SARS-CoV-2 Omicron sublineages show comparable cell entry but differential neutralization by therapeutic antibodies

SARS-CoV-2 Omicron 亚系表现出相似的细胞进入能力,但治疗性抗体的中和作用存在差异

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作者:Prerna Arora, Lu Zhang, Nadine Krüger, Cheila Rocha, Anzhalika Sidarovich, Sebastian Schulz, Amy Kempf, Luise Graichen, Anna-Sophie Moldenhauer, Anne Cossmann, Alexandra Dopfer-Jablonka, Georg M N Behrens, Hans-Martin Jäck, Stefan Pöhlmann, Markus Hoffmann

Abstract

The Omicron variant of SARS-CoV-2 evades antibody-mediated neutralization with unprecedented efficiency. At least three Omicron sublineages have been identified-BA.1, BA.2, and BA.3-and BA.2 exhibits increased transmissibility. However, it is currently unknown whether BA.2 differs from the other sublineages regarding cell entry and antibody-mediated inhibition. Here, we show that BA.1, BA.2, and BA.3 enter and fuse target cells with similar efficiency and in an ACE2-dependent manner. However, BA.2 was not efficiently neutralized by seven of eight antibodies used for COVID-19 therapy, including Sotrovimab, which robustly neutralized BA.1. In contrast, BA.2 and BA.3 (but not BA.1) were appreciably neutralized by Cilgavimab, which could constitute a treatment option. Finally, all sublineages were comparably and efficiently neutralized by antibodies induced by BNT162b2 booster vaccination after previous two-dose homologous or heterologous vaccination. Collectively, the Omicron sublineages show comparable cell entry and neutralization by vaccine-induced antibodies but differ in susceptibility to therapeutic antibodies.

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