Abstract
The outbreak of COVID-19 that was first reported in Wuhan, China, has constituted a new emerging epidemic that has spread around the world. There are some reports illustrating the patients getting re-infected after recovering from COVID-19. Here, we provide an overview of the biphasic cycle of COVID-19, genetic diversity, immune response, and a chance of reinfection after recovering from COVID-19. The new generation of COVID-19 is a highly contagious and pathogenic infection that can lead to acute respiratory distress syndrome. Whilst most patients suffer from a mild form of the disease, there is a rising concern that patients who recover from COVID-19 may be at risk of reinfection. The proportion of the infected population is increasing worldwide; meanwhile, the rate and concern of reinfection by the recovered population are still high. Moreover, there is little evidence on the chance of COVID-19 infection even after vaccination, which is around one percent or less. Although the hypothesis of zero reinfections after vaccination has not been clinically proven, further studies should be performed on the recovered class in clusters to study the progression of the exposure with the re-exposed subpopulations to estimate the possibilities of reinfection and, thereby, advocate the use of these antibodies for vaccine creation.
Keywords: COVID-19, reinfection, recovered patients, biphasic cycle, genetic diversity, immune response, new epidemic.
[http://dx.doi.org/10.1016/S0140-6736(20)30419-0] [PMID: 32087125]
[http://dx.doi.org/10.1016/j.ijid.2020.01.009] [PMID: 31953166]
[http://dx.doi.org/10.1016/j.apsb.2020.02.008] [PMID: 32292689]
[http://dx.doi.org/10.1038/s41392-020-0116-z] [PMID: 32296018]
[http://dx.doi.org/10.46234/ccdcw2020.032] [PMID: 34594836]
[http://dx.doi.org/10.1016/S1473-3099(20)30764-7] [PMID: 33058797]
[PMID: 32840608]
[PMID: 32887979]
[http://dx.doi.org/10.1016/j.meegid.2020.104260] [PMID: 32092483]
[http://dx.doi.org/10.1021/acsnano.0c01676] [PMID: 32283007]
[http://dx.doi.org/10.1016/S1473-3099(20)30200-0] [PMID: 32224310]
[http://dx.doi.org/10.1002/jmv.20138] [PMID: 15258961]
[http://dx.doi.org/10.1128/JVI.00127-20] [PMID: 31996437]
[http://dx.doi.org/10.1146/annurev.med.56.091103.134135] [PMID: 15660517]
[http://dx.doi.org/10.3390/v10120683] [PMID: 30513823]
[http://dx.doi.org/10.1073/pnas.1211138109] [PMID: 22872860]
[http://dx.doi.org/10.1056/NEJMoa1613108] [PMID: 28195756]
[http://dx.doi.org/10.7326/M20-0504] [PMID: 32150748]
[http://dx.doi.org/10.1016/j.meegid.2020.104211] [PMID: 32007627]
[PMID: 33219681]
[http://dx.doi.org/10.1093/cid/ciaa1275]
[http://dx.doi.org/10.1093/infdis/jis570] [PMID: 22966119]
[http://dx.doi.org/10.3201/eid2201.151055] [PMID: 26691200]
[http://dx.doi.org/10.1093/infdis/jiw236] [PMID: 27302191]
[PMID: 31831395]
[http://dx.doi.org/10.1073/pnas.1718769115] [PMID: 29507189]
[http://dx.doi.org/10.3389/fimmu.2014.00171] [PMID: 24795718]
[http://dx.doi.org/10.1172/JCI60331] [PMID: 22850883]
[http://dx.doi.org/10.1101/2020.02.18.20024364]
[http://dx.doi.org/10.1128/JVI.02015-19] [PMID: 31826992]
[http://dx.doi.org/10.1186/1743-422X-11-82] [PMID: 24885320]
[http://dx.doi.org/10.1093/cvr/cvaa134] [PMID: 32402066]
[http://dx.doi.org/10.1016/j.mce.2021.111464] [PMID: 34601002]
[http://dx.doi.org/10.1097/MD.0000000000026747] [PMID: 34397817]
[http://dx.doi.org/10.1016/j.yexcr.2008.07.011] [PMID: 18687325]
[http://dx.doi.org/10.1016/j.ijid.2021.02.019] [PMID: 33578018]
[http://dx.doi.org/10.1016/j.pharmthera.2006.02.002] [PMID: 16540173]
[http://dx.doi.org/10.1056/NEJMoa2105000] [PMID: 33882219]
[http://dx.doi.org/10.1056/NEJMc2108076] [PMID: 34407332]
[http://dx.doi.org/10.1056/NEJMc2101927] [PMID: 33755376]