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COVID-19 大流行:德尔塔变异株、T 细胞应答与疫苗开发的有效性。

COVID-19 pandemic: the delta variant, T-cell responses, and the efficacy of developing vaccines.

机构信息

School of Bioscience, IIT Kharagpur, Kharagpur, 721302, West Bengal, India.

出版信息

Inflamm Res. 2022 Apr;71(4):377-396. doi: 10.1007/s00011-022-01555-5. Epub 2022 Mar 15.

DOI:10.1007/s00011-022-01555-5
PMID:35292834
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8923340/
Abstract

BACKGROUND

The mayhem COVID-19 that was ushered by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) was declared pandemic by the World Health Organization in March 2020. Since its initial outbreak in late 2019, the virus has affected hundreds of million adults in the world and killing millions in the process. After the approval of newly developed vaccines, severe challenges remain to manufacture and administer them to the adult population globally in quick time. However, we have witnessed several mutations of the virus leading to 'waves' of viral spread and mortality. WHO has categorized these mutations as variants of concern (VOCs) and variants of interest (VOIs). The mortality due to COVID-19 has also been associated with various comorbidities and improper immune response. This has created further complications in understanding the nature of the SARS-CoV2-host interaction that has fuelled doubts in the efficacy of the approved vaccines. Whether there is requirement of booster dose and whether the impending wave could affect the children are some of the hotly debated topics.

MATERIALS AND METHODS

A systematic literature review of PubMed, Medline, Scopus, Google Scholar was utilized to understand the nature of Delta variant and how it alters our T-cell responses and cytokine production and neutralizes vaccine-generated antibodies.

CONCLUSION

In this review, we discuss the variants of SARS-CoV2 with specific focus on the Delta variant. We also specifically review the T-cell response against the virus and bring a narrative of various factors that may hold the key to fight against this marauding virus.

摘要

背景

由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV2)引发的混乱局面 COVID-19,世界卫生组织于 2020 年 3 月宣布为大流行。自 2019 年底首次爆发以来,该病毒已影响到全球数亿成年人,并在此过程中导致数百万人死亡。在新开发的疫苗获得批准后,全球范围内仍面临着严峻的挑战,需要迅速制造并为成年人接种疫苗。然而,我们已经目睹了该病毒的多次突变,导致病毒传播和死亡率的“浪潮”。世界卫生组织将这些突变归类为关切变种(VOCs)和感兴趣变种(VOIs)。COVID-19 的死亡率还与各种合并症和不当免疫反应有关。这进一步增加了对 SARS-CoV2-宿主相互作用性质的理解的复杂性,这引发了对已批准疫苗疗效的质疑。是否需要加强剂量,以及即将到来的浪潮是否会影响儿童,这些都是一些热门话题。

材料和方法

通过对 PubMed、Medline、Scopus、Google Scholar 的系统文献回顾,了解 Delta 变体的性质,以及它如何改变我们的 T 细胞反应和细胞因子产生,并中和疫苗产生的抗体。

结论

在这篇综述中,我们讨论了 SARS-CoV2 的变体,特别关注 Delta 变体。我们还专门回顾了针对该病毒的 T 细胞反应,并提出了各种因素的叙述,这些因素可能是对抗这种肆虐病毒的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8d3/8923340/c1ee8febe265/11_2022_1555_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8d3/8923340/32e46fbcafef/11_2022_1555_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8d3/8923340/99346e044ae8/11_2022_1555_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8d3/8923340/c1ee8febe265/11_2022_1555_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8d3/8923340/32e46fbcafef/11_2022_1555_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8d3/8923340/99346e044ae8/11_2022_1555_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8d3/8923340/c1ee8febe265/11_2022_1555_Fig3_HTML.jpg

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