Genome sequence of a human monkeypox virus isolate from Central Europe during the 2022 outbreak
Ármin Gergely Nagy, Ágota Ábrahám, István Prazsák, Balázs Kakuk, Brigitta Zana, Ágnes Nagy, Dóra Tombácz, Gábor Kemenesi, Zsolt Boldogkői

TL;DR
This paper presents the genome sequence of a monkeypox virus from a Central European case in 2022, providing insights into its genetic makeup and classification.
Contribution
The study provides a new genome sequence of a human monkeypox virus isolate from Central Europe during the 2022 outbreak.
Findings
The genome is 197,993 bp long with a GC content of 32.9%.
The isolate belongs to subclade IIb B.1.3.
Abstract
We report the genome sequence of a human monkeypox virus isolated from an early Central European case. The 197,993 bp genome was assembled from amplicons sequenced using the Oxford Nanopore method. It has a GC content of 32.9% and belongs to subclade IIb B.1.3.
Genes, proteins, chemicals, diseases, species, mutations and cell lines named across the full text — each resolved to its canonical identifier and authoritative record.
| Metrics type | Metrics value | Variant type | Position | Length (bp) | Sequence | Affected gene/Location |
|---|---|---|---|---|---|---|
| Number of Reads | 29 404 | Substitutions | 36850–36851 | 2 | AT →TA | OPG055 |
| 64426 | 1 | C → T | IGR | |||
| Mean Depth | 1309,92 | 111074 | 1 | C → T | OPG130 | |
| 190660 | 1 | G → A | OPG016 | |||
| Mean BaseQ | 23,8 | Deletions | 607–609 | 3 | TTT | IGR |
| 133177–133186 | 10 |
| IGR | |||
| Mean MapQ | 60 | 150586–150602 | 17 |
| IGR | |
| 196615–196617 | 3 | AAA | IGR | |||
| N50 | 9556 | Insertions | 0 | 118 | # | ITR |
| 133102 | 1 | T | CGR | |||
| Min. Amplicon Size | 5004 bp | 173276 | 5 | ATATA | CGR | |
| 197209 | 113 | # | ITR | |||
| Max. Amplicon Size | 30 665 bp | VNTR Insertions | 4806 | 128 | [ | ITR |
| 179243 | 324 | [CATTATATA]*36 | CGR | |||
| 192530 | 128 | [ | ITR |
- —Nemzeti Kutatási Fejlesztési és Innovációs Hivatalhttp://dx.doi.org/10.13039/501100011019
- —Nemzeti Kutatási Fejlesztési és Innovációs Hivatalhttp://dx.doi.org/10.13039/501100011019
- —Ministry of Culture and Innovation
- —Nemzeti Kutatási Fejlesztési és Innovációs Hivatalhttp://dx.doi.org/10.13039/501100011019
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Taxonomy
TopicsPoxvirus research and outbreaks · Plant Virus Research Studies · Bacteriophages and microbial interactions
ANNOUNCEMENT
The human monkeypox virus (hMPXV) is a zoonotic virus in the Orthopoxvirus genus of the Poxviridae family (1, 2), closely related to the smallpox-causing variola virus (3). In August 2024, the World Health Organization declared hMPXV a public health emergency of international concern, and it is now listed among emerging pathogens with pandemic potential (4, 5).
To support a better understanding of hMPXV evolution, we sequenced the virus isolate MPXV_NRL_4279/2022, obtained in 2022, from a patient’s skin lesion in Prague, Czechia.
The virus was propagated under BSL-4 conditions at the National Laboratory of Virology, University of Pécs, and passaged once in Vero cells (ATCC, CCL-81) to produce sufficient quantity of infectious material. DNA extraction was carried out using the Direct-zol RNA MiniPrep kit (Zymo Research, USA), following the manufacturer’s instructions except for DNase I treatment.
A set of 22 multiplex PCR primer pairs was designed to generate ~10 kb overlapping amplicons covering the viral genome. Primer sequences along with the detailed protocol are available on protocols.io (6). Briefly, repliQa HiFi ToughMix (Quantabio) was used to amplify complex and repetitive genomic regions from fragments with 50–100 bp overlaps. Two distinct PCR rounds were performed, each targeting non-overlapping segments. PCR products were purified using SPRI beads (AmpureXP) following the manufacturer’s instructions. Sequencing libraries were prepared with the SQK-LSK110 kit (Oxford Nanopore Technologies, ONT) and barcoded using the EXP-NBD196 kit. Sequencing was performed on a MinION Mk1B device with an R9.4.1 flow cell (FLO-MIN106), yielding 29,404 reads with an N50 of 9,556 (Table 1).
Basecalling using the super-accurate model and adapter trimming was performed with Guppy 6.5.7 (7), and low-quality reads were filtered out using NanoFilt2.8.0. De novo assembly using Raven 1.8.3 (8) produced two contigs, which were merged into a single sequence using RagTag 2.1.0 (9).
To determine the exact genomic termini, the results of an additional direct RNA-sequencing of our isolate (10) were utilized to generate a consensus sequence using samtools (11). The consensus matched the termini of the closely related, highly accurate OXO44336.2 genome (12).
The complete, assembled genome is 197,993 bp in length and has a 32.9% GC content. It shows no frameshift mutations or premature stop codons, indicating no major disruptions in protein-coding regions. Comparison with the reference genome (NC_063383) revealed four deletions totaling 33 bp, all located in intergenic regions. Five nucleotide substitutions were identified, three of which resulted in amino acid changes within the OPG055 (F11), OPG130 (A5L), and OPG016 (N3R) genes (Table 1). Additionally, seven insertions were detected: two at the terminal ends, three within variable number tandem repeat regions (VNTRs), and two small insertions (Table 1). Whole-genome phylogenetic analysis using Nextclade v3.10.2 (13) indicated that the MPXV_NRL_4279/2022 isolate belongs to Clade IIb B.1.3 of hMPXV. This genome, associated with the 2022 multi-country outbreak, provides valuable insight into the evolutionary dynamics of poxviruses.
The reference list from the paper itself. Each links out to its DOI / PubMed record.
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- 4WHO Media Team. 2024. WHO Director-General declares mpox outbreak a public health emergency of international concern. Available from: https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern. Retrieved 02 Jul 2025.PMC 1137670039218470 · pubmed ↗
- 5Ukoaka BM, Okesanya OJ, Daniel FM, Ahmed MM, Udam NG, Wagwula PM, Adigun OA, Udoh RA, Peter IG, Lawal H. 2024. Updated WHO list of emerging pathogens for a potential future pandemic: Implications for public health and global preparedness. Infez Med 32:463–477. doi:10.53854/liim-3204-539660154 PMC 11627490 · doi ↗ · pubmed ↗
- 6Nagy GÁ, Ábrahám Á, Prazsák I, Kakuk B, Zana B, Nagy Á, Tombácz D, Kemenesi G, Boldogkői Z. 2025. Amplicon based sequencing of a human monkeypox virus isolate. Available from: https://www.protocols.io/view/amplicon-based-sequencing-of-a-human-monkeypox-vir-5qpvoo 589v 4o/v 210.1128/mra.00415-25PMC 1261393041117556 · doi ↗ · pubmed ↗
- 7Wick RR, Judd LM, Holt KE. 2019. Performance of neural network basecalling tools for Oxford Nanopore sequencing. Genome Biol 20:129. doi:10.1186/s 13059-019-1727-y 31234903 PMC 6591954 · doi ↗ · pubmed ↗
- 8Vaser R, Šikić M. 2021. Time- and memory-efficient genome assembly with Raven. Nat Comput Sci 1:332–336. doi:10.1038/s 43588-021-00073-438217213 · doi ↗ · pubmed ↗
