Cell Reports (Apr 2023)

Rapid escape of new SARS-CoV-2 Omicron variants from BA.2-directed antibody responses

  • Aiste Dijokaite-Guraliuc,
  • Raksha Das,
  • Daming Zhou,
  • Helen M. Ginn,
  • Chang Liu,
  • Helen M.E. Duyvesteyn,
  • Jiandong Huo,
  • Rungtiwa Nutalai,
  • Piyada Supasa,
  • Muneeswaran Selvaraj,
  • Thushan I. de Silva,
  • Megan Plowright,
  • Thomas A.H. Newman,
  • Hailey Hornsby,
  • Alexander J. Mentzer,
  • Donal Skelly,
  • Thomas G. Ritter,
  • Nigel Temperton,
  • Paul Klenerman,
  • Eleanor Barnes,
  • Susanna J. Dunachie,
  • Cornelius Roemer,
  • Thomas P. Peacock,
  • Neil G. Paterson,
  • Mark A. Williams,
  • David R. Hall,
  • Elizabeth E. Fry,
  • Juthathip Mongkolsapaya,
  • Jingshan Ren,
  • David I. Stuart,
  • Gavin R. Screaton,
  • Christopher Conlon,
  • Alexandra Deeks,
  • John Frater,
  • Siobhan Gardiner,
  • Anni Jämsén,
  • Katie Jeffery,
  • Tom Malone,
  • Eloise Phillips,
  • Barbara Kronsteiner-Dobramysl,
  • Priyanka Abraham,
  • Sagida Bibi,
  • Teresa Lambe,
  • Stephanie Longet,
  • Tom Tipton,
  • Miles Carrol,
  • Lizzie Stafford

Journal volume & issue
Vol. 42, no. 4
p. 112271

Abstract

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Summary: In November 2021, Omicron BA.1, containing a raft of new spike mutations, emerged and quickly spread globally. Intense selection pressure to escape the antibody response produced by vaccines or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection then led to a rapid succession of Omicron sub-lineages with waves of BA.2 and then BA.4/5 infection. Recently, many variants have emerged such as BQ.1 and XBB, which carry up to 8 additional receptor-binding domain (RBD) amino acid substitutions compared with BA.2. We describe a panel of 25 potent monoclonal antibodies (mAbs) generated from vaccinees suffering BA.2 breakthrough infections. Epitope mapping shows potent mAb binding shifting to 3 clusters, 2 corresponding to early-pandemic binding hotspots. The RBD mutations in recent variants map close to these binding sites and knock out or severely knock down neutralization activity of all but 1 potent mAb. This recent mAb escape corresponds with large falls in neutralization titer of vaccine or BA.1, BA.2, or BA.4/5 immune serum.

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