New omicron subvariant strongly evades neutralizing antibodies

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In a study from Karolinska Institutet, scientists found the coronavirus variant BA.2.75.2, an omicron sublineage, could evade neutralizing antibodies in the blood and is resistant to several monoclonal antibody antiviral treatments.

The findings suggest a risk of increased SARS-CoV-2 infections this winter unless the new updated bivalent vaccines help to boost immunity in the population.

In the study, researchers found that antibodies in random serum samples from 75 blood donors in Stockholm were approximately only one-sixth as effective at neutralizing BA.2.75.2 compared with the now-dominant variant BA.5.

The serum samples were collected at three time points:

In November last year before the emergence of omicron, in April after a large wave of infections in the country, and at the end of August to early September after the BA.5 variant became dominant.

Only one of the clinically available monoclonal antibody treatments that were tested, bebtelovimab, was able to potently neutralize the new variant.

Monoclonal antibodies are used as antiviral treatments for people at high risk of developing severe COVID-19.

BA.2.75.2 is a mutated version of another omicron variant, BA.2.75. Since it was first discovered earlier this fall, it has spread to several countries but so far represents only a minority of registered cases.

The team says they now know that this is just one of a constellation of emerging variants with similar mutations that will likely come to dominate in the near future. They expect infections to increase this winter.

Some questions remain. It is unclear whether these new variants will drive an increase in hospitalization rates.

Also, while current vaccines have, in general, had a protective effect against severe disease for omicron infections, there is not yet data showing the degree to which the updated COVID vaccines provide protection from these new variants.

If you care about COVID, please read studies about why smokers have a lower risk of COVID-19, and scientists find antibodies that block all the COVID-19 variants.

For more information about COVID, please see recent studies that your genes and blood type may help predict your risk of severe COVID-19, and results showing common anti-inflammatory drugs may prevent COVID-19 deaths.

The study was conducted by Ben Murrell et al and published in the journal The Lancet Infectious Diseases.

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