“…Hence, the S protein mutations of BA.4/5 are: T19I, Del24-26, A27S, Del69-70, G142D, V213G, G339D, S371F, S373P, S375F, T376A, D405N, R408S, K417N, N440K, S477N, T478K, E484A, Q498R, N501Y, Y505H, D614G, H655Y, N679K, P681H, N764K, D796Y, Q954H, N969K, L452R and F486V. Among them, G339D, S373P, S375F, N440K, T478K and N501Y mutations can enhance viral binding to ACE2, resulting in enhanced viral infectivity and transmissibility [60][61][62][63]. G339D, K417N, T478K, E484A, N501Y and Y505H may decrease many S protein-directed antibodies, resulting in the enhanced ability of the virus to escape the immune system and the enhanced possibility of vaccine breakthrough infections [10,62,64].…”