Journal of Global Health,
Год журнала:
2025,
Номер
15
Опубликована: Фев. 7, 2025
Abstract
Background
Our
previous
systematic
review
estimated
the
cumulative
incidence
of
SARS-CoV-2
reinfections
as
1.16%
(95%
CI
=
1.01–1.33%)
during
pre-Omicron
period.
The
Omicron
variant
that
emerged
in
November
2021
was
significantly
genetically
distinct
from
variants
and
thus,
more
transmissible
posed
an
increased
risk
population.
We,
therefore,
conducted
a
fresh
meta-analysis
to
estimate
reinfection
burden
Methods
We
searched
CINAHL,
Medline,
Global
Health,
Embase,
WHO
COVID-19
October
2023
for
studies
reporting
quality
included
assessed
using
Joanna
Briggs
Institute
checklists.
Random
effects
meta-analyses
were
incidence,
requirement
hospitalisation
reinfections.
Symptomatic
severity
case
fatality
rates
analysed
narratively.
Results
Thirty-six
included.
period
3.35%
1.95–5.72%)
based
on
data
28
studies.
higher
18–59-year-old
adults
(6.62%
3.22–13.12%))
compared
other
age
groups
health
care
workers
(9.88%
5.18–18.03%))
general
population
(2.48%
1.34–4.54%)).
about
1.81%
0.18–15.87%)
reinfected
cases
required
limited
highly
variable
data.
Conclusions
There
generally
less
severe
However,
disease
long-term
outcomes.
Registration
PROSPERO:
CRD42023482598.
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.
Signal Transduction and Targeted Therapy,
Год журнала:
2025,
Номер
10(1)
Опубликована: Янв. 27, 2025
Abstract
The
newly
emerged
variants
of
severe
acute
respiratory
syndrome
coronavirus-2
(SARS-CoV-2)
demonstrate
resistance
to
present
therapeutic
antibodies
as
well
the
capability
evade
vaccination-elicited
antibodies.
JN.1
sublineages
were
demonstrated
one
most
immune-evasive
variants,
showing
higher
neutralization
compared
XBB.1.5.
In
this
study,
serum
samples
collected
from
adult
participants
including
those
who
had
gone
through
BA.5/BF.7,
EG.5/HK.3
and
XBB/JN.1
infection
waves,
characterized
by
different
vaccination
histories.
We
evaluated
in
these
against
pseudoviruses
Omicron
lineages.
further
investigated
humoral
immune
response
recombinant
XBB
vaccines
estimated
sublineages,
KP.2
KP.3.
Our
results
showed
that
sera
previous
circulating
subvariant
breakthrough
infections
exhibited
low
GMTs
50%
all
tested
significantly
elevated
individuals
received
WSK-V102C
or
WSK-V102D
boosters.
Importantly,
4
months
after
a
booster
XBB.1.5,
JN.1,
JN.1.13,
KP.3
3479,
1684,
1397,
1247
1298,
with
9.86-,
9.79-,
8.73-,
8.66-
8.16-fold
increase
without
booster,
respectively,
indicating
boosting
XBB.1.5
subunit
still
induced
strong
antibody
responses
sublineages.
However,
KP.3,
revealed
more
than
2-fold
decreases
neutralizing
titers
suggesting
enhanced
evasion
necessity
boosters
based
on
Signal Transduction and Targeted Therapy,
Год журнала:
2023,
Номер
8(1)
Опубликована: Дек. 21, 2023
The
spread
of
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
has
resulted
in
significant
casualties
and
put
immense
strain
on
public
health
systems
worldwide,
leading
to
economic
recession
social
unrest.
In
response,
various
prevention
control
strategies
have
been
implemented
globally,
including
vaccine
drug
development
the
promotion
preventive
measures.
Implementing
these
effectively
curbed
transmission
virus,
reduced
infection
rates,
gradually
restored
normal
activities.
However,
mutations
SARS-CoV-2
led
inevitable
infections
reinfections,
number
deaths
continues
rise.
Therefore,
there
is
still
a
need
improve
existing
strategies,
mainly
focusing
developing
novel
vaccines
drugs,
expediting
medical
authorization
processes,
keeping
epidemic
surveillance.
These
measures
are
crucial
combat
Coronavirus
disease
(COVID-19)
pandemic
achieve
sustained,
long-term
prevention,
management,
control.
Here,
we
summarized
characteristics
COVID-19
drugs
suggested
potential
future
directions
for
their
development.
Furthermore,
discussed
COVID-19-related
policies
over
past
years
presented
some
future.
Journal of Infection,
Год журнала:
2024,
Номер
88(3), С. 106121 - 106121
Опубликована: Фев. 16, 2024
The
COVID-19
pandemic,
caused
by
the
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2),
has
substantially
damaged
global
economy
and
human
health.
spike
(S)
protein
of
coronaviruses
plays
a
pivotal
role
in
viral
entry
binding
to
host
cell
receptors.
Additionally,
it
acts
as
primary
target
for
neutralizing
antibodies
those
infected
is
central
focus
currently
utilized
or
researched
vaccines.
During
virus's
adaptation
host,
S
SARS-CoV-2
undergone
significant
evolution.
As
pandemic
unfolded,
new
mutations
have
arisen
vanished,
giving
rise
distinctive
amino
acid
profiles
within
variant
concern
strains
SARS-CoV-2.
Notably,
many
these
changes
been
positively
selected,
leading
substantial
alterations
characteristics,
such
heightened
transmissibility
immune
evasion
capabilities.
This
review
aims
provide
an
overview
our
current
understanding
structural
implications
associated
with
key
These
research
findings
shed
light
on
intricate
dynamic
nature
evolution,
underscoring
importance
continuous
monitoring
analysis
genomes.
Through
molecular-level
investigations,
we
can
attain
deeper
insights
into
adaptive
offering
valuable
guidance
designing
vaccines
developing
antiviral
drugs
combat
ever-evolving
threats.
Nature Communications,
Год журнала:
2024,
Номер
15(1)
Опубликована: Фев. 20, 2024
Abstract
Ever-evolving
SARS-CoV-2
variants
of
concern
(VOCs)
have
diminished
the
effectiveness
therapeutic
antibodies
and
vaccines.
Developing
a
coronavirus
vaccine
that
offers
greater
breadth
protection
against
current
future
VOCs
would
eliminate
need
to
reformulate
COVID-19
Here,
we
rationally
engineer
sequence-conserved
S2
subunit
spike
protein
characterize
resulting
S2-only
antigens.
Structural
studies
demonstrate
introduction
interprotomer
disulfide
bonds
can
lock
in
prefusion
trimers,
although
apex
samples
continuum
conformations
between
open
closed
states.
Immunization
with
prefusion-stabilized
constructs
elicits
broadly
neutralizing
responses
several
sarbecoviruses
protects
female
BALB/c
mice
from
mouse-adapted
lethal
challenge
partially
SARS-CoV
challenge.
These
engineering
immunogenicity
results
should
inform
development
next-generation
pan-coronavirus
therapeutics
Abstract
SARS-CoV-2,
the
cause
of
COVID-19
pandemic,
has
introduced
a
challenging
era
characterized
by
persistent
emergence
subvariants.
Even
after
World
Health
Organization
announced
end
virus
continues
to
evolve,
posing
significant
challenges
public
health
responses.
This
comprehensive
review
examines
multifaceted
impacts
these
subvariants,
emphasizing
their
significance
across
diverse
dimensions.
SARS-CoV-2
genetic
variability,
especially
at
spike
protein
region,
which
given
rise
Variants
Concern,
including
Beta,
Delta,
Gamma,
Alpha,
and
highly
mutable
Omicron,
differently
exhibit
varying
levels
immune
evasion,
disease
severity,
transmissibility.
Subvariants
within
Omicron
lineage,
BA.1,
BA.2,
BA.3,
others,
further
complicate
landscape
with
distinct
signatures
infectivity
levels.
The
extend
diagnostic
techniques,
treatment
strategies,
vaccine
effectiveness,
underscoring
need
for
response
preventive
measures,
genomic
surveillance,
vaccination
campaigns.
Sustaining
interventions
is
critical,
necessitating
long-term
strategies
considering
socio-political
factors,
community
involvement,
continuous
adaptation
healthcare
approaches,
robust
monitoring,
sustainable
effectively
combat
virus's
ever-changing
landscape.
The Lancet Infectious Diseases,
Год журнала:
2024,
Номер
24(6), С. 581 - 593
Опубликована: Март 6, 2024
SARS-CoV-2
variants
evade
immunity
despite
vaccination
with
prototype
COVID-19
vaccines
or
previous
infection.
The
2019nCoV-311
(part
2)
study
is
evaluating
immune
responses
after
two
booster
doses
of
a
vaccine
containing
the
omicron
BA.5
subvariant
spike
protein
in
adults
previously
vaccinated
mRNA
vaccine.
This
interim
analysis
reports
on
day
28
immunogenicity
and
safety
outcomes
one
dose.
Vaccines,
Год журнала:
2023,
Номер
11(9), С. 1502 - 1502
Опубликована: Сен. 19, 2023
The
COVID-19
pandemic
has
been
met
with
an
unprecedented
response
from
the
scientific
community,
leading
to
development,
investigation,
and
authorization
of
vaccines
antivirals,
ultimately
reducing
impact
SARS-CoV-2
on
global
public
health.
However,
is
far
being
eradicated,
continues
evolve,
causes
substantial
health
economic
burdens.
In
this
narrative
review,
we
posit
essential
points
its
responsible
management
during
transition
acute
phase
pandemic.
As
discussed,
despite
Omicron
(sub)variant(s)
causing
clinically
milder
infections,
a
negligible
pathogen.
It
requires
continued
genomic
surveillance,
particularly
if
one
considers
that
future
(sub)lineages
do
not
necessarily
have
be
milder.
Antivirals
remain
elements
in
management.
former
could
benefit
further
development
improvements
dosing,
while
seasonal
administration
latter
simplification
increase
interest
tackle
vaccine
hesitancy.
also
ensure
accessibility
pharmaceuticals
low-income
countries
improve
understanding
their
use
context
long-term
goals
Regardless
location,
primary
role
awareness
education
must
played
by
healthcare
workers,
who
directly
communicate
patients
serve
as
models
for
healthy
behaviors.
Journal of Clinical Medicine,
Год журнала:
2023,
Номер
12(17), С. 5572 - 5572
Опубликована: Авг. 26, 2023
This
study
aimed
to
compare
the
clinical
picture
of
COVID-19
in
initial
and
later
period
Omicron
dominance
identify
populations
still
at
risk.
A
retrospective
comparison
data
965
patients
hospitalized
during
early
Omicron's
(EO,
January-June
2022)
with
897
from
a
(LO,
July
2022-April
2023)
SARSTer
database
was
performed.
Patients
LO,
compared
EO,
were
older,
had
better
condition
on
admission,
lower
need
for
oxygen
mechanical
ventilation,
less
frequent
lung
involvement
imaging,
showed
much
faster
improvement.
Moreover,
overall
mortality
EO
14%,
higher
than
that
LO-9%.
Despite
milder
course
disease,
exceeding
15%
similar
both
groups
among
involvement.
The
accumulation
risk
factors
such
as
an
age
60+,
comorbidities,
involvement,
saturation
<90%
resulted
constant
98%
patients,
8%
30%
rate
LO
period.
Multiple
logistic
regression
revealed
odds
death
phase.
infections
caused
by
currently
dominant
subvariants,
prophylaxis
is
necessary
people
over
60
years
age,
especially
those
case
pneumonia
respiratory
failure.
EBioMedicine,
Год журнала:
2023,
Номер
93, С. 104677 - 104677
Опубликована: Июнь 21, 2023
Like
its
predecessors
in
the
XBB
family,
XBB.1.5
is
highly
immune
evasive
from
therapeutic
monoclonal
antibodies
and
neutralizing
generated
by
vaccination
and/or
infection.
However,
there
a
lack
of
vivo
data
on
animal
models
such
as
Syrian
hamsters.Syrian
hamsters
(females)
were
used
to
examine
airborne
transmission
along
with
virus
replication
naïve
animals
human
ACE2
pre-existing
immunity
previous
infection
Omicron
BA.1.
Assays
performed
determine
antibody
responses,
titers
determined
standard
plaque
assays.Unlike
earlier
subvariants,
BA.1
BA.2,
transmitted
more
efficiently
hamster
model.
In
addition,
partially
escaped
BA.1-immunity
replicating
nasal
turbinate
tissues
lesser
extend
lung
previously
infected
hamsters.Our
showing
better
transmissibility
subvariant
than
predecessor,
will
allow
researchers
further
investigate
amino
acid
substitutions
that
give
fitness
advantage
over
BA.2
transmission,
may
be
important
studies
SARS-CoV-2
humans.This
research
supported
grants
Center
for
Research
Influenza
Pathogenesis
Transmission
(CRIPT;
75N93021C00014),
funded
National
Institute
Allergy
Infectious
Diseases
Program
Emerging
Reemerging
(JP21fk0108552
JP21fk0108615),
Project
Promoting
Support
Drug
Discovery
(JP21nf0101632),
Japan
Infrastructure
(JP22wm0125002),
The
University
Tokyo
Pandemic
Preparedness,
Infection
Advanced
(UTOPIA)
grant
(JP223fa627001)
Agency
Medical
Development.