4.8 Review

SARS-CoV-2 Omicron variants: burden of disease, impact on vaccine effectiveness and need for variant-adapted vaccines

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Summary: This study reported on the neutralizing activities of a BA.5 bivalent booster against SARS-CoV-2 Omicron sublineages. The results showed that the BA.5 bivalent booster had good neutralizing efficacy against BA.4/5 but weaker efficacy against BA.2.75.2, BQ.1.1, and XBB.1. Previous infection significantly enhanced the strength and breadth of neutralization induced by the BA.5 bivalent booster. These data support a vaccine update strategy that matches newly emerged SARS-CoV-2 variants.

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Durability of Severe Acute Respiratory Syndrome Coronavirus 2 Messenger RNA Booster Vaccine Protection Against Omicron Among Healthcare Workers With a Vaccine Mandate

Aaron Richterman et al.

Summary: This study found that the effectiveness of two doses of the BNT162b2 and mRNA1273 vaccines against SARS-CoV-2 infection was lower during the Omicron period compared to the Delta period. However, booster doses provided significant protection. Specifically, three doses of BNT162b2 had a relative effectiveness of 50% during Omicron, compared to 78% during Delta, while three doses of mRNA1273 had a relative effectiveness of 56% during Omicron, compared to 96% during Delta. The study also showed that the effectiveness of BNT162b2 booster protection against infection remained stable for at least 16 weeks after vaccination.

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Immunogenicity of a Third Dose of BNT162b2 to Ancestral Severe Acute Respiratory Syndrome Coronavirus 2 and the Omicron Variant in Adults Who Received 2 Doses of Inactivated Vaccine

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Jinyan Liu et al.

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Divergent SARS-CoV-2 Omicron-reactive T and B cell responses in COVID-19 vaccine recipients

Corine H. GeurtsvanKessel et al.

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COVID-19 Cases and Disease Severity in Pregnancy and Neonatal Positivity Associated With Delta (B.1.617.2) and Omicron (B.1.1.529) Variant Predominance

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Summary: The emergence of new variants of SARS-CoV-2 has raised concerns about the impact on vaccination programs. Current vaccines are effective against some variants, but effectiveness varies. Booster programs can restore protection against infection and symptomatic disease, but the effectiveness may decrease over time. Antibodies may have reduced neutralizing activity against certain variants, but T-cell responses remain relatively stable.
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Clinical severity of, and effectiveness of mRNA vaccines against, covid-19 from omicron, delta, and alpha SARS-CoV-2 variants in the United States: prospective observational study

Adam S. Lauring et al.

Summary: mRNA vaccines were highly effective in preventing covid-19 associated hospital admissions related to the alpha, delta, and omicron variants. Three vaccine doses were required for protection against omicron, while two doses provided protection against delta and alpha variants. Omicron variant showed lower disease severity compared to delta variant but still resulted in morbidity and mortality. Vaccinated patients had lower disease severity than unvaccinated patients for all the variants.

BMJ-BRITISH MEDICAL JOURNAL (2022)

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Lindsey Wang et al.

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Acute Upper Airway Disease in Children With the Omicron (B.1.1.529) Variant of SARS-CoV-2-A Report From the US National COVID Cohort Collaborative

Blake Martin et al.

Summary: This study utilizes data from the US National COVID Cohort Collaborative to investigate upper airway infections in children during the surge of the Omicron (B.1.1.529) variant of SARS-CoV-2 in the US.

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Waning immune responses against SARS-CoV-2 variants of concern among vaccinees in Hong Kong

Qiaoli Peng et al.

Summary: This study compares the immunogenicity and durability of BNT162b2-mRNA and CoronaVac-inactivated vaccines in fully vaccinated individuals in Hong Kong. The results show that both vaccines induce neutralizing antibodies and spike-specific CD4 T cell responses, but CoronaVac vaccine induces lower immune responses compared to BNT162b2 vaccine. Against SARS-CoV-2 variants of concern, CoronaVac vaccine shows weaker neutralizing antibody responses compared to BNT162b2 vaccine. Three months after vaccination, neutralizing antibody levels to variants of concern decrease, along with waning memory T cell responses, especially among CoronaVac vaccine recipients.

EBIOMEDICINE (2022)

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Omicron BA.1 breakthrough infection drives cross-variant neutralization and memory B cell formation against conserved epitopes

Jasmin Quandt et al.

Summary: The Omicron BA.1 breakthrough infection in BNT162b2-vaccinated individuals showed strong neutralizing activity against Omicron BA.1, BA.2, and previous SARS-CoV-2 variants. The memory B cells induced by the breakthrough infection targeted epitopes shared broadly among variants. The vaccination-imprinted memory B cell pool was capable of remodeling in response to heterologous SARS-CoV-2 spike glycoprotein exposure. However, variants that acquire alterations at conserved sites may have increased susceptibility to immune escape.

SCIENCE IMMUNOLOGY (2022)

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Recall of preexisting cross-reactive B cell memory after Omicron BA.1 breakthrough infection

Chengzi Kaku et al.

Summary: Analyzing vaccinated individuals infected with Omicron/BA.1, this study reveals that vaccination activates memory B cells, leading to specific antibody responses against breakthrough infections. Moreover, the hierarchy of B cell immunodominance was found to shift towards the variable receptor binding domain, indicating the role of preexisting immunity in shaping the immune response against heterologous SARS-CoV-2 variants.

SCIENCE IMMUNOLOGY (2022)

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Assessment of T-cell Reactivity to the SARS-CoV-2 Omicron Variant by Immunized Individuals

Lorenzo De Marco et al.

Summary: This cohort study in Italy showed that the SARS-CoV-2 Omicron variant was recognized by the cellular component of the immune system in immunized adults, despite mutations in the spike protein. It is reasonable to assume that protection from hospitalization and severe disease will be maintained.

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Vaccine effectiveness of one, two, and three doses of BNT162b2 and CoronaVac against COVID-19 in Hong Kong: a population-based observational study

Martina E. McMenamin et al.

Summary: In Hong Kong, two doses of either BNT162b2 or CoronaVac vaccines are effective in preventing severe disease and death, with higher effectiveness seen in adults aged 60 years or older with BNT162b2. Three doses of either vaccine offer a very high level of protection against severe or fatal outcomes.

LANCET INFECTIOUS DISEASES (2022)

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Antibody evasion by SARS-CoV-2 Omicron subvariants BA.2.12.1, BA.4 and BA.5

Qian Wang et al.

Summary: SARS-CoV-2 Omicron subvariants BA.2.12.1 and BA.4/5 have become dominant in the United States and South Africa, raising concerns about their ability to evade neutralizing antibodies and compromise the efficacy of COVID-19 vaccines and therapeutic monoclonals. A systematic antigenic analysis reveals that BA.2.12.1 and BA.4/5 have different levels of resistance to antibodies, with BA.2.12.1 being modestly resistant and BA.4/5 being substantially resistant. Certain mutations in the spike protein facilitate antibody escape, but compromise the spike affinity for the viral receptor. Only bebtelovimab retains full potency against both subvariants.

NATURE (2022)

Article Multidisciplinary Sciences

BA.2.12.1, BA.4 and BA.5 escape antibodies elicited by Omicron infection

Yunlong Cao et al.

Summary: Omicron sublineages BA.2.12.1, BA.4 and BA.5 have higher transmissibility and increased evasion of neutralizing antibodies compared to the BA.2 lineage. They exhibit similar binding affinities to the ACE2 receptor as BA.2. BA.1 infection after vaccination boosts humoral immune memory against wild-type SARS-CoV-2, but these antibodies are largely evaded by BA.2 and BA.4/BA.5 variants.

NATURE (2022)

Article Biochemistry & Molecular Biology

Emergence of SARS-CoV-2 Omicron lineages BA.4 and BA.5 in South Africa

Houriiyah Tegally et al.

Summary: The genomic characterization of the SARS-CoV-2 Omicron lineages BA.4 and BA.5, responsible for the fifth wave of the COVID-19 pandemic in South Africa, reveals their continued viral diversification and sheds light on the potential mechanisms that allow these new lineages to outcompete their predecessors. These new lineages, BA.4 and BA.5, share identical spike proteins with BA.2 but have certain differences such as the presence of the 69-70 deletion, L452R, F486V, and the wild-type amino acid at Q493. They can be identified by the S-gene target failure, a proxy marker associated with the 69-70 deletion. BA.4 and BA.5 have rapidly replaced BA.2 and have become the dominant lineages in South Africa.

NATURE MEDICINE (2022)

Letter Medicine, General & Internal

Neutralization Escape by SARS-CoV-2 Omicron Subvariants BA.2.12.1, BA.4, and BA.5

Nicole P. Hachmann et al.

Summary: A small study found that omicron subvariants BA.2.12.1, BA.4, and BA.5 of SARS-CoV-2 were more likely to evade neutralizing antibodies induced by both vaccination and previous infection compared to the prior omicron subvariants BA.1 and BA.2.

NEW ENGLAND JOURNAL OF MEDICINE (2022)

Article Medicine, General & Internal

Effects of Previous Infection and Vaccination on Symptomatic Omicron Infections

Heba N. Altarawneh et al.

Summary: An analysis of data from Qatar showed that previous infection, vaccination, and hybrid immunity all demonstrated effectiveness in protecting against symptomatic Covid-19 caused by the BA.1 and BA.2 sublineages of the Omicron variant.

NEW ENGLAND JOURNAL OF MEDICINE (2022)

Article Immunology

Exposure to BA.4/5 S protein drives neutralization of Omicron BA.1, BA.2, BA.2.12.1, and BA.4/5 in vaccineexperienced humans and mice

Alexander Muik et al.

Summary: The SARS-CoV-2 Omicron variant and its sublineages have strong viral escape capabilities from neutralizing antibodies produced by vaccines or prior variant infections. The study shows that Omicron BA.4/BA.5-adapted vaccines can enhance the neutralizing antibody response and cross-neutralizing activity, with the bivalent version having the potential to protect individuals without preexisting immunity.

SCIENCE IMMUNOLOGY (2022)

Article Multidisciplinary Sciences

Interferon resistance of emerging SARS-CoV-2 variants

Kejun Guo et al.

Summary: The emergence of SARS-CoV-2 variants with enhanced resistance to interferons suggests that evasion of innate immunity may be a driving force in the evolution of the virus.

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2022)

Article Multidisciplinary Sciences

Omicron spike function and neutralizing activity elicited by a comprehensive panel of vaccines

John E. Bowen et al.

Summary: The Omicron variant of concern, characterized by numerous spike mutations, exhibits enhanced binding to ACE2, reduced fusogenicity, and reduced neutralizing activity against plasma induced by infection or vaccines. However, booster doses based on the Wuhan-Hu-1 spike sequence significantly increase neutralizing antibody titers and breadth against multiple Omicron sublineages.

SCIENCE (2022)

Article Multidisciplinary Sciences

Mosaic RBD nanoparticles protect against challenge by diverse sarbecoviruses in animal models

Alexander A. Cohen et al.

SCIENCE (2022)

Article Multidisciplinary Sciences

Antibody affinity and cross-variant neutralization of SARS-CoV-2 Omicron BA.1, BA.2 and BA.3 following third mRNA vaccination

Lorenza Bellusci et al.

Summary: The authors demonstrate that a third dose of SARS-CoV-2 vaccination significantly enhances neutralizing antibodies against Omicron subvariants and that hybrid immunity results in broader neutralization activity and cross-reactive antibody affinity maturation.

NATURE COMMUNICATIONS (2022)

Article Multidisciplinary Sciences

Omicron BA.4/BA.5 escape neutralizing immunity elicited by BA.1 infection

Khadija Khan et al.

Summary: The SARS-CoV-2 Omicron sub-lineages BA.4 and BA.5, first identified in South Africa, have mutations in the spike receptor binding domain compared to BA.1. Experimental results show that BA.4 and BA.5 have reduced neutralization against BA.1 in unvaccinated individuals, but this effect is less pronounced in vaccinated individuals.

NATURE COMMUNICATIONS (2022)

Article Medicine, General & Internal

Effectiveness of a fourth dose of covid-19 mRNA vaccine against the omicron variant among long term care residents in Ontario, Canada: test negative design study

Ramandip Grewal et al.

Summary: This study estimated the marginal effectiveness of a fourth dose compared to a third dose of mRNA covid-19 vaccines and the vaccine effectiveness of BNT162b2 and mRNA-1273 vaccines against the omicron variant. The results showed that a fourth dose improved protection against infection, symptomatic infection, and severe outcomes. Vaccine effectiveness increased with each additional dose.

BMJ-BRITISH MEDICAL JOURNAL (2022)

Letter Pediatrics

Risk and Phenotype of Multisystem Inflammatory Syndrome in Vaccinated and Unvaccinated Danish Children Before and During the Omicron Wave

Mette Holm et al.

Summary: This study aimed to estimate the risk of multisystem inflammatory syndrome in children (MIS-C) after SARS-CoV-2 infection in vaccinated and unvaccinated individuals during the Omicron wave, and to compare the risk and clinical characteristics of MIS-C with previous waves.

JAMA PEDIATRICS (2022)

Article Immunology

Severity of SARS-CoV-2 Omicron BA.2 infection in unvaccinated hospitalized children: comparison to influenza and parainfluenza infections

Winnie W. Y. Tso et al.

Summary: This study investigated the severity and clinical outcomes of Omicron BA.2 infection in uninfected, unvaccinated hospitalized children and compared it with influenza and parainfluenza viral infections. The findings showed that Omicron BA.2 was associated with higher risk of neurological complications and targeted the upper airways more than influenza virus.

EMERGING MICROBES & INFECTIONS (2022)

Article Immunology

Neutralization of Omicron sublineages and Deltacron SARS-CoV-2 by three doses of BNT162b2 vaccine or BA.1 infection

Chaitanya Kurhade et al.

Summary: This study reports the neutralization activity of sera from BNT162b2 vaccinated individuals or unimmunized Omicron BA.1-infected individuals against Omicron sublineages and Deltacron variant (XD). The BA.4/5 SARS-CoV-2 spike variant showed the highest propensity to evade vaccine neutralization compared to the original Omicron variants BA.1.

EMERGING MICROBES & INFECTIONS (2022)

Article Microbiology

SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway

Brian J. Willett et al.

Summary: Vaccines based on the spike protein of SARS-CoV-2 are vital in combating COVID-19, but the emergence of the Omicron variant poses a threat to this strategy. Studies have shown that the Omicron variant evades neutralization by sera from individuals vaccinated with different vaccines and reduces real-world vaccine effectiveness, although booster vaccination can partially restore its effectiveness. Additionally, the Omicron variant exhibits distinct cell entry pathways and phenotypes, which may contribute to its rapid global spread and altered pathogenicity.

NATURE MICROBIOLOGY (2022)

Article Medicine, General & Internal

Limited neutralisation of the SARS-CoV-2 Omicron subvariants BA.1 and BA.2 by convalescent and vaccine serum and monoclonal antibodies

Alexander Wilhelm et al.

Summary: The Omicron variants of SARS-CoV-2 have become dominant globally, leading to reduced efficacy of current vaccines and monoclonal antibodies. Booster doses can enhance neutralizing capacity against Omicron variants, but waning immunity may result in weaker neutralization. Omicron variants BA.1 and BA.2 exhibit resistance to certain monoclonal antibodies, highlighting the importance of genotype-surveillance and tailored treatment approaches.

EBIOMEDICINE (2022)

Article Immunology

Respiratory mucosal immunity against SARS-CoV-2 after mRNA vaccination

Jinyi Tang et al.

Summary: SARS-CoV-2 mRNA vaccination induces strong immune responses in the circulation, but its effectiveness in the respiratory tract, especially against variants of concern like Omicron, is still uncertain. This study found lower neutralizing antibody responses in the respiratory tract of vaccinated individuals compared to COVID-19 convalescents, despite robust antibody responses in the blood. Vaccination also induced circulating B and T cell immunity, but these responses were absent in the respiratory tract. Mouse immunization experiments showed that systemic mRNA vaccination alone resulted in weak respiratory mucosal neutralizing antibody responses, but combining it with mucosal adenovirus-S immunization produced strong neutralizing antibody responses against both the ancestral virus and the Omicron variant. Overall, this study suggests that current COVID-19 vaccines are highly effective against severe disease, but provide limited protection against breakthrough infections, particularly by the Omicron sublineage.

SCIENCE IMMUNOLOGY (2022)

Article Medicine, General & Internal

Association of Receiving a Fourth Dose of the BNT162b Vaccine With SARS-CoV-2 Infection Among Health Care Workers in Israel

Matan J. Cohen et al.

Summary: Despite high vaccination rates among health care workers in Israel, a significant number of breakthrough infections were observed during the Omicron wave. A fourth vaccine dose was recommended to mitigate the infection rate. This study found that the fourth dose of the vaccine reduced breakthrough infection rates among hospital staff, although not as much as the third dose.

JAMA NETWORK OPEN (2022)

Article Nursing

The other COVID-19 survivors: Timing, duration, and health impact of post-acute sequelae of SARS-CoV-2 infection

Natalie Lambert et al.

Summary: This study examines the frequency, timing, and duration of post-acute sequelae of SARS-CoV-2 infection (PASC) and their impact on health and function. The findings suggest that PASC is characterized by a wide range of symptoms that can cause moderate-to-severe distress and hinder survivors' overall well-being.

JOURNAL OF CLINICAL NURSING (2022)

Letter Infectious Diseases

BNT162b2 vaccine effectiveness against SARS-CoV-2 omicron BA.4 and BA.5

Sara Y. Tartof et al.

LANCET INFECTIOUS DISEASES (2022)

Letter Medicine, General & Internal

Effectiveness and Durability of the BNT162b2 Vaccine against Omicron Sublineages in South Africa

Shirley Collie et al.

NEW ENGLAND JOURNAL OF MEDICINE (2022)

Article Multidisciplinary Sciences

Household transmission of SARS-CoV-2 Omicron variant of concern subvariants BA.1 and BA.2 in Denmark

Frederik Plesner Lyngse et al.

Summary: This study investigates the transmission dynamics of SARS-CoV-2 Omicron subvariants BA.1 and BA.2 within households using nationwide Danish data. The results show that BA.2 is more transmissible than BA.1 and has increased susceptibility of infection for unvaccinated individuals. However, BA.2 does not increase the infectiousness of breakthrough infections from vaccinated individuals.

NATURE COMMUNICATIONS (2022)

Article Medicine, General & Internal

Estimated Effectiveness of COVID-19 Vaccines Against Omicron or Delta Symptomatic Infection and Severe Outcomes

Sarah A. Buchan et al.

Summary: A study conducted in Ontario, Canada, found that the incidence of SARS-CoV-2 infection, including among individuals who have received 2 doses of COVID-19 vaccine, increased significantly following the emergence of the Omicron variant. The study estimated the effectiveness of 2 or 3 doses of COVID-19 vaccine against symptomatic infections and severe outcomes associated with Omicron and Delta variants. The results showed that the estimated effectiveness decreased for symptomatic Delta infection after the second dose, but increased to 97% after the third dose. For symptomatic Omicron infection, the estimated effectiveness was relatively low, but increased to 61% after the third dose. The estimated effectiveness against severe outcomes was high after the third dose for both variants.

JAMA NETWORK OPEN (2022)

Article Immunology

Epidemiology of Infections with SARS-CoV-2 Omicron BA.2 Variant, Hong Kong, January-March 2022

Yonatan M. Mefsin et al.

Summary: Data analysis from multiple epidemics in Hong Kong demonstrated that the SARS-CoV-2 Omicron variant has a shorter serial interval and generation time compared to earlier strains. The age-specific case-fatality risk for Omicron BA.2.2 case-patients without complete primary vaccination was similar to that of individuals infected with ancestral strains in earlier waves.

EMERGING INFECTIOUS DISEASES (2022)

Article Health Care Sciences & Services

Effectiveness of a third dose of BNT162b2 mRNA COVID-19 vaccine in a large US health system: A retrospective cohort study

Sara Y. Tartof et al.

Summary: This study evaluated the effectiveness of a third dose of the BNT162b2 vaccine in a large US health system. The results showed that after receiving only two doses, the protection against infection declined over time but remained high against hospitalization. The three-dose vaccine showed better effectiveness, providing comparable or better protection against SARS-CoV-2 infections and hospital admissions compared to two doses.

LANCET REGIONAL HEALTH-AMERICAS (2022)

Article Medicine, General & Internal

Severe hospital events following symptomatic infection with Sars-CoV-2 Omicron and Delta variants in France, December 2021-January 2022: A retrospective, population-based, matched cohort study

Vincent Auvigne et al.

Summary: This study confirms the lower severity of Omicron compared to Delta. However, the difference in disease severity is less marked in the elderly.

ECLINICALMEDICINE (2022)

Article Medicine, Research & Experimental

Clinical and Translational Report Monitoring of the SARS-CoV-2 Omicron BA.1/BA.2 lineage transition in the Swedish population reveals increased viral RNA levels in BA.2 cases

Antonio Lentini et al.

Summary: This study tracks the transition of the Omicron variant from BA.1 to BA.2 sublineage in the Swedish population, revealing a rapid shift in early 2022. The findings show that cases infected with Omicron BA.2 have almost twice the level of viral RNA compared to BA.1. These data provide unique insights into the increased transmissibility of the BA.2 variant within the context of the Omicron strain.
Letter Medicine, General & Internal

COVID-19 Cases and Disease Severity in Pregnancy and Neonatal Positivity AssociatedWith Delta (B.1.617.2) and Omicron (B.1.1.529) Variant Predominance

Emily H. Adhikari et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2022)

Article Immunology

Recall of preexisting cross-reactive B cell memory after Omicron BA.1 breakthrough infection

Chengzi Kaku et al.

Summary: This study analyzed the antibody response after Omicron/BA.1 infection in mRNA-vaccinated donors. The findings highlighted strong immune responses and recognition of SARS-CoV-2 variant strains, emphasizing the early role of vaccine-induced memory B cells.

SCIENCE IMMUNOLOGY (2022)

Article Microbiology

Comprehensive mapping of mutations in the SARS-CoV-2 receptor-binding domain that affect recognition by polyclonal human plasma antibodies

Allison J. Greaney et al.

Summary: The evolution of SARS-CoV-2 may impact the recognition of the virus by human antibody-mediated immunity, with mutations affecting antibody binding varying significantly among individuals and within the same individual over time. Despite this variability, mutations that greatly reduce antibody binding usually occur at specific sites in the RBD, with E484 being the most crucial. These findings can inform surveillance efforts for SARS-CoV-2 evolution in the future.

CELL HOST & MICROBE (2021)

Article Multidisciplinary Sciences

Recurrent deletions in the SARS-CoV-2 spike glycoprotein drive antibody escape

Kevin R. McCarthy et al.

Summary: The translation above discusses zoonotic pandemics caused by animal viruses spilling over into highly susceptible human populations, specifically focusing on the evolution of coronaviruses in human hosts and the impact of recurrent deletions in the spike glycoprotein on antibody epitopes. These studies help understand the antigenic evolution and adaptive evolution of SARS-CoV-2.

SCIENCE (2021)

Article Virology

Contribution of single mutations to selected SARS-CoV-2 emerging variants spike antigenicity

Shang Yu Gong et al.

Summary: Towards the end of 2020, various variants of concern and interest emerged from the original SARS-CoV-2 strain, with a focus on mutations in the Spike protein and their impact on transmissibility, pathogenesis, and vaccine efficacy. Single mutations were found to have differential contributions to the global variants phenotype related to ACE2 interaction and antigenicity, with enhanced ACE2 interaction mainly being modulated by a decrease in off-rate. Additionally, it was observed that the Spike proteins from emerging variants bind better to ACE2 at 37 degrees C compared to the D614G variant.

VIROLOGY (2021)

Article Microbiology

SARS-CoV-2 spike L452R variant evades cellular immunity and increases infectivity

Chihiro Motozono et al.

Summary: Research has shown that certain mutations in SARS-CoV-2 variants can escape HLA-restricted cellular immunity, increase affinity for host cells, promote viral replication, and potentially affect the evolution of viral phenotypes.

CELL HOST & MICROBE (2021)

Review Pharmacology & Pharmacy

Intranasal vaccines for SARS-CoV-2: From challenges to potential in COVID-19 management

Vivek P. Chavda et al.

Summary: Intranasal vaccines have advantages in targeting SARS-CoV-2 infection, eliciting immune responses, and avoiding infections, while also convenient for self-administration and storage at ambient temperatures.

DRUG DISCOVERY TODAY (2021)

Article Cell Biology

Recurrent emergence of SARS-CoV-2 spike deletion H69/V70 and its role in the Alpha variant B.1.1.7

Bo Meng et al.

Summary: The Delta H69N70 mutation in SARS-CoV-2 spike protein increases infectivity and partially rescues immune escape mutations that impair infectivity. Continued surveillance and research on deletions with functional effects are necessary.

CELL REPORTS (2021)

Article Microbiology

SARS-CoV-2 variant prediction and antiviral drug design are enabled by RBD in vitro evolution

Jiri Zahradnik et al.

Summary: In vitro evolution of the SARS-CoV-2 spike protein receptor-binding domain successfully generated a high-affinity variant effective in inhibiting virus infection. Mutations present in more transmissible viruses were preferentially selected, and increased affinity to ACE2 was positively correlated with the incidence of RBD mutations in the population. The study also identified mutations with potential higher infectivity, and the high-affinity RBD variant showed efficacy in inhibiting infection in vitro and reducing clinical disease in a hamster model of SARS-CoV-2 challenge.

NATURE MICROBIOLOGY (2021)

Review Immunology

Viral targets for vaccines against COVID-19

Lianpan Dai et al.

Summary: The urgent need for vaccines to control the COVID-19 pandemic has led to the rapid development of multiple vaccine candidates, with some showing positive results in late-stage clinical trials. This article discusses the viral elements used in these candidates, the reasons why they are good targets for the immune system, and their implications for protective immunity. Dai and Gao highlight the importance of selecting the right viral targets in vaccine development to ensure an effective immune response and the overall safety and efficacy of the vaccine.

NATURE REVIEWS IMMUNOLOGY (2021)

Article Biochemistry & Molecular Biology

A Multibasic Cleavage Site in the Spike Protein of SARS-CoV-2 Is Essential for Infection of Human Lung Cells

Markus Hoffmann et al.

MOLECULAR CELL (2020)

Review Pharmacology & Pharmacy

Coronavirus membrane fusion mechanism offers a potential target for antiviral development

Tiffany Tang et al.

ANTIVIRAL RESEARCH (2020)