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新型严重急性呼吸综合征冠状病毒2变种和亚变种:COVID-19大流行背景下的挑战与机遇

Emerging SARS-CoV-2 Variants and Subvariants: Challenges and Opportunities in the Context of COVID-19 Pandemic.

作者信息

Rahman Smaranika, Hossain Md Jamal, Nahar Zabun, Shahriar Mohammad, Bhuiyan Mohiuddin Ahmed, Islam Md Rabiul

机构信息

Department of Pharmacy, University of Asia Pacific, Farmgate, Dhaka, Bangladesh.

Department of Pharmacy, State University of Bangladesh, Dhanmondi, Dhaka, Bangladesh.

出版信息

Environ Health Insights. 2022 Oct 20;16:11786302221129396. doi: 10.1177/11786302221129396. eCollection 2022.

Abstract

The COVID-19 pandemic has become the most devastating pandemic of the 21st century since its appearance in December 2019. Like other RNA viruses, continuous mutation is common for coronavirus to create several variants and subvariants. The main reason behind this mutation and evolvement of SARS-CoV-2 was its structural spike (S) glycoprotein. Coronavirus has become a threat to global public health due to its high mutation capability and antibody neutralizing capacity. According to the World Health Organization (WHO), there are 5 major variants of concern (VOC) are Alpha (B.1.1.7), Beta (B.1.351), Gamma (P.1), Delta (B.1.617.2), and Omicron (B.1.1.529). Recently, different Omicron subvariants have gained worldwide dominance, such as BA.1, BA.2, BA.3, BA.4, and BA.5. However, there is a discernible drop in this symptomatic sickness globally due to the success of numerous monoclonal antibodies and vaccinations. Here we also discussed the currently dominant Omicron subvariants and the effectiveness of antiviral agents and vaccines. Based on the available data and our knowledge, we can suggest that the global healthcare organizations can decide on the declaration of the end of the pandemic phase of COVID-19 soon; however, the covid-19 will continue.

摘要

自2019年12月出现以来,新冠疫情已成为21世纪最具毁灭性的大流行疾病。与其他RNA病毒一样,冠状病毒不断发生突变,产生了多个变种和亚变种。新冠病毒发生这种突变和进化的主要原因在于其结构性刺突(S)糖蛋白。冠状病毒因其高突变能力和抗体中和能力,已对全球公共卫生构成威胁。根据世界卫生组织(WHO)的说法,有5种主要关注变种(VOC),分别是阿尔法(B.1.1.7)、贝塔(B.1.351)、伽马(P.1)、德尔塔(B.1.617.2)和奥密克戎(B.1.1.529)。最近,不同的奥密克戎亚变种在全球占据了主导地位,如BA.1、BA.2、BA.3、BA.4和BA.5。然而,由于众多单克隆抗体和疫苗的成功应用,全球有症状疾病的发病率明显下降。在此,我们还讨论了当前占主导地位的奥密克戎亚变种以及抗病毒药物和疫苗的有效性。根据现有数据和我们的认知,我们可以认为全球医疗组织很快就能决定宣布新冠疫情大流行阶段结束;然而,新冠疫情仍将继续。

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