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Enhanced innate immune suppression by SARS-CoV-2 Omicron subvariants BA.4 and BA.5

Ann-Kathrin Reuschl, Lucy G. Thorne, Matthew V.X. Whelan, Dejan Mesner, Roberta Ragazzini, Giulia Dowgier, Nathasha Bogoda, Jane L. E. Turner, Wilhelm Furnon, Vanessa M. Cowton, Giuditta de Lorenzo, Paola Bonfanti, Massimo Palmarini, Arvind H. Patel, Clare Jolly, Greg. J. Towers
doi: https://doi.org/10.1101/2022.07.12.499603
Ann-Kathrin Reuschl
1Division of Infection and Immunity, University College London, WC1E 6BT London, United Kingdom
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  • For correspondence: a.reuschl@ucl.ac.uk c.jolly@ucl.ac.uk g.towers@ucl.ac.uk
Lucy G. Thorne
1Division of Infection and Immunity, University College London, WC1E 6BT London, United Kingdom
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Matthew V.X. Whelan
1Division of Infection and Immunity, University College London, WC1E 6BT London, United Kingdom
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Dejan Mesner
1Division of Infection and Immunity, University College London, WC1E 6BT London, United Kingdom
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Roberta Ragazzini
2Epithelial Stem Cell Biology and Regenerative Medicine Laboratory, The Francis Crick Institute, London, NW1 1AT, United Kingdom
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Giulia Dowgier
1Division of Infection and Immunity, University College London, WC1E 6BT London, United Kingdom
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Nathasha Bogoda
1Division of Infection and Immunity, University College London, WC1E 6BT London, United Kingdom
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Jane L. E. Turner
1Division of Infection and Immunity, University College London, WC1E 6BT London, United Kingdom
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Wilhelm Furnon
3MRC-University of Glasgow Centre for Virus Research, Glasgow, G61 1QH, United Kingdom
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Vanessa M. Cowton
3MRC-University of Glasgow Centre for Virus Research, Glasgow, G61 1QH, United Kingdom
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Giuditta de Lorenzo
3MRC-University of Glasgow Centre for Virus Research, Glasgow, G61 1QH, United Kingdom
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Paola Bonfanti
1Division of Infection and Immunity, University College London, WC1E 6BT London, United Kingdom
2Epithelial Stem Cell Biology and Regenerative Medicine Laboratory, The Francis Crick Institute, London, NW1 1AT, United Kingdom
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Massimo Palmarini
3MRC-University of Glasgow Centre for Virus Research, Glasgow, G61 1QH, United Kingdom
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Arvind H. Patel
3MRC-University of Glasgow Centre for Virus Research, Glasgow, G61 1QH, United Kingdom
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Clare Jolly
1Division of Infection and Immunity, University College London, WC1E 6BT London, United Kingdom
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  • For correspondence: a.reuschl@ucl.ac.uk c.jolly@ucl.ac.uk g.towers@ucl.ac.uk
Greg. J. Towers
1Division of Infection and Immunity, University College London, WC1E 6BT London, United Kingdom
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  • For correspondence: a.reuschl@ucl.ac.uk c.jolly@ucl.ac.uk g.towers@ucl.ac.uk
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Abstract

SARS-CoV-2 adaptation to its human host is evidenced by the emergence of new viral lineages with distinct genotypic and phenotypic characteristics, termed variants of concern (VOCs). Particular VOCs have become sequentially dominant globally (Alpha, Delta, Omicron) with each evolving independently from the ancestral Wuhan strain. Omicron is notable for its large number of spike mutations1 found to promote immune escape and re-infection2. Most recently, Omicron BA.4 and BA.5 subvariants have emerged with increasing levels of adaptive immune escape threatening vaccine effectiveness and increasing hospitalisations1,3–12. Here, we demonstrate that the most recent Omicron variants have enhanced capacity to antagonise or evade human innate immune defenses. We find Omicron BA.4 and BA.5 replication is associated with reduced activation of epithelial innate immune responses versus earlier BA.1 and BA.2 subvariants. We also find enhanced expression of innate immune antagonist proteins Orf6 and N, similar to Alpha, suggesting common pathways of human adaptation and linking VOC dominance to improved innate immune evasion. We conclude that Omicron BA.4 and BA.5 have combined evolution of antibody escape with enhanced antagonism of human innate immunity to improve transmission and possibly reduce immune protection from severe disease.

Competing Interest Statement

The authors have declared no competing interest.

Copyright 
The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY 4.0 International license.
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Posted July 12, 2022.
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Enhanced innate immune suppression by SARS-CoV-2 Omicron subvariants BA.4 and BA.5
Ann-Kathrin Reuschl, Lucy G. Thorne, Matthew V.X. Whelan, Dejan Mesner, Roberta Ragazzini, Giulia Dowgier, Nathasha Bogoda, Jane L. E. Turner, Wilhelm Furnon, Vanessa M. Cowton, Giuditta de Lorenzo, Paola Bonfanti, Massimo Palmarini, Arvind H. Patel, Clare Jolly, Greg. J. Towers
bioRxiv 2022.07.12.499603; doi: https://doi.org/10.1101/2022.07.12.499603
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Enhanced innate immune suppression by SARS-CoV-2 Omicron subvariants BA.4 and BA.5
Ann-Kathrin Reuschl, Lucy G. Thorne, Matthew V.X. Whelan, Dejan Mesner, Roberta Ragazzini, Giulia Dowgier, Nathasha Bogoda, Jane L. E. Turner, Wilhelm Furnon, Vanessa M. Cowton, Giuditta de Lorenzo, Paola Bonfanti, Massimo Palmarini, Arvind H. Patel, Clare Jolly, Greg. J. Towers
bioRxiv 2022.07.12.499603; doi: https://doi.org/10.1101/2022.07.12.499603

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