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奥密克戎变异株(B.1.1.529)及其亚谱系:在 SARS-CoV-2 重组变异株出现之际,我们目前了解多少?

Omicron variant (B.1.1.529) and its sublineages: What do we know so far amid the emergence of recombinant variants of SARS-CoV-2?

机构信息

Department of Microbiology, Punjab Agricultural University, Ludhiana 141004, Punjab, India; Trafford College, Altrincham, Manchester WA14 5PQ, UK.

National Food Safety Authority (NFSA), Aswan Branch, Aswan 81511, Egypt; Ministry of Tourism and Antiquities, Aswan Office, Aswan 81511, Egypt.

出版信息

Biomed Pharmacother. 2022 Oct;154:113522. doi: 10.1016/j.biopha.2022.113522. Epub 2022 Aug 15.

Abstract

Since the start of the COVID-19 pandemic, numerous variants of SARS-CoV-2 have been reported worldwide. The advent of variants of concern (VOCs) raises severe concerns amid the serious containment efforts against COVID-19 that include physical measures, pharmacological repurposing, immunization, and genomic/community surveillance. Omicron variant (B.1.1.529) has been identified as a highly modified, contagious, and crucial variant among the five VOCs of SARS-CoV-2. The increased affinity of the spike protein (S-protein), and host receptor, angiotensin converting enzyme-2 (ACE-2), due to a higher number of mutations in the receptor-binding domain (RBD) of the S-protein has been proposed as the primary reason for the decreased efficacy of majorly available vaccines against the Omicron variant and the increased transmissible nature of the Omicron variant. Because of its significant competitive advantage, the Omicron variant and its sublineages swiftly surpassed other variants to become the dominant circulating lineages in a number of nations. The Omicron variant has been identified as a prevalent strain in the United Kingdom and South Africa. Furthermore, the emergence of recombinant variants through the conjunction of the Omicron variant with other variants or by the mixing of the Omicron variant's sublineages/subvariants poses a major threat to humanity. This raises various issues and hazards regarding the Omicron variant and its sublineages, such as an Omicron variant breakout in susceptible populations among fully vaccinated persons. As a result, understanding the features and genetic implications of this variant is crucial. Hence, we explained in depth the evolution and features of the Omicron variant and analyzed the repercussions of spike mutations on infectiousness, dissemination ability, viral entry mechanism, and immune evasion. We also presented a viewpoint on feasible strategies for precluding and counteracting any future catastrophic emergence and spread of the omicron variant and its sublineages that could result in a detrimental wave of COVID-19 cases.

摘要

自 COVID-19 大流行开始以来,全球已报告了许多 SARS-CoV-2 的变体。在针对 COVID-19 的严重遏制努力中,包括物理措施、药物重新利用、免疫接种和基因组/社区监测,关注变体 (VOCs) 的出现引起了严重关注。Omicron 变体 (B.1.1.529) 已被确定为 SARS-CoV-2 的五个 VOC 中高度修饰、传染性强和关键的变体。由于 S 蛋白受体结合域 (RBD) 中的突变数量增加,S 蛋白和宿主受体血管紧张素转换酶-2 (ACE-2) 的亲和力增加,这被认为是主要疫苗对 Omicron 变体的效力降低和 Omicron 变体传播能力增加的主要原因。由于其显著的竞争优势,Omicron 变体及其亚系迅速超过其他变体,成为多个国家主要流行的循环谱系。Omicron 变体已被确定为英国和南非的流行株。此外,通过 Omicron 变体与其他变体的结合或通过 Omicron 变体的亚系/亚变体的混合产生的重组变体的出现对人类构成了重大威胁。这引发了关于 Omicron 变体及其亚系的各种问题和危害,例如在完全接种疫苗的人群中易感染人群中出现 Omicron 变体爆发。因此,了解该变体的特征和遗传影响至关重要。因此,我们深入解释了 Omicron 变体的进化和特征,并分析了刺突突变对传染性、传播能力、病毒进入机制和免疫逃逸的影响。我们还就如何预防和应对未来任何灾难性的 Omicron 变体及其亚系的出现和传播提出了看法,这可能导致 COVID-19 病例的不利浪潮。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d0c/9376347/137be05b0702/ga1_lrg.jpg

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