RT Journal Article SR Electronic T1 SARS-CoV-2 Omicron-B.1.1.529 Variant leads to less severe disease than Pango B and Delta variants strains in a mouse model of severe COVID-19 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.12.26.474085 DO 10.1101/2021.12.26.474085 A1 Eleanor G. Bentley A1 Adam Kirby A1 Parul Sharma A1 Anja Kipar A1 Daniele F. Mega A1 Chloe Bramwell A1 Rebekah Penrice-Randal A1 Tessa Prince A1 Jonathan C. Brown A1 Jie Zhou A1 Gavin R. Screaton A1 Wendy S. Barclay A1 Andrew Owen A1 Julian A. Hiscox A1 James P. Stewart YR 2021 UL http://biorxiv.org/content/early/2021/12/28/2021.12.26.474085.abstract AB COVID-19 is a spectrum of clinical symptoms in humans caused by infection with SARS-CoV-2. The B.1.1.529 Omicron variant is rapidly emerging and has been designated a Variant of Concern (VOC). The variant is highly transmissible and partially or fully evades a spectrum of neutralising antibodies due to a high number of substitutions in the spike glycoprotein. A major question is the relative severity of disease caused by the Omicron variant compared with previous and currently circulating variants of SARS-CoV-2. To address this, a mouse model of infection that recapitulates severe disease in humans, K18-hACE2 mice, were infected with either a Pango B, Delta or Omicron variant of SARS-CoV-2 and their relative pathogenesis compared. In contrast to mice infected with Pango B and Delta variant viruses, those infected with the Omicron variant had less severe clinical signs (weight loss), showed recovery and had a lower virus load in both the lower and upper respiratory tract. This is also reflected by less extensive inflammatory processes in the lungs. Although T cell epitopes may be conserved, the antigenic diversity of Omicron from previous variants would suggest that a change in vaccine may be required to mitigate against the higher transmissibility and global disease burden. However, the lead time to develop such a response may be too late to mitigate the spread and effects of Omicron. These animal model data suggest the clinical consequences of infection with the Omicron variant may be less severe but the higher transmissibility could still place huge burden upon healthcare systems even if a lower proportion of infected patients are hospitalised.Competing Interest StatementThe authors have declared no competing interest.