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Hur har omikron uppstått och varför sprider den sig så snabbt?: Fyra hypoteser om variantens ursprung och tänkbara mekanismer bakom den snabba spridningen presenteras [How did Omicron evolve and why does this SARS-CoV-2 variant spread so fast?]
Uppsala universitet, Sverige.
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Biomedical and Clinical Sciences, Division of Molecular Medicine and Virology. Karolinska institutet, Sverige.ORCID iD: 0000-0001-9306-8458
Uppsala universitet, Sverige.
2022 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 119, article id 21242Article, review/survey (Refereed) Published
Abstract [en]

Omicron has more than twenty new mutations in the S1 domain of the spike gene as compared to the other previously known variants of SARS-CoV-2. Many of these new mutations, especially those located in the receptor binding domain, are likely to improve binding to the ACE2 receptor and to avoid binding to antibodies induced by a previous infection or by vaccination. Today there are several different hypotheses about the origin of Omicron, for example that it would have arisen in an immunosuppressed individual. Alternatively, a SARS-CoV-2 variant could have infected an unknown animal, and re-infection of humans would then have occurred. Furthermore, Omicron may have picked up a piece of a human common cold coronavirus.  The hitherto available data suggest that the rapid spread of Omicron is a combination of properties of the virus replication ability in addition to its ability to avoid pre-existing immune responses.

Abstract [sv]

Omikron har mer än 20 nya mutationer i spikgenens S1-domän. Många av dessa mutationer ökar sannolikt förmågan att binda bättre till ACE-2-receptorn och undvika bindning av antikroppar inducerade av en tidigare infektion eller genom vaccination. 

I dag finns det flera hypoteser om omikrons ursprung, till exempel att den skulle ha uppstått hos en immun­supprimerad individ. Alternativt kan en tidigare sars-cov-2-variant ha infekterat en okänd djurpopulation och återinfektion av människor skulle då ha inträffat.

De data som finns talar för att den snabba spridningen av omikron är en kombination av egenskaper hos virusets replikationsförmåga och dess förmåga att undvika preexisterande immunsvar.

Place, publisher, year, edition, pages
Sveriges Läkarförbund , 2022. Vol. 119, article id 21242
National Category
Infectious Medicine
Identifiers
URN: urn:nbn:se:liu:diva-193507PubMedID: 35041755OAI: oai:DiVA.org:liu-193507DiVA, id: diva2:1754192
Available from: 2023-05-02 Created: 2023-05-02 Last updated: 2023-05-10Bibliographically approved

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Svensson, Lennart

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