Genomic epidemiology of SARS-CoV-2 in Peru from 2020 to 2024

Background: Peru recorded one of the world’s highest COVID-19 mortality rates, with nearly 4.5 million reported cases and 220,000 deaths by March 2024. Understanding the emergence and spread of SARS-CoV-2 variants in this context is key to informing effective public health responses. This study desc...

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Autores principales: Sobkowiak, Benjamin, Langdon, Amy E., Romero, Pedro E., Carrasco-Escobar, Gabriel, Villa, Diego, Cava Miller, Renato, Cornejo, Victor G., Dávila-Barclay, Alejandra, Cuicapuza, Diego, Salvatierra, Guillermo R., González, Luis, Ayzanoa, Brenda, Huancachoque, Janet, Marcos Carbajal, Pool, Gómez De La Torre, Juan Carlos, Barletta, Claudia, Chenet, Stella M., Tapia-Limonchi, Rafael, Ballon, Jorge Andres, Fernández, Patrick, Valderrama, Rosario, Leguia, Mariana, Delgado-Ratto, Christopher, Gotuzzo, Eduardo H., Zamudio, Carlos Caicedo, Lescano, Willy, Cárcamo, Cesar P., Hurtado, Verónica, Lope-Pari, Priscila, Padilla-Rojas, Carlos P., Jiménez-Vásquez, Víctor Alberto, Escalante-Maldonado, Oscar Roberto, Araujo-Castillo, Roger V., Cabezas-Sánchez, César Augusto, Colijn, Caroline, Tsukayama, Pablo
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Publicado: Springer Nature 2026
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author Sobkowiak, Benjamin
Langdon, Amy E.
Romero, Pedro E.
Carrasco-Escobar, Gabriel
Villa, Diego
Cava Miller, Renato
Cornejo, Victor G.
Dávila-Barclay, Alejandra
Cuicapuza, Diego
Salvatierra, Guillermo R.
González, Luis
Ayzanoa, Brenda
Huancachoque, Janet
Marcos Carbajal, Pool
Gómez De La Torre, Juan Carlos
Barletta, Claudia
Chenet, Stella M.
Tapia-Limonchi, Rafael
Ballon, Jorge Andres
Fernández, Patrick
Valderrama, Rosario
Leguia, Mariana
Delgado-Ratto, Christopher
Gotuzzo, Eduardo H.
Zamudio, Carlos Caicedo
Lescano, Willy
Cárcamo, Cesar P.
Hurtado, Verónica
Lope-Pari, Priscila
Padilla-Rojas, Carlos P.
Jiménez-Vásquez, Víctor Alberto
Escalante-Maldonado, Oscar Roberto
Araujo-Castillo, Roger V.
Cabezas-Sánchez, César Augusto
Colijn, Caroline
Tsukayama, Pablo
author_browse Araujo-Castillo, Roger V.
Ayzanoa, Brenda
Ballon, Jorge Andres
Barletta, Claudia
Cabezas-Sánchez, César Augusto
Carrasco-Escobar, Gabriel
Cava Miller, Renato
Chenet, Stella M.
Colijn, Caroline
Cornejo, Victor G.
Cuicapuza, Diego
Cárcamo, Cesar P.
Delgado-Ratto, Christopher
Dávila-Barclay, Alejandra
Escalante-Maldonado, Oscar Roberto
Fernández, Patrick
González, Luis
Gotuzzo, Eduardo H.
Gómez De La Torre, Juan Carlos
Huancachoque, Janet
Hurtado, Verónica
Jiménez-Vásquez, Víctor Alberto
Langdon, Amy E.
Leguia, Mariana
Lescano, Willy
Lope-Pari, Priscila
Marcos Carbajal, Pool
Padilla-Rojas, Carlos P.
Romero, Pedro E.
Salvatierra, Guillermo R.
Sobkowiak, Benjamin
Tapia-Limonchi, Rafael
Tsukayama, Pablo
Valderrama, Rosario
Villa, Diego
Zamudio, Carlos Caicedo
author_facet Sobkowiak, Benjamin
Langdon, Amy E.
Romero, Pedro E.
Carrasco-Escobar, Gabriel
Villa, Diego
Cava Miller, Renato
Cornejo, Victor G.
Dávila-Barclay, Alejandra
Cuicapuza, Diego
Salvatierra, Guillermo R.
González, Luis
Ayzanoa, Brenda
Huancachoque, Janet
Marcos Carbajal, Pool
Gómez De La Torre, Juan Carlos
Barletta, Claudia
Chenet, Stella M.
Tapia-Limonchi, Rafael
Ballon, Jorge Andres
Fernández, Patrick
Valderrama, Rosario
Leguia, Mariana
Delgado-Ratto, Christopher
Gotuzzo, Eduardo H.
Zamudio, Carlos Caicedo
Lescano, Willy
Cárcamo, Cesar P.
Hurtado, Verónica
Lope-Pari, Priscila
Padilla-Rojas, Carlos P.
Jiménez-Vásquez, Víctor Alberto
Escalante-Maldonado, Oscar Roberto
Araujo-Castillo, Roger V.
Cabezas-Sánchez, César Augusto
Colijn, Caroline
Tsukayama, Pablo
author_sort Sobkowiak, Benjamin
collection Producción científica
description Background: Peru recorded one of the world’s highest COVID-19 mortality rates, with nearly 4.5 million reported cases and 220,000 deaths by March 2024. Understanding the emergence and spread of SARS-CoV-2 variants in this context is key to informing effective public health responses. This study describes the genomic diversity, transmission dynamics, and geographic spread of SARS-CoV-2 in Peru from 2020 to 2024. Methods: We analyzed nearly 50,000 high-quality public SARS-CoV-2 genome sequences collected nationwide between March 2020 and March 2024. Phylogeographic and mutational analyses were performed to identify variant lineages, trace their origins, and map viral movements within and beyond Peru. Results: We show that Peru’s epidemic waves were shaped by the emergence of locally evolved variants, including Lambda (C.37), Gamma (P.1.12), and Omicron (XBB.2.6 and DJ.1) sub-lineages. The city of Lima acted as the primary hub for inter-regional spread, accounting for 47.3% of inferred viral movements to other departments, notably Ancash, Cusco, and Piura. Peru was the source of various lineages that spread internationally, primarily to Chile, the USA, and Europe. Mutational analysis highlighted critical mutations in the spike protein, including L452Q and F490S in Lambda, associated with immune evasion and increased transmissibility. Conclusions: This work demonstrates the capacity of genomic surveillance in Peru to detect and track emerging SARS-CoV-2 variants, providing insights into regional and global transmission dynamics in a high-transmission, middle-income country setting. Sustained, cost-effective genomic monitoring, combined with strengthened bioinformatics and laboratory capacity, is essential for pandemic preparedness in resource-limited settings.
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spelling oai:cris.upeu.edu.pe:20.500.15037/23692026-11-02T12:57:04ZGenomic epidemiology of SARS-CoV-2 in Peru from 2020 to 2024Sobkowiak, BenjaminLangdon, Amy E.Romero, Pedro E.Carrasco-Escobar, GabrielVilla, DiegoCava Miller, RenatoCornejo, Victor G.Dávila-Barclay, AlejandraCuicapuza, DiegoSalvatierra, Guillermo R.González, LuisAyzanoa, BrendaHuancachoque, JanetMarcos Carbajal, PoolGómez De La Torre, Juan CarlosBarletta, ClaudiaChenet, Stella M.Tapia-Limonchi, RafaelBallon, Jorge AndresFernández, PatrickValderrama, RosarioLeguia, MarianaDelgado-Ratto, ChristopherGotuzzo, Eduardo H.Zamudio, Carlos CaicedoLescano, WillyCárcamo, Cesar P.Hurtado, VerónicaLope-Pari, PriscilaPadilla-Rojas, Carlos P.Jiménez-Vásquez, Víctor AlbertoEscalante-Maldonado, Oscar RobertoAraujo-Castillo, Roger V.Cabezas-Sánchez, César AugustoColijn, CarolineTsukayama, PabloSARS-CoV-2Computational biology and bioinformaticsEpidemiologyBackground: Peru recorded one of the world’s highest COVID-19 mortality rates, with nearly 4.5 million reported cases and 220,000 deaths by March 2024. Understanding the emergence and spread of SARS-CoV-2 variants in this context is key to informing effective public health responses. This study describes the genomic diversity, transmission dynamics, and geographic spread of SARS-CoV-2 in Peru from 2020 to 2024. Methods: We analyzed nearly 50,000 high-quality public SARS-CoV-2 genome sequences collected nationwide between March 2020 and March 2024. Phylogeographic and mutational analyses were performed to identify variant lineages, trace their origins, and map viral movements within and beyond Peru. Results: We show that Peru’s epidemic waves were shaped by the emergence of locally evolved variants, including Lambda (C.37), Gamma (P.1.12), and Omicron (XBB.2.6 and DJ.1) sub-lineages. The city of Lima acted as the primary hub for inter-regional spread, accounting for 47.3% of inferred viral movements to other departments, notably Ancash, Cusco, and Piura. Peru was the source of various lineages that spread internationally, primarily to Chile, the USA, and Europe. Mutational analysis highlighted critical mutations in the spike protein, including L452Q and F490S in Lambda, associated with immune evasion and increased transmissibility. Conclusions: This work demonstrates the capacity of genomic surveillance in Peru to detect and track emerging SARS-CoV-2 variants, providing insights into regional and global transmission dynamics in a high-transmission, middle-income country setting. Sustained, cost-effective genomic monitoring, combined with strengthened bioinformatics and laboratory capacity, is essential for pandemic preparedness in resource-limited settings.We thank all the researchers, healthcare workers, laboratory technicians, patients, and individuals who contributed to generating the genomic sequences analyzed in this study. This work was funded by (1) Peru\u2019s National Program for Scientific Research and Advanced Studies (PROCIENCIA \u2013 CONCYTEC) Contract PE501086419-2024-PROCIENCIA, (2) D43 TW007393 training grant awarded to UPCH by the Fogarty International Center of the U.S. National Institutes of Health, (3) US Centers for Disease Control and Prevention cooperative agreement award GH00266, (4) VLIRUOS JOINT project \u201CImproved infectious diseases control in Peru through sustainable capacity building for bioinformatics and genome sequencing\u201D (PE2019JOI018A102), and (5) Wellcome Sanger Institute International Fellowship awarded to P.T.Article10.1038/s43856-025-01273-z2-s2.0-105027066356https://hdl.handle.net/20.500.15037/2369enCommunications MedicineCommunications Medicine2730-664XPE501086419-2024PE501086419-2024Springer Nature2026-01-092026-06-27T00:58:52Z2026-06-27T00:58:52Z
spellingShingle SARS-CoV-2
Computational biology and bioinformatics
Epidemiology
Sobkowiak, Benjamin
Langdon, Amy E.
Romero, Pedro E.
Carrasco-Escobar, Gabriel
Villa, Diego
Cava Miller, Renato
Cornejo, Victor G.
Dávila-Barclay, Alejandra
Cuicapuza, Diego
Salvatierra, Guillermo R.
González, Luis
Ayzanoa, Brenda
Huancachoque, Janet
Marcos Carbajal, Pool
Gómez De La Torre, Juan Carlos
Barletta, Claudia
Chenet, Stella M.
Tapia-Limonchi, Rafael
Ballon, Jorge Andres
Fernández, Patrick
Valderrama, Rosario
Leguia, Mariana
Delgado-Ratto, Christopher
Gotuzzo, Eduardo H.
Zamudio, Carlos Caicedo
Lescano, Willy
Cárcamo, Cesar P.
Hurtado, Verónica
Lope-Pari, Priscila
Padilla-Rojas, Carlos P.
Jiménez-Vásquez, Víctor Alberto
Escalante-Maldonado, Oscar Roberto
Araujo-Castillo, Roger V.
Cabezas-Sánchez, César Augusto
Colijn, Caroline
Tsukayama, Pablo
Genomic epidemiology of SARS-CoV-2 in Peru from 2020 to 2024
title Genomic epidemiology of SARS-CoV-2 in Peru from 2020 to 2024
title_full Genomic epidemiology of SARS-CoV-2 in Peru from 2020 to 2024
title_fullStr Genomic epidemiology of SARS-CoV-2 in Peru from 2020 to 2024
title_full_unstemmed Genomic epidemiology of SARS-CoV-2 in Peru from 2020 to 2024
title_short Genomic epidemiology of SARS-CoV-2 in Peru from 2020 to 2024
title_sort genomic epidemiology of sars cov 2 in peru from 2020 to 2024
topic SARS-CoV-2
Computational biology and bioinformatics
Epidemiology
topic_facet SARS-CoV-2
Computational biology and bioinformatics
Epidemiology
url https://hdl.handle.net/20.500.15037/2369
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