Title [How did Omicron evolve and why does this SARS-CoV-2 variant spread so fast?].
Author Lennerstrand, Johan; Svensson, Lennart; Lundkvist, Ake
Journal Lakartidningen Publication Year/Month 2022-Jan
PMID 35041755 PMCID -N/A-
Affiliation + expend 1.docent i virologi, mikrobiolog, institutionen for medicinska vetenskaper, avdelningen for klinisk mikrobiologi, Zoonosis Science Center (ZSC), Uppsala universitet.

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.

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