Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Whether SARS-CoV-2 May Become Lethal Again? By Reference to the 1918 Influenza Virus

Version 1 : Received: 31 August 2023 / Approved: 31 August 2023 / Online: 31 August 2023 (10:06:29 CEST)

A peer-reviewed article of this Preprint also exists.

Yuan, S., Jiang, SC., Zhang, ZW. et al. Comparative Perspective of Evolution of SARS-CoV-2 and 1918 Influenza Virus. J Evol Biochem Phys 59, 2022–2032 (2023). https://doi.org/10.1134/S002209302306011X Yuan, S., Jiang, SC., Zhang, ZW. et al. Comparative Perspective of Evolution of SARS-CoV-2 and 1918 Influenza Virus. J Evol Biochem Phys 59, 2022–2032 (2023). https://doi.org/10.1134/S002209302306011X

Abstract

Omicron variants have higher infectivity, more immune escape but lower risk of severe clinical outcomes than the ancestral variants. However, people are still wondering whether SARS-CoV-2 may become lethal again or whether some highly-pathogenic strain may emerge in the future. Omicron is more selective proliferation in the upper respiratory tract (URT). The temperature of human URT is 33–34°C, and the virus strains other than Omicron cannot replicate effectively at this temperature. While Omicron adapted to the low temperature environment, so its distribution mainly depends on the expression levels of ACE2 in cells. Similar distribution switch from lungs to URT has been observed for the 1918 H1N1 influenza virus, who vanished after 1921 and has been turned to be the seasonal human influenza A viruses. However, some relatively high-pathogenic SARS-CoV-2 strains and influenza-virus strains may still emerge in the future. Dynamic changes in the viral virulence should be monitored constantly.

Keywords

SARS-CoV-2; 1918 H1N1 influenza virus; immune escape; upper respiratory tract; pathogenicity

Subject

Biology and Life Sciences, Virology

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