RT Journal Article SR Electronic T1 Substantial Neutralization Escape by the SARS-CoV-2 Omicron Variant BQ.1.1 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.11.01.514722 DO 10.1101/2022.11.01.514722 A1 Jessica Miller A1 Nicole P. Hachmann A1 Ai-ris Y. Collier A1 Ninaad Lasrado A1 Camille R. Mazurek A1 Robert C. Patio A1 Olivia Powers A1 Nehalee Surve A1 James Theiler A1 Bette Korber A1 Dan H. Barouch YR 2022 UL http://biorxiv.org/content/early/2022/11/02/2022.11.01.514722.abstract AB Omicron BA.5 has been the globally dominant SARS-CoV-2 variant and has demonstrated substantial neutralization escape compared with prior variants. Additional Omicron variants have recently emerged, including BA.4.6, BF.7, BA.2.75.2, and BQ.1.1, all of which have the Spike R346T mutation. In particular, BQ.1.1 has rapidly increased in frequency, and BA.5 has recently declined to less than half of viruses in the United States. Our data demonstrate that BA.2.75.2 and BQ.1.1 escape NAbs induced by infection and vaccination more effectively than BA.5. BQ.1.1 NAb titers were lower than BA.5 NAb titers by a factor of 7 in two cohorts of individuals who received the monovalent or bivalent mRNA vaccine boosters. These findings provide the immunologic context for the rapid increase in BQ.1.1 prevalence in regions where BA.5 is dominant and have implications for both vaccine immunity and natural immunity.Competing Interest StatementThe authors have declared no competing interest.