Variants of SARS-CoV-2: Influences on the Vaccines' Effectiveness and Possible Strategies to Overcome Their Consequences

被引:11
作者
Rabaan, Ali A. [1 ,2 ,3 ]
Al-Ahmed, Shamsah H. [4 ]
Albayat, Hawra [5 ]
Alwarthan, Sara [6 ]
Alhajri, Mashael [6 ]
Najim, Mustafa A. [7 ]
AlShehail, Bashayer. M. [8 ]
Al-Adsani, Wasl [9 ,10 ]
Alghadeer, Ali [11 ]
Abduljabbar, Wesam A. [12 ]
Alotaibi, Nouf [13 ]
Alsalman, Jameela [14 ]
Gorab, Ali H. [15 ]
Almaghrabi, Reem S. [16 ]
Zaidan, Ali A. [17 ]
Aldossary, Sahar [18 ]
Alissa, Mohammed [19 ]
Alburaiky, Lamees M. [20 ]
Alsalim, Fatimah Mustafa [21 ]
Thakur, Nanamika [22 ]
Verma, Geetika [23 ]
Dhawan, Manish [24 ,25 ]
机构
[1] Johns Hopkins Aramco Healthcare, Mol Diagnost Lab, Dhahran 31311, Saudi Arabia
[2] Alfaisal Univ, Coll Med, Riyadh 11533, Saudi Arabia
[3] Univ Haripur, Dept Publ Hlth & Nutr, Haripur 22610, Pakistan
[4] Qatif Cent Hosp, Specialty Paediat Med, Qatif 32654, Saudi Arabia
[5] King Saud Med City, Infect Dis Dept, Riyadh 7790, Saudi Arabia
[6] Imam Abdulrahman Bin Faisal Univ, Dept Internal Med, Coll Med, Dammam 34212, Saudi Arabia
[7] Taibah Univ, Dept Med Labs Technol, Coll Appl Med Sci, Madinah 41411, Saudi Arabia
[8] Imam Abdulrahman Bin Faisal Univ, Pharm Practice Dept, Coll Clin Pharm, Dammam 31441, Saudi Arabia
[9] Infect Dis Hosp, Dept Med, Kuwait 63537, Kuwait
[10] Hampton Vet Adm Med Ctr, Dept Infect Dis, Hampton, VA 23667 USA
[11] Dammam Med Complex, Dept Anesthesia, Dammam 32245, Saudi Arabia
[12] Fakeeh Coll Med Sci, Dept Med Lab Sci, Jeddah 21134, Saudi Arabia
[13] Umm Al Qura Univ, Coll Pharm, Clin Pharm Dept, Mecca 21955, Saudi Arabia
[14] Minist Hlth, Dept Internal Med, Infect Dis Unit, Salmaniya Med Complex, Manama 435, Bahrain
[15] Al Khobar Hlth Network, Al Kuzama Primary Hlth Care Ctr, Eastern Hlth Cluster, Al Khoba 34446, Saudi Arabia
[16] King Faisal Specialist Hosp & Res Ctr, Organ Transplant Ctr Excellence, Riyadh 11211, Saudi Arabia
[17] King Fahad Armed Forces Hosp, Dept Gastroenterol, Jeddah 23831, Saudi Arabia
[18] Johns Hopkins Aramco Healthcare, Women & Childrens Hlth Inst, Pediat Infect Dis, Dhahran 31311, Saudi Arabia
[19] Prince Sattam bin Abdulaziz Univ, Dept Med Lab Sci, Coll Appl Med Sci, Al Kharj 11942, Saudi Arabia
[20] Safwa Gen Hosp, Pediat Dept, Eastern Hlth Cluster, Safwa 31921, Saudi Arabia
[21] Qatif Hlth Cluster, Dept Family Med, Primary Hlth Care, Qatif 32434, Saudi Arabia
[22] Chandigarh Univ, Univ Inst Biotechnol, Dept Biotechnol, Mohali 140413, India
[23] Post Grad Inst Med Educ & Res PGIMER, Dept Expt Med & Biotechnol, Chandigarh 160012, India
[24] Punjab Agr Univ, Dept Microbiol, Ludhiana 141004, Punjab, India
[25] Trafford Coll, Altrincham WA14 5PQ, England
来源
MEDICINA-LITHUANIA | 2023年 / 59卷 / 03期
关键词
SARS-CoV-2; COVID-19; breakthrough infections; neutralizing antibodies (NAbs); Omicron; vaccines; variants; RECEPTOR-BINDING DOMAIN; POTENT NEUTRALIZING ANTIBODIES; FELINE INFECTIOUS PERITONITIS; SARS-COV; STRUCTURAL DEFINITION; PROTECTIVE IMMUNITY; VIRUS-INFECTION; MERS; COVID-19; CORONAVIRUSES;
D O I
10.3390/medicina59030507
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The immune response elicited by the current COVID-19 vaccinations declines with time, especially among the immunocompromised population. Furthermore, the emergence of novel SARS-CoV-2 variants, particularly the Omicron variant, has raised serious concerns about the efficacy of currently available vaccines in protecting the most vulnerable people. Several studies have reported that vaccinated people get breakthrough infections amid COVID-19 cases. So far, five variants of concern (VOCs) have been reported, resulting in successive waves of infection. These variants have shown a variable amount of resistance towards the neutralising antibodies (nAbs) elicited either through natural infection or the vaccination. The spike (S) protein, membrane (M) protein, and envelope (E) protein on the viral surface envelope and the N-nucleocapsid protein in the core of the ribonucleoprotein are the major structural vaccine target proteins against COVID-19. Among these targets, S Protein has been extensively exploited to generate effective vaccines against COVID-19. Hence, amid the emergence of novel variants of SARS-CoV-2, we have discussed their impact on currently available vaccines. We have also discussed the potential roles of S Protein in the development of novel vaccination approaches to contain the negative consequences of the variants' emergence and acquisition of mutations in the S Protein of SARS-CoV-2. Moreover, the implications of SARS-CoV-2's structural proteins were also discussed in terms of their variable potential to elicit an effective amount of immune response.
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页数:24
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