Molecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi Arabia.
College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia.
Medicina (Kaunas). 2023 Mar 5;59(3):507. doi: 10.3390/medicina59030507.
The immune response elicited by the current COVID-19 vaccinations declines with time, especially among the immunocompromised population. Furthermore, the emergence of novel SARS-CoV-2 variants, particularly the Omicron variant, has raised serious concerns about the efficacy of currently available vaccines in protecting the most vulnerable people. Several studies have reported that vaccinated people get breakthrough infections amid COVID-19 cases. So far, five variants of concern (VOCs) have been reported, resulting in successive waves of infection. These variants have shown a variable amount of resistance towards the neutralising antibodies (nAbs) elicited either through natural infection or the vaccination. The spike (S) protein, membrane (M) protein, and envelope (E) protein on the viral surface envelope and the N-nucleocapsid protein in the core of the ribonucleoprotein are the major structural vaccine target proteins against COVID-19. Among these targets, S Protein has been extensively exploited to generate effective vaccines against COVID-19. Hence, amid the emergence of novel variants of SARS-CoV-2, we have discussed their impact on currently available vaccines. We have also discussed the potential roles of S Protein in the development of novel vaccination approaches to contain the negative consequences of the variants' emergence and acquisition of mutations in the S Protein of SARS-CoV-2. Moreover, the implications of SARS-CoV-2's structural proteins were also discussed in terms of their variable potential to elicit an effective amount of immune response.
当前的 COVID-19 疫苗引发的免疫反应随时间推移而减弱,尤其是在免疫功能低下的人群中。此外,新型 SARS-CoV-2 变体的出现,特别是奥密克戎变体,引起了人们对现有疫苗在保护最脆弱人群方面的功效的严重关注。多项研究报告称,接种疫苗的人在 COVID-19 病例中出现突破性感染。到目前为止,已经报告了五种关切的变体 (VOCs),导致了连续的感染浪潮。这些变体对中和抗体 (nAbs) 的抵抗力各不相同,这些中和抗体要么是通过自然感染产生的,要么是通过接种疫苗产生的。病毒表面包膜上的刺突 (S) 蛋白、膜 (M) 蛋白和包膜 (E) 蛋白以及核糖核蛋白核心中的 N-核衣壳蛋白是针对 COVID-19 的主要结构疫苗靶蛋白。在这些靶标中,S 蛋白被广泛用于开发针对 COVID-19 的有效疫苗。因此,在新型 SARS-CoV-2 变体出现之际,我们讨论了它们对现有疫苗的影响。我们还讨论了 S 蛋白在开发新型疫苗接种方法方面的潜在作用,以遏制变体出现和 SARS-CoV-2 S 蛋白突变带来的负面影响。此外,还讨论了 SARS-CoV-2 结构蛋白的含义,因为它们在引发有效免疫反应方面的潜力各不相同。