新冠肺炎和突变的威胁水平评估。

IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Nepal Journal of Epidemiology Pub Date : 2021-03-31 eCollection Date: 2021-03-01 DOI:10.3126/nje.v11i1.35659
Jared Robinson, Indrajit Banerjee, Alexandra Leclézio, Brijesh Sathian
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引用次数: 11

摘要

突变被定义为基因组的DNA或RNA序列的改变,从而可能赋予新的表型和/或基因型优势,从而增加病毒或病原体的毒力和存活率。目前,已知的原始严重急性呼吸系统综合征冠状病毒2型有4种主要变种,即英国变种(B.1.1.7)、南非变种(B.1.351)、巴西变种(VOC202101/02(P.1)和VUI202101/01),以及一种类似于在北美发现的南非变种的变种(B.1.526),所有这些变种都具有不同程度的耐药性和传染性。很明显,严重急性呼吸系统综合征冠状病毒2型变异株构成了国际健康风险,E484K和N501Y的突变是两个最相关的突变。E484K是最令人担忧的,因为它有助于免疫逃避,并导致目前疫苗的效力大幅降低。最令人担忧的变种是南非或B.1.351,它含有上述突变。最重要的是,合成靶向疫苗,以确保免疫个体对这些变体具有有效的保护作用。在这些特定的靶向疫苗合成之前,目前的疫苗几乎不能提供长期保护,但确实能提供一定程度的免疫力来阻止严重感染。因此,建议当前的疫苗接种计划应该认真继续下去,因为已经提供了一定程度的保护。
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COVID-19 and mutations a threat level assessment.

A mutation is defined as an alteration in the DNA or RNA sequences of a genome which may consequently confer a new phenotypic and or genotypic advantage both increasing the virulence as well as the survival of a virus or pathogen. At this current point in time there are 4 known major variants of the original SARS-CoV-2 virus, namely the English variant (B.1.1.7), the South African variant (B.1.351), Brazilian variants (VOC202101/02 (P.1) and VUI202101/01) and a variant similar to that of the South African variant found in North America (B.1.526), all of which have varying levels of resistance and infectivity. It is evident that the SARS-CoV-2 variants pose an international health risk, the mutations of E484K and N501Y are the two most implicated mutations. E484K being the most concerning as it aids in immune evasion and drastically causes the efficacy of the current vaccines to be reduced by large margins. The most worrisome variant is the South African or B.1.351 which harbors the above mutations. It is of the upmost importance that targeted vaccines are synthesized to ensure that immunized individuals have effective protection against these variants. Until these specific targeted vaccines are synthesized the current vaccines offer little long-term protection, however do confer a level of immunity to stop severe infections. It is thus advised that current vaccination programs should continue in earnest as a degree of protection is conferred.

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来源期刊
Nepal Journal of Epidemiology
Nepal Journal of Epidemiology PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
自引率
10.30%
发文量
13
期刊介绍: The Nepal Journal of Epidemiology is a international journal that encompasses all aspects of epidemiology. The journal encourages communication among those engaged in the research, teaching, and application of epidemiology of both communicable and non-communicable disease, including research into health services and medical care. Also covered are new methods, epidemiological and statistical, for the analysis of data used by those who practise social and preventive medicine. It provides the most up-to-date, original, well designed, well interpreted and significant information source in the multidisciplinary field of epidemiology. We publish manuscripts based on the following sections: 1.Short communications 2.Current research trends 3.Original research 4.Case reports 5.Review articles 6.Letter to editor
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