{"id":3003,"date":"2021-12-16T11:04:29","date_gmt":"2021-12-16T10:04:29","guid":{"rendered":"https:\/\/www.oncology-and-cytogenetic-products.com\/?p=3003"},"modified":"2021-12-16T17:25:05","modified_gmt":"2021-12-16T16:25:05","slug":"sgtf-inefficace-per-omicron-clade-ba-2","status":"publish","type":"post","link":"https:\/\/www.oncology-and-cytogenetic-products.com\/it\/sgtf-inefficace-per-omicron-clade-ba-2\/","title":{"rendered":"SGTF vs rilevazione mutazione N501Y nella diagnosi dei 2 cladi della variante Omicron: BA.1 e BA.2"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.9.3&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px|||||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.9.3&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.9.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1 style=\"text-align: justify;\">Omicron rintracciata in 77 paesi<strong><\/strong><\/h1>\n<p>La <strong>UK Health Security Agency<\/strong> ha emanato, in data 10\/12\/2021, il <a href=\"https:\/\/www.gov.uk\/government\/publications\/investigation-of-novel-sars-cov-2-variant-variant-of-concern-20201201\">nuovo bollettino tecnico settimanale<\/a> di monitoraggio ed analisi della prevalenza delle forme di SARS-CoV-2 circolanti in suolo inglese nelle ultime 12 settimane.<\/p>\n<p>Ci\u00f2 che si nota \u00e8 che <strong>in UK le forme di SARS-CoV-2 circolanti sono le 5 Variant Of Concern<\/strong> (V.O.C.) &#8211; Alfa, Beta, Gamma, Delta e Omicron &#8211; <strong>e le 7 V.U.I. ormai comuni nel resto d\u2019Europa<\/strong>. Tra le V.O.C. per la prima volta, appare <strong>emergere la variante Omicron<\/strong> (B.1.1.529), con 260 casi confermati in UK fino il 6 dicembre. Ad oggi \u00a0la prevalenza \u00e8 pari a <strong>4 casi ogni 10<\/strong>.<strong>\u00a0<\/strong><\/p>\n<p>L\u2019ultimo <a href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/situation-reports\">report settimanale dell\u2019OMS<\/a>, datato al 13\/12\/2021 \u00a0rivela come <strong>in tutto il mondo<\/strong> il numero di persone colpite da Omicron si attesti intorno allo <strong>0,1% del totale, con numeri di positivi in netto aumento<\/strong>, mentre la variante Delta rappresenta ancora oggi la forma circolante prevalente (99,8%).<\/p>\n<h1>Impatto della variante Omicron<\/h1>\n<p>Sebbene sembrino esserci prove che la forma Omicron possa avere un vantaggio di crescita rispetto ad altre varianti circolanti (come si evince dai dati di prevalenza mostrati nei report settimanali della OMS e della UHSA) <strong>non \u00e8 ancora noto se questo si tradurr\u00e0 in una maggiore trasmissibilit\u00e0<\/strong>.<\/p>\n<p>I <strong>dati riguardanti la gravit\u00e0 della malattia e la letalit\u00e0<\/strong> ad essa associata sembrano confortanti, ma ci\u00f2 che preoccupa maggiormente \u00e8 la <strong>possibilit\u00e0 di evadere la risposta immunitaria indotta dal vaccino<\/strong>, come fatto sospettare fin dai <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34860154\/\">primissimi casi<\/a> rappresentati da viaggiatori vaccinati.<\/p>\n<p>Il quadro che si sta delineando, quindi, porta a pensare che sia <strong>necessaria la terza dose di vaccino<\/strong> per reagire in maniera pronta al possibile incontro con la variante.<\/p>\n<h1>La parziale inefficacia della metodologia diagnostica\u00a0 SGTF-sequenziamento<\/h1>\n<p>Da un <strong>punto di vista diagnostico<\/strong>, la maggior parte dei casi di Omicron confermati provengono da un <a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/1039644\/Omicron_SGTF_case_update_FINAL.pdf\">processo costituito da <strong>due passaggi<\/strong><\/a> valido per\u00f2 solo per il clade BA.1:<\/p>\n<ul>\n<li><strong>individuazione<\/strong> della variante Omicron tramite S Gene Target Failure (SGTF)<\/li>\n<li><strong>sequenziamento<\/strong> confermativo.<\/li>\n<\/ul>\n<p>Questo processo <strong>non pu\u00f2 essere applicato alla forma BA.2<\/strong>, che non mostra la tipica delezione del gene S alla base della metodica SGTF e che rende dunque<strong> inutilizzabile lo schema SGTF- sequenziamento<\/strong> [link al nostro articolo precedente]. In mancanza di un aggiornamento delle procedure, si potrebbe andare incontro a una <strong>preoccupante sottostima dei casi legati al clade BA.2<\/strong>.<\/p>\n<p>Basti pensare che la stessa tardiva identificazione di BA.2 potrebbe essere riconducibile proprio all\u2019inefficacia della metodologia SGTF fin qui adottata.<\/p>\n<h1>Focus sulle mutazioni<\/h1>\n<p>Per continuare a procedere con lo schema di lavoro basato su diagnosi molecolare e sequenziamento confermativo <span style=\"font-weight: bold;\">\u00e8 necessario utilizzare un test diagnostico molecolare mirato ad individuare per valutazione positiva, e non per esclusione, la presenza di una delle mutazioni <\/span>caratterizzanti la variante.<\/p>\n<p>Questo permetter\u00e0 di definire con pi\u00f9 precisione la circolazione dei due cladi della variante Omicron BA.1 e BA.2 ottenendo un <strong>duplice risultato<\/strong>:<\/p>\n<ul>\n<li><strong>azzeramento dei falsi negativi<\/strong><\/li>\n<li>selezione a monte, con importante <strong>riduzione, della mole di campioni che verranno mandati ai servizi di sequenziamento regionali<\/strong><\/li>\n<\/ul>\n<p>Rimane di primario interesse, vista la crescita dei nuovi casi circolanti (+27% settimanale medio), <strong>accorciare il pi\u00f9 possibile i tempi di diagnosi<\/strong> <strong>tramite l\u2019utilizzo di test che permettano anche di verificare la positivit\u00e0 alla variante Omicron<\/strong> in entrambe le forme circolanti BA.1 e BA.2, riducendo cos\u00ec il rischio di falsi negativi e conseguenti sottostime.\u00a0<\/p>\n<p style=\"text-align: right;\"><strong><em>Written by Simone Di Giacomo, PhD, OaCP R&amp;D Manager<\/em><\/strong><\/p>\n<p>[\/et_pb_text][et_pb_divider divider_weight=&#8221;2px&#8221; _builder_version=&#8221;4.9.3&#8243; _module_preset=&#8221;default&#8221; width=&#8221;20%&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; _builder_version=&#8221;4.9.3&#8243; _dynamic_attributes=&#8221;link_option_url&#8221; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; link_option_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjEzNzgifX0=@&#8221; link_option_url_new_window=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.9.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.oncology-and-cytogenetic-products.com\/wp-content\/uploads\/2021\/03\/Covid-19-variants.jpg&#8221; title_text=&#8221;Covid-19-variants&#8221; align=&#8221;right&#8221; _builder_version=&#8221;4.9.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.9.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.9.3&#8243; _module_preset=&#8221;default&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;50px||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3 class=\"title mb-0\">CoViD-19 Nucleic Acid Detection Kit (VARIANTS)<\/h3>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Omicron rintracciata in 77 paesi La UK Health Security Agency ha emanato, in data 10\/12\/2021, il nuovo bollettino tecnico settimanale di monitoraggio ed analisi della prevalenza delle forme di SARS-CoV-2 circolanti in suolo inglese nelle ultime 12 settimane. Ci\u00f2 che si nota \u00e8 che in UK le forme di SARS-CoV-2 circolanti sono le 5 Variant [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":3019,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[54],"tags":[],"class_list":["post-3003","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19-insights-it"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>SGTF vs rilevazione mutazione N501Y nella diagnosi dei 2 cladi della variante Omicron: BA.1 e BA.2 - OaCP<\/title>\n<meta name=\"description\" content=\"Necessaria la valutazione positiva e non per esclusione delle mutazioni caratterizzanti la variante Omicron calde BA.2\" \/>\n<meta name=\"robots\" content=\"index, follow, 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