Cantón R, De Lucas Ramos P, García-Botella A, García-Lledó A, Gómez-Pavón J, González Del Castillo J, Hernández-Sampelayo T, Martín-Delgado M C, Martín Sánchez F J, Martínez-Sellés M, Molero García J M, Moreno Guillén S, Rodríguez-Artalejo F J, Ruiz-Galiana J, Bouza E
Emilio Bouza, Servicio de Microbiología Clínica y Enfermedades Infecciosas del Hospital General Universitario Gregorio Marañón, Universidad Complutense. CIBERES. Ciber de Enfermedades Respiratorias. Madrid, Spain.
Rev Esp Quimioter. 2021 Oct;34(5):419-428. doi: 10.37201/req/071.2021. Epub 2021 Jun 2.
The emergence and spread of new variants of SARS-CoV-2 has produced enormous interest due to their possible implication in the improved transmissibility of the virus, their consequences in the individual evolution of the infection, as well as in the possible escape from the immunity generated by the current vaccines. The variants that attract most attention are those of public health concern, including B.1.1.7 (UK), P.1 (Brazilian) and B.1.351 (South African). This list is extended by the variants of interest that emerge and are expanding in certain countries but are found sporadically in others, such as B.1.427 and B.1.429 (Californians) or B.1.617 (Indian). Whole genome sequencing or strategies specifically targeting the spicule gene are used in the microbiology laboratories for characterization and detection. The number of infected individuals, the sanitary situation of each country, epidemiological measures and vaccination strategies influence its dispersion and new variants are expected to emerge. This emergence can only be avoided today by increasing the vaccinated population in all countries and by not relaxing epidemiological containment measures. It is not excluded that in the future it will be necessary to revaccinate against new variants.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)新变种的出现和传播引发了极大关注,这是因为它们可能会提高病毒的传播性,影响感染的个体演变过程,还可能导致现有疫苗产生的免疫力失效。最受关注的变种是那些对公共卫生构成威胁的变种,包括B.1.1.7(英国)、P.1(巴西)和B.1.351(南非)。在某些国家出现并不断扩散,但在其他国家只是零星发现的变种,如B.1.427和B.1.429(加利福尼亚)或B.1.617(印度),也被列入关注名单。微生物实验室使用全基因组测序或专门针对刺突基因的策略来进行特征分析和检测。感染人数、各国的卫生状况、流行病学措施和疫苗接种策略都会影响变种的传播,预计还会出现新的变种。目前,只有通过提高各国的疫苗接种率和不放松流行病学防控措施,才能避免新变种的出现。未来不排除有必要针对新变种重新接种疫苗。