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.
© Copyright: Yonsei University College of Medicine 2022.
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
References
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- World Health Organization. Classification of Omicron (B.1.1.529): SARS-CoV-2 variant of concern [Internet] [accessed on 2022 July 15]. Available at: https://www.who.int/news/item/26-11-2021-classification-of-omicron-(b.1.... .
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- World Health Organization. Weekly epidemiological update on COVID-19 - 20 July 2022. [accessed on 2022 July 22]. Available at: https://www.who.int/publications/m/item/weekly-epidemiological-update-on... .
Publication types
- Review
MeSH terms
- Antibodies, Viral
- COVID-19*
- Humans
- SARS-CoV-2 / genetics
- Viral Vaccines*
Substances
- Antibodies, Viral
- Viral Vaccines
Supplementary concepts
- SARS-CoV-2 variants
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