Analisis Efikasi dan Efektivitas Vaksin COVID-19 terhadap Varian SARS-CoV-2: Sebuah Tinjauan Literatur
DOI:
https://doi.org/10.36452/jkdoktmeditek.v28i1.2243Keywords:
COVID-19, SARS-CoV-2, Vaccines, Variants of ConcernsAbstract
Varian of Concern dari SARS-CoV-2 memiliki karakteristik penyebaran yang lebih tinggi, meningkatkan keparahan penyakit dan berpotensi menurunkan efikasi dan efektivitas vaksin jika dibandingkan dengan varian wild. WHO melaporkan varian COVID-19 yang menjadi perhatian adalah Alpha (B.1.1.7), Beta (B.1.351), Gamma (P.1) dan Delta (B.1.617.2). Review ini bertujuan sebagai sumber data untuk efikasi dan efektivitas vaksin yang disetujui di Indonesia, yaitu Moderna (mRNA-1273), Pfizer/BioNTech (BNT162b2), Oxford/AstraZeneca (AZD1222), Sinopharm Beijing (BBIBP-CorV Vero Cells) dan Sinovac (CoronaVac) terhadap infeksi varian SARS-CoV-2 tanpa gejala dan dengan gejala yang diikuti tingkat keparahan akibat infeksi (rawat inap atau kematian). Tujuan penulisan tinjauan literatur ini adalah untuk menganalisis efikasi dan efektivitas vaksin COVID-19 terhadap varian SARS-CoV-2. Review ini penting sebagai sumber data pendukung mengenai efikasi dan efektivitas vaksin yang disetujui di Indonesia berdasarkan uji coba fase yang dilakukan secara global. Hasilnya menunjukkan Varian of Concern dari SARS-CoV-2 memiliki kemampuan mengurangi netralisasi antibodi secara in vitro. Namun, belum ada laporan terkait dampak signifikan varian SARS-CoV-2 terhadap efikasi dan efektivitas vaksin yang menunjukkan bahwa mutasi virus secara dominan meningkatkan laju penularan, tetapi tidak selalu menurunkan proteksi respons imun.
References
Coronaviridae Study Group of the International Committee on Taxonomy. The species severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol. 2020;5:536-44.
Fehr AR, Perlman S. Coronaviruses: an overview of their replication and pathogenesis. Methods Mol Biol. 2015;1282:1-23.
WHO. Tracking SARS-CoV-2 variants. Dikutip 16 Agustus 2021. Diunduh dari https://www.who.int/en/activities/tracking-SARS-CoV-2-variants/
Kemenkes. Virus Corona Varian Baru B.1.1.7, B.1.351, B.1.617 sudah ada di Indonesia. Dikutip 16 Agustus 2021. Diunduh dari https://sehatnegeriku.kemkes.go.id/baca/berita-utama/20210504/1737688/virus-corona-varian-baru-b-117-b-1351-b-1617-sudah-ada-di-indonesia/
Dyer O. Covid-19: Indonesia becomes Asia’s new pandemic epicenter as delta variant spreads. BMJ. 2021;374(n1815):1.
Tregoning JS, Flight KE, Higham SL, Wang Z, Pierce BF. Progress of the COVID-19 vaccine effort: viruses, vaccines and variants versus efficacy, effectiveness and escape. Nature Reviews Immunology. 2021;21:626-36.
McGill Covid-19 Vaccine Tracker Team. Covid-19 Vaccine Tracker: Indonesia. Dikutip 16 Agustus 2021. Diunduh dari https://covid19.trackvaccines.org/country/indonesia/.
Public Health England. Investigation of novel SARS-CoV-2 variant: variant of concern, technical briefing 3. London, United Kingdom: Public Health England; 2020.
Kemp SA, Meng B, Ferriera IA, Datir R, Harvey WT, Papa G, et al. Recurrent emergence and transmission of a SARS-CoV-2 spike deletion H69/V70. bioRxiv. 2021:1-41.
Volz E, Mishra S, Chand M, Barrett JC, Johnson R, Geidelberg L, et al. Transmission of SARS-CoV-2 lineage B.1.1.7 in England: insights from linking epidemiological and genetic data. MedRxiv. 2021:1-37.
Challen R, Brooks-Pollock E, Read JM, Dyson L, Tsaneva-Atanasova K, Danon L. Risk of mortality in patients infected with SARS-CoV-2 variant of concern: matched cohort study. BMJ. 2021;372(n579).
Davies NG, Jarvis CI, Edmunds WJ, Jewell NP, Diaz-Ordaz K, Keogh RH. Increased hazard of death in community-tested cases of SARS-CoV-2 Variant of Concern. MedRxiv. 2021: 1-49.
European Center for Disease Prevention and Control. Rapid increase of a SARS-CoV-2 variant with multiple spike protein mutations observed in the United Kingdom. ECDC Threat Assessment Brief. 2020.
New and Emerging Respiratory Virus Threats Advisory Group. NERVTAG note on B.1.1.7 severity. 2021.
Davies NG, Abbott S, Barnard RC, Jarvis CI, Kucharski AJ, Munday JD, et al. Estimated transmissibility and impact of SARS-CoV-2 lineage B.1.1.7 in England. Science. 2021
Vöhringer H, Sinnott M, Amato R, Martincorena I, Kwiatkowski D, Barrett JC, Gerstung M. Lineage-specific growth of SARS-CoV-2 B.1.1.7 during the English national lockdown. 2020.
Volz E, Mishra S, Chand M, Barrett JC, Johnson R, Geidelberg L, Hinsley WR, Laydon DJ, Dabrera G, O'Toole Á, et al. Transmission of SARS-CoV-2 Lineage B.1.1.7 in England: Insights from linking epidemiological and genetic data. MedRxiv. 2021;372(6538):eabg3055.
Public Health England. Investigation of novel SARS-CoV-2 variant. Variant of Concern. Technical Briefing 3. 2021.
Jones TC, Biele G., Muhlemann B, Veith T, Schneider J, Beheim-Schwarzbach J, Bleicker T, Tesch J, Schmidt ML, Sander LE, et al. Estimating infectiousness throughout SARS-CoV-2 infection course. Science. 2021;373(6551):eabi5273.
Kidd M, Richter A, Best A, Cumley N, Mirza J, Percival B, Mayhew M, Megram O, Ashford F, White T, et al. S-variant SARS-CoV-2 lineage B1.1.7 is associated with significantly higher viral loads in samples tested by ThermoFisher TaqPath RT-qPCR. J Infect Dis. 2021;223(10):1666-70.
Kissler SM, Fauver JR, Mack C, Tai CG, Breban MI, Watkins AE, et al. Densely sampled viral trajectories suggest longer duration of acute infection with B.1.1.7 variant relative to non-B.1.1.7 SARS-CoV-2. MedRxiv. 2021:1-13.
Walker AS, Vihta KD, Gethings O, Pritchard E, Jones J, House T, et al. Increased infections, but not viral burden, with a new SARS-CoV-2 variant. MedRxiv, 2021: 1-26.
Muik A, Wallisch AK, Sanger B, Swanson KA, Muhl J, Chen W, et al. Neutralization of SARS-CoV-2 lineage B.1.1.7 pseudovirus by BNT162b2 vaccine-elicited human sera. Science. 2021;371:1152-1153.
Wang P, Nair MS, Liu L, Iketani S, Luo Y, Guo Y, et al. Antibody resistance of SARS-CoV-2 variants B.1.351 and B.1.1.7. Nature. 2021;593:137-47.
Wu K, Werner AP, Moliva JI, Koch M, Choi A, Stewart-Jones GBE, et al. mRNA-1273 vaccine induces neutralizing antibodies against spike mutants from global SARS-CoV-2 variants. bioRxiv. 2021;25:2021.01.25.427948.
Abu-Raddad LJ, Chemaitelly H, Butt AA, and National Study Group. Effectiveness of the BNT162b2 Covid-19 Vaccine against the B.1.1.7 and B.1.351 Variants. N Engl J Med. 2021;385:187-9.
Dagan N, Barda N, Kepten E, Miron O, Perchik S, Katz MA, et al. BNT162b2 mRNA Covid-19 Vaccine in a Nationwide Mass Vaccination Setting. N Engl J Med. 2021;384(15):1412-23.
Galloway SE, Paul P, MacCannell DR, Johansson MA, Brooks JT, MacNeil A, et al. Emergence of SARS-CoV-2 B.1.1.7 Lineage – United States, December 29, 2020 – January 12, 2021. Morbidity and Mortality Weekly Report. 2021;70(3):95-9.
Wise J. Covid-19: The E484K mutation and the risks it poses. BMJ. 2021;372(359):1-2.
Tegally H, Wilkinson E, Giovanetti M, Iranzadeh A, Fonseca V, Giandhari J, et al. Emergence and rapid spread of a new severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) lineage with multiple spike mutations in South Africa. 2020:55587954.
Zahradník J, Marciano S, Shemesh M, Zoler E, Chiaravalli J, Meyer B, et al. SARS-CoV-2 RBD in vitro evolution follows contagious mutation spread, yet generates an able infection inhibitor. bioRxiv. 2021:1-41.
Andreano E, Piccini G, Licastro D, Casalino L, Johnson NV, Paciello I, et al. SARS-CoV-2 escape in vitro from a highly neutralizing COVID-19 convalescent plasma. Proc Natl Acad Sci USA. 2021;118(36): 33398278.
Greaney AJ, Loes AN, Crawford KHD, Starr TN, Malone KD, Chu HY, et al. Comprehensive mapping of mutations to the SARS-CoV-2 receptor-binding domain that affect recognition by polyclonal human serum antibodies. Cell Host Microbe. 2021;29(3):463-76.e6.
Wang Z, Schmidt F, Weisblum Y, Muecksch F, Barnes CO, Finkin S, et al. mRNA vaccine-elicited antibodies to SARS-CoV-2 and circulating variants. Nature. 2021b;592: 616-22.
Weisblum Y, Schmidt F, Zhang F, DaSilva J, Poston D, Lorenzi JC, et al. Escape from neutralizing antibodies by SARS-CoV-2 spike protein variants. bioRxiv. 2020.214759.
Cele S, Gazy I, Jackson L, Hwa SH, Tegally H, Lustig G, et al. Escape of SARS-CoV-2 501Y.V2 from neutralization by convalescent plasma. Nature. 2021;593(7857):142-6.
Wibmer CK, Ayres F, Hermanus T, Madzivhandila M, Kgagudi P, Oosthuysen B, et al. SARS-CoV-2 501Y.V2 escapes neutralization by South African COVID-19 donor plasma. Nature Medicine. 2021;27:622-5.
Shinde V, Bhikha S, Hoosain Z, Archary M, Bhorat Q, Fairlie L, et al. Efficacy of the NVX-CoV2373 Covid-19 vaccine against the B.1.351 variant. N Engl J Med. 2021;384(20):1899-909.
Madhi SA, Baillie V, Cutland CL, Voysey M, Koen AL, Fairlie L, et al. Efficacy of the ChAdOx1 nCoV-19 Covid-19 Vaccine against the B.1.351 Variant. N Engl J Med. 2021;384(20):1885-98.
Wu K, Choi A, Koch M, Ma L, Hill A, Nunna N, et al. Preliminary Analysis of Safety and Immunogenicity of a SARS-CoV-2 Variant Vaccine Booster. MedRxiv. 2021.233767518.
Faria NR, Mellan TA, Whittaker C, Claro IM, Candido DDS, Mishra S, et al. Genomics and epidemiology of the P.1 SARS-CoV-2 lineage in Manaus, Brazil. Science. 2021;372: 815-21.
Faria NR, Morales-Claro I, Candido D, Moyses-Franco LA, Andrade PS, Coletti TM, et al. Genomic characterization of an emergent SARS-CoV-2 lineage in Manau, Brazil. medRxiv. 2021.02.26.21252554.
Burki TK. Lifting of COVID-19 restrictions in the UK and the Delta variant. Lancet Respir Med. 2021;9(8):e85.
Fisman DN, and Tuite AR. Progressive Increase in Virulence of Novel SARS-CoV-2 Variants in Ontario, Canada. MedRxiv. 2021.07.05.21260050.
Public Health England. SARS-CoV-2 variants of concern and variants under investigation in England. Technical Briefing 14. 2021a.
Sheikh A, McMenamin J, Taylor B, Robertson C, Public Health and EIIC. SARS-CoV-2 Delta VOC in Scotland: demographics, risk of hospital admission, and vaccine effectiveness. Lancet. 2021;397:2461-2.
Scripps Institute. B.1.617.2 Lineage report on https://outbreak.info (Scripps Institute). 2021.
Motozono C, Toyoda M, Zahradnik J, Saito A, Nasser H, Tan TS, et al. SARS-CoV-2 spike L452R variant evades cellular immunity and increases infectivity. Cell Host Microbe. 2021;29:1124-36.
Public Health England. SARS-CoV-2 variants of concern and variants under investigation in England. Technical Briefing 10. 2021b.
Peacock TP, Sheppard CM, Brown JC, Goonawardane N, Zhou J, Whiteley M, et al. The SARS-CoV-2 variants associated with infections in India, B.1.617, show enhanced spike cleavage by furin. bioRxiv. 2021.45859119.
Liu C, Ginn HM, Dejnirattisai W, Supasa P, Wang B, Tuekprakhon A, et al. Reduced neutralization of SARS-CoV-2 B.1.617 by vaccine and convalescent serum. Cell. 2021;184(16):4220-36.e13.
Planas D, Veyer D, Baidaliuk A, Staropoli I, Guivel-Benhassine F, Rajah MM, et al. Reduced sensitivity of SARS-CoV-2 variant Delta to antibody neutralization. Nature. 2021;596(7871):276-80.
Lopez Bernal J, Andrews N, Gower C, Gallagher E, Simmons R, Thelwall S, et al. Effectiveness of Covid-19 Vaccines against the B.1.617.2 (Delta) Variant. N Engl J Med. 2021;385(7):585-94.
Nasreen S, Chung H, He S, Brown KA, Gubbay JB, Buchan SA, et al. Effectiveness of COVID-19 vaccines against variants of concern in Ontario, Canada. medRxiv. 2021.06.28.21259420.
World Health Organization. Tracking SARS-CoV-2 variants. Dikutip 16 Agustus 2021. Diunduh dari https://www.who.int/en/activities/tracking-SARS-CoV-2-variants/.
Xie X, Liu Y, Liu J, Zhang X, Zou J, Fontes-Garfias CR, et al. Neutralization of SARS-CoV-2 spike 69/70 deletion, E484K and N501Y variants by BNT162b2 vaccine-elicited sera. Nat. Med. 2021;27:620–1.
Emary KRW, Golubchik T, Aley PK, Ariani CV, Angus B, Bibi S, et al. Efficacy of ChAdOx1 nCoV-19 (AZD1222) vaccine against SARS-CoV-2 variant of concern 202012/01 (B.1.1.7): an exploratory analysis of a randomised controlled trial. Lancet. 2021;397:1351–62.
Ho D, Wang P, Liu L, Iketani S, Luo Y, Guo Y, et al. Increased resistance of SARS-CoV-2 variants B.1.351 and B.1.1.7 to antibody neutralization. Res. Sq. 2021:rs.3.rs-155394.
Voysey M, Clemen SAC, Madhi SA, Weckx LY, Folegatti PM, Aley PK, et al. Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK. Lancet. 2021;397:99–111.
Mallapaty S. China COVID vaccine reports mixed results — what does that mean for the pandemic? Nature. 2021.33452510.
Wall EC, Wu M, Harvey R, Kelly G, Warchal S, Sawyer C, et al. Neutralising antibody activity against SARS-CoV-2 VOCs B.1.617.2 and B.1.351 by BNT162b2 vaccination. Lancet. 2021;397:2331–3.
Polack FP, Thomas SJ, Kitchin N, Absalon J, Gurtman A, Lockhart S, et al. Safety and efficacy of the BNT162b2 mRNA Covid-19 Vaccine. The New England Journal of Medicine. 2020;383(27):2603-15.
Pfizer. Pfizer and BioNTech confirm high efficacy and no serious safety concerns through up to six months following second dose in updated topline analysis of landmark Covid-19 vaccine study. Dikutip 16 Agustus 2021. Diunduh dari https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-confirm-high-efficacy-and-no-serious.
Dagan N, Barda N, Kepten E, Miron O, Perchik S, Katz MA, et al. BNT162b2 mRNA Covid-19 vaccine in a nationwide mass vaccination setting. The New England Journal of Medicine. 2021;384:1412-23.
Chodick G, Tene L, Patalon T, Gazit S, Tov AB, Cohen D, et al. The effectiveness of the first dose of BNT162b2 vaccine in reducing SARS-CoV-2 infection 13-24 days after immunization: real-world evidence. medRxiv. 2021;1-16.
Lopez Bernal J, Andrews N, Gower C, Robertson C, Stowe J, Tessier E, et al. Effectiveness of the Pfizer-BioNTech and Oxford-AstraZeneca vaccines on Covid-19 related symptoms, hospital admissions, and mortality in older adults in England: test negative case-control study. BMJ. 2021b;373(n1088):1-11.
Thompson MG, Burgess JL, Naleway AL, Tyner H, Yoon SK, Meece J, et al. Prevention and attenuation of Covid-19 with the BNT162b2 and mRNA-1273 Vaccines. The New England Journal of Medicine. 2021;385:320-9.
Thomas SJ, Moreira Jr ED, Kitchin N, Absalon J, Gurtman A, Lockhart S, et al. Six month safety and efficacy of the BNT162b2 mRNA Covid-19 vaccine. MedRxiv. 2021:1-21.
Baden LR, El Sahly HM, Essink B, Kotloff K, Frey S, Novak R, et al. Efficacy and safety of the mRNA-1273 SARS-CoV-2 vaccine. The New England Journal of Medicine. 2021;384(5):403-16.
Chemaitelly H, Yassine HM, Benslimane FM, Al Khatib HA, Tang P, Hasan MR, et al. mRNA-1273 COVID-19 vaccine effectiveness against the B.1.1.7 and B.1.351 variants and severe COVID-19 disease in Qatar. Nat Med. 2021;27:1614-21.
WHO. Interim recommendations for use of the AZD1222 (ChAdOx1-S recombinant) vaccine against COVID-19 developed by Oxford University and AstraZeneca. Geneva. 2021.
Madhi SA, Baillie V, Cutland CL, Voysey M, Koen AL, Fairlie L, et al. Efficacy of the ChAdOx1 nCoV-19 Covid-19 vaccine against the B.1.351 variant. The New England Journal of Medicine. 2021;384(20):1885-98.
Jara A, Undurraga EA, Gonzalez C, Paredes F, Fontecilla T, Jara G, et al. Effectiveness of an inactivated SARS-CoV-2 vaccine in Chile. The New England Journal of Medicine. 2021:1-11.
Voysey M, Costa Clemens SA, Madhi SA, Weckx LY, Folegatti PM, Aley PK, et al. Single-dose administration and the influence of the timing of the booster dose on immunogenicity and efficacy of ChAdOx1 nCoV-19 (AZD1222) vaccine: a pooled analysis of four randomised trials. Lancet. 2021;397:881–91.
Kim JH, Marks F, Clemens JD. Looking beyond COVID-19 vaccine phase 3 trials. Nat Med. 2021;27:205–11.
Graham MS, Sudre CH, May A, Antonelli M, Murray B, Varsavsky T, et al. Changes in symptomatology, reinfection, and transmissibility associated with the SARS-CoV-2 variant B.1.1.7: an ecological study. Lancet Public Heal. 2021;6:e335–45.
Wu K, Werner AP, Koch M, Choi A, Narayanan E, Stewart-Jones GBE, et al. Serum neutralizing activity elicited by mRNA-1273 vaccine. N Engl J Med. 2021;384:1468–70.
Campbell F, Archer B, Laurenson-Schafer H, Jinnai Y, Konings F, Batra N, et al. Increased transmissibility and global spread of SARS-CoV-2 variants of concern as at June 2021. Euro Surveill. 2021;26.
De Faria E, Guedes AR, Oliveira MS, de Godoy Moreira MV, Maia FL, dos Santos Barboza A, et al. Performance of vaccination with CoronaVac in a cohort of healthcare workers (HCW) - preliminary report. Preprint at MedRxiv. 2021:1-13.
Liu J, Liu Y, Xia H, Zou J, Weaver SC, Swanson KA, et al. BNT162b2-elicited neutralization of B.1.617 and other SARS-CoV-2 variants. Nature. 2021;596(7871):273-5.
Stowe J, Andrews N, Gower C, Gallagher E, Utsi L, Simmons R, et al. Effectiveness of COVID-19 vaccines against hospital admission with the Delta (B.1.617.2) variant. Public Health England. Dikutip 16 Agustus 2021. Diunduh dari https://khub.net/web/phe-national/public-library/-/document_library/v2WsRK3ZlEig/view/479607266.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Willi Fragcana Putra
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.