Leta i den här bloggen

torsdag 21 mars 2024

Viimeaikaisia (2024) PubMed artikkeleita Sars-Cov-2 vallitsevista varianteista ja rokotetehoista; Tilanteen hahmotusta

 HAKU:  JN.1  variant of Sars-Cov-2 

4 articles found by citation matching
 

Virological characteristics of the SARS-CoV-2 JN.1 variant.

Kaku Y, et al. Lancet Infect Dis. 2024. PMID: 38184005 No abstract available.
The SARS-CoV-2 BA.2.86 lineage, first identified in August 2023, is phylogenetically distinct from the current circulating SARS-CoV-2 omicron XBB lineages, including EG.5.1 and HK.3. Compared with XBB and BA.2, BA.2.86 carries more than 30 mutations in the spike protein, indicating a high potential for immune evasion.
BA.2.86 has evolved and its descendant, JN.1 (BA.2.86.1.1), emerged in late 2023. JN.1 harbours Leu455Ser and three mutations in non-spike proteins (appendix pp 17–18). Spike protein mutation Leu455Ser is a hallmark mutation of JN.1: we have recently shown that HK.3 and other flip variants carry Leu455Phe, which contributes to increased transmissibility and immune escape ability compared with the parental EG.5.1 variant.
Here, we investigated the virological properties of JN.1. We estimated the relative effective reproductive number of JN.1 using genomic surveillance data from France, the UK, and Spain, where more than 25 sequences of JN.1 have been reported, using a Bayesian multinomial logistic model (appendix pp 10–15, 17–18). The reproductive number of JN.1 in these three countries was higher than that of BA.2.86.1 and HK.3, one of the XBB lineages with the highest growth advantage at the end of November, 2023 (appendix pp 17–18). These results suggest that JN.1 might soon become the dominant lineage worldwide. Indeed, by the end of November 2023, JN.1 had already overtaken HK.3 in France and Spain (appendix pp 17–18).
The in vitro ACE2 binding assay showed that the dissociation constant value of the JN.1 receptor-binding domain (RBD) was significantly higher than that of the BA.2.86 RBD (appendix pp 17–18), suggesting that Leu455Ser decreases binding affinity to the human ACE2 receptor. In contrast, the pseudovirus assay showed that the infectivity of JN.1 was significantly higher than that of BA.2.86 (appendix pp 17–18). This discrepancy could be due to the difference between monomeric RBD and trimerised whole spike protein (appendix pp 2, 17–18). We then performed a neutralisation assay using rodent sera infected with BA.2.86 or immunised with BA.2.86 spike protein. In both cases, the 50% neutralisation titre (NT50) against JN.1 was similar to that against BA.2.86 (appendix 17–18), suggesting that Leu455Ser does not affect the antigenicity of BA.2.86. On the other hand, the NT50 of breakthrough infection sera with XBB.1.5 and EG.5.1 against JN.1 was significantly lower than that of HK.3 (2·6-fold to 3·1-fold) and BA.2.86 (3·8-fold; appendix pp 17–18). Furthermore, JN.1 shows robust resistance to monovalent XBB.1.5 vaccine sera compared with BA.2.86 (appendix 17–18). Taken together, these results suggest that JN.1 is one of the most immune-evading variants to date. Our results suggest that Leu455Ser contributes to increased immune evasion, which partly explains the increased reproductive number of JN.1.
KJI and KS are supported in part by AMED SCARDA Japan Initiative for World-leading Vaccine Research and Development Centers UTOPIA and by AMED SCARDA Program on R&D of new generation vaccine including new modality application. The G2P-Japan Consortium and KS are supported by AMED Research Program on Emerging and Re-emerging Infectious Diseases and by the JSPS KAKENHI Fund for the Promotion of Joint International Research (International Leading Research). KS received funding from the AMED Research Program on HIV/AIDS, JST CREST, JSPS Core-to-Core Program, The Tokyo Biochemical Research Foundation, and The Mitsubishi Foundation; received consulting fees from Moderna Japan and Takeda Pharmaceutical; and honoraria for lectures from Gilead Sciences, Moderna Japan, and Shionogi & Co. JI received funding from JST PRESTO and JSPS KAKENHI Grant-in-Aid for Early-Career Scientists; and received consulting fees and honoraria for lectures from Takeda Pharmaceutical. KU is a JSPS Research Fellow DC2. YKo is a JSPS Research Fellow DC1. JZ is funded by the International Joint Research Project of the Institute of Medical Science, the University of Tokyo and the project of National Institute of Virology and Bacteriology, Programme EXCELES, that is funded by the European Union, Next Generation EU. The other authors declare no competing interests. We thank CEU Universities and Santander Bank (Ayudas a la movilidad internacional de los investigadores en formación de la CEINDO) and to the Federation of European Biochemical Societies for their financial support to MP-B during the first and second part of his internship period at BIOCEV.
 
 
Evolving immune evasion and transmissibility of SARS-CoV-2: The emergence of JN.1 variant and its global impact. Ou G, et al. Drug Discov Ther. 2024. PMID: 38382991 Abstract (20.3. 2024)
The continuous evolution of SARS-CoV-2 variants constitutes a significant impediment to the public health. The World Health Organization (WHO) has designated the SARS-CoV-2 variant JN.1, which has evolved from its progenitor BA.2.86, as a Variant of Interest (VOI) in light of its enhanced immune evasion and transmissibility. The proliferating dissemination of JN.1 globally accentuates its competitive superiority and the potential to instigate fresh surges of infection, notably among cohorts previously infected by antecedent variants. Notably, prevailing evidence does not corroborate an increase in pathogenicity associated with JN.1, and antiviral agents retain their antiviral activity against both BA.2.86 and JN.1. The sustained effectiveness of antiviral agents offers a beacon of hope. Nonetheless, the variant's adeptness at eluding the immunoprotective effects conferred by extant vaccines highlights the imperative for the development of more effective vaccines and therapeutic approaches. Overall, the distinct evolutionary trajectories of BA.2.86 and JN.1 underscore the necessity for ongoing surveillance and scholarly inquiry to elucidate their implications for the pandemic's evolution, which requires the international communities to foster collaboration through the sharing of data, exchange of insights, and collective scientific endeavors.
 
As COVID-19 Cases Surge, Here's What to Know About JN.1, the Latest SARS-CoV-2 "Variant of Interest".  Rubin R. JAMA. 2024. PMID: 38214935

Parents often bask in the glow of their children’s accomplishments, so if SARS-CoV-2 variants were like people, BA.2.86 would be busting its buttons right about now. BA.2.86’s spawn, JN.1, has become the dominant SARS-CoV-2 variant in the US, status its parent variant never achieved. Fortunately, although COVID-19 cases have surged, hospitalizations and deaths from the disease are still considerably lower than they were the same time a year earlier. When BA.2.86 joined the SARS-CoV-2 Omicron family last summer, it grabbed pandemic trackers’ attention because it was so different from its progenitor, BA.2. Compared with BA.2, BA.2.86’s spike protein carries more than 30 mutations, suggesting that it might spread more easily than its predecessors


Ongoing evolution of SARS-CoV-2 drives escape from mRNA vaccine-induced humoral immunity.
Roederer AL, Cao Y, St Denis K, Sheehan ML, Li CJ, Lam EC, Gregory DJ, Poznansky MC, Iafrate AJ, Canaday DH, Gravenstein S, Garcia-Beltran WF, Balazs AB. medRxiv [Preprint]. 2024 Mar 7:2024.03.05.24303815. doi: 10.1101/2024.03.05.24303815. PMID: 38496628 Free PMC article. Preprint.Since the COVID-19 pandemic began in 2020, viral sequencing has documented 131 individual mutations in the viral spike protein across 48 named variants. To determine the ability of vaccine-mediated humoral immunity to keep pace with continued SARS-CoV-2 evolution, we assessed the neutralization potency of sera from 76 vaccine recipients collected after 2 to 6 immunizations against a comprehensive panel of mutations observed during the pandemic. Remarkably, while many individual mutations that emerged between 2020 and 2022 exhibit escape from sera following primary vaccination, few escape boosted sera. However, progressive loss of neutralization was observed across newer variants, irrespective of vaccine doses. Importantly, an updated XBB.1.5 booster significantly increased titers against newer variants but not JN.1. These findings demonstrate that seasonal boosters improve titers against contemporaneous strains, but novel variants continue to evade updated mRNA vaccines, demonstrating the need for novel approaches to adequately control SARS-CoV-2 transmission.
Distinct evolution of SARS-CoV-2 Omicron XBB and BA.2.86/JN.1 lineages combining increased fitness and antibody evasion.
Planas D, Staropoli I, Michel V, Lemoine F, Donati F, Prot M, Porrot F, Guivel-Benhassine F, Jeyarajah B, Brisebarre A, Dehan O, Avon L, Bolland WH, Hubert M, Buchrieser J, Vanhoucke T, Rosenbaum P, Veyer D, Péré H, Lina B, Trouillet-Assant S, Hocqueloux L, Prazuck T, Simon-Loriere E, Schwartz O. Nat Commun. 2024 Mar 13;15(1):2254. doi: 10.1038/s41467-024-46490-7. PMID: 38480689 Free PMC article. The unceasing circulation of SARS-CoV-2 leads to the continuous emergence of novel viral sublineages. Here, we isolate and characterize XBB.1, XBB.1.5, XBB.1.9.1, XBB.1.16.1, EG.5.1.1, EG.5.1.3, XBF, BA.2.86.1 and JN.1 variants, representing >80% of circulating variants in January 2024. The XBB subvariants carry few but recurrent mutations in the spike, whereas BA.2.86.1 and JN.1 harbor >30 additional changes. These variants replicate in IGROV-1 but no longer in Vero E6 and are not markedly fusogenic. They potently infect nasal epithelial cells, with EG.5.1.3 exhibiting the highest fitness. Antivirals remain active. Neutralizing antibody (NAb) responses from vaccinees and BA.1/BA.2-infected individuals are markedly lower compared to BA.1, without major differences between variants. An XBB breakthrough infection enhances NAb responses against both XBB and BA.2.86 variants. JN.1 displays lower affinity to ACE2 and higher immune evasion properties compared to BA.2.86.1. Thus, while distinct, the evolutionary trajectory of these variants combines increased fitness and antibody evasion.
Key mechanistic features of the trade-off between antibody escape and host cell binding in the SARS-CoV-2 Omicron variant spike proteins.
Li W, Xu Z, Niu T, Xie Y, Zhao Z, Li D, He Q, Sun W, Shi K, Guo W, Chang Z, Liu K, Fan Z, Qi J, Gao GF. EMBO J. 2024 Mar 11. doi: 10.1038/s44318-024-00062-z. Online ahead of print. PMID: 38467833
 Since SARS-CoV-2 Omicron variant emerged, it is constantly evolving into multiple sub-variants, including BF.7, BQ.1, BQ.1.1, XBB, XBB.1.5 and the recently emerged BA.2.86 and JN.1. Receptor binding and immune evasion are recognized as two major drivers for evolution of the receptor binding domain (RBD) of the SARS-CoV-2 spike (S) protein. However, the underlying mechanism of interplay between two factors remains incompletely understood. Herein, we determined the structures of human ACE2 complexed with BF.7, BQ.1, BQ.1.1, XBB and XBB.1.5 RBDs. Based on the ACE2/RBD structures of these sub-variants and a comparison with the known complex structures, we found that R346T substitution in the RBD enhanced ACE2 binding upon an interaction with the residue R493, but not Q493, via a mechanism involving long-range conformation changes. Furthermore, we found that R493Q and F486V exert a balanced impact, through which immune evasion capability was somewhat compromised to achieve an optimal receptor binding. We propose a "two-steps-forward and one-step-backward" model to describe such a compromise between receptor binding affinity and immune evasion during RBD evolution of Omicron sub-variants.
Neutralization of SARS-CoV-2 Omicron subvariant BA.2.87.1.
Lasrado N, Rössler A, Rowe M, Collier AY, Barouch DH. Vaccine. 2024 Mar 7:S0264-410X(24)00292-5. doi: 10.1016/j.vaccine.2024.03.007. Online ahead of print. PMID: 38458874 Free article.
A new highly mutated Omicron subvariant BA.2.87.1 has recently been identified with over 30 amino acid mutations in the Spike protein compared with BA.2, BA.5, XBB.1.5, and JN.1 variants. Multiple mutations in BA.2.87.1 are located in the N-terminal domain (NTD) rather than in the receptor binding domain (RBD) of the Spike protein. We evaluated neutralizing antibody (NAb) responses to BA.2.87.1 because of its highly mutated sequence and its unique NTD region. Our data show that NAb responses to BA.2.87.1 were lower than to BA.2 but higher than to JN.1, suggesting that BA.2.87.1 is not a further antibody escape variant compared with other currently circulating variants. Moreover, XBB.1.5 mRNA boosting increased NAb titers to all variants tested including BA.2.87.1. 
 
Effectiveness of Omicron XBB.1.5 vaccine against infection with SARS-CoV-2 Omicron XBB and JN.1 variants, prospective cohort study, the Netherlands, October 2023 to January 2024.
Huiberts AJ et al. 2024 Mar;29(10). doi: 10.2807/1560-7917.ES.2024.29.10.2400109. PMID: 38456217 Free article. We estimated vaccine effectiveness (VE) of SARS-CoV-2 Omicron XBB.1.5 vaccination against self-reported infection between 9 October 2023 and 9 January 2024 in 23,895 XBB.1.5 vaccine-eligible adults who had previously received at least one booster. ...Sequenci … 
 
Next-generation treatments: Immunotherapy and advanced therapies for COVID-19.
Arevalo-Romero JA et al.  2024 Feb 19;10(5):e26423. doi: 10.1016/j.heliyon.2024.e26423. eCollection 2024 Mar 15. PMID: 38434363 Free PMC article. Review.
The emergence of new SARS-CoV-2 lineages, shaped by mutation and recombination processes, has led to successive waves of infections. ...Moreover, the detrimental consequences of the novel emergence of SARS-CoV-2 lineages bear a particular …
XBB.1.5 monovalent mRNA vaccine booster elicits robust neutralizing antibodies against XBB subvariants and JN.1.
Wang Q, Guo Y, Bowen A, Mellis IA, Valdez R, Gherasim C, Gordon A, Liu L, Ho DD. Cell Host Microbe. 2024 Mar 13;32(3):315-321.e3. doi: 10.1016/j.chom.2024.01.014. Epub 2024 Feb 19. PMID: 38377995 Free article. COVID-19 vaccines have recently been updated to specifically encode or contain the spike protein of the SARS-CoV-2 XBB.1.5 subvariant, but their immunogenicity in humans has yet to be fully evaluated and reported, particularly against emergent viruses that are rapidly expanding. We now report that administration of an updated monovalent mRNA vaccine booster (XBB.1.5 MV) to previously uninfected individuals boosted serum virus-neutralizing antibodies significantly against not only XBB.1.5 (27.0-fold increase) and EG.5.1 (27.6-fold increase) but also key emerging viruses such as HV.1, HK.3, JD.1.1, and JN.1 (13.3- to 27.4-fold increase). Individuals previously infected by an Omicron subvariant had the highest overall serum neutralizing titers (ID50 1,504-22,978) against all viral variants tested. While immunological imprinting was still evident with the updated vaccines, it was not nearly as severe as observed with the previously authorized bivalent BA.5 vaccine. Our findings strongly support the official recommendation to widely apply the updated COVID-19 vaccines. 
 
 
XBB.1.5 monovalent booster improves antibody binding and neutralization against emerging SARS-CoV-2 Omicron variants. Jain S, Kumar S et al. . bioRxiv [Preprint]. 2024 Feb 5:2024.02.03.578771. doi: 10.1101/2024.02.03.578771. PMID: 38370837 Free PMC article. Preprint.The rapid emergence of divergent SARS-CoV-2 variants has led to an update of the COVID-19 booster vaccine to a monovalent version containing the XBB.1.5 spike. To determine the neutralization breadth following booster immunization, we collected blood samples from 24 individuals pre- and post-XBB.1.5 mRNA booster vaccination (∼1 month). The XBB.1.5 booster improved both neutralizing activity against the ancestral SARS-CoV-2 strain (WA1) and the circulating Omicron variants, including EG.5.1, HK.3, HV.1, XBB.1.5 and JN.1. Relative to the pre-boost titers, the XBB.1.5 monovalent booster induced greater total IgG and IgG subclass binding, particular IgG4, to the XBB.1.5 spike as compared to the WA1 spike. We evaluated antigen-specific memory B cells (MBCs) using either spike or receptor binding domain (RBD) probes and found that the monovalent booster largely increases non-RBD cross-reactive MBCs. These data suggest that the XBB.1.5 monovalent booster induces cross-reactive antibodies that neutralize XBB.1.5 and related Omicron variants.

tisdag 19 mars 2024

WHO 15.3. 2023 -vuosi sitten (update) - ja nykyiset VOI -variantit 9.2. 2024

 https://www.who.int/activities/tracking-SARS-CoV-2-variants     2023  

+

2024  Currently circulating variants of interest (VOIs) (as of 9 February 2024)

 Emergency: Diseases outbreak News 

https://www.who.int/emergencies/disease-outbreak-news

Huom: Covid-19 uutiset eivät ole enää mitenkään tässä WHO:n kriitisten  seurantojen  listassa päällimmäistä asiaa.

 



Silmäys Sars--Cov-2 viruksen evoluutioon: Eräs harvinainen 3prim UTR-päädyssä kahdeksan hyvin konservoidun nukleotidin mutaatio

Katselin  ensin Suomen THL  raporttia  koronavirustapahtumien  runsaudesta.  Tällä viikolla on ilmoitettu 23  sairastumistapausta ja joulukuun jälkeen  sairastumismäärät ovat laskeneet nelinumeroisesta  luvusta kaksinumeroisiin lukuihin per viikko. 

Siten katsoin mitä Github tietuissa on uutta. Silmää pisti uusi mutaatio, jota ei ole  missään sars-Cov-2  variantissa vielä ennen  n-itä viime aikoja esiintyyt.  Mutaatio on kahdeksan nukleotidin ituinen (ONM) ja sijaitsee  translatoimattomassa  3prim päädyssä ( 3`-UTR). Sekvenssejäkin on ilmaantunut  yli  tuhat jo.

JN.1.4 + A29799G (Octanucleotide mutation) (1192 seq, Mar 15) #2522

https://github.com/cov-lineages/pango-designation/issues/2522

Tämä asia (Issue) on  asetettu neljä päivää siten GITHUB sivun avointen käsittelyjen listaan  . Tiedemies joka  raportin antaa on  nimimerkiltä" Ryhisner".  Otan sitaatin tekstistä, alkuosasta. Tekstiin liittyy tarkka selvitys UTR- jaksoista ja mutaatiokohdasta kuvana!  Ne näkee linkistä, ei  sitaattia niistä voi  saadakaan.

  • Description

Sub-lineage of: JN.1.4
Earliest sequence: 2023-10-23, Germany, Bavaria — EPI_ISL_18526215
Most recent sequence: 2024-3-4, USA, California — EPI_ISL_18975471
Continents circulating: Asia (643), Europe (300), North America (245), Oceania (3), Africa (1)
Countries circulating: South Korea (610), USA (242), UK (97), Germany (69), Denmark (66)
Number of Sequences: 1192
GISAID Nucleotide Query: C774T, A29799G, C897A
CovSpectrum Query: Nextcladepangolineage:JN.1.4* & A29799G
Substitutions on top of JN.1.4:
Nucleotide: A29799G (in Octanucleotide Motif—ONM)

This branch of JN.1.4 is easily the largest lineage ever with an ONM mutation. The second-largest lineage with an ONM mutation was a ~660-sequence BA.4.6 branch with A29799T, mainly found in the US from July-September 2022.

The ONM is nucleotides 29794-29801 and has a sequence of GGAAGAGC. Its function is unknown, but given that it is absolutely conserved in all coronaviruses, it is clearly doing something important. Below are three different depictions of the ONM from these studies:

( Jos joku  haluaa nähdä kuvana enemmän tekstiä   sarbecoviruksien ja  UTR- alueen kaavasta, tässä on hyvä linkki:  Se on jaksoa, jota muuntelemalla virus pystyy hankkimaan   sille soveltuvia uusia funktioita. Tiedemiehet   uumoilevat  jo edessäpäin oelvan  Sars-Cov-3 aikoja, oten   tiedettä ja tietämystä  asiasta pitää olla valmiina.

 https://healthcare-in-europe.com/en/news/researchers-prepare-for-sars-cov3.html)

Asian kliininen merkitys on vielä  epäselvä, mutta lisää immunoevaasiota tämä tuottanee, jos virus  osoittaa olevansa  ajallisesti elinkykyistä laatua. Kohtalaisen  laajalla alueella ja runsaasti sitä esiintyy. 

 

torsdag 29 februari 2024

ECDC: VOI ja VUM Sars-Cov-2 varianteista taulukot 16.2. 2024

 https://www.ecdc.europa.eu/en/covid-19/variants-concern

SARS-CoV-2 variants of concern as of 16 February 2024

 

Variant classification serves as an important communication tool for alerting EU/EEA countries about the emergence of SARS-CoV-2 variants with concerning properties likely to impact the epidemiological situation in the EU/EEA.

ECDC utilises three categories of variant classification to communicate increasing levels of concern about a new or emerging SARS-CoV-2 variant: variant under monitoring (VUM), variant of interest (VOI) and variant of concern (VOC). Classification criteria and recommended Member state actions are available here:

ECDC variant classification criteria and recommended Member State actions

New evidence is regularly assessed on variants detected through epidemic intelligence, genomic horizon scanning, or other scientific sources. If a decision is made to add, remove, or change the category for any variant, the tables are updated to reflect this change. The tables are regularly sent for consultation to ECDC and WHO Regional Office for Europe’s joint virus characterisation working group.

Variant surveillance data, including the distribution of VOC and VOI variant proportions in the EU/EEA, is presented as part of the European Respiratory Virus Surveillance Summary (ERVISS)(link is external).

Useful links

To review a timeline of variant classification decisions, visit our change log.

Following classification of a VOC or VOI, multiple closely related sub-lineages may emerge. To facilitate reporting of variant detections by countries to TESSy, a table listing sub-lineages assigned to VOCs and VOIs as of 2 February 2024 is available here

An additional table that includes sub-lineages assigned to VUMs as of 2 February 2024 is available here.

Description of the tables

The tables include:

Category: variant of concern (VOC), variant of interest (VOI), or variant under monitoring (VUM).

  1. WHO label: As of 31st May 2021, WHO proposed labels for global SARS-CoV-2 variants of concern and variants of interest(link is external) to be used alongside the scientific nomenclature in communications about variants to the public. This list includes variants on WHO’s global list of VOC and VOI, and is updated as WHO’s list changes.
  2. Lineage and additional mutations: the variant designation specified by one or more Pango lineages and any additional characteristic spike protein changes. An alternate description may be used if the variant is not easy to describe using this nomenclature. For updated information on Pango lineages and definition of lineages and for instructions on how to suggest new lineages, visit the Pango lineages website(link is external). Each lineage in then table is linked to the respective lineage page on the Pango lineages website.
  3. Country first detected: only present if there is moderate confidence in the evidence relating to the first country of detection.
  4. Spike mutations of interest: not all spike protein amino acid changes are included – this is not a full reference for assignment of the variants. It includes changes to spike protein residues 319-541 (receptor binding domain) and 613-705 (the S1 part of the S1/S2 junction and a small stretch on the S2 side), and any additional unusual changes specific to the variant.
  5. Year and month first detected: as reported in the GISAID EpiCoV database. This can be adjusted backwards in time if new retrospective detections are made.
  6. Evidence concerning properties in three different categories:
    • Transmissibility
    • Immunity
    • Infection severity
      Each category is annotated as increased, reduced, similar, unclear, or no evidence depending on the currently available evidence. Increased or reduced means that there is evidence demonstrating that the property is different enough for the variant compared to previously circulating variants that it is likely to have an impact on the epidemiological situation in the EU/EEA. Similar means that there is evidence that demonstrates that the property is not different enough for this variant compared to previously circulating variants that it is unlikely to have an impact. Unclear means that the current evidence is preliminary or contradictory enough to make the assessment uncertain. No evidence means that no evidence has yet been evaluated for this category. The evidence is further annotated with v or m to indicate whether the evidence is available for the variant itself (v) or for mutations associated with the variant (m).
  7. Transmission in the EU/EEA: categorised as dominant, community, outbreak(s), and sporadic/travel. The categories are qualitative, and the assessment is based on surveillance data collected in TESSy, GISAID EpiCoV data, epidemic intelligence data, and direct communications with the affected countries.

 

Variants of Concern (VOC)

As of 3 March 2023, ECDC has de-escalated BA.2, BA.4 and BA.5 from its list of SARS-CoV-2 variants of concern (VOC), as these parental lineages are no longer circulating. ECDC will continue to categorise and report on specific SARS-CoV-2 sub-lineages in circulation that are relevant to the epidemiological situation.

There are currently no SARS-CoV-2 variants meeting the VOC criteria.

Variants of Interest (VOI)

WHO labelLineage + additional mutationsCountry first detected (community)Spike mutations of interestYear and month first detectedImpact on transmissibilityImpact on immunityImpact on severityTransmission in EU/EEA
OmicronXBB.1.5-like (a)United StatesN460K, S486P, F490Sn/aSimilar to Baseline (1, 2)Reduced (v) (1, 3)Similar to Baseline (4)Community
Omicron

XBB.1.5-like + F456L (b)

(e.g. EG.5, FL.1.5.1, XBB.1.16.6, and FE.1)

n/aF456L, N460K, S486P, F490Sn/aBaselineBaseline (5)BaselineCommunity
OmicronBA.2.86n/aI332V, D339H, R403K, V445H, G446S, N450D, L452W, N481K, 483del, E484K, F486Pn/aUnclear (6)Unclear (6-8)No evidenceDominant

a: Monitoring an umbrella of SARS-CoV-2 lineages that have similar Spike protein profiles and characterised by a specific set of mutations (S:Q183E, S:F486P and S:F490S). For the full list of lineages, please look at the table here.

b: Monitoring an umbrella of SARS-CoV-2 lineages that have similar Spike protein profiles and characterised by a specific set of mutations (S:F456L, S:Q183E, S:F486P and S:F490S). For the full list of lineages, please look at the table here.

All sub-lineages of the listed lineages are also included in the variant

 

Variants under monitoring

WHO labelLineage + additional mutationsCountry first detected (community)Spike mutations of interestYear and month first detectedImpact on transmissibilityImpact on immunityImpact on severityTransmission in EU/EEA
OmicronXBB.1.5(link is external)-like + L455F + F456Ln/aL455F, F456L, N460K, S486P, F490Sn/aNo evidenceNo evidenceNo evidenceDetected
OmicronBA.2.87.1South AfricaG75D,S98F,V126A,W152L,R190S,K417T,K444N,V445G,L452M,N481K,V642G,K679R,S691P,T791I,Y796H,D936G (b)2023 SeptemberNo evidenceNo evidenceNo evidenceNot Detected

 

n/a: not applicable

b: Preliminary mutations based on a limited number of genomes

 

De-escalated variants

These additional variants of SARS-CoV-2 have been de-escalated based on at least one the following criteria: (1) the variant is no longer circulating, (2) the variant has been circulating for a long time without any impact on the overall epidemiological situation, (3) scientific evid....

 

 

torsdag 22 februari 2024

sars-Cov-2 ja Ki67 proteiini

 

Observational Study
. 2024 Jan 23:14:1303971.
doi: 10.3389/fimmu.2023.1303971. eCollection 2023.

Persistent CD8+ T cell proliferation and activation in COVID-19 adult survivors with post-acute sequelae: a longitudinal, observational cohort study of persistent symptoms and T cell markers

Affiliations
Free PMC article
Abstract

Introduction: Post-acute sequelae of COVID-19 affects the quality of life of many COVID-19 survivors, yet the etiology of post-acute sequelae of COVID-19 remains unknown. We aimed to determine if persistent inflammation and ongoing T-cell activation during convalescence were a contributing factor to the pathogenesis of post-acute sequelae of COVID-19.

Methods: We evaluated 67 individuals diagnosed with COVID-19 by nasopharyngeal polymerase chain reaction for persistent symptoms during convalescence at separate time points occurring up to 180 days post-diagnosis. Fifty-two of these individuals were evaluated longitudinally. We obtained whole blood samples at each study visit, isolated peripheral blood mononuclear cells, and stained for multiple T cell activation markers for flow cytometry analysis. The activation states of participants' CD4+ and CD8+ T-cells were next analyzed for each of the persistent symptoms.

Results: Overall, we found that participants with persistent symptoms had significantly higher levels of inflammation at multiple time points during convalescence when compared to those who fully recovered from COVID-19. Participants with persistent dyspnea, forgetfulness, confusion, and chest pain had significantly higher levels of proliferating effector T-cells (CD8+Ki67+), and those with chest pain, joint pain, difficulty concentrating, and forgetfulness had higher levels of regulatory T-cells (CD4+CD25+). Additionally, those with dyspnea had significantly higher levels of CD8+CD38+, CD8+ Granzyme B+, and CD8+IL10+ cells. A retrospective comparison of acute phase inflammatory markers in adults with and without post-acute sequelae of COVID-19 showed that CD8+Ki67+ cells were significantly higher at the time of acute illness (up to 14 days post-diagnosis) in those who developed persistent dyspnea.

Discussion: These findings suggest continued CD8+ T-cell activation following SARS-CoV-2 infection in adults experiencing post-acute sequelae of COVID-19 and that the increase in T regulatory cells for a subset of these patients represents the ongoing attempt by the host to reduce inflammation.

Keywords: CD8+ T cell; COVID-19; SARS-CoV-2; cytotoxic T cells; post-COVID; post-acute sequelae of COVID-19.

PubMed Disclaimer

Conflict of interest statement

BS is employed by Arcturus Therapeutics which is developing a COVID-19 vaccine. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.

Figures

måndag 19 februari 2024

WHO: BA.2.86 variantin piirteitä. BA.2.86 ja sen alalinja JN.1 siirretty VOI-varianteiksi 9.2. 2024.

 https://www.who.int/docs/default-source/coronaviruse/21112023_ba.2.86_ire.pdf?sfvrsn=8876def1_3

1
Executive Summary
BA.2.86 has been reported in multiple countries, and the prevalence has been slowly increasing globally.
However, based on the available limited evidence, the public health risk posed by BA.2.86 is currently
evaluated as low at the global level. Current population immunity globally remains highly cross-reactive tothis variant, especially against severe disease but also against symptomatic disease, and therefore the
emergence of this variant will unlikely add increased burden to national public health systems. BA.2.86  classified as variant under monitoring (VUM) on 17 August 2023 and based on updated information, BA.2.86 and its sublineages (including JN.1) are now being classified as a variant of interest (VOI) (9.2. 2024).


Initial Risk Evaluation of BA.2.86 and its sublineages, 

21 November 2023 BA.2.86 is a descendent lineage of BA.2, with the earliest sample collected on 24 July 2023 (1). This variant and its descendent lineages have a large number of mutations in the spike protein; the initially reported BA.2.86 sequences from Israel and Denmark had 34 amino acid substitutions relative to BA.2 and 36  substitutions relative to XBB.1.5 (the strain recommended for the updated COVID-19 vaccine [2]).
 The number of spike amino acid mutations in the BA.2.86 variant relative to BA.2 and XBB.1.5 is comparable to the number of mutations in the first Omicron strains relative to the SARS-CoV-2 index strain. 
 
BA.2.86 was designated as a VUM on 17 August 2023 (3).
As of 20 November 2023, there were 3 267 BA.2.86 sequences submitted to GISAID (1) from 46 countries, representing 8.9% of the globally available sequences in epidemiological week 44 (30 October to 5 November 2023). The largest proportion of BA.2.86 sequences are from the United Kingdom (19.7%, 643 sequences), France (11.9%, 389 sequences), Sweden (10.7%, 351 sequences), Spain (7.8% 254 sequences), Canada (6.8%, 223 sequences), Denmark (6.6%, 215 sequences) and the United States of America (6.3%, 208 sequences).

Globally, there has been a slow but steady increase in the proportion of BA.2.86 reported, with its global prevalence at 8.9% in epidemiological week 44, Table 1. This is a substantial rise from the data reported four weeks prior (week 40, 2 to 8 October 2023), when the global prevalence of BA.2.86 was 1.8% 

( Table 1: Global proportions of SARS-CoV-2 Variants, week 40 to week 44 of 2023)

*Table 2 below shows the BA.2.86 descendent lineages and the additional mutations relative to BA.2.86 in the spike and other proteins. A notable descendent lineage of BA.2.86 is JN.1 (BA.2.86 + S:L455S) with a global proportion of 3.2% in epidemiological week 44
 


As population immunity remains heterogenous globally due to differences in SARS-CoV-2 variants circulating around the world and in vaccination coverage, the immune escape potential of BA.2.86 will greatly depend on the immune background of the population tested. With this important caveat in mind, the immune escape of BA.2.86 relative to concurrently circulating variants appears to be limited, and certainly not as extensive as when Omicron emerged in the background of Delta (4-6). Sera from patients who had Omicron breakthrough infections (including XBB), exhibited robust neutralizing activity against BA.2.86, suggesting that upcoming XBB.1.5 monovalent vaccines could confer added protection, by triggering the expansion of existing B cells that will enhance cross-protection against BA.2.86 and its descendant lineages (7-8).
Importantly, T-cell memory has been reported to be highly durable and cross-reactive to BA.2.86 (9). This would suggest that there is sustained protection against severe disease caused by BA.2.86 infection as such protection is associated with T-cell memory (10). Initial observations of the reported BA.2.86 cases do not suggest a change in the clinical presentation or an increase in severity of this variant compared to other Omicron sublineages (11). 
Preliminary data from France also does not suggest differences with BA.2.86 in
terms of age, sex, symptoms or other risk factors (12).
WHO and its Technical Advisory Group on SARS-CoV-2 Evolution (TAG-VE) continue to recommend that Member States prioritize specific actions to better address uncertainties relating to antibody escape and severity of BA.2.86. The suggested timelines are estimates and will vary from one country to another based on national capacities:
• Share information on the growth advantage of BA.2.86 in your country and/or provide sequence
information (one to four weeks).
• Conduct neutralization assays using human sera, representative of the affected community(ies), and
BA.2.86 live virus isolates (two to four weeks).
• Perform a comparative evaluation to detect changes in rolling or ad hoc indicators of severity (four to
12 weeks).
The WHO and its Technical Advisory Group on COVID-19 Vaccine Composition (TAG-CO-VAC) continue to regularly assess the impact of variants on the performance of COVID-19 vaccines to inform decisions on updates to vaccine composition (2).

The risk evaluation below follows the WHO framework (13) and is based on currently available evidence. It will be revised regularly as more evidence and data from additional countries become available.
 
* Table1: BA.2.86 descendent lineages and mutations
Lineage
Variant Parent Lineage
Additional Spike Mutations relative to BA.2.86
Additional Mutations in other proteins relative to BA.2.86
BA.2.86        BA.2             NA           NA
BA.2.86.1     BA.2.86        None        ORF1a:K1973R
JN.1             BA.2.86.1     S:L455S  ORF1a:F499L, ORF1a:K1973R, ORF1a:R3821K, ORF7b:F19L
JN.2             BA.2.86.1    None         ORF1a:Y621C, ORF1a:K1973R
JN.3            BA.2.86.1     None         ORF1a:K1973R, ORF1a:T2087I
BA.2.86.2    BA.2.86       None         ORF7a:E22D
BA.2.86.3    BA.2.86      None           None
JQ.1            BA.2.86.3     S:T95I       ORF1a:D1742N

Sars-CoV-2 virusvarianttiseurannasta

 https://www.who.int/activities/tracking-SARS-CoV-2-variants


Currently circulating variants of interest (VOIs) (as of 9 February 2024)

 

 

Pango lineageNextstrain cladeGenetic featuresEarliest documented samplesDate of designation and risk assessments
XBB.1.523A

Recombinant of BA.2.10.1 and BA.2.75 sublineages, i.e. BJ.1 and BM.1.1.1, with a breakpoint in S1. 

XBB.1 + S:F486P (similar Spike genetic profile as XBB.1.9.1)

Includes

XBB.1.5.70 (23G): XBB.1.5 + S:L455F and S:F456L


21-10-2022
11-01-2023





XBB.1.1623B

 

Recombinant of BA.2.10.1 and BA.2.75 sublineages, i.e. BJ.1 and BM.1.1.1

XBB.1 + S:E180V, S:K478R and S:F486P 
09-01-2023

17-04-2023

XBB.1.16 Initial Risk Assessment, 17 April 2023

XBB.1.16 Updated Risk Assessment, 05 June 2023

EG.5Not assigned

 

 

XBB.1.9.2 + S:F456L

Includes

EG.5.1 (23F): EG.5 + S:Q52H

HK.3 (23H): EG.5 + S:Q52H, S:L455F

HV.1: EG.5 + S:Q52H, S:F157L, S:L452R

 

17-02-2023

09-08-2023

EG.5 Initial Risk Evaluation, 09 August 2023

EG.5 Updated Risk Evaluation, 21 September 2023

EG.5 Updated Risk Evaluation, 21 November 2023

BA.2.86$23I

 

Mutations relative to BA.2

 

 

24-07-2023

21-11-2023

BA.2.86 Initial Risk Evaluation, 21 November 2023

 

JN.1

 

Not assigned

BA.2.86 + S:L455S

25-08-2023

09-02-2024

JN.1 Initial Risk Evaluation 18 December 2023

JN.1 Updated Risk Evaluation 9 February 2024

 

 

 

Currently circulating variants under monitoring (VUMs) (as of 29 January 2024)

 

Pango lineage§

Nextstrain clade

Genetic features

Earliest documented samples

Date of designation and risk assessments

XBB*

22F

BA.2+ S:V83A, S:Y144-, S:H146Q, S:Q183E, S:V213E, S:G252V, S:G339H, S:R346T, S:L368I, S:V445P, S:G446S, S:N460K, S:F486S, S:F490S

19-08-2022

12-10-2022

XBB.1.9.1

23D

Recombinant of BA.2.10.1 and BA.2.75 sublineages, i.e. BJ.1 and BM.1.1.1

XBB.1 + S:F486P (similar Spike genetic profile as XBB.1.5)

05-12-2022

30-03-2023

XBB.2.3

23E

Recombinant of BA.2.10.1 and BA.2.75 sublineages, i.e. BJ.1 and BM.1.1.1

XBB + S:D253G, S:F486P, S:P521S

09-12-2022

17-05-2023

 

$ Excludes BA.2.86 sublineages listed here as VOIs.

* Excludes XBB sublineages listed here as VOIs and VUMs.

§ A VUM is de-escalated if its prevalence is <1% at the global level and in all WHO regions for 8 consecutive weeks.

 

 

 

Technical Advisory Groups