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严重急性呼吸综合征冠状病毒2奥密克戎变体潜在的免疫逃逸

Potential immune evasion of the severe acute respiratory syndrome coronavirus 2 Omicron variants.

作者信息

Chen Luyi, He Ying, Liu Hongye, Shang Yongjun, Guo Guoning

机构信息

Chongqing Nankai Secondary School, Chongqing, China.

Department of Orthopedics, Kweichow MouTai Hospital, Renhuai, Zunyi, Guizhou, China.

出版信息

Front Immunol. 2024 Feb 23;15:1339660. doi: 10.3389/fimmu.2024.1339660. eCollection 2024.

Abstract

Coronavirus disease 2019 (COVID-19), which is caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has caused a global pandemic. The Omicron variant (B.1.1.529) was first discovered in November 2021 in specimens collected from Botswana, South Africa. Omicron has become the dominant variant worldwide, and several sublineages or subvariants have been identified recently. Compared to those of other mutants, the Omicron variant has the most highly expressed amino acid mutations, with almost 60 mutations throughout the genome, most of which are in the spike (S) protein, especially in the receptor-binding domain (RBD). These mutations increase the binding affinity of Omicron variants for the ACE2 receptor, and Omicron variants may also lead to immune escape. Despite causing milder symptoms, epidemiological evidence suggests that Omicron variants have exceptionally higher transmissibility, higher rates of reinfection and greater spread than the prototype strain as well as other preceding variants. Additionally, overwhelming amounts of data suggest that the levels of specific neutralization antibodies against Omicron variants decrease in most vaccinated populations, although CD4 and CD8 T-cell responses are maintained. Therefore, the mechanisms underlying Omicron variant evasion are still unclear. In this review, we surveyed the current epidemic status and potential immune escape mechanisms of Omicron variants. Especially, we focused on the potential roles of viral epitope mutations, antigenic drift, hybrid immunity, and "original antigenic sin" in mediating immune evasion. These insights might supply more valuable concise information for us to understand the spreading of Omicron variants.

摘要

2019冠状病毒病(COVID-19)由新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起,已造成全球大流行。奥密克戎变异株(B.1.1.529)于2021年11月在从博茨瓦纳、南非采集的样本中首次发现。奥密克戎已成为全球主要变异株,最近还发现了几个亚谱系或亚变体。与其他突变体相比,奥密克戎变异株的氨基酸突变表达程度最高,整个基因组中几乎有60个突变,其中大部分位于刺突(S)蛋白中,尤其是受体结合域(RBD)。这些突变增加了奥密克戎变异株与ACE2受体的结合亲和力,奥密克戎变异株也可能导致免疫逃逸。尽管奥密克戎变异株引起的症状较轻,但流行病学证据表明,与原型毒株以及其他先前的变异株相比,奥密克戎变异株的传播性异常高、再感染率高且传播范围更广。此外,大量数据表明,在大多数接种疫苗的人群中,针对奥密克戎变异株的特异性中和抗体水平下降,尽管CD4和CD8 T细胞反应得以维持。因此,奥密克戎变异株逃避免疫的机制仍不清楚。在本综述中,我们调查了奥密克戎变异株的当前流行状况和潜在的免疫逃逸机制。特别是,我们重点关注了病毒表位突变、抗原漂移、混合免疫和“原始抗原罪”在介导免疫逃逸中的潜在作用。这些见解可能为我们理解奥密克戎变异株的传播提供更有价值的简明信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa7f/10924305/fbf51f13bc61/fimmu-15-1339660-g001.jpg

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