RT Journal A1 Sapoval, Nicolae A1 Mahmoud, Medhat A1 Jochum, Michael A1 Liu, Yunxi A1 Elworth, R.A. Leo A1 Wang, Qi A1 Albin, Dreycey A1 Ogilvie, Huw A1 Lee, Michael D. A1 Villapol, Sonia A1 Hernandez, Kyle A1 Maljkovic Berry, Irina A1 Foox, Jonathan A1 Beheshti, Afshin A1 Ternus, Krista A1 Aagaard, Kjersti A1 Posada, David A1 Mason, Christopher A1 Sedlazeck, Fritz J A1 Treangen, Todd J T1 Hidden genomic diversity of SARS-CoV-2: implications for qRT-PCR diagnostics and transmission JF Genome Research JO Genome Research YR 2021 FD February 18 DO 10.1101/gr.268961.120 SP gr.268961.120 UL http://genome.cshlp.org/content/early/2021/02/18/gr.268961.120.abstract AB The COVID-19 pandemic has sparked an urgent need to uncover the underlying biology of this devastating disease. Though RNA viruses mutate more rapidly than DNA viruses, there are a relatively small number of single nucleotide polymorphisms (SNPs) that differentiate the main SARS-CoV-2 lineages that have spread throughout the world. In this study, we investigated 129 RNA-seq datasets and 6,928 consensus genomes to contrast the intrahost and interhost diversity of SARS-CoV-2. Our analyses yielded three major observations. First, the mutational profile of SARS-CoV-2 highlights iSNV and SNP similarity, albeit with differences in C>U changes. Second, iSNV and SNP patterns in SARS-CoV-2 are more similar to MERS-CoV than SARS-CoV-1. Third, a significant fraction of insertions and deletions contribute to the genetic diversity of SARS-CoV-2. Altogether, our findings provide insight into SARS-CoV-2 genomic diversity, inform the design of detection tests, and highlight the potential of iSNVs for tracking the transmission of SARS-CoV-2.