate care based on their specific condition.

Advanced Cancer Diagnostic Technologies at Second Medic

At Second Medic, we are committed to providing state-of-the-art diagnostic services that support personalized cancer care. Our facility is equipped with advanced technologies, including high-resolution imaging systems, molecular testing laboratories, and AI-driven diagnostic tools. These resources enable us to perform comprehensive evaluations and deliver precise diagnoses, forming the foundation for effective, individualized treatment plans. Our team of experienced professionals works collaboratively to ensure that each patient receives care tailored to their unique needs.

World Cancer Day 2025 Events

In alignment with the "United by Unique" theme of World Cancer Day 2025, Second Medic is hosting a series of events aimed at promoting personalized cancer care. These events include educational seminars, free screening programs, and patient support workshops. By participating in these initiatives, individuals can gain valuable insights into the importance of personalized diagnostics and learn about the services available to them. We encourage community members to join us in these efforts to raise awareness and support those affected by cancer.

Conclusion

As we observe World Cancer Day 2025, it is essential to recognize the critical role that comprehensive diagnostic centres play in personalized cancer care. Through advanced diagnostics and individualized treatment planning, these centres empower patients and healthcare providers to combat cancer more effectively. At Second Medic, we are dedicated to advancing personalized cancer diagnostics and providing services that meet the unique needs of each patient. Together, united by our commitment to individualized care, we can make significant strides in the fight against cancer.