Tuberculosis Prevention and Control Key Laboratory/Beijing Key Laboratory of New Techniques of Tuberculosis Diagnosis and Treatment, Senior Department of Tuberculosis, The 8th Medical Center of PLA General Hospital, Beijing 100091, China.
Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Int Rev Immunol. 2023;42(6):393-414. doi: 10.1080/08830185.2022.2079642. Epub 2022 May 28.
The ongoing COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a global threat. Despite strict control measures implemented worldwide and immunization using novel vaccines, the pandemic continues to rage due to emergence of several variants of SARS-CoV-2 with increased transmission and immune escape. The rapid spread of variants of concern (VOC) in the recent past has created a massive challenge for the control of COVID-19 pandemic via the currently used vaccines. Vaccines that are safe and effective against the current and future variants of SARS-CoV-2 are essential in controlling the COVID-19 pandemic. Rapid production and massive rollout of next-generation vaccines against the variants are key steps to control the COVID-19 pandemic and to help us return to normality. Coordinated surveillance of SARS-CoV-2, rapid redesign of new vaccines and extensive vaccination are needed to counter the current SARS-CoV-2 variants and prevent the emergence of new variants. In this article, we review the latest information on the VOCs and variants of interest (VOIs) and present the information on the clinical trials that are underway on evaluating the effectiveness of COVID-19 vaccines on VOCs. We also discuss the current challenges posed by the VOCs in controlling the COVID-19 pandemic and future strategies to overcome the threat posed by the highly virulent and rapidly transmissible variants of SARS-CoV2.
由严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)引起的持续的 COVID-19 大流行已成为全球威胁。尽管全球实施了严格的控制措施并使用新型疫苗进行免疫,但由于 SARS-CoV-2 的几个变体的出现,其传播性和免疫逃避能力增强,大流行仍在肆虐。最近,几种令人关注的变异株(VOC)的快速传播给通过目前使用的疫苗控制 COVID-19 大流行带来了巨大挑战。安全有效的针对当前和未来 SARS-CoV-2 变体的疫苗对于控制 COVID-19 大流行至关重要。快速生产和大规模推出针对变体的新一代疫苗是控制 COVID-19 大流行并帮助我们恢复正常的关键步骤。需要协调监测 SARS-CoV-2,快速重新设计新疫苗并广泛接种疫苗,以应对当前的 SARS-CoV-2 变体并防止新变体的出现。在本文中,我们回顾了关于 VOC 和关注变体(VOI)的最新信息,并介绍了正在进行的评估 COVID-19 疫苗对 VOC 有效性的临床试验的信息。我们还讨论了 VOC 在控制 COVID-19 大流行方面带来的当前挑战,以及克服 SARS-CoV2 高毒性和快速传播变体带来的威胁的未来策略。