SARS-CoV-2, the endless race between immunity and viral evolution: Lessons learned

Authors

Keywords:

coronaviruses, viral evolution, cellular immunity, humoral immunity, vaccines.

Abstract

The more than three years of the COVID-19 pandemic have been marked by technology. Vaccines have been developed in record time with enormous and sustained protection, mediated by cellular responses, against severe disease. However, they failed to maintain stable levels of circulating antibodies, limiting their effectiveness against infection. We have learned that the combination of natural immunity (due to previous infection) and vaccination presents functional advantages, with the presence of immunity at the mucosal level (the site of virus replication) and greater amplitude of viral variant recognition. Lastly, we have followed the evolution of SARS-CoV-2 towards improvement of its transmissibility by escaping the immune control imposed by antibodies. This factor still causes new infections and deaths in vulnerable people and has led to the development of new vaccines adapted to emerging viral variants. The huge volume of immunological and virological information which has been acquired and the emerging technologies which are being developed should make it possible to design pan-coronavirus vaccines against different viral variants and to administer them at the mucosal level, where the immune response against respiratory viruses is required.

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Published

2024-12-09

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Section

Articles