4.7 Review

The Delta and Omicron Variants of SARS-CoV-2: What We Know So Far

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Jennifer A. Belsky et al.

Summary: Severe COVID-19 caused by SARS-CoV-2 has a greater impact on immunocompromised patients such as cancer and solid organ transplant recipients, leading to higher comorbidities and poorer hospital outcomes. However, hematopoietic cell transplant recipients and pediatric cancer patients tend to have clinical presentations and outcomes similar to the general population.

JOURNAL OF INFECTION (2021)

Article Multidisciplinary Sciences

COVID-19-related outcomes in immunocompromised patients: A nationwide study in Korea

Moon Seong Baek et al.

Summary: The study of 6,435 COVID-19 patients revealed that immunocompromised status among patients was significantly associated with an increased risk of mortality, even after adjusting for baseline characteristics.

PLOS ONE (2021)

Article Multidisciplinary Sciences

Drug repurposing for COVID-19 based on an integrative meta-analysis of SARS-CoV-2 induced gene signature in human airway epithelium

Rajaneesh K. Gupta et al.

Summary: Drug repurposing strategy was used to identify potential drugs for COVID-19 treatment by analyzing differentially expressed genes related to SARS-CoV-2 infection. A total of 15 potential novel drug candidates were identified among 283 differentially expressed genes, showing promise for effective intervention against the ongoing pandemic.

PLOS ONE (2021)

News Item Medicine, General & Internal

Covid-19: The E484K mutation and the risks it poses

Jacqui Wise

BMJ-BRITISH MEDICAL JOURNAL (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)

Review Immunology

The Global Epidemic of the SARS-CoV-2 Delta Variant, Key Spike Mutations and Immune Escape

Dandan Tian et al.

Summary: The Delta variant of the SARS-CoV-2 virus, first reported in India in October 2020 and classified as a variant of concern by the WHO in May 2021, is highly transmissible and associated with increased hospitalization, ICU admission, and mortality rates. It has become the dominant strain in many countries globally.

FRONTIERS IN IMMUNOLOGY (2021)

Review Immunology

Implication of SARS-CoV-2 Immune Escape Spike Variants on Secondary and Vaccine Breakthrough Infections

Liyana Ahmad

Summary: This article discusses the pressures leading to the emergence of new SARS-CoV-2 variants and key mutations that promote immune escape mechanisms, highlighting the potential threats to the efficacy of current COVID-19 vaccines. It cautions on the risks of reinfection, vaccine breakthrough infections, and therapeutic values.

FRONTIERS IN IMMUNOLOGY (2021)

Letter Medicine, General & Internal

New SARS-CoV-2 Variants - Clinical, Public Health, and Vaccine Implications

Salim S. Abdool Karim et al.

Summary: The emergence of SARS-CoV-2 variants, including B.1.1.7 (VOC-202012/01), 501Y.V2 (B.1.351), and P.1 (B.1.1.28.1), has raised concerns about worsening Covid-19 and potential escape from vaccine-induced immunity.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

Article Medicine, General & Internal

Vaccine Breakthrough Infections with SARS-CoV-2 Variants

Ezgi Hacisuleyman et al.

Summary: Despite evidence of vaccine efficacy, two fully vaccinated individuals developed mild symptoms of Covid-19 and were infected with variants of SARS-CoV-2. Sequencing of the virus isolates revealed novel mutations, highlighting the potential risk of illness post-vaccination and subsequent infection with variant virus. Efforts to prevent, diagnose, and characterize variants in vaccinated individuals are crucial.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

Article Multidisciplinary Sciences

SARS-CoV-2 gene content and COVID-19 mutation impact by comparing 44 Sarbecovirus genomes

Irwin Jungreis et al.

Summary: Despite the clinical importance, the SARS-CoV-2 gene set remains unresolved, hindering dissection of COVID-19 biology. By comparing 44 Sarbecovirus genomes, a high-confidence protein-coding gene set is provided, characterizing protein-level and nucleotide-level evolutionary constraints, and prioritizing functional mutations from the ongoing COVID-19 pandemic.

NATURE COMMUNICATIONS (2021)

Article Cell Biology

SARS-CoV-2 genomic surveillance identifies naturally occurring truncation of ORF7a that limits immune suppression

Artem Nemudryi et al.

Summary: Over 950,000 whole-genome sequences of SARS-CoV-2 have been determined globally, providing crucial insights into the virus's transmission and evolution. Mutations in ORF7a have been found to affect the virus's ability to suppress the immune response, highlighting the importance of understanding viral mechanisms in combating COVID-19.

CELL REPORTS (2021)

Article Genetics & Heredity

Rapid detection of inter-clade recombination in SARS-CoV-2 with Bolotie

Ales Varabyou et al.

Summary: A novel method identified potential recombinant SARS-CoV-2 genomes, aiding in the rapid analysis of novel isolates.

GENETICS (2021)

Article Infectious Diseases

Comparison of saliva with healthcare workers- and patient-collected swabs in the diagnosis of COVID-19 in a large cohort

Mitnala Sasikala et al.

Summary: The study demonstrates that saliva has high sensitivity for detecting COVID-19, especially in symptomatic patients in the early stages of onset. Saliva collection method is easy and safe, offering potential as a screening tool at the community level in the future.

BMC INFECTIOUS DISEASES (2021)

Article Biochemistry & Molecular Biology

Reduced neutralization of SARS-CoV-2 B.1.617 by vaccine and convalescent serum

Chang Liu et al.

Summary: Recent study examined the neutralizing ability of monoclonal antibodies, convalescent and vaccine sera against the Indian variants B.1.617.1 and B.1.617.2, showing that the neutralization of these variants is reduced compared to the ancestral strains, without widespread antibody escape as seen in other variants like B.1.351.
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)

Review Immunology

Impact of the Delta variant on vaccine efficacy and response strategies

Lianlian Bian et al.

Summary: The Delta variant has caused a new wave of COVID-19 epidemic, requiring a higher proportion of the population to be vaccinated to reduce disease burden. Existing vaccines have shown decreased protective efficacy against the Delta variant, with a decline in neutralizing antibody titers post-vaccination. Accelerating vaccine coverage and intervention measures like mask-wearing are effective ways to control the spread of the Delta variant.

EXPERT REVIEW OF VACCINES (2021)

Article Infectious Diseases

Monoclonal Antibody Therapy in a Vaccine Breakthrough SARS-CoV-2 Hospitalized Delta (B.1.617.2) Variant Case

Bradley A. Connor et al.

Summary: Two cases of Delta variant vaccine breakthrough infections were reported, involving a father and son living separately. The 63-year-old father required hospitalization for severe symptoms, but his condition improved within 24 hours after receiving monoclonal antibody therapy despite having high levels of anti-spike IgG in his serum.

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES (2021)

Letter Medicine, General & Internal

Age-Dependent Neutralization of SARS-CoV-2 and P.1 Variant by Vaccine Immune Serum Samples

Timothy A. Bates et al.

Summary: This study investigates the correlation between age and neutralizing antibody levels against the SARS-CoV-2 USA-WA1/2020 strain and the P.1 variant after receiving 2 doses of the BNT162b2 vaccine.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2021)

Letter Public, Environmental & Occupational Health

Neutralization of Delta variant with sera of Covishield™ vaccinees and COVID-19-recovered vaccinated individuals

Gajanan N. Sapkal et al.

JOURNAL OF TRAVEL MEDICINE (2021)

Article Virology

Serum Neutralizing Activity of mRNA-1273 against SARS-CoV-2 Variants

Angela Choi et al.

Summary: The study demonstrates that vaccination with the mRNA-1273 COVID-19 vaccine produces neutralizing antibodies against various emerging variants, including variants of concern and interest. While neutralization of some variants may be reduced compared to the wild-type virus, the protective effect is still present, informing vaccination strategies against COVID-19.

JOURNAL OF VIROLOGY (2021)

Letter Medicine, General & Internal

AZD1222-induced neutralising antibody activity against SARS-CoV-2 Delta VOC

Emma C. Wall et al.

LANCET (2021)

Article Multidisciplinary Sciences

Reduced sensitivity of SARS-CoV-2 variant Delta to antibody neutralization

Delphine Planas et al.

Summary: The SARS-CoV-2 B.1.617 Delta variant, first identified in India in 2020, has become dominant in some regions and is spreading to many countries. This variant shows resistance to certain monoclonal antibodies and antibodies in convalescent sera, as well as reduced neutralization by some COVID-19 vaccines. Administration of two doses of the vaccine is needed for a neutralizing response against the Delta variant.

NATURE (2021)

Article Biochemistry & Molecular Biology

Safety and immunogenicity of SARS-CoV-2 variant mRNA vaccine boosters in healthy adults: an interim analysis

Angela Choi et al.

Summary: The study demonstrates that both the mRNA-1273 COVID-19 vaccine and its variant-modified booster doses are safe and effective in improving neutralizing antibody titers against various virus variants.

NATURE MEDICINE (2021)

Review Microbiology

SARS-CoV-2 variants, spike mutations and immune escape

William T. Harvey et al.

Summary: The evolution of SARS-CoV-2 has been characterized by the emergence of mutations and variants that impact virus characteristics. Manufacturers are preparing for possible updates to vaccines in response to changes in the virus population, and it is crucial to monitor genetic and antigenic changes alongside experiments to understand the impacts of mutations.

NATURE REVIEWS MICROBIOLOGY (2021)

Letter Medicine, General & Internal

Durable Humoral and Cellular Immune Responses 8 Months after Ad26.COV2.S Vaccination

Dan H. Barouch et al.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

Article Medicine, General & Internal

Subcutaneous REGEN-COV Antibody Combination to Prevent Covid-19

M. P. O'Brien et al.

Summary: The study indicates that subcutaneous REGEN-COV can effectively prevent severe Covid-19 and reduce the duration of symptoms in individuals at high risk for infection due to household exposure to confirmed SARS-CoV-2 cases.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

Editorial Material Medicine, General & Internal

SARS-CoV-2 Variants in Patients with Immunosuppression

Lawrence Corey et al.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

News Item Multidisciplinary Sciences

Delta variant triggers new phase in the pandemic

Kai Kupferschmidt et al.

SCIENCE (2021)

Review Virology

Keep out! SARS-CoV-2 entry inhibitors: their role and utility as COVID-19 therapeutics

Lennox Chitsike et al.

Summary: The COVID-19 pandemic has severely impacted healthcare infrastructures and social and economic lives, requiring effective solutions to end the pandemic and mitigate its effects on mortality and society. In addition to vaccines, therapeutics are still needed to address challenges posed by new variants and vaccine hesitancy.

VIROLOGY JOURNAL (2021)

Article Microbiology

Mutations in SARS-CoV-2 ORF8 Altered the Bonding Network With Interferon Regulatory Factor 3 to Evade Host Immune System

Farooq Rashid et al.

Summary: This study investigated the impact of mutations in the ORF8 gene of SARS-CoV-2 on its binding with IRF3 and evasion of the host immune system. The findings suggest that these mutations may alter the virus's binding affinity with IRF3, aiding in immune evasion.

FRONTIERS IN MICROBIOLOGY (2021)

Article Immunology

Crucial Mutations of Spike Protein on SARS-CoV-2 Evolved to Variant Strains Escaping Neutralization of Convalescent Plasmas and RBD-Specific Monoclonal Antibodies

Chengchao Ding et al.

Summary: Research has found that certain key mutations in the spike protein of SARS-CoV-2 may lead to the virus evading neutralization by convalescent plasmas and monoclonal antibodies.

FRONTIERS IN IMMUNOLOGY (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)

Editorial Material Immunology

A Veterinary Vaccine for SARS-CoV-2: The First COVID-19 Vaccine for Animals

Vivek P. Chavda et al.

VACCINES (2021)

Review Immunology

Effect of SARS-CoV-2 Mutations on the Efficacy of Antibody Therapy and Response to Vaccines

Ahmed Yaqinuddin et al.

Summary: COVID-19 vaccines and monoclonal antibody therapies have been widely used for prevention and treatment of the disease, but the emergence of viral variants has impacted the effectiveness of these therapies. Despite challenges posed by viral variants, through continuous improvement and research, strategies are being explored to address these variants.

VACCINES (2021)

Article Medicine, Research & Experimental

SARS-CoV-2 Omicron variant: Characteristics and prevention

Xuemei He et al.

Summary: The new SARS-CoV-2 variant B.1.1.529 named Omicron, reported in South Africa, has raised global concerns after being designated as a variant of concern by the WHO. With a high number of mutations, including 15 in the spike receptor-binding domain, the Omicron variant shares similarities with previous VOCs, sparking worries about its transmissibility and immune evasion.

MEDCOMM (2021)

Article Medicine, General & Internal

Analysis of the Delta Variant B.1.617.2 COVID-19

Shayan Shiehzadegan et al.

Summary: The Delta variant, known as B.1.617.2, is 60% more transmissible than the alpha variant and has become the dominant strain globally. Vaccine companies like AstraZeneca, Pfizer/BioNTech, and Moderna have reported slightly reduced efficacy in protecting against this variant.

CLINICS AND PRACTICE (2021)

Article Medicine, Research & Experimental

The challenges of COVID-19 Delta variant: Prevention and vaccine development

Xuemei He et al.

Summary: The text discusses the emergence of the Delta variant of SARS-CoV-2, highlighting its rapid spread and impact on vaccine effectiveness. It emphasizes the importance of understanding the characteristics and effects of this variant for effective prevention and control measures against COVID-19.

MEDCOMM (2021)

Article Immunology

Emerging variants of concern in SARS-CoV-2 membrane protein: a highly conserved target with potential pathological and therapeutic implications

Lishuang Shen et al.

Summary: Mutations in the SARS-CoV-2 Membrane (M) gene, particularly the recently identified M:I82T mutation, have seen a significant increase in frequency. This new sub-B.1 clade, B.1.I82T, suggests potential implications for viral replication and should be closely monitored for further evaluation.

EMERGING MICROBES & INFECTIONS (2021)

Article Cell Biology

Complete map of SARS-CoV-2 RBD mutations that escape the monoclonal antibody LY-CoV555 and its cocktail with LY-CoV016

Tyler N. Starr et al.

Summary: The study mapped mutations to the SARS-CoV-2 spike receptor-binding domain that escape binding by certain monoclonal antibodies. These mutations are concentrated in specific lineages of SARS-CoV-2. The authors suggest diversifying the epitopes targeted by antibodies and antibody cocktails to make them more resilient to SARS-CoV-2 antigenic evolution.

CELL REPORTS MEDICINE (2021)

Article Multidisciplinary Sciences

The molecular assessment of SARS-CoV-2 Nucleocapsid Phosphoprotein variants among Indian isolates

Gajendra Kumar Azad

Summary: COVID-19, caused by SARS-CoV-2, is rapidly spreading with high mutation rates, as shown by the twenty mutations found among Indian isolates. Some of these mutations impact the secondary structure of the N protein.

HELIYON (2021)

Article Multidisciplinary Sciences

COVID-19-related outcomes in immunocompromised patients: A nationwide study in Korea

Moon Seong Baek et al.

Summary: Immunocompromised status among COVID-19 patients is significantly associated with a higher risk of mortality, showing a higher in-hospital mortality rate.

PLOS ONE (2021)

Editorial Material Cell Biology

Virus against virus: a potential treatment for 2019-nCov (SARS-CoV-2) and other RNA viruses

Tuan M. Nguyen et al.

CELL RESEARCH (2020)

Review Medicine, General & Internal

The outbreak of COVID-19: An overview

Yi-Chi Wu et al.

JOURNAL OF THE CHINESE MEDICAL ASSOCIATION (2020)

Article Medicine, General & Internal

Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China

Chaolin Huang et al.

LANCET (2020)

Review Immunology

Overview of Immune Response During SARS-CoV-2 Infection: Lessons From the Past

Vibhuti Kumar Shah et al.

FRONTIERS IN IMMUNOLOGY (2020)

Article Multidisciplinary Sciences

Structure-based design of prefusion-stabilized SARS-CoV-2 spikes

Ching-Lin Hsieh et al.

SCIENCE (2020)

Article Multidisciplinary Sciences

SARS-CoV-2 spike-protein D614G mutation increases virion spike density and infectivity

Lizhou Zhang et al.

NATURE COMMUNICATIONS (2020)

Article Public, Environmental & Occupational Health

Genome-Wide Identification and Characterization of Point Mutations in the SARS-CoV-2 Genome

Jun-Sub Kim et al.

OSONG PUBLIC HEALTH AND RESEARCH PERSPECTIVES (2020)

Review Medicine, General & Internal

Coronaviruses and SARS-COV-2

Mustafa Hasoksuz et al.

TURKISH JOURNAL OF MEDICAL SCIENCES (2020)