Novel receptor, mutation, vaccine, and establishment of coping mode for SARS-CoV-2: current status and future

Zhaomu Zeng1,2,3, Xiuchao Geng4, Xichao Wen3

  • 1Department of Neurosurgery, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China.

PubMed

Insights

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) utilizes multiple receptors, including ACE2 and AXL, for cell entry. Understanding these mechanisms is crucial for developing effective COVID-19 treatments and vaccines.

Area of Science:

  • Virology
  • Immunology
  • Pathogenesis

Background:

  • The global impact of SARS-CoV-2, causing over 670 million infections and 6.8 million deaths, remains significant despite vaccines and control measures.
  • Ongoing viral evolution, mutation, and immune evasion present persistent challenges to controlling the COVID-19 pandemic.

Purpose of the Study:

  • To comprehensively review the genomic characteristics of SARS-CoV-2.
  • To elucidate the receptor-based pathogenesis, including ACE2 and novel receptors like AXL.
  • To analyze viral mutation, immune evasion strategies, and vaccine development.

Main Methods:

  • Literature review and synthesis of recent research on SARS-CoV-2.
  • Analysis of viral genome, host-receptor interactions, and immune responses.
  • Evaluation of current vaccine development and therapeutic strategies.

Main Results:

  • SARS-CoV-2 employs multiple host cell receptors beyond ACE2, such as AXL, for cellular entry.
  • Continuous viral mutations and immune evasion mechanisms complicate pandemic control.
  • Vaccine development and deployment are ongoing but face challenges from viral evolution.

Conclusions:

  • A deeper understanding of SARS-CoV-2 pathogenesis, including its diverse receptors and evolutionary dynamics, is essential.
  • This review provides a theoretical basis for improved COVID-19 diagnosis, classification, and the development of novel therapeutics and vaccines.

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