RT Journal Article SR Electronic T1 Initial insights into the genetic epidemiology of SARS-CoV-2 isolates from Kerala suggest local spread from limited introductions JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.09.09.289892 DO 10.1101/2020.09.09.289892 A1 Chandni Radhakrishnan A1 Mohit Kumar Divakar A1 Abhinav Jain A1 Prasanth Viswanathan A1 Rahul C. Bhoyar A1 Bani Jolly A1 Mohamed Imran A1 Disha Sharma A1 Mercy Rophina A1 Gyan Ranjan A1 Beena Philomina Jose A1 Rajendran Vadukkoot Raman A1 Thulaseedharan Nallaveettil Kesavan A1 Kalpana George A1 Sheela Mathew A1 Jayesh Kumar Poovullathil A1 Sajeeth Kumar Keeriyatt Govindan A1 Priyanka Raveendranadhan Nair A1 Shameer Vadekkandiyil A1 Vineeth Gladson A1 Midhun Mohan A1 Fairoz Cheriyalingal Parambath A1 Mohit Mangla A1 Afra Shamnath A1 Indian CoV2 Genomics & Genetic Epidemiology (IndiCovGEN) Consortium A1 Sridhar Sivasubbu A1 Vinod Scaria YR 2020 UL http://biorxiv.org/content/early/2020/09/09/2020.09.09.289892.abstract AB Coronavirus disease 2019 (COVID-19) rapidly spread from a city in China to almost every country in the world, affecting millions of individuals. Genomic approaches have been extensively used to understand the evolution and epidemiology of SARS-CoV-2 across the world. Kerala is a unique state in India well connected with the rest of the world through a large number of expatriates, trade, and tourism. The first case of COVID-19 in India was reported in Kerala in January 2020, during the initial days of the pandemic. The rapid increase in the COVID-19 cases in the state of Kerala has necessitated the understanding of the genetic epidemiology of circulating virus, evolution, and mutations in SARS-CoV-2. We sequenced a total of 200 samples from patients at a tertiary hospital in Kerala using COVIDSeq protocol at a mean coverage of 7,755X. The analysis identified 166 unique high-quality variants encompassing 4 novel variants and 89 new variants identified for the first time in SARS-CoV-2 samples isolated from India. Phylogenetic and haplotype analysis revealed that the circulating population of the virus was dominated (94.6% of genomes) by three distinct introductions followed by local spread, apart from identifying polytomies suggesting recent outbreaks. The genomes formed a monophyletic distribution exclusively mapping to the A2a clade. Further analysis of the functional variants revealed two variants in the S gene of the virus reportedly associated with increased infectivity and 5 variants that mapped to five primer/probe binding sites that could potentially compromise the efficacy of RT-PCR detection. To the best of our knowledge, this is the first and most comprehensive report of genetic epidemiology and evolution of SARS-CoV-2 isolates from Kerala.Competing Interest StatementThe authors have declared no competing interest.