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. 2022 Jan 25;13(6):647–675. doi: 10.1039/d2md00009a

SARS-CoV-2 variants and their characteristics.

WHO label of variants Pango lineage First reported site First reported time Notable major mutation site Transmissibility compared to non-VOC/VOI Neutralizing antibody activity compared to non-VOC/VOI
Alpha B.1.1.7, B.1.1.7 with E484K mutation and Q lineages UK September 2020 D614G, 69–70 del, N501Y, P681H and E484K +29% Reduction in the neutralization titers against B.1.1.7 by convalescent sera generated in early strains of SARS-CoV-2 and sera from Pfizer–BioNtech, Moderna, and Oxford-AstraZeneca vaccines
Beta B.1.351 South Africa December 2020 K417N, E484K, N501Y +25% B.1.351 is markedly more resistant to neutralization by convalescent plasma (9.4-fold) and sera from individuals who have been vaccinated (10.3–12.4-fold)
Gamma P.1 Brazil December 2020 K417T, E484K, N501Y +38% Plasma from individuals previously infected with SARS-CoV-2 had an 8·6 times lower neutralizing capacity against the P.1 isolates and inefficient neutralization of P.1 isolates was seen with plasma samples collected from individuals vaccinated with doses of CoronaVac
Delta and Delta+ B.1.617.2 (Delta) India October 2020 L452R, T478K, P681R +97% Less sensitive to sera from naturally immunized individuals, whereas sera from vaccinated pre-infected individuals boosted the humoral immune response to well above the threshold of neutralization. Pfizer and AstraZeneca vaccines showed three- to five-fold lower potency compared to the alpha variant
B.1.617.2.1 or AY.1 (Delta+) K417N, V70F, L452R, T478K and W258L
Epsilon B.1.429 and B.1.427 California, USA July 2020 S13I, W152C, L452R +19–+24% Reduced neutralization by convalescent sera and BNT2b2, mRNA1273 vaccine-elicited sera
Zeta P.2 Rio de Janeiro, Brazil April and November 2020 E484K, but not the N501Y and K417T Not defined Decreased neutralisation of 5.8-fold for Pfizer–BioNTech COVID-19 vaccine (BNT162b2) and 2.9-fold for Moderna COVID-19 vaccine (mRNA-1273)
Eta B.1.525 UK December 2020 E484K and F888L +29% BNT162b2 vaccine-elicited antibodies showed a similar neutralization effect on B.1.1.7
Iota B.1.526 New York, USA November 2020 E484K, S477N, N501Y +35% This variant is partially or completely resistant to two therapeutic monoclonal antibodies in clinical use and less susceptible to neutralization by convalescent plasma or vaccine sera
Kappa B.1.617.1 India October 2020 L452R, D614G, P681R, E484Q +48% Showed similar neutralization with the alpha variant against B.1.617.1 with sera of vaccinated individuals by Covaxin or Covid 19 recovered cases
Mu B.1.621 and B.1.621.1 Colombo, Sri Lanka January 2021 E484K, N501Y, P681H, K417, R346K and D950N Not defined Mu variant is highly resistant to sera from COVID-19 convalescents and BNT162b2-vaccinated individuals
Omicron B.1.1.529 South Africa November 2021 E484A, Q493R, T478k, N501Y, Q498R 2–3 times more transmissible than other variants Recent studies on the ability of RBD neutralizing antibodies (NAbs) of 247 human anti-RBD NAbs have shown that 85% of the tested NAbs were escaped by Omicron