Functional mutations of SARS-CoV-2: implications to viral transmission, pathogenicity and immune escape

Chin Med J (Engl). 2022 May 20;135(10):1213-1222. doi: 10.1097/CM9.0000000000002158.

Abstract

The pandemic of coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to major public health challenges globally. The increasing viral lineages identified indicate that the SARS-CoV-2 genome is evolving at a rapid rate. Viral genomic mutations may cause antigenic drift or shift, which are important ways by which SARS-CoV-2 escapes the human immune system and changes its transmissibility and virulence. Herein, we summarize the functional mutations in SARS-CoV-2 genomes to characterize its adaptive evolution to inform the development of vaccination, treatment as well as control and intervention measures.

MeSH terms

  • COVID-19*
  • Humans
  • Mutation / genetics
  • Pandemics
  • SARS-CoV-2* / genetics
  • Virulence