RT Journal Article SR Electronic T1 High-density amplicon sequencing identifies community spread and ongoing evolution of SARS-CoV-2 in the Southern United States JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.19.161141 DO 10.1101/2020.06.19.161141 A1 Ryan P. McNamara A1 Carolina Caro-Vegas A1 Justin T. Landis A1 Razia Moorad A1 Linda J. Pluta A1 Anthony B. Eason A1 Cecilia Thompson A1 Aubrey Bailey A1 Femi Cleola S. Villamor A1 Philip T. Lange A1 Jason P. Wong A1 Tischan Seltzer A1 Jedediah Seltzer A1 Yijun Zhou A1 Wolfgang Vahrson A1 Angelica Juarez A1 James O. Meyo A1 Tiphaine Calabre A1 Grant Broussard A1 Ricardo Rivera-Soto A1 Danielle L. Chappell A1 Ralph S. Baric A1 Blossom Damania A1 Melissa B. Miller A1 Dirk P. Dittmer YR 2020 UL http://biorxiv.org/content/early/2020/06/19/2020.06.19.161141.abstract AB SARS-CoV-2 is constantly evolving. Prior studies have focused on high case-density locations, such as the Northern and Western metropolitan areas in the U.S. This study demonstrates continued SARS-CoV-2 evolution in a suburban Southern U.S. region by high-density amplicon sequencing of symptomatic cases. 57% of strains carried the spike D614G variant. The presence of D614G was associated with a higher genome copy number and its prevalence expanded with time. Four strains carried a deletion in a predicted stem loop of the 3’ untranslated region. The data are consistent with community spread within the local population and the larger continental U.S. No strain had mutations in the target sites used in common diagnostic assays. The data instill confidence in the sensitivity of current tests and validate “testing by sequencing” as a new option to uncover cases, particularly those not conforming to the standard clinical presentation of COVID-19. This study contributes to the understanding of COVID-19 by providing an extensive set of genomes from a non-urban setting and further informs vaccine design by defining D614G as a dominant and emergent SARS-CoV-2 isolate in the U.S.Competing Interest StatementThe authors have declared no competing interest.