medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Jan. 6, 2023
ABSTRACT
Background
SARS-CoV-2
has
evolved
to
produce
new
variants
causing
successive
waves
of
infection.
Currently,
six
are
being
monitored
by
the
World
Health
Organization
that
replacing
BA.5.
These
include
BF.7
(BA.5
+
R346T
in
spike),
BQ.1
(and
BQ.1.1,
with
BA.5
R346T,
K444T,
N460K
mutations
BA.2.75
(including
BA.2.75.2
and
CH.1.1),
XBB
XBB.1.5).
more
immune
evasive
have
spread
quickly
throughout
world.
With
concern
potential
severity
infections
caused
these
variants,
present
study
describes
clinical
characteristics
outcomes
major
Maharashtra.
Material
Methods
A
total
1141
Reverse
Transcriptase-Polymerase
Chain
Reaction
(RT-PCR)
positive
samples,
a
cycle
threshold
value
(Ct)
less
than
25,
were
processed
for
whole
genome
sequencing
between
10th
July
2022
12th
January
2023.
All
corresponding
demographic
data
recorded
analysed
using
Microsoft®
Excel
Epi
Info™.
Results
Out
samples
sequenced,
BA.2.75*
(63.78%)
was
predominant
Omicron
variant,
followed
XBB*
(18.88%),
BA.2.38*
(4.94%),
BA.5*
(4.06%),
BA.2.10*
(3.51%)
BQ.1*
(1.65%).
540
cases
contacted
telephonically,
which
494
(91.48%)
symptomatic
mild
symptoms.
Fever
(77.73%)
most
common
symptom,
cold
(47.98%),
cough
(42.31%),
myalgia
fatigue
(18.83%).
Of
cases,
414
(76.67%)
recovered
at
home,
126
(23.33%)
institutionally
quarantined/hospitalised.
Among
home-isolated
hospitalised
416
(99.76%)
108
(87.80%),
respectively,
treatment,
while
one
(0.24%)
15
(12.20%),
succumbed
disease.
In
all,
491
(90.93%)
vaccinated
least
dose
COVID-19
vaccine,
41
(7.59%)
unvaccinated,
08
(1.48%),
vaccine
not
available.
Conclusion
The
current
indicates
variant
is
disease
India.
However,
as
possess
both
immune-escape
infectivity-enhancing
mutations,
it
other
parts
world
rapidly.
Cell Reports,
Journal Year:
2023,
Volume and Issue:
42(5), P. 112443 - 112443
Published: April 18, 2023
Omicron
subvariants
continuingly
challenge
current
vaccination
strategies.
Here,
we
demonstrate
nearly
complete
escape
of
the
XBB.1.5,
CH.1.1,
and
CA.3.1
variants
from
neutralizing
antibodies
stimulated
by
three
doses
mRNA
vaccine
or
BA.4/5
wave
infection,
but
neutralization
is
rescued
a
BA.5-containing
bivalent
booster.
CH.1.1
show
strong
immune
monoclonal
antibody
S309.
Additionally,
spike
proteins
exhibit
increased
fusogenicity
enhanced
processing
compared
with
BA.2.
Homology
modeling
reveals
key
roles
G252V
F486P
in
resistance
also
enhancing
receptor
binding.
Further,
K444T/M
L452R
likely
drive
class
II
antibodies,
whereas
R346T
G339H
mutations
could
confer
these
two
to
S309-like
antibodies.
Overall,
our
results
support
need
for
administration
continued
surveillance
subvariants.
Nature,
Journal Year:
2023,
Volume and Issue:
621(7979), P. 592 - 601
Published: Aug. 30, 2023
Abstract
Currently
circulating
SARS-CoV-2
variants
have
acquired
convergent
mutations
at
hot
spots
in
the
receptor-binding
domain
1
(RBD)
of
spike
protein.
The
effects
these
on
viral
infection
and
transmission
efficacy
vaccines
therapies
remains
poorly
understood.
Here
we
demonstrate
that
recently
emerged
BQ.1.1
XBB.1.5
bind
host
ACE2
with
high
affinity
promote
membrane
fusion
more
efficiently
than
earlier
Omicron
variants.
Structures
BQ.1.1,
XBB.1
BN.1
RBDs
bound
to
fragment
antigen-binding
region
S309
antibody
(the
parent
for
sotrovimab)
human
explain
preservation
binding
through
conformational
selection,
altered
recognition
immune
evasion.
We
show
sotrovimab
binds
avidly
all
variants,
promotes
Fc-dependent
effector
functions
protects
mice
challenged
hamsters
XBB.1.5.
Vaccine-elicited
plasma
antibodies
cross-react
trigger
against
current
despite
a
reduced
neutralizing
activity,
suggesting
mechanism
protection
disease,
exemplified
by
S309.
Cross-reactive
RBD-directed
memory
B
cells
remained
dominant
even
after
two
exposures
spikes,
underscoring
role
persistent
imprinting.
MedComm,
Journal Year:
2023,
Volume and Issue:
4(2)
Published: March 15, 2023
As
the
fifth
variant
of
concern
SARS-CoV-2
virus,
Omicron
(B.1.1.529)
has
quickly
become
dominant
type
among
previous
circulating
variants
worldwide.
During
wave,
several
subvariants
have
emerged,
with
some
exhibiting
greater
infectivity
and
immune
evasion,
accounting
for
their
fast
spread
across
many
countries.
Recently,
two
subvariants,
BQ.1
XBB
lineages,
including
BQ.1.1,
XBB.1,
XBB.1.5,
a
global
public
health
issue
given
ability
to
escape
from
therapeutic
monoclonal
antibodies
herd
immunity
induced
by
prior
coronavirus
disease
2019
(COVID-19)
vaccines,
boosters,
infection.
In
this
respect,
which
been
established
harbor
rare
mutation
F486P,
demonstrates
superior
transmissibility
compared
other
emerged
as
strain
in
This
review
provides
comprehensive
overview
epidemiological
features,
spike
mutations,
evasion
lineages.
We
expounded
on
mechanisms
underlying
mutations
neutralizing
vaccinated
or
convalescent
COVID-19
individuals
(mAbs)
proposed
strategies
prevention
against
sublineages.
Cell,
Journal Year:
2023,
Volume and Issue:
186(5), P. 906 - 922
Published: Feb. 2, 2023
ACE2
is
the
indispensable
entry
receptor
for
SARS-CoV
and
SARS-CoV-2.
Because
of
COVID-19
pandemic,
it
has
become
one
most
therapeutically
targeted
human
molecules
in
biomedicine.
serves
two
fundamental
physiological
roles:
as
an
enzyme,
alters
peptide
cascade
balance;
a
chaperone,
controls
intestinal
amino
acid
uptake.
ACE2's
tissue
distribution,
affected
by
co-morbidities
sex,
explains
broad
tropism
coronaviruses
clinical
manifestations
SARS
COVID-19.
ACE2-based
therapeutics
provide
universal
strategy
to
prevent
treat
SARS-CoV-2
infections,
applicable
all
variants
other
emerging
zoonotic
exploiting
their
cellular
receptor.
Immune
evasion
by
SARS-CoV-2
paired
with
immune
imprinting
from
monovalent
mRNA
vaccines
has
resulted
in
attenuated
neutralizing
antibody
responses
against
Omicron
subvariants.
In
this
study,
we
characterized
two
new
XBB
variants
rising
circulation
-
EG.5.1
and
XBB.2.3,
for
their
neutralization
syncytia
formation.
We
determined
the
titers
sera
of
individuals
that
received
a
bivalent
vaccine
booster,
BA.4/5-wave
infection,
or
XBB.1.5-wave
infection.
Bivalent
vaccination-induced
antibodies
neutralized
ancestral
D614G
efficiently,
but
to
much
less
extent,
XBB.2.3
variants.
fact,
enhanced
escape
appeared
be
driven
its
key
defining
mutation
XBB.1.5-F456L.
Notably,
infection
BA.4/5
XBB.1.5
afforded
little,
if
any,
EG.5.1,
previous
especially
unvaccinated
individuals,
average
near
limit
detection.
Additionally,
investigated
infectivity,
fusion
activity,
processing
variant
spikes
HEK293T-ACE2
CaLu-3
cells
found
no
significant
differences
compared
earlier
Overall,
our
findings
highlight
continued
subvariants
and,
more
importantly,
need
reformulate
include
better
protection.
Frontiers in Immunology,
Journal Year:
2023,
Volume and Issue:
14
Published: May 23, 2023
The
highly
transmissible
Omicron
(B.1.1.529)
variant
of
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
was
first
detected
in
late
2021.
Initial
waves
were
primarily
made
up
sub-lineages
BA.1
and/or
BA.2,
BA.4,
and
BA.5
subsequently
became
dominant
mid-2022,
several
descendants
these
have
since
emerged.
infections
generally
caused
less
disease
on
average
than
those
by
earlier
variants
concern
healthy
adult
populations,
at
least,
part,
due
to
increased
population
immunity.
Nevertheless,
healthcare
systems
many
countries,
particularly
with
low
immunity,
been
overwhelmed
unprecedented
surges
prevalence
during
waves.
Pediatric
admissions
also
higher
compared
previous
concern.
All
exhibit
partial
escape
from
wild-type
(Wuhan-Hu
1)
spike-based
vaccine-elicited
neutralizing
antibodies,
more
enhanced
immuno-evasive
properties
emerging
over
time.
Evaluating
vaccine
effectiveness
(VE)
against
has
become
challenging
a
complex
background
varying
coverage,
platforms,
prior
infection
rates,
hybrid
Original
messenger
RNA
booster
doses
substantially
improved
VE
or
BA.2
symptomatic
disease.
However,
protection
waned,
reductions
months
after
administration.
While
original
CD8
+
CD4
T-cell
responses
cross-recognize
sub-lineages,
thereby
retaining
outcomes,
variant-adapted
vaccines
are
required
expand
the
breadth
B-cell
improve
durability
protection.
Variant-adapted
rolled
out
2022
increase
overall
antigenically
aligned
immune
mechanisms.