Related references
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Summary: The Omicron variant of SARS-CoV-2 is spreading rapidly and shows resistance to most therapeutic antibodies. It also evades neutralization by antibodies induced by infection or vaccination more efficiently than the Delta variant. This suggests that therapeutic antibodies may not be effective against the Omicron variant, and double vaccination with BNT162b2 may not provide adequate protection against severe disease caused by this variant.
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Summary: A study found that the Omicron variant of COVID-19 has a 73% reduced risk of hospitalization compared to the Delta variant. Omicron cases who had received two doses of the vaccine 7-179 days before diagnosis had a lower risk compared to Delta (66% vs 93%), while those who received three doses had a similar risk reduction (86% vs 88%).
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Peter Bager et al.
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Neil Berry et al.
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Maxwell Su et al.
Summary: This study quantified the subgenomic RNA (sgRNA) in 169 clinical samples and found that the relative abundance of sgRNA was similar among known SARS-CoV-2 variants. Therefore, sgRNA detection can identify individuals with active viral replication regardless of the variant.
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Zhikuan Zhang et al.
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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.
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Matthew D. Parker et al.
Summary: Matthew Parker et al. used ARTIC network tiled amplicon PCR and Oxford Nanopore sequencing to detect subgenomic RNA changes in the B.1.1.7 lineage of SARS-CoV-2. They found higher subgenomic RNA levels in B.1.1.7 compared to previous lineages, and discovered a noncanonical subgenomic RNA that may encode ORF9b. The B.1.1.7 lineage is more transmissible, leads to greater clinical severity, and results in modest reductions in antibody neutralization.
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Izumi Kimura et al.
Summary: After the global spread of SARS-CoV-2 Omicron BA.2, several BA.2 subvariants, including BA.2.9.1, BA.2.11, BA.2.12.1, BA.4, and BA.5, emerged in multiple countries. Statistical analysis showed that these BA.2 subvariants have higher effective reproduction numbers than the original BA.2. Neutralization experiments revealed that the immunity induced by BA.1/2 infections is less effective against BA.4/5. Cell culture experiments demonstrated that BA.2.12.1 and BA.4/5 replicate more efficiently in human alveolar epithelial cells than BA.2, with BA.4/5 being more fusogenic. The study also provided the structure of the BA.4/5 spike receptor-binding domain and investigated the substitutions in the BA.4/5 spike that play a role in ACE2 binding and immune evasion. Additionally, experiments using hamsters suggested that BA.4/5 is more pathogenic than BA.2. The multiscale investigations suggest that the risk of BA.2 subvariants, particularly BA.4/5, to global health is greater than that of the original BA.2.
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Anupriya Aggarwal et al.
Summary: The study reveals that all Omicron variants significantly evade neutralizing antibodies from a range of vaccination and/or convalescent responses. The potency of therapeutic monoclonal antibodies is also reduced and varies across Omicron lineages. The key difference of the BA.5 variant from other Omicron sub-variants is the reversion to using the well-known ACE2-TMPRSS2 pathway, which was efficiently utilized by pre-Omicron lineages. Monitoring the impact of these changes on transmission and disease severity is crucial for ongoing tracking and management of Omicron waves globally.
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Yaara Finkel et al.
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Jon Gitz Holler et al.
Summary: The study found that COVID-19 hospitalized patients had high mortality and ICU admission rates. Factors such as high Charlson Comorbidity Index, elevated C-reactive protein, and other laboratory abnormalities were closely associated with mortality risk. Danish males and older patients typically presented with more severe laboratory abnormalities upon admission.
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Jeroen J. A. van Kampen et al.
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Summary: The study revealed that in the post-acute phase of SARS-CoV-2 infection in macaques, pulmonary lesions and activated lymph nodes persisted even after the resolution of infection. Viral RNA was still detectable in various tissues, indicating ongoing virus replication, which could have implications for understanding the long-term consequences of COVID-19 in humans.
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Aine O'Toole et al.
Summary: The global virus genomics community has responded unprecedentedly to the SARS-CoV-2 pandemic, leading to significant advances in 'real-time' generation and sharing of genomic data. The development of new analytical methods, such as pangolin, has been necessary to handle the rapid growth in virus genome data production. Pangolin has processed nearly two million virus genomes, aiding in SARS-CoV-2 genomic epidemiology and providing researchers with valuable information about the pandemic's transmission lineages.
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Michela Deiana et al.
Summary: The study monitored SARS-CoV-2 infection in 1898 health care workers who received full vaccination with BNT162b2, showing a low frequency of infection and suggesting saliva as a surrogate for virus surveillance. The temporal profile of viral load and various viral mutations were observed in 8 infected HCWs, indicating potential monitoring strategies for vaccinated individuals.
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Katherine Immergluck et al.
Summary: Among symptomatic outpatients, subgenomic RNA of SARS-CoV-2 in midturbinate swab specimens showed concordance with antigen detection, suggesting that it could be a useful tool for routine diagnostics to identify active virus replication, even in antigen-negative individuals.
EMERGING INFECTIOUS DISEASES
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Immunology
Catherine A. Hogan et al.
Summary: A method that detects minus-strand RNA as a surrogate for actively replicating SARS-CoV-2 was developed and found in 41 patients up to 30 days after symptom onset. This assay could potentially impact clinical decision-making regarding patient infectiousness.
EMERGING INFECTIOUS DISEASES
(2021)
Review
Microbiology
Philip V'kovski et al.
Summary: This review discusses key aspects of coronavirus biology and their implications for SARS-CoV-2 infections, treatment, and prevention strategies. Understanding virus-host interactions at the molecular level is crucial for developing effective intervention strategies. Summarizing the discoveries of SARS-CoV-2 infection and comparing it with other coronaviruses will support future preparedness and combat strategies.
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