2023
DOI: 10.4103/ijmr.ijmr_2591_22
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Overview of immunological & virological factors driving the evolution & global spread of SARS-CoV-2 variants

Ranjan Ramasamy

Abstract: The SARS-CoV-2, a highly infectious positive strand RNA virus first identified in December 2019, has produced multiple genetic variants that have rapidly and sequentially spread worldwide during the coronavirus disease 2019 (COVID-19) pandemic. Genetic changes in SARS-CoV-2 for greater infectivity, replication and transmission were selected during the early stages of the pandemic. More recently, after widespread infection and vaccination, SARS-CoV-2 variants that evade antigen-specific adaptive immunity, have … Show more

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Cited by 2 publications
(2 citation statements)
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“…Many vaccinated persons have experienced breakthrough infections from SARS-CoV-2 variants carrying multiple mutations in S that have been selected to evade neutralization with vaccine-elicited antibodies [16,18]. However, S-based booster mRNA vaccines incorporating S from the recently widespread SARS-CoV-2 variants have yielded better protection in Nordic countries [44], suggesting that this approach is also relevant for inducing URT immunity.…”
Section: After Intramuscular Vaccination Of Infection-naïve Personsmentioning
confidence: 99%
See 1 more Smart Citation
“…Many vaccinated persons have experienced breakthrough infections from SARS-CoV-2 variants carrying multiple mutations in S that have been selected to evade neutralization with vaccine-elicited antibodies [16,18]. However, S-based booster mRNA vaccines incorporating S from the recently widespread SARS-CoV-2 variants have yielded better protection in Nordic countries [44], suggesting that this approach is also relevant for inducing URT immunity.…”
Section: After Intramuscular Vaccination Of Infection-naïve Personsmentioning
confidence: 99%
“…The primary goal of COVID-19 vaccination to date has been to prevent or minimize the development of severe disease and death, which is closely dependent on averting or rapidly eliminating SARS-CoV-2 infections in the URT. Immune responses needed in the URT for achieving this are also pertinent to two other key goals of vaccination, which are to reduce or eliminate transmission of the virus to uninfected persons [7] and maintain adequate immunity against newly evolving and rapidly spreading SARS-CoV-2 variants [7,16]. This article provides a current perspective on the types of vaccines and vaccination procedures that may have the potential to generate the desired immunity to SARS-CoV-2 in the URT.…”
Section: Introductionmentioning
confidence: 99%