陈玉清, 李金明. Omicron变异株病毒学特征: 关键突变、致病性、免疫逃逸[J]. 协和医学杂志, 2023, 14(5): 945-952. DOI: 10.12290/xhyxzz.2023-0139
引用本文: 陈玉清, 李金明. Omicron变异株病毒学特征: 关键突变、致病性、免疫逃逸[J]. 协和医学杂志, 2023, 14(5): 945-952. DOI: 10.12290/xhyxzz.2023-0139
CHEN Yuqing, LI Jinming. Virological Characteristics of the Omicron Variant: Key Mutations, Pathogenicity, and Immune Escape[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 945-952. DOI: 10.12290/xhyxzz.2023-0139
Citation: CHEN Yuqing, LI Jinming. Virological Characteristics of the Omicron Variant: Key Mutations, Pathogenicity, and Immune Escape[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 945-952. DOI: 10.12290/xhyxzz.2023-0139

Omicron变异株病毒学特征: 关键突变、致病性、免疫逃逸

Virological Characteristics of the Omicron Variant: Key Mutations, Pathogenicity, and Immune Escape

  • 摘要: 新型冠状病毒(severe acute respiratory syndrome coronavirus 2, SARS-CoV-2) Omicron变异株首次在博茨瓦纳被检出, 随后造成了全世界范围内的感染人数激增。截至目前, Omicron是需要关注的SARS-CoV-2变异株中突变数量最多的毒株, 已在整个基因组中发生至少50次突变。Omicron基因组发生的突变赋予病毒一定的适应性优势, 如受体结合域与人类血管紧张素转换酶2受体亲和力增强导致病毒传播能力增强; 与先前变异株相比, 病毒复制能力减弱导致在COVID-19患者中引起的症状相对较轻。此外, 该变异株具有较高的环境稳定性, 部分逃脱了来自疫苗接种或先前感染诱导的宿主免疫反应, 且对大多数治疗性抗体具有较高的耐药性。本文对Omicron变异株的关键突变、病毒学特征、致病性和免疫逃逸能力进行总结, 以期为完善疫情防控策略和公共卫生举措提供科学参考。

     

    Abstract: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant was first detected in Botswana and subsequently led to a worldwide surge in infections. Until now, Omicron and its lineages, the most highly mutated strains among variants of concern (VOC), have contained at least 50 mutations in the entire genome. Mutations give the virus certain adaptive advantages, such as the enhanced affinity between receptor binding domain (RBD) and human angiotensin-converting enzyme 2 (ACE2) receptors leading to enhanced transmission of the virus, and the weakened ability of virus replication leading to mild symptoms in patients with COVID-19. In addition, given its high environmental stability, Omicron can partially escape the host immune response induced by vaccination or prior infection, and is highly resistant tomost therapeutic antibodies.In this paper, key mutations, virological characteristics, pathogenicity, and immune escape of the Omicron variant are summarized, in order to provide scientific reference for coping with the new situation of the pandemic, as well as improving pandemic prevention and control strategy and public health measures.

     

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