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Published on: November 5, 2021
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.
Abstract:
Since the outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its resultant pneumonia in December 2019, the cumulative number of infected people worldwide has exceeded 670 million, with over 6.8 million deaths. Despite the marketing of multiple series of vaccines and the implementation of strict prevention and control measures in many countries, the spread and prevalence of SARS-CoV-2 have not been completely and effectively controlled. The latest research shows that in addition to angiotensin converting enzyme II (ACE2), dozens of protein molecules, including AXL, can act as host receptors for SARS-CoV-2 infecting human cells, and virus mutation and immune evasion never seem to stop. To sum up, this review summarizes and organizes the latest relevant literature, comprehensively reviews the genome characteristics of SARS-CoV-2 as well as receptor-based pathogenesis (including ACE2 and other new receptors), mutation and immune evasion, vaccine development and other aspects, and proposes a series of prevention and treatment opinions. It is expected to provide a theoretical basis for an in-depth understanding of the pathogenic mechanism of SARS-CoV-2 along with a research basis and new ideas for the diagnosis and classification, of COVID-19-related disease and for drug and vaccine research and development.
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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