奥密克戎变异株 B.1.1.529 对 SARS-CoV-2 的复制和致病性减弱。

Attenuated replication and pathogenicity of SARS-CoV-2 B.1.1.529 Omicron.

机构信息

State Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, and Carol Yu Centre for Infection, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region, Hong Kong, People's Republic of China.

Key Laboratory of Tropical Translational Medicine of Ministry of Education, Hainan Medical University, Haikou, China.

出版信息

Nature. 2022 Mar;603(7902):693-699. doi: 10.1038/s41586-022-04442-5. Epub 2022 Jan 21.

Abstract

The Omicron (B.1.1.529) variant of SARS-CoV-2 emerged in November 2021 and is rapidly spreading among the human population. Although recent reports reveal that the Omicron variant robustly escapes vaccine-associated and therapeutic neutralization antibodies, the pathogenicity of the virus remains unknown. Here we show that the replication of Omicron is substantially attenuated in human Calu3 and Caco2 cells. Further mechanistic investigations reveal that Omicron is inefficient in its use of transmembrane serine protease 2 (TMPRSS2) compared with wild-type SARS-CoV-2 (HKU-001a) and previous variants, which may explain its reduced replication in Calu3 and Caco2 cells. The replication of Omicron is markedly attenuated in both the upper and lower respiratory tracts of infected K18-hACE2 mice compared with that of the wild-type strain and Delta (B.1.617.2) variant, resulting in its substantially ameliorated lung pathology. Compared with wild-type SARS-CoV-2 and the Alpha (B.1.1.7), Beta (1.351) and Delta variants, infection by Omicron causes the lowest reduction in body weight and the lowest mortality rate. Overall, our study demonstrates that the replication and pathogenicity of the Omicron variant of SARS-CoV-2 in mice is attenuated compared with the wild-type strain and other variants.

摘要

新冠病毒奥密克戎(B.1.1.529)变异株于 2021 年 11 月出现,目前正在人群中迅速传播。尽管最近的报告显示,奥密克戎变异株能够显著逃避疫苗相关中和抗体和治疗性中和抗体的中和作用,但该病毒的致病性仍不清楚。在这里,我们发现奥密克戎在人源 Calu3 和 Caco2 细胞中的复制能力显著减弱。进一步的机制研究表明,与野生型 SARS-CoV-2(HKU-001a)和之前的变异株相比,奥密克戎在利用跨膜丝氨酸蛋白酶 2(TMPRSS2)方面效率较低,这可能解释了其在 Calu3 和 Caco2 细胞中复制能力减弱的原因。与野生型 SARS-CoV-2 和德尔塔(B.1.617.2)变异株相比,奥密克戎在感染 K18-hACE2 小鼠的上呼吸道和下呼吸道中的复制能力明显减弱,导致其肺部病理明显减轻。与野生型 SARS-CoV-2 以及阿尔法(B.1.1.7)、贝塔(1.351)和德尔塔变异株相比,奥密克戎感染导致的体重减轻最低,死亡率最低。总体而言,我们的研究表明,奥密克戎变异株在小鼠中的复制能力和致病性均弱于野生型毒株和其他变异株。

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