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Structural basis of SARS-CoV-2 Omicron immune evasion and receptor engagement
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Abstract
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant of concern evades antibody-mediated immunity that comes from vaccination or infection with earlier variants due to accumulation of numerous spike mutations. To understand the Omicron antigenic shift, we determined cryo–electron microscopy and x-ray crystal structures of the spike protein and the receptor-binding domain bound to the broadly neutralizing sarbecovirus monoclonal antibody (mAb) S309 (the parent mAb of sotrovimab) and to the human ACE2 receptor. We provide a blueprint for understanding the marked reduction of binding of other therapeutic mAbs that leads to dampened neutralizing activity. Remodeling of interactions between the Omicron receptor-binding domain and human ACE2 likely explains the enhanced affinity for the host receptor relative to the ancestral virus.
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“Several VOCs which have mutated, such as Beta1 and Omicron2, evade humoral responses elicited by vaccines based on ancestral S-protein sequences3.”
From Efficacy of an unmodified bivalent mRNA vaccine against SARS-CoV-2 variants in female small animal models (2023) · cites this paper as [2]
In the citing paper
“Reinfections and vaccine breakthrough infections accounted for the majority of Omicron BA.1/2 infections, likely attributable to a minority of population remaining naïve prior to the Omicron BA.1/2 wave and to Omicron BA.1/2's immune-escape properties 16,21,22 .”
From Rapidly shifting immunologic landscape and severity of SARS-CoV-2 in the Omicron era in South Africa (2023) · cites this paper as [22]
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“However, the region comprising residues 366 to 375, which harbors the S371L/S373P/S375F substitutions, deviates markedly from the conformation observed for the Wuhan-Hu-1 RBD, irrespective of the presence of bound linoleic acid ( 4 , 42 , 43 ).”
Self-citationREFMAC 5 for the refinement of macromolecular crystal structures
Murshudov, G. N., Skubák, P., Lebedev, A. A., Pannu, N. S., Steiner, R. A., Nicholls, R. A., Winn, M., Long, F., & Vagin, A. A. (2011) · Acta Crystallographica Section D Biological Crystallography · doi:10.1107/s0907444911001314 · Cited by 8,415
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Self-citationStructure of the SARS-CoV-2 spike receptor-binding domain bound to the ACE2 receptor
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“The Omicron RBD is structurally similar to the Wuhan-Hu-1 RBD and both structures can be superimposed with an r.m.s.d. of 0.8Å over 183 aligned C ɑ residues (as compared to PDB 6m0j ( 42 )).”
Research works printed but not linked: 2
- 10.1016/j.cell.2020.02.058 · DOI · Paper page
- 10.1126/science.abh1139 · DOI · Paper page
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SARS-COV-2 Omicron variants conformationally escape a rare quaternary antibody binding mode
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Peroxide derivatives as SARS-CoV-2 entry inhibitors
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Martins, M., Nooruzzaman, M., Cunningham, J. L., Ye, C., Caserta, L. C., Jackson, N. D., Martínez‐Sobrido, L., Fāng, Y., & Diel, D. G. (2024) · Journal of Virology · doi:10.1128/jvi.01902-23 · Cited by 5
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Smit, W. L., Thijsen, S. F. T., van der Kieft, R., van Tol, S., Reimerink, J. H. J., Reusken, C. B. E. M., Rümke, L. W., Bossink, A. W. J., Limonard, G. J. M., & Heron, M. (2022) · Pathogens and Disease · doi:10.1093/femspd/ftac035 · Cited by 5
Durable protection against SARS-CoV-2 Omicron induced by an adjuvanted subunit vaccinePreprint
Arunachalam, P. S., Feng, Y., Ashraf, U., Hu, M., Edara, V. V., Zarnitsyna, V. I., Aye, P. P., Golden, N., Green, K. M., Threeton, B., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.03.18.484950 · Cited by 5
“Protection against Omicron Omicron is characterized by high resistance to vaccine-induced nAbs and therapeutic monoclonal nAbs (Cameroni et al., 2022; McCallum et al., 2022), which results in a striking decline in vaccine efficacy against Omicron (Andrews et al., 2022).”
Self-citationLimited Neutralization of Omicron by Antibodies from the BNT162b2 Vaccination against SARS-CoV-2Preprint
Lanz, T. V., Brewer, R. C., Jahanbani, S., & Robinson, W. H. (2022) · Research Square · doi:10.21203/rs.3.rs-1518378/v1 · Cited by 5
Structural and functional characteristics of SARS-CoV-2 Omicron subvariant BA.2 spikePreprint
Zhang, J., Tang, W., Gao, H., Lavine, C. L., Shi, W., Peng, H., Zhu, H., Anand, K., Kosikova, M., Kwon, H. J., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.04.28.489772 · Cited by 5
“Q493R and Q498R have been shown to enhance ACE2 affinity by creating additional contacts with the receptor (38-42), while K417N and E484A eliminate ionic interactions with ACE2 and may reduce the ACE2 affinity (27, 43).”
Adhikari, P., Jawad, B., Podgornik, R., & Ching, W. Y. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.06.03.494698 · Cited by 5
Genome-first detection of emerging resistance to novel therapeutic agents for SARS-CoV-2Preprint
Ragonnet‐Cronin, M., Nutalai, R., Huo, J., Dijokaite-Guraliuc, A., Das, R., Tuekprakhon, A., Supasa, P., Liu, C., Selvaraj, M., Groves, N., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.07.14.500063 · Cited by 5
Touizer, E., Alrubayyi, A., Ford, R., Hussain, N., Gerber, P. P., Shum, H.-L., Rees-Spear, C., Muir, L., Gea‐Mallorquí, E., Kopycinski, J. T., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.11.11.516111 · Cited by 5
Raisinghani, N., Alshahrani, M., Gupta, G., Xiao, S., Tao, P., & Verkhivker, G. M. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.04.02.587850 · Cited by 6
Ma, S., Liang, Y., Song, H., Wang, T., Zhang, Y., Zhang, L., Chen, J., Lu, H., & Zhang, Y. (2026) · Journal of the American Chemical Society · doi:10.1021/jacs.5c14196 · Cited by 4
Structural Insights into the SARS-CoV-2 Spike Protein and Its Implications for Antibody Resistance
Yamamoto, Y., & Noguchi, K. (2025) · Biomolecules · doi:10.3390/biom15111489 · Cited by 5
“Although REGN10987 (Class 3) is primarily impaired by other Omicron mutations such as G446S, Q493R in combination with adjacent substitutions contributes to the extensive immune escape phenotype observed in Omicron [78,80].”
Singh, U. B., Deb, S., Rani, L., Bhardwaj, D., Gupta, R., Kabra, M., Bala, K., Kumari, L., Perumalla, S., Shukla, J., et al. (2023) · The Lancet Regional Health - Southeast Asia · doi:10.1016/j.lansea.2023.100148 · Cited by 4
Remesh, S. G., Merz, G. E., Brilot, A. F., Chio, U. S., Rizo, A. N., Pospiech, T. H., Lui, I., Laurie, M. T., Glasgow, J. E., Le, C. Q., et al. (2023) · Structure · doi:10.1016/j.str.2023.01.009 · Cited by 4
“3,4,28 For example, while the Y505H mutation leads to loss in hydrogen bond interactions with WT-ACE2 residue E37, there are several compensatory mutations in the Omicron-RBD.”
Verkhivker, G. M., Alshahrani, M., & Gupta, G. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24076642 · Cited by 4
“4 various functional states and complexes with antibodies revealed a remarkable versatility of molecular mechanisms and diversity of binding epitopes that underlie binding affinity of S proteins with different classes of antibodies [19-28].”
Guan, X., Verma, A. K., Wang, G., Roy, A., Perlman, S. M., & Du, L. (2024) · Vaccines · doi:10.3390/vaccines12060605 · Cited by 4
Martinez, E. J., Chang, W. C., Chen, W., Hajduczki, A., Thomas, P. V., Jensen, J. L., Choe, M., Sankhala, R. S., Peterson, C. E., Rees, P. A., et al. (2024) · iScience · doi:10.1016/j.isci.2024.110624 · Cited by 3
Characterization of key spike RBD residues influencing SARS-CoV-2 variant adaptation to avian ACE2
Yao, W., Li, Y., Sun, H., Ma, D., Tang, X., Zeng, A., & Huang, F. (2025) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2025.1631926 · Cited by 4
Being a Public Health Statistician During a Global Pandemic
Mukherjee, B. (2022) · Statistical Science · doi:10.1214/22-sts859 · Cited by 4
Molecular Insights into Striking Antibody Evasion of SARS-CoV-2 Omicron Variant
Yan, Z., Xu, Y., Ding, H., & Ma, Y. (2022) · Chinese Physics Letters · doi:10.1088/0256-307x/39/10/108701 · Cited by 4
Li, Z., & Buck, M. (2022) · Computational and Structural Biotechnology Journal · doi:10.1016/j.csbj.2022.10.044 · Cited by 4
“For the Omicron variant, the current electron microscope results indicate the existence of both 2 RBD ‘‘open” and 1 RBD ‘‘open” states, but the relative ratio is unknown [10].”
Mapping the Accessory Proteins (Orfs) of Severe Acute Respiratory Syndrome Coronavirus 2
Thomas, S. (2023) · Re GEN Open · doi:10.1089/regen.2022.0056 · Cited by 4
Genomic evidence for reinfection with different Omicron subvariants
Hirotsu, Y., & Omata, M. (2023) · Journal of Infection · doi:10.1016/j.jinf.2023.01.010 · Cited by 4
Du, W., Hurdiss, D. L., Drabek, D., Mykytyn, A. Z., Kaiser, F. K., González-Hernández, M. C., Muñoz‐Santos, D., Lamers, M. M., van Haperen, R., Li, W., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.02.17.480751 · Cited by 4
Structural dynamics in the evolution of SARS-CoV-2 spike glycoproteinPreprint
Calvaresi, V., Wrobel, A. G., Toporowska, J., Hammerschmid, D., Doores, K. J., Bradshaw, R. T., Parsons, R. B., Benton, D. J., Roustan, C., Reading, E., et al. (2022) · Research Square · doi:10.21203/rs.3.rs-2049401/v1 · Cited by 4
Human neutralizing antibodies to cold linear epitopes and to subdomain 1 of SARS-CoV-2Preprint
Bianchini, F., Crivelli, V., Abernathy, M. E., Guerra, C., Palus, M., Muri, J., Marcotte, H., Piralla, A., Pedotti, M., Gasparo, R. D., et al. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.11.24.515932 · Cited by 4
Editorial: COVID-19 booster vaccination: increasing immunity against life-threatening infection
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Self-citationWang, C., Chen, W., Yu, L., Wang, X., Zhang, L., Zhang, X., Tang, S., Han, J., Gao, W., Huang, X., et al. (2025) · Water Research · doi:10.1016/j.watres.2025.123649 · Cited by 3
Design of Entry Inhibitor Peptides Covalently Bonding SARS-CoV-2 Variants in Wastewater
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“BA.1 and its descendants harbor an unusually large number of mutations (over 30) in S [11,35,36].”
Alshahrani, M., Parikh, V., Foley, B., Raisinghani, N., & Verkhivker, G. M. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26041507 · Cited by 3
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“2 (McCallum et al. 2022; Day et al. 2022).”
A Pathway Model to Understand the Evolution of Spike Protein Binding to ACE2 in SARS-CoV-2 Variants
Pipitò, L., Reynolds, C. A., Mobarec, J. C., Vickery, O. N., & Deganutti, G. (2022) · Biomolecules · doi:10.3390/biom12111607 · Cited by 3
“Mutations K417N, G446S, S477N, T478K, E484A, Q493R, G496S, Q498R, N501Y, and Y505H are part of the immunodominant antigenic site I [8].”
Kreye, J., Reincke, S. M., Edelburg, S., Jeworowski, L. M., Kornau, H., Trimpert, J., Hombach, P., Halbe, S., Nölle, V., Meyer, M., et al. (2023) · iScience · doi:10.1016/j.isci.2023.106323 · Cited by 3
Efficacy of novel SARS-CoV-2 rapid antigen tests in the era of omicron outbreak
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“In comparison to the prior SARS-CoV-2 variants, the Omicron showed a significant number of mutations [30], with a greater rate of transmissibility [31, 32] and the ability to evade the efficacy of the currently administered COVID-19 vaccines or monoclonal antibody therapies [33, 34].”
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A human antibody derived from original SARS-CoV-2 infection effectively neutralizes omicron
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“Some spike RBD mutations enhanced viral interaction with the host cell surface receptor, angiotensin-converting enzyme 2 (ACE2) ( 7 ).”
Metadata
- Authors
- McCallum, M., Czudnochowski, N., Rosen, L. E., Zepeda, S. K., Bowen, J. E., Walls, A. C., Hauser, K., Joshi, A., Stewart, C., Dillen, J. R., Powell, A. E., Croll, T. I., Nix, J., Virgin, H. W., Corti, D., Snell, G., & Veesler, D.
- Affiliations
- University of Washington (US)
- VIR Biotechnology (United States) (US)
- Howard Hughes Medical Institute (US)
- University of Cambridge (GB)
- Lawrence Berkeley National Laboratory (US)
- Washington University in St. Louis (US)
- Vir Biotechnology (Switzerland) (CH)
- Corresponding author
- McCallum, Matthew
- Czudnochowski, Nadine
- Snell, Gyorgy
- Veesler, David
- ORCID
- Venue
- Science
- Published
- 2022-02-25
- Volume
- 375
- Issue
- 6583
- Pages
- 864-868
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- PMC
- PMC9427005
- OpenAlex
- W4220861013
- Cited by
- 535
- References
- 85
- Citations by year
- 2026: 25 · 2025: 56 · 2024: 85 · 2023: 122 · 2022: 246
- FWCI
- 62.11
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Science (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- OSTI OAI (U.S. Department of Energy Office of Scientific and Technical Information) (submittedVersion, cc-by)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Howard Hughes Medical Institute (DE-AC02-05CH11231)
- U.S. Department of Energy (-AC02-05CH11231, Contract No. DE-AC02-05-CH11231, 05CH11231, No. DE-AC02-05-CH11231, DE AC02 05CH11231, DE-AC02-)
- Burroughs Wellcome Fund (DE-AC02-05CH11231)
- University of Washington
- Wellcome Trust (Z/17/Z, 209407/Z/17/Z)
- Fast Grants
- National Institutes of Health (S10 OD032290, DE-AC02–05CH11231, 1s10od023476-01, HHSN272201700059C)
- Office of Science (No. DE-AC02- 05-CH11231, DEAC02–05CH11231, AC02-05CH11231, DE-AC02, 05CH11231, Contract No. DE-AC02-05CH11231)
- National Institute of General Medical Sciences (DE-AC02-05CH11231, R01GM120553, T32GM008268, P30GM124169)
- National Institute of Allergy and Infectious Diseases (HHSN272201700059C, DP1AI158186)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › vaccines and immunoinformatics approaches
- Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Animal Virus Infections Studies
- Keywords
- Omicron variant, spike protein, receptor binding domain, antibody escape, sotrovimab, ACE2 receptor, antigenic shift, spike protein mutations, antibody affinity
- MeSH terms
- Protein Domains, Broadly Neutralizing Antibodies, Receptors, Coronavirus, Angiotensin-Converting Enzyme 2, SARS-CoV-2, Antigenic Drift and Shift, Antibodies, Monoclonal, Antibodies, Viral, Humans, Models, Molecular, Mutation, Protein Binding, Protein Conformation, Crystallography, X-Ray, Amino Acid Substitution, Cryoelectron Microscopy, Protein Interaction Domains and Motifs, Immune Evasion, Spike Glycoprotein, Coronavirus
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