Variants of SARS-CoV-2: Influences on the Vaccines’ Effectiveness and Possible Strategies to Overcome Their Consequences

Author:

Rabaan Ali A.123ORCID,Al-Ahmed Shamsah H.4,Albayat Hawra5,Alwarthan Sara6,Alhajri Mashael6,Najim Mustafa A.7,AlShehail Bashayer M.8ORCID,Al-Adsani Wasl910,Alghadeer Ali11,Abduljabbar Wesam A.12,Alotaibi Nouf13ORCID,Alsalman Jameela14,Gorab Ali H.15,Almaghrabi Reem S.16,Zaidan Ali A.17,Aldossary Sahar18,Alissa Mohammed19ORCID,Alburaiky Lamees M.20,Alsalim Fatimah Mustafa21,Thakur Nanamika22,Verma Geetika23,Dhawan Manish2425ORCID

Affiliation:

1. Molecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi Arabia

2. College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia

3. Department of Public Health and Nutrition, The University of Haripur, Haripur 22610, Pakistan

4. Specialty Paediatric Medicine, Qatif Central Hospital, Qatif 32654, Saudi Arabia

5. Infectious Disease Department, King Saud Medical City, Riyadh 7790, Saudi Arabia

6. Department of Internal Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi Arabia

7. Department of Medical Laboratories Technology, College of Applied Medical Sciences, Taibah University, Madinah 41411, Saudi Arabia

8. Pharmacy Practice Department, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia

9. Department of Medicine, Infectious Diseases Hospital, Kuwait City 63537, Kuwait

10. Department of Infectious Diseases, Hampton Veterans Administration Medical Center, Hampton, VA 23667, USA

11. Department of Anesthesia, Dammam Medical Complex, Dammam 32245, Saudi Arabia

12. Department of Medical Laboratory Sciences, Fakeeh College for Medical Science, Jeddah 21134, Saudi Arabia

13. Clinical Pharmacy Department, College of Pharmacy, Umm Al-Qura University, Makkah 21955, Saudi Arabia

14. Infection Disease Unit, Department of Internal Medicine, Salmaniya Medical Complex, Ministry of Health, Kingdom of Bahrain, Manama 435, Bahrain

15. Al Kuzama Primary Health Care Center, Al Khobar Health Network, Eastern Health Cluster, Al Khobar 34446, Saudi Arabia

16. Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia

17. Gastroenterology Department, King Fahad Armed Forces Hospital, Jeddah 23831, Saudi Arabia

18. Pediatric Infectious Diseases, Women and Children’s Health Institute, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi Arabia

19. Department of Medical Laboratory Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia

20. Pediatric Department, Safwa General Hospital, Eastern Health Cluster, Safwa 31921, Saudi Arabia

21. Department of Family Medicine, Primary Health Care, Qatif Health Cluster, Qatif 32434, Saudi Arabia

22. University Institute of Biotechnology, Department of Biotechnology, Chandigarh University, Mohali 140413, India

23. Department of Experimental Medicine and Biotechnology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India

24. Department of Microbiology, Punjab Agricultural University, Ludhiana 141004, India

25. Trafford College, Altrincham, Manchester WA14 5PQ, UK

Abstract

The immune response elicited by the current COVID-19 vaccinations declines with time, especially among the immunocompromised population. Furthermore, the emergence of novel SARS-CoV-2 variants, particularly the Omicron variant, has raised serious concerns about the efficacy of currently available vaccines in protecting the most vulnerable people. Several studies have reported that vaccinated people get breakthrough infections amid COVID-19 cases. So far, five variants of concern (VOCs) have been reported, resulting in successive waves of infection. These variants have shown a variable amount of resistance towards the neutralising antibodies (nAbs) elicited either through natural infection or the vaccination. The spike (S) protein, membrane (M) protein, and envelope (E) protein on the viral surface envelope and the N-nucleocapsid protein in the core of the ribonucleoprotein are the major structural vaccine target proteins against COVID-19. Among these targets, S Protein has been extensively exploited to generate effective vaccines against COVID-19. Hence, amid the emergence of novel variants of SARS-CoV-2, we have discussed their impact on currently available vaccines. We have also discussed the potential roles of S Protein in the development of novel vaccination approaches to contain the negative consequences of the variants’ emergence and acquisition of mutations in the S Protein of SARS-CoV-2. Moreover, the implications of SARS-CoV-2’s structural proteins were also discussed in terms of their variable potential to elicit an effective amount of immune response.

Funder

Prince Sattam bin Abdulaziz University project

Publisher

MDPI AG

Subject

General Medicine

Reference186 articles.

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