School of Medicine, The Maldives National University Male, Maldives.
Eur Rev Med Pharmacol Sci. 2021 Jun;25(12):4405-4412. doi: 10.26355/eurrev_202106_26151.
SARS-CoV-2 are enveloped RNA viruses that belong to the family Coronaviridae of genus Beta coronavirus, responsible for the COVID-19 pandemic. The mutation rate is high among RNA viruses and in particular, coronavirus replication is error prone with an estimated mutation rate of 4x10-4 nucleotide substitutions per site per year. Variants of SARS-CoV-2 have been reported from various countries like United Kingdom, South Africa, Denmark, Brazil and India. These variants evolved due to mutations in spike gene of SARS-CoV-2. The most concerning variants are Variant of Concern (VOC) 202012/01 from United Kingdom and B.1.617 variant of India. Other variants include B.1.351 lineages, cluster 5/SARS-CoV-2 variant of Denmark, 501.V2 variant/SARS-CoV-2 variant of South Africa, lineage B.1.1.248/lineage P.1 of Brazil. Mutations in S protein may result in changes in the transmissibility and virulence of SARS-CoV-2. To date, alterations in virulence or pathogenicity have been reported among the variants from many parts of the globe. In our opinion, since the S protein is significantly altered, the suitability of existing vaccine specifically targeting the S protein of SARS-CoV-2 variants is a major concern. The mutations in SARS-CoV-2 are a continuous and evolving process that may result in the transformation of naïve SARS-CoV-2 into totally new subsets of antigenically different SARS-CoV-2 viruses over a period of time.
SARS-CoV-2 是一种包膜 RNA 病毒,属于冠状病毒科β冠状病毒属,是导致 COVID-19 大流行的病原体。RNA 病毒的突变率较高,冠状病毒复制易错,估计每年每个位点的突变率为 4x10-4 个核苷酸。来自英国、南非、丹麦、巴西和印度等国的报告显示了 SARS-CoV-2 的变异株。这些变异株是由于 SARS-CoV-2 的刺突基因发生突变而进化产生的。最令人关注的变异株是来自英国的 202012/01 关注变异株(Variant of Concern,VOC)和来自印度的 B.1.617 变异株。其他变异株包括 B.1.351 谱系、丹麦的 5 型/冠状病毒变异株、南非的 501.V2 变异株/冠状病毒变异株、巴西的 B.1.1.248/谱系 P.1。S 蛋白的突变可能导致 SARS-CoV-2 的传染性和毒力发生变化。迄今为止,来自全球许多地区的变异株都报告了毒力或致病性的改变。在我们看来,由于 S 蛋白发生了显著改变,针对 SARS-CoV-2 变异株 S 蛋白的现有疫苗的适用性是一个主要关注点。SARS-CoV-2 的突变是一个持续不断的进化过程,可能导致在一段时间内,幼稚的 SARS-CoV-2 转变为完全不同抗原性的 SARS-CoV-2 新亚群。