A growing trend of antibody evasion by new omicron subvariants: Study shows 3 variants that resist immunity

Three currently circulating omicron subvariants of SARS-CoV-2 — including two that currently make up almost 50% of reported COVID-19 infections in the U.S. — are better at evading vaccine- and infection-generated neutralizing antibodies than earlier versions of omicron, new research suggests.

Scientists tested neutralizing antibodies in blood serum samples from vaccinated and once-boosted or recently infected health care professionals against several subvariants in circulation. Three subvariants stood out for their resistance to the antibody immune response: BQ.1, BQ.1.1 and BA.2.75.2.

BQ.1 and BQ.1.1 are subvariants of the BA.4/5 omicron variants that have been dominating the last few months in the U.S., and each now accounts for about a quarter of current infections, according to the Centers for Disease Control and Prevention (CDC). BA.2.75.2, a mutant of the BA.2 omicron variant, was the best of all variants tested at evading neutralizing antibodies, but currently accounts for only a very small proportion of reported illnesses in the United States.

“In general, the subvariants BQ.1 and BQ.1.1 are much better compared to prior variants at evading the booster-mediated antibody response — the neutralizing antibody titers are clearly much lower. And those two variants are becoming dominant,” said Shan-Lu Liu, senior author the study and a virology professor in the Department of Veterinary Biosciences at The Ohio State University.

“It is important to be aware while traveling and gathering over the holidays that SARS-CoV-2 variants are continuing to evolve,” said Liu, also a professor in the Department of Microbial Infection and Immunity. “If you were vaccinated with the first booster more than six months ago, you might consider getting a second booster because the antibodies from a single booster are now likely too low to be protective.”

The study is published today in the journal Cell Host & Microbe.

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