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SARS-CoV-2 的波与变体:了解 COVID-19 大流行的原因和影响。

Waves and variants of SARS-CoV-2: understanding the causes and effect of the COVID-19 catastrophe.

机构信息

Department of Virology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.

Viral Regional Diagnostic Laboratory (VRDL), Government Medical College, Patiala, 147001, India.

出版信息

Infection. 2022 Apr;50(2):309-325. doi: 10.1007/s15010-021-01734-2. Epub 2021 Dec 16.

Abstract

The coronavirus disease-19 has left a permanent mark on the history of the human race. Severe acute respiratory syndrome coronavirus-2 is a positive-sense single-stranded RNA virus, first reported in Wuhan, China, in December 2019 and from there took over the world. Being highly susceptible to mutations, the virus's numerous variants started to appear, and some were more lethal and infectious than the parent. The effectiveness of the vaccine is also affected severely against the new variant. In this study, the infectious mechanism of the coronavirus is explained with a focus on different variants and their respective mutations, which play a critical role in the increased transmissibility, infectivity, and immune escape of the virus. As India has already faced the second wave of the pandemic, the future outlook on the likeliness of a third wave with respect to the Indian variants such as kappa, delta, and Delta Plus is also discussed. This review article aims to reflect the catastrophe of the variants of SARS-CoV-2 and the possibility of developing even more severe variants in the near future.

摘要

新型冠状病毒肺炎在人类历史上留下了永久的印记。严重急性呼吸综合征冠状病毒 2 是一种正链单链 RNA 病毒,于 2019 年 12 月在中国武汉首次报告,自此席卷全球。该病毒极易发生突变,其众多变体开始出现,一些变体比原始病毒更具致命性和传染性。新变体的出现也严重影响了疫苗的有效性。在这项研究中,我们解释了冠状病毒的感染机制,重点介绍了不同变体及其各自的突变,这些突变对病毒的传播力、感染力和免疫逃逸能力的增强起着关键作用。由于印度已经面临第二波大流行,因此还讨论了印度变体(如 kappa、delta 和 Delta Plus)是否会出现第三波大流行的未来前景。这篇综述文章旨在反映 SARS-CoV-2 变体的灾难性以及在不久的将来可能出现更严重变体的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/824b/8675301/719cf67b4fa2/15010_2021_1734_Fig1_HTML.jpg

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