RT Journal Article SR Electronic T1 Selection analysis identifies unusual clustered mutational changes in Omicron lineage BA.1 that likely impact Spike function JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.01.14.476382 DO 10.1101/2022.01.14.476382 A1 Darren P Martin A1 Spyros Lytras A1 Alexander G Lucaci A1 Wolfgang Maier A1 Björn Grüning A1 Stephen D Shank A1 Steven Weaver A1 Oscar A MacLean A1 Richard J Orton A1 Philippe Lemey A1 Maciej F Boni A1 Houriiyah Tegally A1 Gordon Harkins A1 Cathrine Scheepers A1 Jinal N Bhiman A1 Josie Everatt A1 Daniel G Amoako A1 James Emmanuel San A1 Jennifer Giandhari A1 Alex Sigal A1 NGS-SA A1 Carolyn Williamson A1 Nei-yuan Hsiao A1 Anne von Gottberg A1 Arne De Klerk A1 Robert W Shafer A1 David L Robertson A1 Robert J Wilkinson A1 B Trevor Sewell A1 Richard Lessells A1 Anton Nekrutenko A1 Allison J. Greaney A1 Tyler N. Starr A1 Jesse D. Bloom A1 Ben Murrell A1 Eduan Wilkinson A1 Ravindra K Gupta A1 Tulio de Oliveira A1 Sergei L Kosakovsky Pond YR 2022 UL http://biorxiv.org/content/early/2022/01/18/2022.01.14.476382.abstract AB Among the 30 non-synonymous nucleotide substitutions in the Omicron S-gene are 13 that have only rarely been seen in other SARS-CoV-2 sequences. These mutations cluster within three functionally important regions of the S-gene at sites that will likely impact (i) interactions between subunits of the Spike trimer and the predisposition of subunits to shift from down to up configurations, (ii) interactions of Spike with ACE2 receptors, and (iii) the priming of Spike for membrane fusion. We show here that, based on both the rarity of these 13 mutations in intrapatient sequencing reads and patterns of selection at the codon sites where the mutations occur in SARS-CoV-2 and related sarbecoviruses, prior to the emergence of Omicron the mutations would have been predicted to decrease the fitness of any genomes within which they occurred. We further propose that the mutations in each of the three clusters therefore cooperatively interact to both mitigate their individual fitness costs, and adaptively alter the function of Spike. Given the evident epidemic growth advantages of Omicron over all previously known SARS-CoV-2 lineages, it is crucial to determine both how such complex and highly adaptive mutation constellations were assembled within the Omicron S-gene, and why, despite unprecedented global genomic surveillance efforts, the early stages of this assembly process went completely undetected.Competing Interest StatementJDB consults for Moderna, Flagship Labs 77, and Oncorus. JDB, AJG, and TNS are inventors on Fred Hutch licensed patents related to deep mutational scanning of viral proteins.