Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA.
Med Sci Monit. 2023 Feb 1;29:e939580. doi: 10.12659/MSM.939580.
In November 2021, the World Health Organization (WHO) first identified the Omicron variant of SARS-CoV-2, B.1.1.529, as a variant of concern (VOC). By early 2022, the Omicron variant and its five lineages, BA.1, BA.2, BA.3, BA.4. and BA.5, had become the predominant cause of COVID-19 in most countries. The Omicron XBB.1.5 subvariant is a sublineage of the XBB variant, a recombinant of two BA.2 sublineages, with the F486P mutation in the spike protein that increases infectivity due to increased binding affinity to the angiotensin-converting enzyme 2 (ACE2) receptor. On the week ending 21 January 2023, the XBB.1.5 subvariant caused 49.1% of cases of COVID-19 in the US. The rapid rise in the prevalence of this subvariant may be explained by immune escape to previous infection or vaccines, spike mutations in F486P, and increased affinity for the ACE2 receptor. Also, current booster vaccines may not provide adequate protection from infection from this subvariant, which has been named by the media as the 'Kraken' subvariant. This Editorial aims to present the current status of the XBB.1.5 subvariant of Omicron SARS-CoV-2 and the reasons for, and implications of, its rapid global spread.
2021 年 11 月,世界卫生组织(WHO)首次将 SARS-CoV-2 的奥密克戎变异株 B.1.1.529 鉴定为关注变异株(VOC)。到 2022 年初,奥密克戎变异株及其五个谱系,BA.1、BA.2、BA.3、BA.4 和 BA.5,已成为大多数国家 COVID-19 的主要致病原因。奥密克戎 XBB.1.5 亚谱系是 XBB 变异株的一个亚谱系,是两个 BA.2 亚谱系的重组体,其刺突蛋白中的 F486P 突变增加了与血管紧张素转换酶 2(ACE2)受体的结合亲和力,从而提高了感染力。截至 2023 年 1 月 21 日当周,XBB.1.5 亚谱系导致美国 COVID-19 病例的 49.1%。这种亚谱系的快速流行可能归因于先前感染或疫苗的免疫逃逸、刺突蛋白中的 F486P 突变以及对 ACE2 受体的亲和力增加。此外,目前的加强疫苗可能无法为感染这种亚谱系提供充分的保护,这种亚谱系已被媒体命名为“Kraken”亚谱系。本社论旨在介绍奥密克戎 SARS-CoV-2 的 XBB.1.5 亚谱系的现状及其快速全球传播的原因和影响。
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