Alterations of SARS-CoV-2 Evolutionary Dynamics by Pharmaceutical Factors

Abstract. The outbreak of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) has been influenced by the human response to the virus. These responses have undoubtedly impacted the evolutionary dynamics of the virus in ways distinct from a scenario lacking a widespread response. Two importan...

Full description

Saved in:
Bibliographic Details
Main Authors: Matthew Halma, Wei Zhao
Format: Article
Language:English
Published: Wolters Kluwer Health - Lippincott Williams Wilkins 2024-01-01
Series:​​​​​​​​Infectious Diseases & Immunity
Online Access:http://journals.lww.com/10.1097/ID9.0000000000000103
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850209849048039424
author Matthew Halma
Wei Zhao
author_facet Matthew Halma
Wei Zhao
author_sort Matthew Halma
collection DOAJ
description Abstract. The outbreak of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) has been influenced by the human response to the virus. These responses have undoubtedly impacted the evolutionary dynamics of the virus in ways distinct from a scenario lacking a widespread response. Two important pharmaceutical interventions, vaccination and the utilization of medications, particularly molnupiravir, known to have mutagenic properties, were the focus of this article. The impact of molnupiravir on human health was evaluated through 3 mechanisms: viral resistance, mutagenesis of SARS-CoV-2, and mutagenesis occurring in patients undergoing treatment with molnupiravir. These mechanisms, as well as the impact of vaccination, have inadvertently given rise to unforeseen challenges in the management of the COVID-19 crisis. Taking a systems view in future pandemic responses, and taking into account the evolution of the pandemic virus, may be critical to ending the pandemic at an earlier date.
format Article
id doaj-art-eaa3e66b8a774112894535c685cc6804
institution OA Journals
issn 2096-9511
2693-8839
language English
publishDate 2024-01-01
publisher Wolters Kluwer Health - Lippincott Williams Wilkins
record_format Article
series ​​​​​​​​Infectious Diseases & Immunity
spelling doaj-art-eaa3e66b8a774112894535c685cc68042025-08-20T02:09:55ZengWolters Kluwer Health - Lippincott Williams Wilkins​​​​​​​​Infectious Diseases & Immunity2096-95112693-88392024-01-0141354010.1097/ID9.0000000000000103202401000-00005Alterations of SARS-CoV-2 Evolutionary Dynamics by Pharmaceutical FactorsMatthew Halma0Wei Zhao1EbMCsquared CIC, Bath BA2 4BL, United Kingdom.EbMCsquared CIC, Bath BA2 4BL, United Kingdom.Abstract. The outbreak of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) has been influenced by the human response to the virus. These responses have undoubtedly impacted the evolutionary dynamics of the virus in ways distinct from a scenario lacking a widespread response. Two important pharmaceutical interventions, vaccination and the utilization of medications, particularly molnupiravir, known to have mutagenic properties, were the focus of this article. The impact of molnupiravir on human health was evaluated through 3 mechanisms: viral resistance, mutagenesis of SARS-CoV-2, and mutagenesis occurring in patients undergoing treatment with molnupiravir. These mechanisms, as well as the impact of vaccination, have inadvertently given rise to unforeseen challenges in the management of the COVID-19 crisis. Taking a systems view in future pandemic responses, and taking into account the evolution of the pandemic virus, may be critical to ending the pandemic at an earlier date.http://journals.lww.com/10.1097/ID9.0000000000000103
spellingShingle Matthew Halma
Wei Zhao
Alterations of SARS-CoV-2 Evolutionary Dynamics by Pharmaceutical Factors
​​​​​​​​Infectious Diseases & Immunity
title Alterations of SARS-CoV-2 Evolutionary Dynamics by Pharmaceutical Factors
title_full Alterations of SARS-CoV-2 Evolutionary Dynamics by Pharmaceutical Factors
title_fullStr Alterations of SARS-CoV-2 Evolutionary Dynamics by Pharmaceutical Factors
title_full_unstemmed Alterations of SARS-CoV-2 Evolutionary Dynamics by Pharmaceutical Factors
title_short Alterations of SARS-CoV-2 Evolutionary Dynamics by Pharmaceutical Factors
title_sort alterations of sars cov 2 evolutionary dynamics by pharmaceutical factors
url http://journals.lww.com/10.1097/ID9.0000000000000103
work_keys_str_mv AT matthewhalma alterationsofsarscov2evolutionarydynamicsbypharmaceuticalfactors
AT weizhao alterationsofsarscov2evolutionarydynamicsbypharmaceuticalfactors