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Cited by 1,291

The DOI matches its Crossref record; 207 of the 207 references it cites were found in a registry or an index.

SARS-CoV-2 variant biology: immune escape, transmission and fitness

Open access
Carabelli, Alessandro M., Peacock, Thomas P., Thorne, Lucy G., Harvey, William T., Hughes, Joseph, COVID-19 Genomics UK Consortium, de Silva, Thushan I., Peacock, Sharon J., Barclay, Wendy S., de Silva, Thushan I., Towers, Greg J., Robertson, David L.·2023·Nature Reviews Microbiology

Abstract

In late 2020, after circulating for almost a year in the human population, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exhibited a major step change in its adaptation to humans. These highly mutated forms of SARS-CoV-2 had enhanced rates of transmission relative to previous variants and were termed ‘variants of concern’ (VOCs). Designated Alpha, Beta, Gamma, Delta and Omicron, the VOCs emerged independently from one another, and in turn each rapidly became dominant, regionally or globally, outcompeting previous variants. The success of each VOC relative to the previously dominant variant was enabled by altered intrinsic functional properties of the virus and, to various degrees, changes to virus antigenicity conferring the ability to evade a primed immune response. The increased virus fitness associated with VOCs is the result of a complex interplay of virus biology in the context of changing human immunity due to both vaccination and prior infection. In this Review, we summarize the literature on the relative transmissibility and antigenicity of SARS-CoV-2 variants, the role of mutations at the furin spike cleavage site and of non-spike proteins, the potential importance of recombination to virus success, and SARS-CoV-2 evolution in the context of T cells, innate immunity and population immunity. SARS-CoV-2 shows a complicated relationship among virus antigenicity, transmission and virulence, which has unpredictable implications for the future trajectory and disease burden of COVID-19. In this Review, the authors summarize the mutations harboured by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern. They describe the impact of mutations on virus infectivity and transmissibility, and discuss SARS-CoV-2 evolution in the context of T cells, innate immunity and population immunity.

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Metadata

Authors
Carabelli, A. M., Peacock, T. P., Thorne, L. G., Harvey, W. T., Hughes, J., COVID-19 Genomics UK Consortium, de Silva, T. I., Peacock, S. J., Barclay, W. S., de Silva, T. I., Towers, G. J., & Robertson, D. L.
Venue
Nature Reviews Microbiology
Published
2023-01-18
Volume
21
Issue
3
Pages
162-177
ISSN
  • 1740-1526 (ISSN-L)
  • 1740-1534
OpenAlex
W4317212025
Cited by
1,291
References
207
FWCI
75.48
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: SARS-CoV-2 variant biology: immune escape, transmission and fitness. https://app.cochat.ai/papers/10.1038/s41579-022-00841-7
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Carabelli, A. M., Peacock, T. P., Thorne, L. G., Harvey, W. T., Hughes, J., COVID-19 Genomics UK Consortium, de Silva, T. I., Peacock, S. J., Barclay, W. S., de Silva, T. I., Towers, G. J., & Robertson, D. L. (2023). SARS-CoV-2 variant biology: immune escape, transmission and fitness. Nature Reviews Microbiology. https://doi.org/10.1038/s41579-022-00841-7

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