4.6 Review

Sensitivity to Vaccines, Therapeutic Antibodies, and Viral Entry Inhibitors and Advances To Counter the SARS-CoV-2 Omicron Variant

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Summary: On November 24, 2021, the sequence of a new SARS-CoV-2 variant, Omicron-B.1.1.529, was announced. Compared to previous variants, Omicron has a higher number of mutations in the Spike (S) protein. Serum neutralization of Omicron by individuals vaccinated or previously infected with Alpha, Beta, Gamma, or Delta variants is significantly reduced or ineffective. Third vaccine doses can boost neutralization titers against Omicron, and high titers are observed in both vaccinated individuals and those infected with the Delta variant. Most potent monoclonal antibodies and antibodies under development are unable to effectively neutralize Omicron due to mutations in its Spike protein. Omicron has structural changes compared to earlier viruses and utilizes mutations that enhance its binding to ACE2, allowing for immune escape. This results in a large number of mutations in the ACE2 binding site and a rebalancing of receptor affinity similar to earlier pandemic viruses.
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Structural basis for potent antibody neutralization of SARS-CoV-2 variants including B.1.1.529

Tongqing Zhou et al.

Summary: In this study, the cryo-electron microscopy structures of the B.1.1.529 (Omicron) variant of SARS-CoV-2 were determined, and receptor binding domain (RBD) antibodies were evaluated for their ability to bind and neutralize this variant. The study found that certain monoclonal antibodies still retained substantial inhibitory activity and identified combinations of antibodies with synergistic neutralization.

SCIENCE (2022)

Article Chemistry, Analytical

Quantitative in silico analysis of SARS-CoV-2 S-RBD omicron mutant transmissibility

Toshihiko Hanai

Summary: In this study, the transmissibility of Covid-19 variants was analyzed using computational simulations. The omicron S-RBD mutant was found to have the highest transmissible strength. Currently proposed medical treatment compounds were not effective in blocking the binding of omicron S-RBD and ACE-2, but further modification of these compounds may lead to the development of effective docking inhibitors.

TALANTA (2022)

Article Microbiology

Minimal Crossover between Mutations Associated with Omicron Variant of SARS-CoV-2 and CD8+ T-Cell Epitopes Identified in COVID-19 Convalescent Individuals

Andrew D. Redd et al.

Summary: This study found that the newly identified Omicron variant of concern contains only one mutation in a low-prevalence epitope targeted by CD8(+) T cells, suggesting that the T-cell immune response in previously infected and vaccinated individuals should still be effective against Omicron.
Article Multidisciplinary Sciences

In vitro evaluation of therapeutic antibodies against a SARS-CoV-2 Omicron B.1.1.529 isolate

Franck Touret et al.

Summary: The Omicron variant of SARS-CoV-2 has compromised the efficacy of current vaccines and therapeutic antibodies, with six out of eight antibodies losing their ability to neutralize the variant. Rapid evaluation of initial proposed doses and considering modification of doses or combination therapies may be necessary.

SCIENTIFIC REPORTS (2022)

Article Pharmacology & Pharmacy

A highly potent and stable pan-coronavirus fusion inhibitor as a candidate prophylactic and therapeutic for COVID-19 and other coronavirus diseases

Jie Zhou et al.

Summary: The development of broad-spectrum antivirals against human coronaviruses is crucial for combating the COVID-19 pandemic and future outbreaks. A new lipopeptide drug, EKL1C, has potent inhibitory activity against SARS-CoV-2 and its variants, as well as other coronaviruses. It exhibits better stability and metabolic stability compared to previous drugs, making it a potential candidate for COVID-19 and other coronavirus diseases.

ACTA PHARMACEUTICA SINICA B (2022)

Article Medicine, General & Internal

Sub-optimal neutralisation of omicron (B.1.1.529) variant by antibodies induced by vaccine alone or SARS-CoV-2 Infection plus vaccine (hybrid immunity) post 6-months

Guruprasad R. Medigeshi et al.

Summary: This cross-sectional study found a significant reduction in the neutralising ability of both vaccine-induced and vaccine plus infection induced antibodies against the omicron variant, which might explain immune escape.

EBIOMEDICINE (2022)

Article Business

Business transformation in an age of turbulence - Lessons learned from COVID-19

Xishu Li et al.

Summary: This study investigates the business transformation process of companies during the global pandemic, focusing on decision speed and structure in the decision & planning phase, implementation structure and monitoring in the implementation phase, and reinforcement after the implementation. Through case studies, the study explores how companies deal with critical factors and any differences from theory during business transformation, and provides suggestions for effective transformations during times of crisis.

TECHNOLOGICAL FORECASTING AND SOCIAL CHANGE (2022)

Article Multidisciplinary Sciences

Antibody evasion properties of SARS-CoV-2 Omicron sublineages

Sho Iketani et al.

Summary: The identification of the Omicron variant of SARS-CoV-2 in Botswana in November 2021 sparked concern due to the spike protein alterations that could potentially evade antibodies. Further studies showed that the Omicron sublineages, BA.1+R346K and BA.2, are antigenically similar to the wild-type virus and pose similar risks to the effectiveness of current vaccines. BA.2 also demonstrated resistance to many neutralizing monoclonal antibodies, highlighting the challenges in developing effective therapeutic options.

NATURE (2022)

Letter Biochemistry & Molecular Biology

A non-ACE2-blocking neutralizing antibody against Omicron-included SARS-CoV-2 variants

Xiaomin Duan et al.

SIGNAL TRANSDUCTION AND TARGETED THERAPY (2022)

Review Cell Biology

Monoclonal antibodies for COVID-19 therapy and SARS-CoV-2 detection

Yu-Chyi Hwang et al.

Summary: The COVID-19 pandemic has created a public health crisis, leading to the urgent development of therapeutic treatments and virus detection methods. Monoclonal antibodies (mAbs) have emerged as powerful tools for treating and detecting diseases due to their high specificity and reliability. Researchers are urgently developing antibody-based kits for SARS-CoV-2 detection and antibody drugs for COVID-19 treatment. The spike protein of SARS-CoV-2, which is crucial for viral infection, has been extensively studied and its receptor-binding domain (RBD) has become a major target for therapeutic antibody development. Given the high mutation rate of SARS-CoV-2, especially under the pressure of prophylactic vaccines and neutralizing antibodies, the use of antibody cocktails is expected to be an important strategy for effective COVID-19 treatment. Additionally, antibodies against cytokine storms, which can be triggered by SARS-CoV-2 infection and drive severe disease progression, are also being developed as treatments for COVID-19. In addition to their use as drugs, antibodies are currently being used in SARS-CoV-2 detection tests, including antigen and immunoglobulin tests, which are crucial surveillance tools for preventing the spread of COVID-19.

JOURNAL OF BIOMEDICAL SCIENCE (2022)

Article Microbiology

Functional interrogation of a SARS-CoV-2 host protein interactome identifies unique and shared coronavirus host factors

H-Heinrich Hoffmann et al.

Summary: A study utilizing CRISPR-Cas9 technology targeted 332 members of the SARS-CoV-2 protein interactome, revealing new insights about coronaviruses and providing important references for future outbreaks.

CELL HOST & MICROBE (2021)

Article Cell Biology

Pan-coronavirus fusion inhibitors as the hope for today and tomorrow

Xinling Wang et al.

PROTEIN & CELL (2021)

Article Immunology

SARS-CoV-2 proteases PLpro and 3CLpro cleave IRF3 and critical modulators of inflammatory pathways (NLRP12 and TAB1): implications for disease presentation across species

Mehdi Moustaqil et al.

Summary: The study revealed that the proteases NSP3 and NSP5 of SARS-CoV-2 can cleave proteins involved in host immune responses, shedding light on the mechanisms behind enhanced inflammatory responses in COVID-19 patients. The direct cleavage of specific proteins by these proteases provides insights into the pathophysiology of the disease.

EMERGING MICROBES & INFECTIONS (2021)

Article Multidisciplinary Sciences

Striking antibody evasion manifested by the Omicron variant of SARS-CoV-2

Lihong Liu et al.

NATURE (2021)

Article Multidisciplinary Sciences

Broadly neutralizing antibodies overcome SARS-CoV-2 Omicron antigenic shift

Elisabetta Cameroni et al.

NATURE (2021)

Article Multidisciplinary Sciences

Omicron extensively but incompletely escapes Pfizer BNT162b2 neutralization

Sandile Cele et al.

NATURE (2021)

Article Multidisciplinary Sciences

Activity of convalescent and vaccine serum against SARS-CoV-2 Omicron

Juan Manuel Carreño et al.

NATURE (2021)

Article Multidisciplinary Sciences

Antiviral pills could change pandemic’s course

Jennifer Couzin-Frankel

SCIENCE (2021)

Review Infectious Diseases

Therapeutic Options for Coronavirus Disease 2019 (COVID-19): Where Are We Now?

Esther Y. Bae et al.

Summary: The rapidly evolving treatment paradigms for COVID-19 present challenges for clinicians in keeping up with the latest literature and critically appraising the vast amount of data. Research has focused on evaluating both new and repurposed drugs targeting different stages of the viral life cycle, while emphasizing the importance of timing in treatment efficacy. Large, randomized trials have proven to be the most informative in guiding recommended treatments so far, and antimicrobial stewardship programs are crucial in ensuring appropriate use of therapies based on evolving clinical data. It is recommended to continuously reference updated guidelines from national and international sources due to the ongoing investigation and evolution of optimal COVID-19 treatment options.

CURRENT INFECTIOUS DISEASE REPORTS (2021)

Review Pharmacology & Pharmacy

Recent Updates in Experimental Research and Clinical Evaluation on Drugs for COVID-19 Treatment

Houwen Zou et al.

Summary: The COVID-19 outbreak since December 2019 has posed a huge threat to global public health. Various clinical studies are evaluating the efficacy of different treatments against COVID-19 to control and prevent the spread of the outbreak.

FRONTIERS IN PHARMACOLOGY (2021)

Article Immunology

TLR2 senses the SARS-CoV-2 envelope protein to produce inflammatory cytokines

Min Zheng et al.

Summary: The study revealed that the envelope protein of SARS-CoV-2 is sensed by TLR2, leading to the production of inflammatory cytokines, and the severity of the disease is associated with the expression of TLR2 and MYD88. The findings demonstrate the critical role of TLR2 signaling in promoting proinflammatory cytokine production during coronavirus infection, providing new insights for therapeutic strategies against the ongoing COVID-19 pandemic.

NATURE IMMUNOLOGY (2021)

Article Immunology

A diamidobenzimidazole STING agonist protects against SARS-CoV-2 infection

Fiachra Humphries et al.

Summary: This study describes a compound, diABZI-4, that activates stimulator of interferon genes (STING) and effectively limits SARS-CoV-2 replication in cells and animals. The administration of diABZI-4 intranasally in mice provided complete protection from severe respiratory disease caused by SARS-CoV-2. It induces a rapid, short-lived activation of STING, leading to transient proinflammatory cytokine production and lymphocyte activation in the lung, ultimately inhibiting viral replication. The study supports the use of diABZI-4 as a host-directed therapy for the treatment and prevention of COVID-19.

SCIENCE IMMUNOLOGY (2021)

Article Immunology

Pharmacological activation of STING blocks SARS-CoV-2 infection

Minghua Li et al.

Summary: The study reveals that SARS-CoV-2 evades interferon activation in respiratory epithelial cells, but pharmacological activation of innate immune pathways can effectively control the viral infection. Using STING activation as a potential therapeutic strategy, the small molecule STING agonist diABZI inhibits viral replication by stimulating IFN signaling.

SCIENCE IMMUNOLOGY (2021)

Review Microbiology

SARS-CoV-2 human T cell epitopes: Adaptive immune response against COVID-19

Alba Grifoni et al.

Summary: This review summarizes recent studies on SARS-CoV-2 T cell epitopes, highlighting the significant correlation between epitope number and antigen size. It also presents an analysis of 1,400 different reported SARS-CoV-2 epitopes and identifies discrete immunodominant regions of the virus and more prevalently recognized epitopes.

CELL HOST & MICROBE (2021)

Article Biochemistry & Molecular Biology

SARS-CoV-2 sensing by RIG-I and MDA5 links epithelial infection to macrophage inflammation

Lucy G. Thorne et al.

Summary: SARS-CoV-2 infection leads to broad-spectrum immunopathological diseases, exacerbated by inflammatory co-morbidities. Research shows that the virus replicates rapidly in lung epithelial cells and triggers a robust innate immune response, affecting macrophage activation through inflammatory mediators produced during infection. Further exacerbation of the local inflammatory environment occurs when macrophages or epithelial cells are primed with exogenous inflammatory stimuli.

EMBO JOURNAL (2021)

Article Microbiology

B.1.526 SARS-CoV-2 Variants Identified in New York City are Neutralized by Vaccine-Elicited and Therapeutic Monoclonal Antibodies

Hao Zhou et al.

Summary: A new SARS-CoV-2 variant B.1.526 has been identified in New York City and is spreading rapidly, but current evidence suggests that vaccine-elicited antibodies and Regeneron therapeutic monoclonal antibodies remain effective in combating the B.1.526 variant.
Article Multidisciplinary Sciences

Potent neutralizing nanobodies resist convergent circulating variants of SARS-CoV-2 by targeting diverse and conserved epitopes

Dapeng Sun et al.

Summary: Highly potent neutralizing nanobodies (Nbs) targeting the receptor binding domain (RBD) of the SARS-CoV-2 spike protein show effectiveness against circulating variants of concern. Structural analysis of the Nbs provides insights into their high-affinity and broadly neutralizing activity against the virus.

NATURE COMMUNICATIONS (2021)

Article Multidisciplinary Sciences

The RNA sensor MDA5 detects SARS-CoV-2 infection

Natalia G. Sampaio et al.

Summary: Research has identified MDA5 as a cellular sensor for SARS-CoV-2 infection that induces type I and III IFNs, which can inhibit viral replication, but does not affect the induction of IL6 and TNF.

SCIENTIFIC REPORTS (2021)

Review Biochemistry & Molecular Biology

COVID-19: Unmasking Emerging SARS-CoV-2 Variants, Vaccines and Therapeutic Strategies

Renuka Raman et al.

Summary: SARS-CoV-2 is the cause of the COVID-19 pandemic, with its variants posing challenges to containment efforts. Individuals with dysregulated immune response and comorbidities are more susceptible to infection, and research on various vaccines and treatments is ongoing to address this challenge.

BIOMOLECULES (2021)

Review Biochemistry & Molecular Biology

Emerging SARS-CoV-2 Variants of Concern (VOCs): An Impending Global Crisis

Angel Yun-Kuan Thye et al.

Summary: The battle against the SARS-CoV-2 virus continues globally, with various clinically significant variants emerging, including Alpha, Beta, Delta, and Gamma. These variants possess key mutations on the spike protein, which contribute to increased transmissibility and evasion of the host immune response, leading to detrimental effects on public health.

BIOMEDICINES (2021)

Article Business

COVID-19 and business failures: The paradoxes of experience, scale, and scope for theory and practice

Joseph Amankwah-Amoah et al.

Summary: Global crises such as pandemics can lead to extreme environmental shocks that precipitate business failures, increasing the divide between politically connected and unconnected players and posing new legitimacy challenges for SMEs, while experiential knowledge resources can be both an advantage and a burden.

EUROPEAN MANAGEMENT JOURNAL (2021)

Article Biochemistry & Molecular Biology

Unique and complementary suppression of cGAS-STING and RNA sensing- triggered innate immune responses by SARS-CoV-2 proteins

Yajuan Rui et al.

Summary: The study identified SARS-CoV-2 structural proteins, accessory proteins, and the main viral protease as potent inhibitors of host innate immune responses of distinct pathways. Main viral protease was found to inhibit both the RLR and cGAS-STING pathways, while ORF3a had the unique ability to inhibit STING and structural protein N was a unique RLR inhibitor.

SIGNAL TRANSDUCTION AND TARGETED THERAPY (2021)

Article Immunology

SARS-CoV-2 membrane glycoprotein M antagonizes the MAVS-mediated innate antiviral response

Yu-Zhi Fu et al.

Summary: A novel SARS-related coronavirus (SARS-CoV-2) has emerged as a serious pathogen causing high morbidity and mortality. The membrane glycoprotein M of SARS-CoV-2 was identified as a negative regulator of the innate immune response by impairing MAVS aggregation and downstream signaling, thus evading the innate antiviral response.

CELLULAR & MOLECULAR IMMUNOLOGY (2021)

Editorial Material Cell Biology

Virus against virus: a potential treatment for 2019-nCov (SARS-CoV-2) and other RNA viruses

Tuan M. Nguyen et al.

CELL RESEARCH (2020)

Article Multidisciplinary Sciences

Cross-neutralization ofSARS-CoV-2 by a human monoclonal SARS-CoV antibody

Dora Pinto et al.

NATURE (2020)

Article Multidisciplinary Sciences

A SARS-CoV-2 protein interaction map reveals targets for drug repurposing

David E. Gordon et al.

NATURE (2020)

Letter Respiratory System

Socioeconomic correlates of SARS-CoV-2 and influenza H1N1 outbreaks

Jan Christian Kaiser et al.

EUROPEAN RESPIRATORY JOURNAL (2020)

Article Biochemistry & Molecular Biology

SARS-CoV-2 Disrupts Splicing, Translation, and Protein Trafficking to Suppress Host Defenses

Abhik K. Banerjee et al.

Article Biochemistry & Molecular Biology

Molecular Architecture of the SARS-CoV-2 Virus

Hangping Yao et al.

Article Multidisciplinary Sciences

Papain-like protease regulates SARS-CoV-2 viral spread and innate immunity

Donghyuk Shin et al.

NATURE (2020)

Article Multidisciplinary Sciences

Activation and evasion of type I interferon responses by SARS-CoV-2

Xiaobo Lei et al.

NATURE COMMUNICATIONS (2020)

Article Multidisciplinary Sciences

Structures and distributions of SARS-CoV-2 spike proteins on intact virions

Zunlong Ke et al.

NATURE (2020)

Article Biochemistry & Molecular Biology

SARS-CoV-2 Nsp1 binds the ribosomal mRNA channel to inhibit translation

Katharina Schubert et al.

NATURE STRUCTURAL & MOLECULAR BIOLOGY (2020)

Article Cell Biology

Evasion of Type I Interferon by SARS-CoV-2

Hongjie Xia et al.

CELL REPORTS (2020)

Article Biochemistry & Molecular Biology

Disease severity dictates SARS-CoV-2-specific neutralizing antibody responses in COVID-19

Xiangyu Chen et al.

SIGNAL TRANSDUCTION AND TARGETED THERAPY (2020)

Review Immunology

RIG-I-like receptors: their regulation and roles in RNA sensing

Jan Rehwinkel et al.

NATURE REVIEWS IMMUNOLOGY (2020)

Article Multidisciplinary Sciences

A pan-coronavirus fusion inhibitor targeting the HR1 domain of human coronavirus spike

Shuai Xia et al.

SCIENCE ADVANCES (2019)

Article Multidisciplinary Sciences

Antiviral immunity via RIG-I-mediated recognition of RNA bearing 5′-diphosphates

Delphine Goubau et al.

NATURE (2014)

Article Multidisciplinary Sciences

Structure-based discovery of Middle East respiratory syndrome coronavirus fusion inhibitor

Lu Lu et al.

NATURE COMMUNICATIONS (2014)

Article Multidisciplinary Sciences

RIG-I-mediated antiviral responses to single-stranded RNA bearing 5′-phosphates

Andreas Pichlmair et al.

SCIENCE (2006)