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严重急性呼吸综合征冠状病毒2(SARS-CoV-2)新变种VUI-202012/01出现的影响

Implications of the Emergence of a New Variant of SARS-CoV-2, VUI-202012/01.

作者信息

Rahimi Farid, Talebi Bezmin Abadi Amin

机构信息

Research School of Biology, The Australian National University, Canberra, Australia.

Department of Bacteriology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

出版信息

Arch Med Res. 2021 Jul;52(5):569-571. doi: 10.1016/j.arcmed.2021.01.001. Epub 2021 Jan 22.

Abstract

Twelve months after the realization that SARS-CoV-2 caused a respiratory syndrome in Wuhan, China, with the constantly worsening COVID-19 pandemic and economic crisis globally, and with international news of vaccine development, a new viral variant, referred to as "SARS-CoV-2 VUI-202012/01" or "B.1.1.7" has been reported in London and southeast England. The variant may have emerged in late September 2020 and carries some 17 mutations. Whether a single or a combination of different mutations would change the viral transmissibility, virulence, clinical and epidemiological presentations, or vaccine efficiency is unknown. Transmission by asymptomatic carriers of the new variant is also unknown. Mutation pressure by antiviral agents or vaccines have not yet been induced; however, additional mutations are expected following global vaccination and, later, after administration of validated treatments. Thus, preparedness for fast emergence of new variants is prudent. One can also expect less virulent but highly transmissible variants, which could facilitate herd immunity. Development of clinical and rapid laboratory tests is required to follow up the vaccinated individuals for a secondary infection potentially by the new variant. Importantly, restrictive countermeasures, personal hygiene, face-masking, spatial distancing, and travel bans remain pertinent in fighting the virus.

摘要

在认识到严重急性呼吸综合征冠状病毒2(SARS-CoV-2)在中国武汉引发一种呼吸道综合征后的十二个月里,随着全球范围内2019冠状病毒病(COVID-19)大流行和经济危机不断恶化,以及有关疫苗研发的国际新闻传来,一种新的病毒变体,被称为“SARS-CoV-2 VUI-202012/01”或“B.1.1.7”,已在伦敦和英格兰东南部被报道。该变体可能于2020年9月下旬出现,携带约17个突变。单个或不同突变的组合是否会改变病毒的传播性、毒力、临床和流行病学表现或疫苗效力尚不清楚。新变体无症状携带者的传播情况也不清楚。抗病毒药物或疫苗尚未引发突变压力;然而,预计在全球接种疫苗后以及之后在使用经过验证的治疗方法后会出现更多突变。因此,为新变体的快速出现做好准备是明智的。人们还可以预期会出现毒性较低但传播性很强的变体,这可能有助于实现群体免疫。需要开发临床和快速实验室检测方法,以便对接种疫苗的个体进行跟踪,以检测可能由新变体引起的二次感染。重要的是,在抗击病毒方面,限制措施、个人卫生、戴口罩、保持社交距离和旅行禁令仍然至关重要。

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