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Characterization of the enhanced infectivity and antibody evasion of Omicron BA.2.75

Open access
Cao, Yunlong, Song, Weiliang, Wang, Lei, Liu, Pan, Yue, Can, Jian, Fanchong, Yu, Yuanling, Yisimayi, Ayijiang, Wang, Peng, Wang, Yao, Zhu, Qianhui, Deng, Jie, Fu, Wangjun, Yu, Lingling, Zhang, Na, Wang, Jing, Xiao, Tianhe, An, Ran, Wang, Jing, Liu, Lu, Yang, Sijie, Niu, Xiao, Gu, Qingqing, Shao, Fei, Hao, Xiaohua, Meng, Bo, Gupta, Ravindra Kumar, Jin, Ronghua, Wang, Youchun, Xie, Xiaoliang Sunney, Wang, Xiangxi·2022·Cell Host & Microbe

Abstract

Recently emerged SARS-CoV-2 Omicron subvariant, BA.2.75, displayed a growth advantage over circulating BA.2.38, BA.2.76, and BA.5 in India. However, the underlying mechanisms for enhanced infectivity, especially compared with BA.5, remain unclear. Here, we show that BA.2.75 exhibits substantially higher affinity for host receptor angiotensin-converting enzyme 2 (ACE2) than BA.5 and other variants. Structural analyses of BA.2.75 spike shows its decreased thermostability and increased frequency of the receptor binding domain (RBD) in the "up" conformation under acidic conditions, suggesting enhanced low-pH-endosomal cell entry. Relative to BA.4/BA.5, BA.2.75 exhibits reduced evasion of humoral immunity from BA.1/BA.2 breakthrough-infection convalescent plasma but greater evasion of Delta breakthrough-infection convalescent plasma. BA.5 breakthrough-infection plasma also exhibits weaker neutralization against BA.2.75 than BA.5, mainly due to BA.2.75's distinct neutralizing antibody (NAb) escape pattern. Antibody therapeutics Evusheld and Bebtelovimab remain effective against BA.2.75. These results suggest BA.2.75 may prevail after BA.4/BA.5, and its increased receptor-binding capability could support further immune-evasive mutations.

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Metadata

Authors
Cao, Y., Song, W., Wang, L., Liu, P., Yue, C., Jian, F., Yu, Y., Yisimayi, A., Wang, P., Wang, Y., Zhu, Q., Deng, J., Fu, W., Yu, L., Zhang, N., Wang, J., Xiao, T., An, R., Wang, J., Liu, L., Yang, S., Niu, X., Gu, Q., Shao, F., Hao, X., Meng, B., Gupta, R. K., Jin, R., Wang, Y., Xie, X. S., & Wang, X.
Venue
Cell Host & Microbe
Publisher
Elsevier BV
Published
2022-11
Volume
30
Issue
11
Pages
1527-1539.e5
ISSN
1931-3128 (ISSN-L)
OpenAlex
W4301394219
Cited by
178
References
11
FWCI
19.51
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Characterization of the enhanced infectivity and antibody evasion of Omicron BA.2.75. https://app.cochat.ai/papers/10.1016/j.chom.2022.09.018
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Cao, Y., Song, W., Wang, L., Liu, P., Yue, C., Jian, F., Yu, Y., Yisimayi, A., Wang, P., Wang, Y., Zhu, Q., Deng, J., Fu, W., Yu, L., Zhang, N., Wang, J., Xiao, T., An, R., Wang, J., . . . Wang, X. (2022). Characterization of the enhanced infectivity and antibody evasion of Omicron BA.2.75. Cell Host & Microbe. https://doi.org/10.1016/j.chom.2022.09.018

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