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严重急性呼吸综合征冠状病毒2(SARS-CoV-2)突变及其对疫苗效力影响的评估:综述

Appraisal of SARS-CoV-2 mutations and their impact on vaccination efficacy: an overview.

作者信息

Hadizadeh Nastaran, Naderi Mousa, Khezri Jafar, Yazdani Meysam, Shamsara Mehdi, Hashemi Ehsan

机构信息

Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Metabolic Disorders Research Center, Endocrinology and Metabolism Molecular -Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Diabetes Metab Disord. 2022 Jul 22;21(2):1763-1783. doi: 10.1007/s40200-022-01002-6. eCollection 2022 Dec.

Abstract

With the unexpected emergence of the novel 2019 Wuhan coronavirus, the world was faced with a sudden uproar that quickly shifted into a serious life-threatening pandemic. Affecting the lives of the global population and leaving drastic damage in various sections and systems, several measures have been constantly taken to tackle down this crisis. For instance, numerous vaccines have been developed in the past two years, some of which have been granted emergency use, thus providing sufficient immunity to the vaccinated individuals. However, the appearance of newly emerged SARS-CoV-2 variants with accelerated transmission and fatality has led the world towards another pandemic. Having undergone various mutations in genomic and/or amino acid profiles, some of the emerged variants of concern (VOCs) including Alpha, Beta, Gamma, and Delta have displayed immune evasion and pathogenicity even in the vaccinated population, hence raising concerns regarding the efficacy of current vaccines against new VOCs of COVID-19. Therefore, genomic investigations of SARS-CoV-2 mutations are expected to provide valuable insight into the evolution of SARS-CoV-2, while also determining the impact of different mutations on infection severity. This study was constructed with the aim of shining light on recent advances regarding mutations in major COVID-19 VOCs, as well as vaccination efficacy against those VOCs.

摘要

随着2019年新型武汉冠状病毒的意外出现,世界陷入了突然的喧嚣,迅速演变成一场严重威胁生命的大流行。它影响着全球人口的生活,并在各个部门和系统中造成了巨大破坏,人们不断采取多种措施来应对这场危机。例如,在过去两年里研发了多种疫苗,其中一些已获得紧急使用授权,从而为接种疫苗的个体提供了足够的免疫力。然而,新出现的传播速度加快和致死率更高的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)变体的出现,使世界走向了另一场大流行。一些出现的值得关注的变体(VOCs),包括阿尔法、贝塔、伽马和德尔塔,在基因组和/或氨基酸谱方面发生了各种突变,即使在接种疫苗的人群中也表现出免疫逃逸和致病性,因此引发了人们对当前疫苗针对新冠病毒新VOCs有效性的担忧。因此,对SARS-CoV-2突变进行基因组研究,有望为SARS-CoV-2的进化提供有价值的见解,同时也能确定不同突变对感染严重程度的影响。本研究旨在阐明新冠病毒主要VOCs突变的最新进展,以及针对这些VOCs的疫苗接种效果。

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COVID-19 and metabolic disease: mechanisms and clinical management.新型冠状病毒肺炎与代谢性疾病:机制与临床管理。
Lancet Diabetes Endocrinol. 2021 Nov;9(11):786-798. doi: 10.1016/S2213-8587(21)00244-8. Epub 2021 Oct 4.

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