全球 SARS-CoV-2 基因组监测:到目前为止我们所了解到的情况。

Global SARS-CoV-2 genomic surveillance: What we have learned (so far).

机构信息

Interunit Postgraduate Program in Bioinformatics, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil; Laboratório de Flavivirus, Instituto Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

Infect Genet Evol. 2023 Mar;108:105405. doi: 10.1016/j.meegid.2023.105405. Epub 2023 Jan 18.

Abstract

The COVID-19 pandemic has brought significant challenges for genomic surveillance strategies in public health systems worldwide. During the past thirty-four months, many countries faced several epidemic waves of SARS-CoV-2 infections, driven mainly by the emergence and spread of novel variants. In that line, genomic surveillance has been a crucial toolkit to study the real-time SARS-CoV-2 evolution, for the assessment and optimization of novel diagnostic assays, and to improve the efficacy of existing vaccines. During the pandemic, the identification of emerging lineages carrying lineage-specific mutations (particularly those in the Receptor Binding domain) showed how these mutations might significantly impact viral transmissibility, protection from reinfection and vaccination. So far, an unprecedented number of SARS-CoV-2 viral genomes has been released in public databases (i.e., GISAID, and NCBI), achieving 14 million genome sequences available as of early-November 2022. In the present review, we summarise the global landscape of SARS-CoV-2 during the first thirty-four months of viral circulation and evolution. It demonstrates the urgency and importance of sustained investment in genomic surveillance strategies to timely identify the emergence of any potential viral pathogen or associated variants, which in turn is key to epidemic and pandemic preparedness.

摘要

新冠疫情给全球公共卫生系统的基因组监测策略带来了重大挑战。在过去的三十四个月中,许多国家面临了多次由新型变异株引起的 SARS-CoV-2 感染浪潮。在这种情况下,基因组监测是研究 SARS-CoV-2 实时进化的重要工具,可用于评估和优化新型诊断检测方法,并提高现有疫苗的效果。在疫情期间,鉴定出携带谱系特异性突变(特别是受体结合域中的突变)的新兴谱系表明,这些突变可能会显著影响病毒的传染性、防止再次感染和疫苗接种的效果。到目前为止,已经在公共数据库(即 GISAID 和 NCBI)中发布了数量空前的 SARS-CoV-2 病毒基因组,截至 2022 年 11 月初,已有 1400 万份基因组序列可供使用。在本综述中,我们总结了 SARS-CoV-2 在病毒传播和进化的前三十四个月中的全球概况。它表明了持续投资于基因组监测策略的紧迫性和重要性,以便及时发现任何潜在的病毒病原体或相关变异株的出现,这是传染病和大流行防范的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0147/9847326/f231198f8891/gr1_lrg.jpg

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