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Abstract

As soon as the first case of the omicron variant of severe acute respiratory syndrome coronavirus 2 was reported in November 2021, it quickly spread worldwide with the emergence of several subvariants. Compared to previous variants, omicron was heavily mutated, especially for those in the Spike (S) protein and its receptor-binding domain. These mutations allowed the viruses to evade immune responses (i.e., previous infections and vaccine-elicited) and increase in transmissibility. Although vaccine effectiveness is decreased for omicron, boosters remain effective for protecting against severe diseases. Also, bivalent vaccines have been developed to increase vaccine effectiveness. Interestingly, although omicron is highly infectious, it has less morbidity and mortality compared to previously identified variants, such as delta. Additionally, the mutations that allow the virus to evade immune responses also allow it to evade many of the monoclonal antibodies developed at the beginning of the pandemic for treatment. Here, we reviewed the omicron variant's epidemiology, genetics, transmissibility, disease severity, and responsiveness to vaccine and treatments.

Keywords: COVID-19; SARS-CoV-2; omicron; omicron variant; variant; variant of concern.

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Conflict of interest statement

Shin DH and Choi JY have no potential conflict of interests. Smith DM has served as a consultant for Evidera, Bayer Healthcare, FluxErgy, Pharma Holdings, Kiadis, Linear Therapies, and Model Medicines.

Figures

Fig. 1
Fig. 1. The proportion of all circulating variants among SARS-SoV-2 sequence data and metadata from the Global Initiative on Sharing Avian Influenza Data (GISAID) since April 1, 2022 (as of July 18, 2022). Omicron sister-lineages and sublineages under further monitoring are shown. BA.1.X and BA.2.X include all BA.1 and BA.2-pooled descendent lineages. PANGO, Phylogenetic Assignment of Named Global Outbreak.

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Supplementary concepts

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