RT Journal Article SR Electronic T1 Role of spike in the pathogenic and antigenic behavior of SARS-CoV-2 BA.1 Omicron JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.10.13.512134 DO 10.1101/2022.10.13.512134 A1 Da-Yuan Chen A1 Devin Kenney A1 Chue Vin Chin A1 Alexander H. Tavares A1 Nazimuddin Khan A1 Hasahn L. Conway A1 GuanQun Liu A1 Manish C. Choudhary A1 Hans P. Gertje A1 Aoife K. O’Connell A1 Darrell N. Kotton A1 Alexandra Herrmann A1 Armin Ensser A1 John H. Connor A1 Markus Bosmann A1 Jonathan Z. Li A1 Michaela U. Gack A1 Susan C. Baker A1 Robert N. Kirchdoerfer A1 Yachana Kataria A1 Nicholas A. Crossland A1 Florian Douam A1 Mohsan Saeed YR 2022 UL http://biorxiv.org/content/early/2022/10/14/2022.10.13.512134.abstract AB The recently identified, globally predominant SARS-CoV-2 Omicron variant (BA.1) is highly transmissible, even in fully vaccinated individuals, and causes attenuated disease compared with other major viral variants recognized to date1–7. The Omicron spike (S) protein, with an unusually large number of mutations, is considered the major driver of these phenotypes3,8. We generated chimeric recombinant SARS-CoV-2 encoding the S gene of Omicron in the backbone of an ancestral SARS-CoV-2 isolate and compared this virus with the naturally circulating Omicron variant. The Omicron S-bearing virus robustly escapes vaccine-induced humoral immunity, mainly due to mutations in the receptor-binding motif (RBM), yet unlike naturally occurring Omicron, efficiently replicates in cell lines and primary-like distal lung cells. In K18-hACE2 mice, while Omicron causes mild, non-fatal infection, the Omicron S-carrying virus inflicts severe disease with a mortality rate of 80%. This indicates that while the vaccine escape of Omicron is defined by mutations in S, major determinants of viral pathogenicity reside outside of S.Competing Interest StatementThe authors have declared no competing interest.