4.7 Review

SARS-CoV-2 variants and vulnerability at the global level

Journal

JOURNAL OF MEDICAL VIROLOGY
Volume 94, Issue 7, Pages 2986-3005

Publisher

WILEY
DOI: 10.1002/jmv.27717

Keywords

Delta plus variant; Delta variant; mutation; Omicron variant; SARS-CoV-2; vaccination; viral variant

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Numerous variants of SARS-CoV-2 have emerged, with increased transmission, severe illness, evasive immunological features, decreased neutralization by antibodies, and higher susceptibility to reinfection. The CDC has categorized these variants into variants of interest, variants of concern, and variants of high consequence. This review article summarizes the various variants, particularly the globally spreading variants of concern, and their impact on the virus properties.
Numerous variants of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic have evolved. Viral variants may evolve with harmful susceptibility to the immunity established with the existing COVID-19 vaccination. These variants are more transmissible, induce relatively extreme illness, have evasive immunological features, decrease neutralization using antibodies from vaccinated persons, and are more susceptible to re-infection. The Centers for Disease Control and Prevention (CDC) has categorized SARS-CoV-2 mutations as variants of interest (VOI), variants of concern (VOC), and variants of high consequence (VOHC). At the moment, four VOC and many variants of interest have been defined and require constant observation. This review article summarizes various variants of SARS-CoV-2 surfaced with special emphasis on VOCs that are spreading across the world, as well as several viral mutational impacts and how these modifications alter the properties of the virus.

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