由SARS-CoV-2改变的TMPRSS2影响感染性和融合性
Bo Meng1,2, Adam Abdullahi1,2, Isabella A T M Ferreira1,2
1Cambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID), Cambridge, UK.
Nature
|February 1, 2022
概括
Omicron BA.1 变种显示出抗体逃逸的增加,但仍然对抗病毒药物敏感. 第三剂疫苗恢复中和,与德尔塔相比,Omicron表现出细胞进入机制的改变.
科学领域:
- 病毒学
- 免疫学
- 病变发生
背景情况:
- 2021 年出现的 SARS-CoV-2 Omicron BA.1 变种具有众多的尖端蛋白突变.
- 与之前的Delta变种相比,Omicron表现出改变的抗原特性和细胞进入机制.
研究的目的:
- 研究Omicron BA.1突变对ACE2结合,抗体中和病毒进入途径的影响.
- 评估现有的疫苗和抗病毒药物对Omicron BA.1变种的疗效.
主要方法:
- 对Omicron BA.1和Delta尖端蛋白与ACE2的结合亲和力的比较分析.
- 通过疫苗引起的多克隆和治疗单克隆抗体中和的评估.
- 在人类细胞培养 (鼻腔,肺部,肠道) 中评估病毒复制.
- 尖端伪型病毒测试以确定细胞进入效率和对TMPRSS2和内细胞通路的依赖性.
主要成果:
- Omicron BA.1尖端蛋白具有较高的ACE2亲和力,但抗原性降低,导致两剂疫苗后显著的抗体逃避.
- 第三剂mRNA疫苗有效地恢复并扩大对Omicron BA.1的中和作用.
- 抗病毒药物雷德西维尔和莫尔努皮拉维尔对Omicron BA.1保持有效性.
- 与Delta相比,Omicron BA.1在鼻腔细胞中表现出类似的复制,但在肺和肠道细胞中复制率较低.
- 奥米克朗BA.1尖端蛋白在S1/S2的分裂效率较低,更多地依赖细胞进入的内细胞通路,而TMPRSS2的依赖性较低.
结论:
- Omicron BA.1 由于尖端蛋白处理效率低下以及细胞热带性偏离表达TMPRSS2的细胞而表现出改变的致病性.
- 目前的抗病毒疗法仍然有效,并对恢复对Omicron BA.1的保护至关重要.
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