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SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway

Brian J. Willett Orcid Logo, Joe Grove Orcid Logo, Oscar A. MacLean, Craig Wilkie Orcid Logo, Giuditta De Lorenzo Orcid Logo, Wilhelm Furnon Orcid Logo, Diego Cantoni, Sam Scott Orcid Logo, Nicola Logan, Shirin Ashraf Orcid Logo, Maria Manali, Agnieszka Szemiel, Vanessa Cowton Orcid Logo, Elen Vink Orcid Logo, William T. Harvey, Chris Davis, Patawee Asamaphan, Katherine Smollett, Lily Tong Orcid Logo, Richard Orton, Joseph Hughes Orcid Logo, Poppy Holland Orcid Logo, Vanessa Silva, David J. Pascall Orcid Logo, Kathryn Puxty Orcid Logo, Ana da Silva Filipe Orcid Logo, Gonzalo Yebra Orcid Logo, Sharif Shaaban, Matthew T. G. Holden, Rute Maria Pinto, Rory Gunson, Kate Templeton, Pablo R. Murcia Orcid Logo, Arvind H. Patel Orcid Logo, Paul Klenerman, Susanna Dunachie Orcid Logo, Susanna Dunachie, Paul Klenerman, Eleanor Barnes, Anthony Brown, Sandra Adele, Barbara Kronsteiner, Sam M. Murray, Priyanka Abraham, Alexandra Deeks, M. Azim Ansari, Thushan de Silva, Lance Turtle, Shona Moore, James Austin, Alex Richter, Christopher Duncan, Rebecca Payne, Amy Ash, Cherian Koshy, Beatrix Kele, Teresa Cutino-Moguel, Derek J. Fairley, James P. McKenna, Tanya Curran, Helen Adams, Christophe Fraser, David Bonsall, Helen Fryer, Katrina Lythgoe, Laura Thomson, Tanya Golubchik, Abigail Murray, Dawn Singleton, Shaun M. Beckwith, Anna Mantzouratou, Magdalena Barrow, Sarah L. Buchan, Nicola Reynolds, Ben Warne, Joshua Maksimovic, Karla Spellman, Kathryn McCluggage, Michaela John, Robert Beer, Safiah Afifi, Sian Morgan, Andrew Mack, Angela Marchbank, Anna Price, Arthur Morriss, Catherine Bresner, Christine Kitchen, Ian Merrick, Joel Southgate, Martyn Guest, Owen Jones, Robert Munn, Thomas R. Connor, Thomas Whalley, Trudy Workman, William Fuller, Amita Patel, Bindi Patel, Gaia Nebbia, Jonathan Edgeworth, Luke B. Snell, Rahul Batra, Themoula Charalampous, Angela H. Beckett, Ekaterina Shelest, Samuel C. Robson, Anthony P. Underwood, Ben E. W. Taylor, Corin A. Yeats, David M. Aanensen, Khalil Abudahab, Mirko Menegazzo, Amelia Joseph, Gemma Clark, Hannah C. Howson-Wells, Louise Berry, Manjinder Khakh, Michelle M. Lister, Tim Boswell, Vicki M. Fleming, Christopher W. Holmes, Claire L. McMurray, Jessica Shaw, Julian W. Tang, Karlie Fallon, Mina Odedra, Nicholas J. Willford, Paul W. Bird, Thomas Helmer, Lesley-Anne Williams, Nicola Sheriff, Sharon Campbell, Veena Raviprakash, Victoria Blakey, Christopher Moore, Fei Sang, Johnny Debebe, Matthew Carlile, Matthew W. Loose, Nadine Holmes, Victoria Wright, M. Estee Torok, William L. Hamilton, Alessandro M. Carabelli, Andrew Jermy, Beth Blane, Carol M. Churcher, Catherine Ludden, Dinesh Aggarwal, Elaine Westwick, Ellena Brooks, Georgina M. McManus, Katerina Galai, Ken Smith, Kim S. Smith, MacGregor Cox, Mireille Fragakis, Patrick Maxwell, Sarah Judges, Sharon J. Peacock, Theresa Feltwell, Anita Kenyon, Sahar Eldirdiri, Thomas Davis, Joshua F. Taylor, Ngee Keong Tan, Alex E. Zarebski, Bernardo Gutierrez, Jayna Raghwani, Louis du Plessis, Moritz U. G. Kraemer, Oliver G. Pybus, Sarah Francois, Stephen W. Attwood, Tetyana I. Vasylyeva, Aminu S. Jahun, Ian G. Goodfellow, Iliana Georgana, Malte L. Pinckert, Myra Hosmillo, Rhys Izuagbe, Yasmin Chaudhry, Felicity Ryan, Hannah Lowe, Samuel Moses, Luke Bedford, James S. Cargill, Warwick Hughes, Jonathan Moore, Susanne Stonehouse, Divya Shah, Jack C. D. Lee, Julianne R. Brown, Kathryn A. Harris, Laura Atkinson, Nathaniel Storey, Moira J. Spyer, Flavia Flaviani, Adela Alcolea-Medina, Jasveen Sehmi, John Ramble, Natasha Ohemeng-Kumi, Perminder Smith, Beatrice Bertolusso, Claire Thomas, Gabrielle Vernet, Jessica Lynch, Nathan Moore, Nicholas Cortes, Rebecca Williams, Stephen P. Kidd, Lisa J. Levett, Monika Pusok, Paul R. Grant, Stuart Kirk, Wendy Chatterton, Li Xu-McCrae, Darren L. Smith, Gregory R. Young, Matthew Bashton, Katie Kitchman, Kavitha Gajee, Kirstine Eastick, Patrick J. Lillie, Phillipa J. Burns, William Everson, Alison Cox, Alison H. Holmes, Frances Bolt, James R. Price, Marcus Pond, Paul A. Randell, Pinglawathee Madona, Siddharth Mookerjee, Erik M. Volz, Lily Geidelberg, Manon Ragonnet-Cronin, Olivia Boyd, Rob Johnson, Cassie F. Pope, Adam A. Witney, Irene M. Monahan, Kenneth G. Laing, Katherine L. Smollett, Alan McNally, Claire McMurray, Joanne Stockton, Joshua Quick, Nicholas J. Loman, Radoslaw Poplawski, Sam Nicholls, Will Rowe, Anibolina Castigador, Emily Macnaughton, Kate El Bouzidi, Malur Sudhanva, Temi Lampejo, Rocio T. Martinez Nunez, Cassie Breen, Graciela Sluga, Karen T. Withell, Nicholas W. Machin, Ryan P. George, Shazaad S. Y. Ahmad, David T. Pritchard, Debbie Binns, Nick Wong, Victoria James, Cheryl Williams, Chris J. Illingworth, Chris Jackson, Daniela de Angelis, David Pascall, Afrida Mukaddas, Alice Broos, Ana da Silva Filipe, Daniel Mair, David L. Robertson, Derek W. Wright, Emma C. Thomson, Igor Starinskij, Ioulia Tsatsani, James G. Shepherd, Jenna Nichols, Joseph Hughes, Kyriaki Nomikou, Lily Tong, Richard J. Orton, Sreenu Vattipally, William T. Harvey, Roy Sanderson, Sarah O’Brien, Steven Rushton, Jon Perkins, Rachel Blacow, Rory N. Gunson, Abbie Gallagher, Elizabeth Wastnedge, Kate E. Templeton, Martin P. McHugh, Rebecca Dewar, Seb Cotton, Lindsay Coupland, Rachael Stanley, Samir Dervisevic, Lewis G. Spurgin, Louise Smith, Clive Graham, Debra Padgett, Edward Barton, Garren Scott, Aidan Cross, Mariyam Mirfenderesky, Emma Swindells, Jane Greenaway, Rebecca Denton-Smith, Robyn Turnbull, Giles Idle, Kevin Cole, Amy Hollis, Andrew Nelson, Clare M. McCann, John H. Henderson, Matthew R. Crown, Wen C. Yew, William Stanley, Nichola Duckworth, Phillip Clarke, Sarah Walsh, Tim J. Sloan, Kelly Bicknell, Robert Impey, Sarah Wyllie, Scott Elliott, Sharon Glaysher, Declan T. Bradley, Nicholas F. Killough, Tim Wyatt, Andrew Bosworth, Barry B. Vipond, Clare Pearson, Elias Allara, Esther Robinson, Hannah M. Pymont, Husam Osman, Peter Muir, Richard Hopes, Stephanie Hutchings, Martin D. Curran, Surendra Parmar, Alicia Thornton, Angie Lackenby, Chloe Bishop, David Bibby, David Lee, Eileen Gallagher, Gavin Dabrera, Ian Harrison, Jonathan Hubb, Katherine A. Twohig, Meera Chand, Nicholas Ellaby, Nikos Manesis, Richard Myers, Steven Platt, Tamyo Mbisa, Vicki Chalker, Gonzalo Yebra, Matthew T. G. Holden, Sharif Shaaban, Stefan Rooke, Alec Birchley, Alexander Adams, Alisha Davies, Amy Gaskin, Bree Gatica-Wilcox, Caoimhe McKerr, Catherine Moore, Catryn Williams, Chris Williams, David Heyburn, Elen De Lacy, Ember Hilvers, Fatima Downing, Georgia Pugh, Hannah Jones, Hibo Asad, Jason Coombes, Jessica Hey, Jessica Powell, Joanne Watkins, Johnathan M. Evans, Laia Fina, Laura Gifford, Lauren Gilbert, Lee Graham, Malorie Perry, Mari Morgan, Matthew Bull, Nicole Pacchiarini, Noel Craine, Sally Corden, Sara Kumziene-Summerhayes, Sara Rey, Sarah Taylor, Simon Cottrell, Sophie Jones, Sue Edwards, Tara Annett, Alexander J. Trotter, Alison E. Mather, Alp Aydin, Andrew J. Page, David J. Baker, Ebenezer Foster-Nyarko, Gemma L. Kay, Justin O’Grady, Leonardo de Oliveira Martins, Lizzie Meadows, Nabil-Fareed Alikhan, Sophie J. Prosolek, Steven Rudder, Thanh Le-Viet, Anna Casey, Liz Ratcliffe, Aditi Singh, Arun Mariappan, Chris Baxter, Clara Radulescu, David A. Simpson, Deborah Lavin, Fiona Rogan, Julia Miskelly, Marc Fuchs, Miao Tang, Sílvia F. Carvalho, Stephen Bridgett, Timofey Skvortsov, Zoltan Molnar, Newara A. Ramadan, Bridget A. Knight, Christopher R. Jones, Cressida Auckland, Helen Morcrette, Jennifer Poyner, Dianne Irish-Tavares, Eric Witele, Jennifer Hart, Tabitha W. Mahungu, Tanzina Haque, Yann Bourgeois, Christopher Fearn, Kate F. Cook, Katie F. Loveson, Salman Goudarzi, Cariad Evans, David G. Partridge, Kate Johnson, Mehmet Yavus, Mohammad Raza, Craig Mower, Paul Baker, Sarah Essex, Stephen Bonner, Leanne J. Murray, Louisa K. Watson, Steven Liggett, Andrew I. Lawton, Ronan A. Lyons, Brendan A. I. Payne, Gary Eltringham, Jennifer Collins, Sheila Waugh, Shirelle Burton-Fanning, Yusri Taha, Christopher Jeanes, Andrea N. Gomes, Darren R. Murray, Maimuna Kimuli, Donald Dobie, Paula Ashfield, Angus Best, Benita Percival, Emma Moles-Garcia, Fiona Ashford, Jeremy Mirza, Liam Crawford, Megan Mayhew, Nicola Cumley, Oliver Megram, Dan Frampton, Judith Heaney, Matthew Byott, Catherine Houlihan, Charlotte A. Williams, Eleni Nastouli, Helen L. Lowe, John A. Hartley, Judith Breuer, Laurentiu Maftei, Leah Ensell, Marius Cotic, Matteo Mondani, Megan Driscoll, Nadua Bayzid, Rachel J. Williams, Sunando Roy, Adhyana I. K. Mahanama, Buddhini Samaraweera, Eleri Wilson-Davies, Emanuela Pelosi, Helen Umpleby, Helen Wheeler, Jacqui A. Prieto, Kordo Saeed, Matthew Harvey, Sarah Jeremiah, Siona Silviera, Stephen Aplin, Thea Sass, Ben Macklin, Dorian Crudgington, Liz A. Sheridan, Benjamin J. Cogger, Cassandra S. Malone, Florence Munemo, Hannah Huckson, Jonathan Lewis, Lisa J. Easton, Manasa Mutingwende, Michelle J. Erkiert, Mohammed O. Hassan-Ibrahim, Nicola J. Chaloner, Olga Podplomyk, Paul Randell, Roberto Nicodemi, Sarah Lowdon, Thomas Somassa, Alex Richter, Andrew Beggs, Andrew R. Hesketh, Colin P. Smith, Giselda Bucca, Chris Ruis, Claire Cormie, Ellen E. Higginson, Jamie Young, Joana Dias, Leanne M. Kermack, Mailis Maes, Ravi K. Gupta, Sally Forrest, Sophia T. Girgis, Rose K. Davidson, Áine O’Toole, Andrew Rambaut, Ben Jackson, Carlos E. Balcazar, Daniel Maloney, Emily Scher, J. T. McCrone, Kathleen A. Williamson, Michael D. Gallagher, Nathan Medd, Rachel Colquhoun, Thomas D. Stanton, Thomas Williams, Verity Hill, Aaron R. Jeffries, Ben Temperton, Christine M. Sambles, David J. Studholme, Joanna Warwick-Dugdale, Leigh M. Jackson, Michelle L. Michelsen, Robin Manley, Stephen L. Michell, Alistair C. Darby, Anita O. Lucaci, Charlotte Nelson, Claudia Wierzbicki, Edith E. Vamos, Hermione J. Webster, Kathryn A. Jackson, Lucille Rainbow, Margaret Hughes, Mark Whitehead, Matthew Gemmell, Miren Iturriza-Gomara, Richard Eccles, Richard Gregory, Sam T. Haldenby, Steve Paterson, Adrienn Angyal, Alexander J. Keeley, Benjamin H. Foulkes, Benjamin B. Lindsey, Dennis Wang, Hailey R. Hornsby, Luke R. Green, Manoj Pohare, Marta Gallis, Matthew D. Parker, Max Whiteley, Nikki Smith, Paige Wolverson, Peijun Zhang, Samantha E. Hansford, Sharon N. Hsu, Stavroula F. Louka, Thushan I. de Silva, Timothy M. Freeman, Matilde Mori, Emily J. Park, Jack D. Hill, Jayasree Dey, Jonathan Ball, Joseph G. Chappell, Patrick C. McClure, Timothy Byaruhanga, Arezou Fanaie, Geraldine Yaze, Rachel A. Hilson, Amy Trebes, Angie Green, David Buck, George MacIntyre-Cockett, John A. Todd, Andrew R. Bassett, Andrew Whitwham, Cordelia F. Langford, Diana Rajan, Dominic Kwiatkowski, Ewan M. Harrison, Iraad F. Bronner, Jaime M. Tovar-Corona, Jennifier Liddle, Jillian Durham, Katherine L. Bellis, Kevin Lewis, Louise Aigrain, Nicholas M. Redshaw, Robert M. Davies, Robin J. Moll, Shane A. McCarthy, Stefanie V. Lensing, Steven Leonard, Ben W. Farr, Carol Scott, Charlotte Beaver, Cristina V. Ariani, Danni Weldon, David K. Jackson, Emma Betteridge, Gerry Tonkin-Hill, Ian Johnston, Inigo Martincorena, James Bonfield, Jeffrey C. Barrett, John Sillitoe, Jon-Paul Keatley, Karen Oliver, Keith James, Lesley Shirley, Liam Prestwood, Luke Foulser, Marina Gourtovaia, Matthew J. Dorman, Michael A. Quail, Michael H. Spencer Chapman, Naomi R. Park, Rich Livett, Roberto Amato, Sally Kay, Scott Goodwin, Scott A. J. Thurston, Shavanthi Rajatileka, Sónia Gonçalves, Stephanie Lo, Theo Sanderson, Alasdair Maclean, Emily J. Goldstein, Lynne Ferguson, Rachael Tomb, Jana Catalan, Neil Jones, John Haughney, David L. Robertson Orcid Logo, Massimo Palmarini, Surajit Ray Orcid Logo, Emma C. Thomson Orcid Logo, (PITCH Consortium), (The COVID-19 Genomics UK (COG-UK) Consortium), Ronan Lyons Orcid Logo

Nature Microbiology, Volume: 7, Issue: 8, Pages: 1161 - 1179

Swansea University Author: Ronan Lyons Orcid Logo

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Abstract

Vaccines based on the spike protein of SARS-CoV-2 are a cornerstone of the public health response to COVID-19. The emergence of hypermutated, increasingly transmissible variants of concern (VOCs) threaten this strategy. Omicron (B.1.1.529), the fifth VOC to be described, harbours multiple amino acid...

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Published in: Nature Microbiology
ISSN: 2058-5276
Published: Springer Science and Business Media LLC 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa66418
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fullrecord <?xml version="1.0" encoding="utf-8"?><rfc1807 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><bib-version>v2</bib-version><id>66418</id><entry>2024-05-14</entry><title>SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway</title><swanseaauthors><author><sid>83efcf2a9dfcf8b55586999d3d152ac6</sid><ORCID>0000-0001-5225-000X</ORCID><firstname>Ronan</firstname><surname>Lyons</surname><name>Ronan Lyons</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-05-14</date><deptcode>MEDS</deptcode><abstract>Vaccines based on the spike protein of SARS-CoV-2 are a cornerstone of the public health response to COVID-19. The emergence of hypermutated, increasingly transmissible variants of concern (VOCs) threaten this strategy. Omicron (B.1.1.529), the fifth VOC to be described, harbours multiple amino acid mutations in spike, half of which lie within the receptor-binding domain. Here we demonstrate substantial evasion of neutralization by Omicron BA.1 and BA.2 variants in vitro using sera from individuals vaccinated with ChAdOx1, BNT162b2 and mRNA-1273. These data were mirrored by a substantial reduction in real-world vaccine effectiveness that was partially restored by booster vaccination. The Omicron variants BA.1 and BA.2 did not induce cell syncytia in vitro and favoured a TMPRSS2-independent endosomal entry pathway, these phenotypes mapping to distinct regions of the spike protein. Impaired cell fusion was determined by the receptor-binding domain, while endosomal entry mapped to the S2 domain. Such marked changes in antigenicity and replicative biology may underlie the rapid global spread and altered pathogenicity of the Omicron variant.</abstract><type>Journal Article</type><journal>Nature Microbiology</journal><volume>7</volume><journalNumber>8</journalNumber><paginationStart>1161</paginationStart><paginationEnd>1179</paginationEnd><publisher>Springer Science and Business Media LLC</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2058-5276</issnElectronic><keywords/><publishedDay>1</publishedDay><publishedMonth>8</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-08-01</publishedDate><doi>10.1038/s41564-022-01143-7</doi><url/><notes>Publisher Correction: SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway available at https://doi.org/10.1038/s41564-022-01241-6</notes><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>We thank the participants of the DOVE study and T. McSorley and her nursing team at the NHS GG&amp;C clinical research facility; A. Hamilton, L. Stirling and C. Mayor from the NHS GG&amp;C SafeHaven team for their invaluable input in facilitating this study; P. Olmo for administrative support, and C. Robertson and A. Sheikh for statistical advice; and all the researchers who have shared genome data openly via the Global Initiative on Sharing All Influenza Data (GISAID). Funding was provided by Health Data Research UK (HDR UK) for the Evaluation of Variants Affecting Deployed COVID-19 Vaccine (EVADE) study (E.C.T., S.R., O.A.M., C.W. and B.J.W.; grant code: 2021.0155). This research is part of the Data and Connectivity National Core Study, led by Health Data Research UK in partnership with the Office for National Statistics and funded by UK Research and Innovation (grant ref MC_PC_20058). This work was also supported by The Alan Turing Institute via ‘Towards Turing 2.0’ EPSRC Grant Funding. COG-UK is supported by funding from the Medical Research Council (MRC, part of UK Research &amp; Innovation (UKRI)), the National Institute of Health Research (NIHR; grant code: MC_PC_19027) and Genome Research Limited, operating as the Wellcome Sanger Institute (R.M.P., D.L.R. and E.C.T.). Medical Research Council (MRC) provided funding for both the COVID-19 DeplOyed VaccinE (DOVE) study (grant code: MCUU1201412) and COG-UK (E.C.T.). A.d.S.F., J.H., R.O., J.G., E.C.T., N.L. and D.L.R. were funded by the Medical Research Council (MRC; grant code: MC_UU_12014/12). W.T.H. was supported by the MRC (grant codes MR/R024758/1 and MR/W005611/1). The G2P-UK National Virology Consortium was funded by UK Research and Innovation (UKRI) award MR/W005611/1 (M.P., E.C.T., A.H.P. and D.L.R.). D.L.R. was funded by Wellcome Trust (grant code: 220977/Z/20/Z). N.L. and B.J.W. were funded by the Biotechnology and Biological Sciences Research Council (grant codes: BBSRC, BB/R004250/1 and BB/R019843/1). J.G. was funded by a Wellcome Trust and Royal Society Sir Henry Dale Fellowship (grant code: 107653/Z/15/A). D.J.P. was funded by UKRI through the JUNIPER consortium (grant number MR/V038613/1). The PITCH Consortium is funded by the United Kingdom Department of Health and Social Care.</funders><projectreference/><lastEdited>2024-06-24T12:09:41.3388831</lastEdited><Created>2024-05-14T15:36:46.9182002</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Brian J.</firstname><surname>Willett</surname><orcid>0000-0001-8912-3266</orcid><order>1</order></author><author><firstname>Joe</firstname><surname>Grove</surname><orcid>0000-0001-5390-7579</orcid><order>2</order></author><author><firstname>Oscar A.</firstname><surname>MacLean</surname><order>3</order></author><author><firstname>Craig</firstname><surname>Wilkie</surname><orcid>0000-0003-0805-0195</orcid><order>4</order></author><author><firstname>Giuditta De</firstname><surname>Lorenzo</surname><orcid>0000-0002-2736-8740</orcid><order>5</order></author><author><firstname>Wilhelm</firstname><surname>Furnon</surname><orcid>0000-0002-5588-4232</orcid><order>6</order></author><author><firstname>Diego</firstname><surname>Cantoni</surname><order>7</order></author><author><firstname>Sam</firstname><surname>Scott</surname><orcid>0000-0001-7080-8038</orcid><order>8</order></author><author><firstname>Nicola</firstname><surname>Logan</surname><order>9</order></author><author><firstname>Shirin</firstname><surname>Ashraf</surname><orcid>0000-0002-6468-0258</orcid><order>10</order></author><author><firstname>Maria</firstname><surname>Manali</surname><order>11</order></author><author><firstname>Agnieszka</firstname><surname>Szemiel</surname><order>12</order></author><author><firstname>Vanessa</firstname><surname>Cowton</surname><orcid>0000-0003-1813-7825</orcid><order>13</order></author><author><firstname>Elen</firstname><surname>Vink</surname><orcid>0000-0001-8535-6214</orcid><order>14</order></author><author><firstname>William T.</firstname><surname>Harvey</surname><order>15</order></author><author><firstname>Chris</firstname><surname>Davis</surname><order>16</order></author><author><firstname>Patawee</firstname><surname>Asamaphan</surname><order>17</order></author><author><firstname>Katherine</firstname><surname>Smollett</surname><order>18</order></author><author><firstname>Lily</firstname><surname>Tong</surname><orcid>0000-0003-3882-3339</orcid><order>19</order></author><author><firstname>Richard</firstname><surname>Orton</surname><order>20</order></author><author><firstname>Joseph</firstname><surname>Hughes</surname><orcid>0000-0003-2556-2563</orcid><order>21</order></author><author><firstname>Poppy</firstname><surname>Holland</surname><orcid>0000-0001-9708-9555</orcid><order>22</order></author><author><firstname>Vanessa</firstname><surname>Silva</surname><order>23</order></author><author><firstname>David J.</firstname><surname>Pascall</surname><orcid>0000-0002-7543-0860</orcid><order>24</order></author><author><firstname>Kathryn</firstname><surname>Puxty</surname><orcid>0000-0002-5742-6171</orcid><order>25</order></author><author><firstname>Ana da Silva</firstname><surname>Filipe</surname><orcid>0000-0002-9442-2903</orcid><order>26</order></author><author><firstname>Gonzalo</firstname><surname>Yebra</surname><orcid>0000-0002-3472-3667</orcid><order>27</order></author><author><firstname>Sharif</firstname><surname>Shaaban</surname><order>28</order></author><author><firstname>Matthew T. G.</firstname><surname>Holden</surname><order>29</order></author><author><firstname>Rute Maria</firstname><surname>Pinto</surname><order>30</order></author><author><firstname>Rory</firstname><surname>Gunson</surname><order>31</order></author><author><firstname>Kate</firstname><surname>Templeton</surname><order>32</order></author><author><firstname>Pablo R.</firstname><surname>Murcia</surname><orcid>0000-0002-4352-394x</orcid><order>33</order></author><author><firstname>Arvind H.</firstname><surname>Patel</surname><orcid>0000-0003-4600-2047</orcid><order>34</order></author><author><firstname>Paul</firstname><surname>Klenerman</surname><order>35</order></author><author><firstname>Susanna</firstname><surname>Dunachie</surname><orcid>0000-0001-5665-6293</orcid><order>36</order></author><author><firstname>Susanna</firstname><surname>Dunachie</surname><order>37</order></author><author><firstname>Paul</firstname><surname>Klenerman</surname><order>38</order></author><author><firstname>Eleanor</firstname><surname>Barnes</surname><order>39</order></author><author><firstname>Anthony</firstname><surname>Brown</surname><order>40</order></author><author><firstname>Sandra</firstname><surname>Adele</surname><order>41</order></author><author><firstname>Barbara</firstname><surname>Kronsteiner</surname><order>42</order></author><author><firstname>Sam M.</firstname><surname>Murray</surname><order>43</order></author><author><firstname>Priyanka</firstname><surname>Abraham</surname><order>44</order></author><author><firstname>Alexandra</firstname><surname>Deeks</surname><order>45</order></author><author><firstname>M. 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M.</firstname><surname>Beckwith</surname><order>70</order></author><author><firstname>Anna</firstname><surname>Mantzouratou</surname><order>71</order></author><author><firstname>Magdalena</firstname><surname>Barrow</surname><order>72</order></author><author><firstname>Sarah 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P.</firstname><surname>Kidd</surname><order>212</order></author><author><firstname>Lisa J.</firstname><surname>Levett</surname><order>213</order></author><author><firstname>Monika</firstname><surname>Pusok</surname><order>214</order></author><author><firstname>Paul R.</firstname><surname>Grant</surname><order>215</order></author><author><firstname>Stuart</firstname><surname>Kirk</surname><order>216</order></author><author><firstname>Wendy</firstname><surname>Chatterton</surname><order>217</order></author><author><firstname>Li</firstname><surname>Xu-McCrae</surname><order>218</order></author><author><firstname>Darren L.</firstname><surname>Smith</surname><order>219</order></author><author><firstname>Gregory R.</firstname><surname>Young</surname><order>220</order></author><author><firstname>Matthew</firstname><surname>Bashton</surname><order>221</order></author><author><firstname>Katie</firstname><surname>Kitchman</surname><order>222</order></author><author><firstname>Kavitha</firstname><surname>Gajee</surname><order>223</order></author><author><firstname>Kirstine</firstname><surname>Eastick</surname><order>224</order></author><author><firstname>Patrick J.</firstname><surname>Lillie</surname><order>225</order></author><author><firstname>Phillipa J.</firstname><surname>Burns</surname><order>226</order></author><author><firstname>William</firstname><surname>Everson</surname><order>227</order></author><author><firstname>Alison</firstname><surname>Cox</surname><order>228</order></author><author><firstname>Alison H.</firstname><surname>Holmes</surname><order>229</order></author><author><firstname>Frances</firstname><surname>Bolt</surname><order>230</order></author><author><firstname>James R.</firstname><surname>Price</surname><order>231</order></author><author><firstname>Marcus</firstname><surname>Pond</surname><order>232</order></author><author><firstname>Paul A.</firstname><surname>Randell</surname><order>233</order></author><author><firstname>Pinglawathee</firstname><surname>Madona</surname><order>234</order></author><author><firstname>Siddharth</firstname><surname>Mookerjee</surname><order>235</order></author><author><firstname>Erik M.</firstname><surname>Volz</surname><order>236</order></author><author><firstname>Lily</firstname><surname>Geidelberg</surname><order>237</order></author><author><firstname>Manon</firstname><surname>Ragonnet-Cronin</surname><order>238</order></author><author><firstname>Olivia</firstname><surname>Boyd</surname><order>239</order></author><author><firstname>Rob</firstname><surname>Johnson</surname><order>240</order></author><author><firstname>Cassie F.</firstname><surname>Pope</surname><order>241</order></author><author><firstname>Adam A.</firstname><surname>Witney</surname><order>242</order></author><author><firstname>Irene M.</firstname><surname>Monahan</surname><order>243</order></author><author><firstname>Kenneth G.</firstname><surname>Laing</surname><order>244</order></author><author><firstname>Katherine L.</firstname><surname>Smollett</surname><order>245</order></author><author><firstname>Alan</firstname><surname>McNally</surname><order>246</order></author><author><firstname>Claire</firstname><surname>McMurray</surname><order>247</order></author><author><firstname>Joanne</firstname><surname>Stockton</surname><order>248</order></author><author><firstname>Joshua</firstname><surname>Quick</surname><order>249</order></author><author><firstname>Nicholas J.</firstname><surname>Loman</surname><order>250</order></author><author><firstname>Radoslaw</firstname><surname>Poplawski</surname><order>251</order></author><author><firstname>Sam</firstname><surname>Nicholls</surname><order>252</order></author><author><firstname>Will</firstname><surname>Rowe</surname><order>253</order></author><author><firstname>Anibolina</firstname><surname>Castigador</surname><order>254</order></author><author><firstname>Emily</firstname><surname>Macnaughton</surname><order>255</order></author><author><firstname>Kate El</firstname><surname>Bouzidi</surname><order>256</order></author><author><firstname>Malur</firstname><surname>Sudhanva</surname><order>257</order></author><author><firstname>Temi</firstname><surname>Lampejo</surname><order>258</order></author><author><firstname>Rocio T. Martinez</firstname><surname>Nunez</surname><order>259</order></author><author><firstname>Cassie</firstname><surname>Breen</surname><order>260</order></author><author><firstname>Graciela</firstname><surname>Sluga</surname><order>261</order></author><author><firstname>Karen T.</firstname><surname>Withell</surname><order>262</order></author><author><firstname>Nicholas W.</firstname><surname>Machin</surname><order>263</order></author><author><firstname>Ryan P.</firstname><surname>George</surname><order>264</order></author><author><firstname>Shazaad S. 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de</firstname><surname>Angelis</surname><order>273</order></author><author><firstname>David</firstname><surname>Pascall</surname><order>274</order></author><author><firstname>Afrida</firstname><surname>Mukaddas</surname><order>275</order></author><author><firstname>Alice</firstname><surname>Broos</surname><order>276</order></author><author><firstname>Ana da Silva</firstname><surname>Filipe</surname><order>277</order></author><author><firstname>Daniel</firstname><surname>Mair</surname><order>278</order></author><author><firstname>David L.</firstname><surname>Robertson</surname><order>279</order></author><author><firstname>Derek W.</firstname><surname>Wright</surname><order>280</order></author><author><firstname>Emma C.</firstname><surname>Thomson</surname><order>281</order></author><author><firstname>Igor</firstname><surname>Starinskij</surname><order>282</order></author><author><firstname>Ioulia</firstname><surname>Tsatsani</surname><order>283</order></author><author><firstname>James G.</firstname><surname>Shepherd</surname><order>284</order></author><author><firstname>Jenna</firstname><surname>Nichols</surname><order>285</order></author><author><firstname>Joseph</firstname><surname>Hughes</surname><order>286</order></author><author><firstname>Kyriaki</firstname><surname>Nomikou</surname><order>287</order></author><author><firstname>Lily</firstname><surname>Tong</surname><order>288</order></author><author><firstname>Richard J.</firstname><surname>Orton</surname><order>289</order></author><author><firstname>Sreenu</firstname><surname>Vattipally</surname><order>290</order></author><author><firstname>William T.</firstname><surname>Harvey</surname><order>291</order></author><author><firstname>Roy</firstname><surname>Sanderson</surname><order>292</order></author><author><firstname>Sarah</firstname><surname>O’Brien</surname><order>293</order></author><author><firstname>Steven</firstname><surname>Rushton</surname><order>294</order></author><author><firstname>Jon</firstname><surname>Perkins</surname><order>295</order></author><author><firstname>Rachel</firstname><surname>Blacow</surname><order>296</order></author><author><firstname>Rory N.</firstname><surname>Gunson</surname><order>297</order></author><author><firstname>Abbie</firstname><surname>Gallagher</surname><order>298</order></author><author><firstname>Elizabeth</firstname><surname>Wastnedge</surname><order>299</order></author><author><firstname>Kate E.</firstname><surname>Templeton</surname><order>300</order></author><author><firstname>Martin P.</firstname><surname>McHugh</surname><order>301</order></author><author><firstname>Rebecca</firstname><surname>Dewar</surname><order>302</order></author><author><firstname>Seb</firstname><surname>Cotton</surname><order>303</order></author><author><firstname>Lindsay</firstname><surname>Coupland</surname><order>304</order></author><author><firstname>Rachael</firstname><surname>Stanley</surname><order>305</order></author><author><firstname>Samir</firstname><surname>Dervisevic</surname><order>306</order></author><author><firstname>Lewis G.</firstname><surname>Spurgin</surname><order>307</order></author><author><firstname>Louise</firstname><surname>Smith</surname><order>308</order></author><author><firstname>Clive</firstname><surname>Graham</surname><order>309</order></author><author><firstname>Debra</firstname><surname>Padgett</surname><order>310</order></author><author><firstname>Edward</firstname><surname>Barton</surname><order>311</order></author><author><firstname>Garren</firstname><surname>Scott</surname><order>312</order></author><author><firstname>Aidan</firstname><surname>Cross</surname><order>313</order></author><author><firstname>Mariyam</firstname><surname>Mirfenderesky</surname><order>314</order></author><author><firstname>Emma</firstname><surname>Swindells</surname><order>315</order></author><author><firstname>Jane</firstname><surname>Greenaway</surname><order>316</order></author><author><firstname>Rebecca</firstname><surname>Denton-Smith</surname><order>317</order></author><author><firstname>Robyn</firstname><surname>Turnbull</surname><order>318</order></author><author><firstname>Giles</firstname><surname>Idle</surname><order>319</order></author><author><firstname>Kevin</firstname><surname>Cole</surname><order>320</order></author><author><firstname>Amy</firstname><surname>Hollis</surname><order>321</order></author><author><firstname>Andrew</firstname><surname>Nelson</surname><order>322</order></author><author><firstname>Clare M.</firstname><surname>McCann</surname><order>323</order></author><author><firstname>John H.</firstname><surname>Henderson</surname><order>324</order></author><author><firstname>Matthew R.</firstname><surname>Crown</surname><order>325</order></author><author><firstname>Wen C.</firstname><surname>Yew</surname><order>326</order></author><author><firstname>William</firstname><surname>Stanley</surname><order>327</order></author><author><firstname>Nichola</firstname><surname>Duckworth</surname><order>328</order></author><author><firstname>Phillip</firstname><surname>Clarke</surname><order>329</order></author><author><firstname>Sarah</firstname><surname>Walsh</surname><order>330</order></author><author><firstname>Tim J.</firstname><surname>Sloan</surname><order>331</order></author><author><firstname>Kelly</firstname><surname>Bicknell</surname><order>332</order></author><author><firstname>Robert</firstname><surname>Impey</surname><order>333</order></author><author><firstname>Sarah</firstname><surname>Wyllie</surname><order>334</order></author><author><firstname>Scott</firstname><surname>Elliott</surname><order>335</order></author><author><firstname>Sharon</firstname><surname>Glaysher</surname><order>336</order></author><author><firstname>Declan T.</firstname><surname>Bradley</surname><order>337</order></author><author><firstname>Nicholas F.</firstname><surname>Killough</surname><order>338</order></author><author><firstname>Tim</firstname><surname>Wyatt</surname><order>339</order></author><author><firstname>Andrew</firstname><surname>Bosworth</surname><order>340</order></author><author><firstname>Barry B.</firstname><surname>Vipond</surname><order>341</order></author><author><firstname>Clare</firstname><surname>Pearson</surname><order>342</order></author><author><firstname>Elias</firstname><surname>Allara</surname><order>343</order></author><author><firstname>Esther</firstname><surname>Robinson</surname><order>344</order></author><author><firstname>Hannah M.</firstname><surname>Pymont</surname><order>345</order></author><author><firstname>Husam</firstname><surname>Osman</surname><order>346</order></author><author><firstname>Peter</firstname><surname>Muir</surname><order>347</order></author><author><firstname>Richard</firstname><surname>Hopes</surname><order>348</order></author><author><firstname>Stephanie</firstname><surname>Hutchings</surname><order>349</order></author><author><firstname>Martin D.</firstname><surname>Curran</surname><order>350</order></author><author><firstname>Surendra</firstname><surname>Parmar</surname><order>351</order></author><author><firstname>Alicia</firstname><surname>Thornton</surname><order>352</order></author><author><firstname>Angie</firstname><surname>Lackenby</surname><order>353</order></author><author><firstname>Chloe</firstname><surname>Bishop</surname><order>354</order></author><author><firstname>David</firstname><surname>Bibby</surname><order>355</order></author><author><firstname>David</firstname><surname>Lee</surname><order>356</order></author><author><firstname>Eileen</firstname><surname>Gallagher</surname><order>357</order></author><author><firstname>Gavin</firstname><surname>Dabrera</surname><order>358</order></author><author><firstname>Ian</firstname><surname>Harrison</surname><order>359</order></author><author><firstname>Jonathan</firstname><surname>Hubb</surname><order>360</order></author><author><firstname>Katherine A.</firstname><surname>Twohig</surname><order>361</order></author><author><firstname>Meera</firstname><surname>Chand</surname><order>362</order></author><author><firstname>Nicholas</firstname><surname>Ellaby</surname><order>363</order></author><author><firstname>Nikos</firstname><surname>Manesis</surname><order>364</order></author><author><firstname>Richard</firstname><surname>Myers</surname><order>365</order></author><author><firstname>Steven</firstname><surname>Platt</surname><order>366</order></author><author><firstname>Tamyo</firstname><surname>Mbisa</surname><order>367</order></author><author><firstname>Vicki</firstname><surname>Chalker</surname><order>368</order></author><author><firstname>Gonzalo</firstname><surname>Yebra</surname><order>369</order></author><author><firstname>Matthew T. G.</firstname><surname>Holden</surname><order>370</order></author><author><firstname>Sharif</firstname><surname>Shaaban</surname><order>371</order></author><author><firstname>Stefan</firstname><surname>Rooke</surname><order>372</order></author><author><firstname>Alec</firstname><surname>Birchley</surname><order>373</order></author><author><firstname>Alexander</firstname><surname>Adams</surname><order>374</order></author><author><firstname>Alisha</firstname><surname>Davies</surname><order>375</order></author><author><firstname>Amy</firstname><surname>Gaskin</surname><order>376</order></author><author><firstname>Bree</firstname><surname>Gatica-Wilcox</surname><order>377</order></author><author><firstname>Caoimhe</firstname><surname>McKerr</surname><order>378</order></author><author><firstname>Catherine</firstname><surname>Moore</surname><order>379</order></author><author><firstname>Catryn</firstname><surname>Williams</surname><order>380</order></author><author><firstname>Chris</firstname><surname>Williams</surname><order>381</order></author><author><firstname>David</firstname><surname>Heyburn</surname><order>382</order></author><author><firstname>Elen De</firstname><surname>Lacy</surname><order>383</order></author><author><firstname>Ember</firstname><surname>Hilvers</surname><order>384</order></author><author><firstname>Fatima</firstname><surname>Downing</surname><order>385</order></author><author><firstname>Georgia</firstname><surname>Pugh</surname><order>386</order></author><author><firstname>Hannah</firstname><surname>Jones</surname><order>387</order></author><author><firstname>Hibo</firstname><surname>Asad</surname><order>388</order></author><author><firstname>Jason</firstname><surname>Coombes</surname><order>389</order></author><author><firstname>Jessica</firstname><surname>Hey</surname><order>390</order></author><author><firstname>Jessica</firstname><surname>Powell</surname><order>391</order></author><author><firstname>Joanne</firstname><surname>Watkins</surname><order>392</order></author><author><firstname>Johnathan M.</firstname><surname>Evans</surname><order>393</order></author><author><firstname>Laia</firstname><surname>Fina</surname><order>394</order></author><author><firstname>Laura</firstname><surname>Gifford</surname><order>395</order></author><author><firstname>Lauren</firstname><surname>Gilbert</surname><order>396</order></author><author><firstname>Lee</firstname><surname>Graham</surname><order>397</order></author><author><firstname>Malorie</firstname><surname>Perry</surname><order>398</order></author><author><firstname>Mari</firstname><surname>Morgan</surname><order>399</order></author><author><firstname>Matthew</firstname><surname>Bull</surname><order>400</order></author><author><firstname>Nicole</firstname><surname>Pacchiarini</surname><order>401</order></author><author><firstname>Noel</firstname><surname>Craine</surname><order>402</order></author><author><firstname>Sally</firstname><surname>Corden</surname><order>403</order></author><author><firstname>Sara</firstname><surname>Kumziene-Summerhayes</surname><order>404</order></author><author><firstname>Sara</firstname><surname>Rey</surname><order>405</order></author><author><firstname>Sarah</firstname><surname>Taylor</surname><order>406</order></author><author><firstname>Simon</firstname><surname>Cottrell</surname><order>407</order></author><author><firstname>Sophie</firstname><surname>Jones</surname><order>408</order></author><author><firstname>Sue</firstname><surname>Edwards</surname><order>409</order></author><author><firstname>Tara</firstname><surname>Annett</surname><order>410</order></author><author><firstname>Alexander J.</firstname><surname>Trotter</surname><order>411</order></author><author><firstname>Alison E.</firstname><surname>Mather</surname><order>412</order></author><author><firstname>Alp</firstname><surname>Aydin</surname><order>413</order></author><author><firstname>Andrew J.</firstname><surname>Page</surname><order>414</order></author><author><firstname>David J.</firstname><surname>Baker</surname><order>415</order></author><author><firstname>Ebenezer</firstname><surname>Foster-Nyarko</surname><order>416</order></author><author><firstname>Gemma L.</firstname><surname>Kay</surname><order>417</order></author><author><firstname>Justin</firstname><surname>O’Grady</surname><order>418</order></author><author><firstname>Leonardo de Oliveira</firstname><surname>Martins</surname><order>419</order></author><author><firstname>Lizzie</firstname><surname>Meadows</surname><order>420</order></author><author><firstname>Nabil-Fareed</firstname><surname>Alikhan</surname><order>421</order></author><author><firstname>Sophie J.</firstname><surname>Prosolek</surname><order>422</order></author><author><firstname>Steven</firstname><surname>Rudder</surname><order>423</order></author><author><firstname>Thanh</firstname><surname>Le-Viet</surname><order>424</order></author><author><firstname>Anna</firstname><surname>Casey</surname><order>425</order></author><author><firstname>Liz</firstname><surname>Ratcliffe</surname><order>426</order></author><author><firstname>Aditi</firstname><surname>Singh</surname><order>427</order></author><author><firstname>Arun</firstname><surname>Mariappan</surname><order>428</order></author><author><firstname>Chris</firstname><surname>Baxter</surname><order>429</order></author><author><firstname>Clara</firstname><surname>Radulescu</surname><order>430</order></author><author><firstname>David A.</firstname><surname>Simpson</surname><order>431</order></author><author><firstname>Deborah</firstname><surname>Lavin</surname><order>432</order></author><author><firstname>Fiona</firstname><surname>Rogan</surname><order>433</order></author><author><firstname>Julia</firstname><surname>Miskelly</surname><order>434</order></author><author><firstname>Marc</firstname><surname>Fuchs</surname><order>435</order></author><author><firstname>Miao</firstname><surname>Tang</surname><order>436</order></author><author><firstname>Sílvia F.</firstname><surname>Carvalho</surname><order>437</order></author><author><firstname>Stephen</firstname><surname>Bridgett</surname><order>438</order></author><author><firstname>Timofey</firstname><surname>Skvortsov</surname><order>439</order></author><author><firstname>Zoltan</firstname><surname>Molnar</surname><order>440</order></author><author><firstname>Newara A.</firstname><surname>Ramadan</surname><order>441</order></author><author><firstname>Bridget A.</firstname><surname>Knight</surname><order>442</order></author><author><firstname>Christopher R.</firstname><surname>Jones</surname><order>443</order></author><author><firstname>Cressida</firstname><surname>Auckland</surname><order>444</order></author><author><firstname>Helen</firstname><surname>Morcrette</surname><order>445</order></author><author><firstname>Jennifer</firstname><surname>Poyner</surname><order>446</order></author><author><firstname>Dianne</firstname><surname>Irish-Tavares</surname><order>447</order></author><author><firstname>Eric</firstname><surname>Witele</surname><order>448</order></author><author><firstname>Jennifer</firstname><surname>Hart</surname><order>449</order></author><author><firstname>Tabitha W.</firstname><surname>Mahungu</surname><order>450</order></author><author><firstname>Tanzina</firstname><surname>Haque</surname><order>451</order></author><author><firstname>Yann</firstname><surname>Bourgeois</surname><order>452</order></author><author><firstname>Christopher</firstname><surname>Fearn</surname><order>453</order></author><author><firstname>Kate F.</firstname><surname>Cook</surname><order>454</order></author><author><firstname>Katie F.</firstname><surname>Loveson</surname><order>455</order></author><author><firstname>Salman</firstname><surname>Goudarzi</surname><order>456</order></author><author><firstname>Cariad</firstname><surname>Evans</surname><order>457</order></author><author><firstname>David G.</firstname><surname>Partridge</surname><order>458</order></author><author><firstname>Kate</firstname><surname>Johnson</surname><order>459</order></author><author><firstname>Mehmet</firstname><surname>Yavus</surname><order>460</order></author><author><firstname>Mohammad</firstname><surname>Raza</surname><order>461</order></author><author><firstname>Craig</firstname><surname>Mower</surname><order>462</order></author><author><firstname>Paul</firstname><surname>Baker</surname><order>463</order></author><author><firstname>Sarah</firstname><surname>Essex</surname><order>464</order></author><author><firstname>Stephen</firstname><surname>Bonner</surname><order>465</order></author><author><firstname>Leanne J.</firstname><surname>Murray</surname><order>466</order></author><author><firstname>Louisa K.</firstname><surname>Watson</surname><order>467</order></author><author><firstname>Steven</firstname><surname>Liggett</surname><order>468</order></author><author><firstname>Andrew I.</firstname><surname>Lawton</surname><order>469</order></author><author><firstname>Ronan A.</firstname><surname>Lyons</surname><order>470</order></author><author><firstname>Brendan A. I.</firstname><surname>Payne</surname><order>471</order></author><author><firstname>Gary</firstname><surname>Eltringham</surname><order>472</order></author><author><firstname>Jennifer</firstname><surname>Collins</surname><order>473</order></author><author><firstname>Sheila</firstname><surname>Waugh</surname><order>474</order></author><author><firstname>Shirelle</firstname><surname>Burton-Fanning</surname><order>475</order></author><author><firstname>Yusri</firstname><surname>Taha</surname><order>476</order></author><author><firstname>Christopher</firstname><surname>Jeanes</surname><order>477</order></author><author><firstname>Andrea N.</firstname><surname>Gomes</surname><order>478</order></author><author><firstname>Darren R.</firstname><surname>Murray</surname><order>479</order></author><author><firstname>Maimuna</firstname><surname>Kimuli</surname><order>480</order></author><author><firstname>Donald</firstname><surname>Dobie</surname><order>481</order></author><author><firstname>Paula</firstname><surname>Ashfield</surname><order>482</order></author><author><firstname>Angus</firstname><surname>Best</surname><order>483</order></author><author><firstname>Benita</firstname><surname>Percival</surname><order>484</order></author><author><firstname>Emma</firstname><surname>Moles-Garcia</surname><order>485</order></author><author><firstname>Fiona</firstname><surname>Ashford</surname><order>486</order></author><author><firstname>Jeremy</firstname><surname>Mirza</surname><order>487</order></author><author><firstname>Liam</firstname><surname>Crawford</surname><order>488</order></author><author><firstname>Megan</firstname><surname>Mayhew</surname><order>489</order></author><author><firstname>Nicola</firstname><surname>Cumley</surname><order>490</order></author><author><firstname>Oliver</firstname><surname>Megram</surname><order>491</order></author><author><firstname>Dan</firstname><surname>Frampton</surname><order>492</order></author><author><firstname>Judith</firstname><surname>Heaney</surname><order>493</order></author><author><firstname>Matthew</firstname><surname>Byott</surname><order>494</order></author><author><firstname>Catherine</firstname><surname>Houlihan</surname><order>495</order></author><author><firstname>Charlotte A.</firstname><surname>Williams</surname><order>496</order></author><author><firstname>Eleni</firstname><surname>Nastouli</surname><order>497</order></author><author><firstname>Helen L.</firstname><surname>Lowe</surname><order>498</order></author><author><firstname>John A.</firstname><surname>Hartley</surname><order>499</order></author><author><firstname>Judith</firstname><surname>Breuer</surname><order>500</order></author><author><firstname>Laurentiu</firstname><surname>Maftei</surname><order>501</order></author><author><firstname>Leah</firstname><surname>Ensell</surname><order>502</order></author><author><firstname>Marius</firstname><surname>Cotic</surname><order>503</order></author><author><firstname>Matteo</firstname><surname>Mondani</surname><order>504</order></author><author><firstname>Megan</firstname><surname>Driscoll</surname><order>505</order></author><author><firstname>Nadua</firstname><surname>Bayzid</surname><order>506</order></author><author><firstname>Rachel J.</firstname><surname>Williams</surname><order>507</order></author><author><firstname>Sunando</firstname><surname>Roy</surname><order>508</order></author><author><firstname>Adhyana I. K.</firstname><surname>Mahanama</surname><order>509</order></author><author><firstname>Buddhini</firstname><surname>Samaraweera</surname><order>510</order></author><author><firstname>Eleri</firstname><surname>Wilson-Davies</surname><order>511</order></author><author><firstname>Emanuela</firstname><surname>Pelosi</surname><order>512</order></author><author><firstname>Helen</firstname><surname>Umpleby</surname><order>513</order></author><author><firstname>Helen</firstname><surname>Wheeler</surname><order>514</order></author><author><firstname>Jacqui A.</firstname><surname>Prieto</surname><order>515</order></author><author><firstname>Kordo</firstname><surname>Saeed</surname><order>516</order></author><author><firstname>Matthew</firstname><surname>Harvey</surname><order>517</order></author><author><firstname>Sarah</firstname><surname>Jeremiah</surname><order>518</order></author><author><firstname>Siona</firstname><surname>Silviera</surname><order>519</order></author><author><firstname>Stephen</firstname><surname>Aplin</surname><order>520</order></author><author><firstname>Thea</firstname><surname>Sass</surname><order>521</order></author><author><firstname>Ben</firstname><surname>Macklin</surname><order>522</order></author><author><firstname>Dorian</firstname><surname>Crudgington</surname><order>523</order></author><author><firstname>Liz A.</firstname><surname>Sheridan</surname><order>524</order></author><author><firstname>Benjamin J.</firstname><surname>Cogger</surname><order>525</order></author><author><firstname>Cassandra S.</firstname><surname>Malone</surname><order>526</order></author><author><firstname>Florence</firstname><surname>Munemo</surname><order>527</order></author><author><firstname>Hannah</firstname><surname>Huckson</surname><order>528</order></author><author><firstname>Jonathan</firstname><surname>Lewis</surname><order>529</order></author><author><firstname>Lisa J.</firstname><surname>Easton</surname><order>530</order></author><author><firstname>Manasa</firstname><surname>Mutingwende</surname><order>531</order></author><author><firstname>Michelle J.</firstname><surname>Erkiert</surname><order>532</order></author><author><firstname>Mohammed O.</firstname><surname>Hassan-Ibrahim</surname><order>533</order></author><author><firstname>Nicola J.</firstname><surname>Chaloner</surname><order>534</order></author><author><firstname>Olga</firstname><surname>Podplomyk</surname><order>535</order></author><author><firstname>Paul</firstname><surname>Randell</surname><order>536</order></author><author><firstname>Roberto</firstname><surname>Nicodemi</surname><order>537</order></author><author><firstname>Sarah</firstname><surname>Lowdon</surname><order>538</order></author><author><firstname>Thomas</firstname><surname>Somassa</surname><order>539</order></author><author><firstname>Alex</firstname><surname>Richter</surname><order>540</order></author><author><firstname>Andrew</firstname><surname>Beggs</surname><order>541</order></author><author><firstname>Andrew R.</firstname><surname>Hesketh</surname><order>542</order></author><author><firstname>Colin P.</firstname><surname>Smith</surname><order>543</order></author><author><firstname>Giselda</firstname><surname>Bucca</surname><order>544</order></author><author><firstname>Chris</firstname><surname>Ruis</surname><order>545</order></author><author><firstname>Claire</firstname><surname>Cormie</surname><order>546</order></author><author><firstname>Ellen E.</firstname><surname>Higginson</surname><order>547</order></author><author><firstname>Jamie</firstname><surname>Young</surname><order>548</order></author><author><firstname>Joana</firstname><surname>Dias</surname><order>549</order></author><author><firstname>Leanne M.</firstname><surname>Kermack</surname><order>550</order></author><author><firstname>Mailis</firstname><surname>Maes</surname><order>551</order></author><author><firstname>Ravi K.</firstname><surname>Gupta</surname><order>552</order></author><author><firstname>Sally</firstname><surname>Forrest</surname><order>553</order></author><author><firstname>Sophia T.</firstname><surname>Girgis</surname><order>554</order></author><author><firstname>Rose K.</firstname><surname>Davidson</surname><order>555</order></author><author><firstname>Áine</firstname><surname>O’Toole</surname><order>556</order></author><author><firstname>Andrew</firstname><surname>Rambaut</surname><order>557</order></author><author><firstname>Ben</firstname><surname>Jackson</surname><order>558</order></author><author><firstname>Carlos E.</firstname><surname>Balcazar</surname><order>559</order></author><author><firstname>Daniel</firstname><surname>Maloney</surname><order>560</order></author><author><firstname>Emily</firstname><surname>Scher</surname><order>561</order></author><author><firstname>J. T.</firstname><surname>McCrone</surname><order>562</order></author><author><firstname>Kathleen A.</firstname><surname>Williamson</surname><order>563</order></author><author><firstname>Michael D.</firstname><surname>Gallagher</surname><order>564</order></author><author><firstname>Nathan</firstname><surname>Medd</surname><order>565</order></author><author><firstname>Rachel</firstname><surname>Colquhoun</surname><order>566</order></author><author><firstname>Thomas D.</firstname><surname>Stanton</surname><order>567</order></author><author><firstname>Thomas</firstname><surname>Williams</surname><order>568</order></author><author><firstname>Verity</firstname><surname>Hill</surname><order>569</order></author><author><firstname>Aaron R.</firstname><surname>Jeffries</surname><order>570</order></author><author><firstname>Ben</firstname><surname>Temperton</surname><order>571</order></author><author><firstname>Christine M.</firstname><surname>Sambles</surname><order>572</order></author><author><firstname>David J.</firstname><surname>Studholme</surname><order>573</order></author><author><firstname>Joanna</firstname><surname>Warwick-Dugdale</surname><order>574</order></author><author><firstname>Leigh M.</firstname><surname>Jackson</surname><order>575</order></author><author><firstname>Michelle L.</firstname><surname>Michelsen</surname><order>576</order></author><author><firstname>Robin</firstname><surname>Manley</surname><order>577</order></author><author><firstname>Stephen L.</firstname><surname>Michell</surname><order>578</order></author><author><firstname>Alistair C.</firstname><surname>Darby</surname><order>579</order></author><author><firstname>Anita O.</firstname><surname>Lucaci</surname><order>580</order></author><author><firstname>Charlotte</firstname><surname>Nelson</surname><order>581</order></author><author><firstname>Claudia</firstname><surname>Wierzbicki</surname><order>582</order></author><author><firstname>Edith E.</firstname><surname>Vamos</surname><order>583</order></author><author><firstname>Hermione J.</firstname><surname>Webster</surname><order>584</order></author><author><firstname>Kathryn 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spelling v2 66418 2024-05-14 SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway 83efcf2a9dfcf8b55586999d3d152ac6 0000-0001-5225-000X Ronan Lyons Ronan Lyons true false 2024-05-14 MEDS Vaccines based on the spike protein of SARS-CoV-2 are a cornerstone of the public health response to COVID-19. The emergence of hypermutated, increasingly transmissible variants of concern (VOCs) threaten this strategy. Omicron (B.1.1.529), the fifth VOC to be described, harbours multiple amino acid mutations in spike, half of which lie within the receptor-binding domain. Here we demonstrate substantial evasion of neutralization by Omicron BA.1 and BA.2 variants in vitro using sera from individuals vaccinated with ChAdOx1, BNT162b2 and mRNA-1273. These data were mirrored by a substantial reduction in real-world vaccine effectiveness that was partially restored by booster vaccination. The Omicron variants BA.1 and BA.2 did not induce cell syncytia in vitro and favoured a TMPRSS2-independent endosomal entry pathway, these phenotypes mapping to distinct regions of the spike protein. Impaired cell fusion was determined by the receptor-binding domain, while endosomal entry mapped to the S2 domain. Such marked changes in antigenicity and replicative biology may underlie the rapid global spread and altered pathogenicity of the Omicron variant. Journal Article Nature Microbiology 7 8 1161 1179 Springer Science and Business Media LLC 2058-5276 1 8 2022 2022-08-01 10.1038/s41564-022-01143-7 Publisher Correction: SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway available at https://doi.org/10.1038/s41564-022-01241-6 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University We thank the participants of the DOVE study and T. McSorley and her nursing team at the NHS GG&C clinical research facility; A. Hamilton, L. Stirling and C. Mayor from the NHS GG&C SafeHaven team for their invaluable input in facilitating this study; P. Olmo for administrative support, and C. Robertson and A. Sheikh for statistical advice; and all the researchers who have shared genome data openly via the Global Initiative on Sharing All Influenza Data (GISAID). Funding was provided by Health Data Research UK (HDR UK) for the Evaluation of Variants Affecting Deployed COVID-19 Vaccine (EVADE) study (E.C.T., S.R., O.A.M., C.W. and B.J.W.; grant code: 2021.0155). This research is part of the Data and Connectivity National Core Study, led by Health Data Research UK in partnership with the Office for National Statistics and funded by UK Research and Innovation (grant ref MC_PC_20058). This work was also supported by The Alan Turing Institute via ‘Towards Turing 2.0’ EPSRC Grant Funding. COG-UK is supported by funding from the Medical Research Council (MRC, part of UK Research & Innovation (UKRI)), the National Institute of Health Research (NIHR; grant code: MC_PC_19027) and Genome Research Limited, operating as the Wellcome Sanger Institute (R.M.P., D.L.R. and E.C.T.). Medical Research Council (MRC) provided funding for both the COVID-19 DeplOyed VaccinE (DOVE) study (grant code: MCUU1201412) and COG-UK (E.C.T.). A.d.S.F., J.H., R.O., J.G., E.C.T., N.L. and D.L.R. were funded by the Medical Research Council (MRC; grant code: MC_UU_12014/12). W.T.H. was supported by the MRC (grant codes MR/R024758/1 and MR/W005611/1). The G2P-UK National Virology Consortium was funded by UK Research and Innovation (UKRI) award MR/W005611/1 (M.P., E.C.T., A.H.P. and D.L.R.). D.L.R. was funded by Wellcome Trust (grant code: 220977/Z/20/Z). N.L. and B.J.W. were funded by the Biotechnology and Biological Sciences Research Council (grant codes: BBSRC, BB/R004250/1 and BB/R019843/1). J.G. was funded by a Wellcome Trust and Royal Society Sir Henry Dale Fellowship (grant code: 107653/Z/15/A). D.J.P. was funded by UKRI through the JUNIPER consortium (grant number MR/V038613/1). The PITCH Consortium is funded by the United Kingdom Department of Health and Social Care. 2024-06-24T12:09:41.3388831 2024-05-14T15:36:46.9182002 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Brian J. Willett 0000-0001-8912-3266 1 Joe Grove 0000-0001-5390-7579 2 Oscar A. MacLean 3 Craig Wilkie 0000-0003-0805-0195 4 Giuditta De Lorenzo 0000-0002-2736-8740 5 Wilhelm Furnon 0000-0002-5588-4232 6 Diego Cantoni 7 Sam Scott 0000-0001-7080-8038 8 Nicola Logan 9 Shirin Ashraf 0000-0002-6468-0258 10 Maria Manali 11 Agnieszka Szemiel 12 Vanessa Cowton 0000-0003-1813-7825 13 Elen Vink 0000-0001-8535-6214 14 William T. Harvey 15 Chris Davis 16 Patawee Asamaphan 17 Katherine Smollett 18 Lily Tong 0000-0003-3882-3339 19 Richard Orton 20 Joseph Hughes 0000-0003-2556-2563 21 Poppy Holland 0000-0001-9708-9555 22 Vanessa Silva 23 David J. Pascall 0000-0002-7543-0860 24 Kathryn Puxty 0000-0002-5742-6171 25 Ana da Silva Filipe 0000-0002-9442-2903 26 Gonzalo Yebra 0000-0002-3472-3667 27 Sharif Shaaban 28 Matthew T. G. Holden 29 Rute Maria Pinto 30 Rory Gunson 31 Kate Templeton 32 Pablo R. Murcia 0000-0002-4352-394x 33 Arvind H. Patel 0000-0003-4600-2047 34 Paul Klenerman 35 Susanna Dunachie 0000-0001-5665-6293 36 Susanna Dunachie 37 Paul Klenerman 38 Eleanor Barnes 39 Anthony Brown 40 Sandra Adele 41 Barbara Kronsteiner 42 Sam M. Murray 43 Priyanka Abraham 44 Alexandra Deeks 45 M. Azim Ansari 46 Thushan de Silva 47 Lance Turtle 48 Shona Moore 49 James Austin 50 Alex Richter 51 Christopher Duncan 52 Rebecca Payne 53 Amy Ash 54 Cherian Koshy 55 Beatrix Kele 56 Teresa Cutino-Moguel 57 Derek J. Fairley 58 James P. McKenna 59 Tanya Curran 60 Helen Adams 61 Christophe Fraser 62 David Bonsall 63 Helen Fryer 64 Katrina Lythgoe 65 Laura Thomson 66 Tanya Golubchik 67 Abigail Murray 68 Dawn Singleton 69 Shaun M. Beckwith 70 Anna Mantzouratou 71 Magdalena Barrow 72 Sarah L. Buchan 73 Nicola Reynolds 74 Ben Warne 75 Joshua Maksimovic 76 Karla Spellman 77 Kathryn McCluggage 78 Michaela John 79 Robert Beer 80 Safiah Afifi 81 Sian Morgan 82 Andrew Mack 83 Angela Marchbank 84 Anna Price 85 Arthur Morriss 86 Catherine Bresner 87 Christine Kitchen 88 Ian Merrick 89 Joel Southgate 90 Martyn Guest 91 Owen Jones 92 Robert Munn 93 Thomas R. Connor 94 Thomas Whalley 95 Trudy Workman 96 William Fuller 97 Amita Patel 98 Bindi Patel 99 Gaia Nebbia 100 Jonathan Edgeworth 101 Luke B. Snell 102 Rahul Batra 103 Themoula Charalampous 104 Angela H. Beckett 105 Ekaterina Shelest 106 Samuel C. Robson 107 Anthony P. Underwood 108 Ben E. W. Taylor 109 Corin A. Yeats 110 David M. Aanensen 111 Khalil Abudahab 112 Mirko Menegazzo 113 Amelia Joseph 114 Gemma Clark 115 Hannah C. Howson-Wells 116 Louise Berry 117 Manjinder Khakh 118 Michelle M. Lister 119 Tim Boswell 120 Vicki M. Fleming 121 Christopher W. Holmes 122 Claire L. McMurray 123 Jessica Shaw 124 Julian W. Tang 125 Karlie Fallon 126 Mina Odedra 127 Nicholas J. Willford 128 Paul W. Bird 129 Thomas Helmer 130 Lesley-Anne Williams 131 Nicola Sheriff 132 Sharon Campbell 133 Veena Raviprakash 134 Victoria Blakey 135 Christopher Moore 136 Fei Sang 137 Johnny Debebe 138 Matthew Carlile 139 Matthew W. Loose 140 Nadine Holmes 141 Victoria Wright 142 M. Estee Torok 143 William L. Hamilton 144 Alessandro M. Carabelli 145 Andrew Jermy 146 Beth Blane 147 Carol M. Churcher 148 Catherine Ludden 149 Dinesh Aggarwal 150 Elaine Westwick 151 Ellena Brooks 152 Georgina M. McManus 153 Katerina Galai 154 Ken Smith 155 Kim S. Smith 156 MacGregor Cox 157 Mireille Fragakis 158 Patrick Maxwell 159 Sarah Judges 160 Sharon J. Peacock 161 Theresa Feltwell 162 Anita Kenyon 163 Sahar Eldirdiri 164 Thomas Davis 165 Joshua F. Taylor 166 Ngee Keong Tan 167 Alex E. Zarebski 168 Bernardo Gutierrez 169 Jayna Raghwani 170 Louis du Plessis 171 Moritz U. G. Kraemer 172 Oliver G. Pybus 173 Sarah Francois 174 Stephen W. Attwood 175 Tetyana I. Vasylyeva 176 Aminu S. Jahun 177 Ian G. Goodfellow 178 Iliana Georgana 179 Malte L. Pinckert 180 Myra Hosmillo 181 Rhys Izuagbe 182 Yasmin Chaudhry 183 Felicity Ryan 184 Hannah Lowe 185 Samuel Moses 186 Luke Bedford 187 James S. Cargill 188 Warwick Hughes 189 Jonathan Moore 190 Susanne Stonehouse 191 Divya Shah 192 Jack C. D. Lee 193 Julianne R. Brown 194 Kathryn A. Harris 195 Laura Atkinson 196 Nathaniel Storey 197 Moira J. 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Smollett 245 Alan McNally 246 Claire McMurray 247 Joanne Stockton 248 Joshua Quick 249 Nicholas J. Loman 250 Radoslaw Poplawski 251 Sam Nicholls 252 Will Rowe 253 Anibolina Castigador 254 Emily Macnaughton 255 Kate El Bouzidi 256 Malur Sudhanva 257 Temi Lampejo 258 Rocio T. Martinez Nunez 259 Cassie Breen 260 Graciela Sluga 261 Karen T. Withell 262 Nicholas W. Machin 263 Ryan P. George 264 Shazaad S. Y. Ahmad 265 David T. Pritchard 266 Debbie Binns 267 Nick Wong 268 Victoria James 269 Cheryl Williams 270 Chris J. Illingworth 271 Chris Jackson 272 Daniela de Angelis 273 David Pascall 274 Afrida Mukaddas 275 Alice Broos 276 Ana da Silva Filipe 277 Daniel Mair 278 David L. Robertson 279 Derek W. Wright 280 Emma C. Thomson 281 Igor Starinskij 282 Ioulia Tsatsani 283 James G. Shepherd 284 Jenna Nichols 285 Joseph Hughes 286 Kyriaki Nomikou 287 Lily Tong 288 Richard J. Orton 289 Sreenu Vattipally 290 William T. Harvey 291 Roy Sanderson 292 Sarah O’Brien 293 Steven Rushton 294 Jon Perkins 295 Rachel Blacow 296 Rory N. Gunson 297 Abbie Gallagher 298 Elizabeth Wastnedge 299 Kate E. Templeton 300 Martin P. McHugh 301 Rebecca Dewar 302 Seb Cotton 303 Lindsay Coupland 304 Rachael Stanley 305 Samir Dervisevic 306 Lewis G. Spurgin 307 Louise Smith 308 Clive Graham 309 Debra Padgett 310 Edward Barton 311 Garren Scott 312 Aidan Cross 313 Mariyam Mirfenderesky 314 Emma Swindells 315 Jane Greenaway 316 Rebecca Denton-Smith 317 Robyn Turnbull 318 Giles Idle 319 Kevin Cole 320 Amy Hollis 321 Andrew Nelson 322 Clare M. McCann 323 John H. Henderson 324 Matthew R. Crown 325 Wen C. Yew 326 William Stanley 327 Nichola Duckworth 328 Phillip Clarke 329 Sarah Walsh 330 Tim J. Sloan 331 Kelly Bicknell 332 Robert Impey 333 Sarah Wyllie 334 Scott Elliott 335 Sharon Glaysher 336 Declan T. Bradley 337 Nicholas F. Killough 338 Tim Wyatt 339 Andrew Bosworth 340 Barry B. Vipond 341 Clare Pearson 342 Elias Allara 343 Esther Robinson 344 Hannah M. Pymont 345 Husam Osman 346 Peter Muir 347 Richard Hopes 348 Stephanie Hutchings 349 Martin D. Curran 350 Surendra Parmar 351 Alicia Thornton 352 Angie Lackenby 353 Chloe Bishop 354 David Bibby 355 David Lee 356 Eileen Gallagher 357 Gavin Dabrera 358 Ian Harrison 359 Jonathan Hubb 360 Katherine A. Twohig 361 Meera Chand 362 Nicholas Ellaby 363 Nikos Manesis 364 Richard Myers 365 Steven Platt 366 Tamyo Mbisa 367 Vicki Chalker 368 Gonzalo Yebra 369 Matthew T. G. Holden 370 Sharif Shaaban 371 Stefan Rooke 372 Alec Birchley 373 Alexander Adams 374 Alisha Davies 375 Amy Gaskin 376 Bree Gatica-Wilcox 377 Caoimhe McKerr 378 Catherine Moore 379 Catryn Williams 380 Chris Williams 381 David Heyburn 382 Elen De Lacy 383 Ember Hilvers 384 Fatima Downing 385 Georgia Pugh 386 Hannah Jones 387 Hibo Asad 388 Jason Coombes 389 Jessica Hey 390 Jessica Powell 391 Joanne Watkins 392 Johnathan M. Evans 393 Laia Fina 394 Laura Gifford 395 Lauren Gilbert 396 Lee Graham 397 Malorie Perry 398 Mari Morgan 399 Matthew Bull 400 Nicole Pacchiarini 401 Noel Craine 402 Sally Corden 403 Sara Kumziene-Summerhayes 404 Sara Rey 405 Sarah Taylor 406 Simon Cottrell 407 Sophie Jones 408 Sue Edwards 409 Tara Annett 410 Alexander J. Trotter 411 Alison E. Mather 412 Alp Aydin 413 Andrew J. Page 414 David J. Baker 415 Ebenezer Foster-Nyarko 416 Gemma L. Kay 417 Justin O’Grady 418 Leonardo de Oliveira Martins 419 Lizzie Meadows 420 Nabil-Fareed Alikhan 421 Sophie J. Prosolek 422 Steven Rudder 423 Thanh Le-Viet 424 Anna Casey 425 Liz Ratcliffe 426 Aditi Singh 427 Arun Mariappan 428 Chris Baxter 429 Clara Radulescu 430 David A. Simpson 431 Deborah Lavin 432 Fiona Rogan 433 Julia Miskelly 434 Marc Fuchs 435 Miao Tang 436 Sílvia F. Carvalho 437 Stephen Bridgett 438 Timofey Skvortsov 439 Zoltan Molnar 440 Newara A. Ramadan 441 Bridget A. Knight 442 Christopher R. Jones 443 Cressida Auckland 444 Helen Morcrette 445 Jennifer Poyner 446 Dianne Irish-Tavares 447 Eric Witele 448 Jennifer Hart 449 Tabitha W. Mahungu 450 Tanzina Haque 451 Yann Bourgeois 452 Christopher Fearn 453 Kate F. Cook 454 Katie F. Loveson 455 Salman Goudarzi 456 Cariad Evans 457 David G. Partridge 458 Kate Johnson 459 Mehmet Yavus 460 Mohammad Raza 461 Craig Mower 462 Paul Baker 463 Sarah Essex 464 Stephen Bonner 465 Leanne J. Murray 466 Louisa K. Watson 467 Steven Liggett 468 Andrew I. Lawton 469 Ronan A. Lyons 470 Brendan A. I. Payne 471 Gary Eltringham 472 Jennifer Collins 473 Sheila Waugh 474 Shirelle Burton-Fanning 475 Yusri Taha 476 Christopher Jeanes 477 Andrea N. Gomes 478 Darren R. Murray 479 Maimuna Kimuli 480 Donald Dobie 481 Paula Ashfield 482 Angus Best 483 Benita Percival 484 Emma Moles-Garcia 485 Fiona Ashford 486 Jeremy Mirza 487 Liam Crawford 488 Megan Mayhew 489 Nicola Cumley 490 Oliver Megram 491 Dan Frampton 492 Judith Heaney 493 Matthew Byott 494 Catherine Houlihan 495 Charlotte A. Williams 496 Eleni Nastouli 497 Helen L. Lowe 498 John A. Hartley 499 Judith Breuer 500 Laurentiu Maftei 501 Leah Ensell 502 Marius Cotic 503 Matteo Mondani 504 Megan Driscoll 505 Nadua Bayzid 506 Rachel J. Williams 507 Sunando Roy 508 Adhyana I. K. Mahanama 509 Buddhini Samaraweera 510 Eleri Wilson-Davies 511 Emanuela Pelosi 512 Helen Umpleby 513 Helen Wheeler 514 Jacqui A. Prieto 515 Kordo Saeed 516 Matthew Harvey 517 Sarah Jeremiah 518 Siona Silviera 519 Stephen Aplin 520 Thea Sass 521 Ben Macklin 522 Dorian Crudgington 523 Liz A. Sheridan 524 Benjamin J. Cogger 525 Cassandra S. Malone 526 Florence Munemo 527 Hannah Huckson 528 Jonathan Lewis 529 Lisa J. Easton 530 Manasa Mutingwende 531 Michelle J. Erkiert 532 Mohammed O. Hassan-Ibrahim 533 Nicola J. Chaloner 534 Olga Podplomyk 535 Paul Randell 536 Roberto Nicodemi 537 Sarah Lowdon 538 Thomas Somassa 539 Alex Richter 540 Andrew Beggs 541 Andrew R. Hesketh 542 Colin P. Smith 543 Giselda Bucca 544 Chris Ruis 545 Claire Cormie 546 Ellen E. Higginson 547 Jamie Young 548 Joana Dias 549 Leanne M. Kermack 550 Mailis Maes 551 Ravi K. Gupta 552 Sally Forrest 553 Sophia T. Girgis 554 Rose K. Davidson 555 Áine O’Toole 556 Andrew Rambaut 557 Ben Jackson 558 Carlos E. Balcazar 559 Daniel Maloney 560 Emily Scher 561 J. T. McCrone 562 Kathleen A. Williamson 563 Michael D. Gallagher 564 Nathan Medd 565 Rachel Colquhoun 566 Thomas D. Stanton 567 Thomas Williams 568 Verity Hill 569 Aaron R. Jeffries 570 Ben Temperton 571 Christine M. Sambles 572 David J. Studholme 573 Joanna Warwick-Dugdale 574 Leigh M. Jackson 575 Michelle L. Michelsen 576 Robin Manley 577 Stephen L. Michell 578 Alistair C. Darby 579 Anita O. Lucaci 580 Charlotte Nelson 581 Claudia Wierzbicki 582 Edith E. Vamos 583 Hermione J. Webster 584 Kathryn A. Jackson 585 Lucille Rainbow 586 Margaret Hughes 587 Mark Whitehead 588 Matthew Gemmell 589 Miren Iturriza-Gomara 590 Richard Eccles 591 Richard Gregory 592 Sam T. Haldenby 593 Steve Paterson 594 Adrienn Angyal 595 Alexander J. Keeley 596 Benjamin H. Foulkes 597 Benjamin B. Lindsey 598 Dennis Wang 599 Hailey R. Hornsby 600 Luke R. Green 601 Manoj Pohare 602 Marta Gallis 603 Matthew D. Parker 604 Max Whiteley 605 Nikki Smith 606 Paige Wolverson 607 Peijun Zhang 608 Samantha E. Hansford 609 Sharon N. Hsu 610 Stavroula F. Louka 611 Thushan I. de Silva 612 Timothy M. Freeman 613 Matilde Mori 614 Emily J. Park 615 Jack D. Hill 616 Jayasree Dey 617 Jonathan Ball 618 Joseph G. Chappell 619 Patrick C. McClure 620 Timothy Byaruhanga 621 Arezou Fanaie 622 Geraldine Yaze 623 Rachel A. Hilson 624 Amy Trebes 625 Angie Green 626 David Buck 627 George MacIntyre-Cockett 628 John A. Todd 629 Andrew R. Bassett 630 Andrew Whitwham 631 Cordelia F. Langford 632 Diana Rajan 633 Dominic Kwiatkowski 634 Ewan M. Harrison 635 Iraad F. Bronner 636 Jaime M. Tovar-Corona 637 Jennifier Liddle 638 Jillian Durham 639 Katherine L. Bellis 640 Kevin Lewis 641 Louise Aigrain 642 Nicholas M. Redshaw 643 Robert M. Davies 644 Robin J. Moll 645 Shane A. McCarthy 646 Stefanie V. Lensing 647 Steven Leonard 648 Ben W. Farr 649 Carol Scott 650 Charlotte Beaver 651 Cristina V. Ariani 652 Danni Weldon 653 David K. Jackson 654 Emma Betteridge 655 Gerry Tonkin-Hill 656 Ian Johnston 657 Inigo Martincorena 658 James Bonfield 659 Jeffrey C. Barrett 660 John Sillitoe 661 Jon-Paul Keatley 662 Karen Oliver 663 Keith James 664 Lesley Shirley 665 Liam Prestwood 666 Luke Foulser 667 Marina Gourtovaia 668 Matthew J. Dorman 669 Michael A. Quail 670 Michael H. Spencer Chapman 671 Naomi R. Park 672 Rich Livett 673 Roberto Amato 674 Sally Kay 675 Scott Goodwin 676 Scott A. J. Thurston 677 Shavanthi Rajatileka 678 Sónia Gonçalves 679 Stephanie Lo 680 Theo Sanderson 681 Alasdair Maclean 682 Emily J. Goldstein 683 Lynne Ferguson 684 Rachael Tomb 685 Jana Catalan 686 Neil Jones 687 John Haughney 688 David L. Robertson 0000-0001-6338-0221 689 Massimo Palmarini 690 Surajit Ray 0000-0003-3965-8136 691 Emma C. Thomson 0000-0003-1482-0889 692 (PITCH Consortium) 693 (The COVID-19 Genomics UK (COG-UK) Consortium) 694 Ronan Lyons 0000-0001-5225-000X 695 66418__30364__1dfaddab9c2d4e83a63e8cc984280d05.pdf 66418.pdf 2024-05-14T15:39:21.8224062 Output 4213204 application/pdf Version of Record true This article is licensed under a Creative Commons Attribution 4.0 International License. true eng https://creativecommons.org/licenses/by/4.0/
title SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway
spellingShingle SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway
Ronan Lyons
title_short SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway
title_full SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway
title_fullStr SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway
title_full_unstemmed SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway
title_sort SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway
author_id_str_mv 83efcf2a9dfcf8b55586999d3d152ac6
author_id_fullname_str_mv 83efcf2a9dfcf8b55586999d3d152ac6_***_Ronan Lyons
author Ronan Lyons
author2 Brian J. Willett
Joe Grove
Oscar A. MacLean
Craig Wilkie
Giuditta De Lorenzo
Wilhelm Furnon
Diego Cantoni
Sam Scott
Nicola Logan
Shirin Ashraf
Maria Manali
Agnieszka Szemiel
Vanessa Cowton
Elen Vink
William T. Harvey
Chris Davis
Patawee Asamaphan
Katherine Smollett
Lily Tong
Richard Orton
Joseph Hughes
Poppy Holland
Vanessa Silva
David J. Pascall
Kathryn Puxty
Ana da Silva Filipe
Gonzalo Yebra
Sharif Shaaban
Matthew T. G. Holden
Rute Maria Pinto
Rory Gunson
Kate Templeton
Pablo R. Murcia
Arvind H. Patel
Paul Klenerman
Susanna Dunachie
Susanna Dunachie
Paul Klenerman
Eleanor Barnes
Anthony Brown
Sandra Adele
Barbara Kronsteiner
Sam M. Murray
Priyanka Abraham
Alexandra Deeks
M. Azim Ansari
Thushan de Silva
Lance Turtle
Shona Moore
James Austin
Alex Richter
Christopher Duncan
Rebecca Payne
Amy Ash
Cherian Koshy
Beatrix Kele
Teresa Cutino-Moguel
Derek J. Fairley
James P. McKenna
Tanya Curran
Helen Adams
Christophe Fraser
David Bonsall
Helen Fryer
Katrina Lythgoe
Laura Thomson
Tanya Golubchik
Abigail Murray
Dawn Singleton
Shaun M. Beckwith
Anna Mantzouratou
Magdalena Barrow
Sarah L. Buchan
Nicola Reynolds
Ben Warne
Joshua Maksimovic
Karla Spellman
Kathryn McCluggage
Michaela John
Robert Beer
Safiah Afifi
Sian Morgan
Andrew Mack
Angela Marchbank
Anna Price
Arthur Morriss
Catherine Bresner
Christine Kitchen
Ian Merrick
Joel Southgate
Martyn Guest
Owen Jones
Robert Munn
Thomas R. Connor
Thomas Whalley
Trudy Workman
William Fuller
Amita Patel
Bindi Patel
Gaia Nebbia
Jonathan Edgeworth
Luke B. Snell
Rahul Batra
Themoula Charalampous
Angela H. Beckett
Ekaterina Shelest
Samuel C. Robson
Anthony P. Underwood
Ben E. W. Taylor
Corin A. Yeats
David M. Aanensen
Khalil Abudahab
Mirko Menegazzo
Amelia Joseph
Gemma Clark
Hannah C. Howson-Wells
Louise Berry
Manjinder Khakh
Michelle M. Lister
Tim Boswell
Vicki M. Fleming
Christopher W. Holmes
Claire L. McMurray
Jessica Shaw
Julian W. Tang
Karlie Fallon
Mina Odedra
Nicholas J. Willford
Paul W. Bird
Thomas Helmer
Lesley-Anne Williams
Nicola Sheriff
Sharon Campbell
Veena Raviprakash
Victoria Blakey
Christopher Moore
Fei Sang
Johnny Debebe
Matthew Carlile
Matthew W. Loose
Nadine Holmes
Victoria Wright
M. Estee Torok
William L. Hamilton
Alessandro M. Carabelli
Andrew Jermy
Beth Blane
Carol M. Churcher
Catherine Ludden
Dinesh Aggarwal
Elaine Westwick
Ellena Brooks
Georgina M. McManus
Katerina Galai
Ken Smith
Kim S. Smith
MacGregor Cox
Mireille Fragakis
Patrick Maxwell
Sarah Judges
Sharon J. Peacock
Theresa Feltwell
Anita Kenyon
Sahar Eldirdiri
Thomas Davis
Joshua F. Taylor
Ngee Keong Tan
Alex E. Zarebski
Bernardo Gutierrez
Jayna Raghwani
Louis du Plessis
Moritz U. G. Kraemer
Oliver G. Pybus
Sarah Francois
Stephen W. Attwood
Tetyana I. Vasylyeva
Aminu S. Jahun
Ian G. Goodfellow
Iliana Georgana
Malte L. Pinckert
Myra Hosmillo
Rhys Izuagbe
Yasmin Chaudhry
Felicity Ryan
Hannah Lowe
Samuel Moses
Luke Bedford
James S. Cargill
Warwick Hughes
Jonathan Moore
Susanne Stonehouse
Divya Shah
Jack C. D. Lee
Julianne R. Brown
Kathryn A. Harris
Laura Atkinson
Nathaniel Storey
Moira J. Spyer
Flavia Flaviani
Adela Alcolea-Medina
Jasveen Sehmi
John Ramble
Natasha Ohemeng-Kumi
Perminder Smith
Beatrice Bertolusso
Claire Thomas
Gabrielle Vernet
Jessica Lynch
Nathan Moore
Nicholas Cortes
Rebecca Williams
Stephen P. Kidd
Lisa J. Levett
Monika Pusok
Paul R. Grant
Stuart Kirk
Wendy Chatterton
Li Xu-McCrae
Darren L. Smith
Gregory R. Young
Matthew Bashton
Katie Kitchman
Kavitha Gajee
Kirstine Eastick
Patrick J. Lillie
Phillipa J. Burns
William Everson
Alison Cox
Alison H. Holmes
Frances Bolt
James R. Price
Marcus Pond
Paul A. Randell
Pinglawathee Madona
Siddharth Mookerjee
Erik M. Volz
Lily Geidelberg
Manon Ragonnet-Cronin
Olivia Boyd
Rob Johnson
Cassie F. Pope
Adam A. Witney
Irene M. Monahan
Kenneth G. Laing
Katherine L. Smollett
Alan McNally
Claire McMurray
Joanne Stockton
Joshua Quick
Nicholas J. Loman
Radoslaw Poplawski
Sam Nicholls
Will Rowe
Anibolina Castigador
Emily Macnaughton
Kate El Bouzidi
Malur Sudhanva
Temi Lampejo
Rocio T. Martinez Nunez
Cassie Breen
Graciela Sluga
Karen T. Withell
Nicholas W. Machin
Ryan P. George
Shazaad S. Y. Ahmad
David T. Pritchard
Debbie Binns
Nick Wong
Victoria James
Cheryl Williams
Chris J. Illingworth
Chris Jackson
Daniela de Angelis
David Pascall
Afrida Mukaddas
Alice Broos
Ana da Silva Filipe
Daniel Mair
David L. Robertson
Derek W. Wright
Emma C. Thomson
Igor Starinskij
Ioulia Tsatsani
James G. Shepherd
Jenna Nichols
Joseph Hughes
Kyriaki Nomikou
Lily Tong
Richard J. Orton
Sreenu Vattipally
William T. Harvey
Roy Sanderson
Sarah O’Brien
Steven Rushton
Jon Perkins
Rachel Blacow
Rory N. Gunson
Abbie Gallagher
Elizabeth Wastnedge
Kate E. Templeton
Martin P. McHugh
Rebecca Dewar
Seb Cotton
Lindsay Coupland
Rachael Stanley
Samir Dervisevic
Lewis G. Spurgin
Louise Smith
Clive Graham
Debra Padgett
Edward Barton
Garren Scott
Aidan Cross
Mariyam Mirfenderesky
Emma Swindells
Jane Greenaway
Rebecca Denton-Smith
Robyn Turnbull
Giles Idle
Kevin Cole
Amy Hollis
Andrew Nelson
Clare M. McCann
John H. Henderson
Matthew R. Crown
Wen C. Yew
William Stanley
Nichola Duckworth
Phillip Clarke
Sarah Walsh
Tim J. Sloan
Kelly Bicknell
Robert Impey
Sarah Wyllie
Scott Elliott
Sharon Glaysher
Declan T. Bradley
Nicholas F. Killough
Tim Wyatt
Andrew Bosworth
Barry B. Vipond
Clare Pearson
Elias Allara
Esther Robinson
Hannah M. Pymont
Husam Osman
Peter Muir
Richard Hopes
Stephanie Hutchings
Martin D. Curran
Surendra Parmar
Alicia Thornton
Angie Lackenby
Chloe Bishop
David Bibby
David Lee
Eileen Gallagher
Gavin Dabrera
Ian Harrison
Jonathan Hubb
Katherine A. Twohig
Meera Chand
Nicholas Ellaby
Nikos Manesis
Richard Myers
Steven Platt
Tamyo Mbisa
Vicki Chalker
Gonzalo Yebra
Matthew T. G. Holden
Sharif Shaaban
Stefan Rooke
Alec Birchley
Alexander Adams
Alisha Davies
Amy Gaskin
Bree Gatica-Wilcox
Caoimhe McKerr
Catherine Moore
Catryn Williams
Chris Williams
David Heyburn
Elen De Lacy
Ember Hilvers
Fatima Downing
Georgia Pugh
Hannah Jones
Hibo Asad
Jason Coombes
Jessica Hey
Jessica Powell
Joanne Watkins
Johnathan M. Evans
Laia Fina
Laura Gifford
Lauren Gilbert
Lee Graham
Malorie Perry
Mari Morgan
Matthew Bull
Nicole Pacchiarini
Noel Craine
Sally Corden
Sara Kumziene-Summerhayes
Sara Rey
Sarah Taylor
Simon Cottrell
Sophie Jones
Sue Edwards
Tara Annett
Alexander J. Trotter
Alison E. Mather
Alp Aydin
Andrew J. Page
David J. Baker
Ebenezer Foster-Nyarko
Gemma L. Kay
Justin O’Grady
Leonardo de Oliveira Martins
Lizzie Meadows
Nabil-Fareed Alikhan
Sophie J. Prosolek
Steven Rudder
Thanh Le-Viet
Anna Casey
Liz Ratcliffe
Aditi Singh
Arun Mariappan
Chris Baxter
Clara Radulescu
David A. Simpson
Deborah Lavin
Fiona Rogan
Julia Miskelly
Marc Fuchs
Miao Tang
Sílvia F. Carvalho
Stephen Bridgett
Timofey Skvortsov
Zoltan Molnar
Newara A. Ramadan
Bridget A. Knight
Christopher R. Jones
Cressida Auckland
Helen Morcrette
Jennifer Poyner
Dianne Irish-Tavares
Eric Witele
Jennifer Hart
Tabitha W. Mahungu
Tanzina Haque
Yann Bourgeois
Christopher Fearn
Kate F. Cook
Katie F. Loveson
Salman Goudarzi
Cariad Evans
David G. Partridge
Kate Johnson
Mehmet Yavus
Mohammad Raza
Craig Mower
Paul Baker
Sarah Essex
Stephen Bonner
Leanne J. Murray
Louisa K. Watson
Steven Liggett
Andrew I. Lawton
Ronan A. Lyons
Brendan A. I. Payne
Gary Eltringham
Jennifer Collins
Sheila Waugh
Shirelle Burton-Fanning
Yusri Taha
Christopher Jeanes
Andrea N. Gomes
Darren R. Murray
Maimuna Kimuli
Donald Dobie
Paula Ashfield
Angus Best
Benita Percival
Emma Moles-Garcia
Fiona Ashford
Jeremy Mirza
Liam Crawford
Megan Mayhew
Nicola Cumley
Oliver Megram
Dan Frampton
Judith Heaney
Matthew Byott
Catherine Houlihan
Charlotte A. Williams
Eleni Nastouli
Helen L. Lowe
John A. Hartley
Judith Breuer
Laurentiu Maftei
Leah Ensell
Marius Cotic
Matteo Mondani
Megan Driscoll
Nadua Bayzid
Rachel J. Williams
Sunando Roy
Adhyana I. K. Mahanama
Buddhini Samaraweera
Eleri Wilson-Davies
Emanuela Pelosi
Helen Umpleby
Helen Wheeler
Jacqui A. Prieto
Kordo Saeed
Matthew Harvey
Sarah Jeremiah
Siona Silviera
Stephen Aplin
Thea Sass
Ben Macklin
Dorian Crudgington
Liz A. Sheridan
Benjamin J. Cogger
Cassandra S. Malone
Florence Munemo
Hannah Huckson
Jonathan Lewis
Lisa J. Easton
Manasa Mutingwende
Michelle J. Erkiert
Mohammed O. Hassan-Ibrahim
Nicola J. Chaloner
Olga Podplomyk
Paul Randell
Roberto Nicodemi
Sarah Lowdon
Thomas Somassa
Alex Richter
Andrew Beggs
Andrew R. Hesketh
Colin P. Smith
Giselda Bucca
Chris Ruis
Claire Cormie
Ellen E. Higginson
Jamie Young
Joana Dias
Leanne M. Kermack
Mailis Maes
Ravi K. Gupta
Sally Forrest
Sophia T. Girgis
Rose K. Davidson
Áine O’Toole
Andrew Rambaut
Ben Jackson
Carlos E. Balcazar
Daniel Maloney
Emily Scher
J. T. McCrone
Kathleen A. Williamson
Michael D. Gallagher
Nathan Medd
Rachel Colquhoun
Thomas D. Stanton
Thomas Williams
Verity Hill
Aaron R. Jeffries
Ben Temperton
Christine M. Sambles
David J. Studholme
Joanna Warwick-Dugdale
Leigh M. Jackson
Michelle L. Michelsen
Robin Manley
Stephen L. Michell
Alistair C. Darby
Anita O. Lucaci
Charlotte Nelson
Claudia Wierzbicki
Edith E. Vamos
Hermione J. Webster
Kathryn A. Jackson
Lucille Rainbow
Margaret Hughes
Mark Whitehead
Matthew Gemmell
Miren Iturriza-Gomara
Richard Eccles
Richard Gregory
Sam T. Haldenby
Steve Paterson
Adrienn Angyal
Alexander J. Keeley
Benjamin H. Foulkes
Benjamin B. Lindsey
Dennis Wang
Hailey R. Hornsby
Luke R. Green
Manoj Pohare
Marta Gallis
Matthew D. Parker
Max Whiteley
Nikki Smith
Paige Wolverson
Peijun Zhang
Samantha E. Hansford
Sharon N. Hsu
Stavroula F. Louka
Thushan I. de Silva
Timothy M. Freeman
Matilde Mori
Emily J. Park
Jack D. Hill
Jayasree Dey
Jonathan Ball
Joseph G. Chappell
Patrick C. McClure
Timothy Byaruhanga
Arezou Fanaie
Geraldine Yaze
Rachel A. Hilson
Amy Trebes
Angie Green
David Buck
George MacIntyre-Cockett
John A. Todd
Andrew R. Bassett
Andrew Whitwham
Cordelia F. Langford
Diana Rajan
Dominic Kwiatkowski
Ewan M. Harrison
Iraad F. Bronner
Jaime M. Tovar-Corona
Jennifier Liddle
Jillian Durham
Katherine L. Bellis
Kevin Lewis
Louise Aigrain
Nicholas M. Redshaw
Robert M. Davies
Robin J. Moll
Shane A. McCarthy
Stefanie V. Lensing
Steven Leonard
Ben W. Farr
Carol Scott
Charlotte Beaver
Cristina V. Ariani
Danni Weldon
David K. Jackson
Emma Betteridge
Gerry Tonkin-Hill
Ian Johnston
Inigo Martincorena
James Bonfield
Jeffrey C. Barrett
John Sillitoe
Jon-Paul Keatley
Karen Oliver
Keith James
Lesley Shirley
Liam Prestwood
Luke Foulser
Marina Gourtovaia
Matthew J. Dorman
Michael A. Quail
Michael H. Spencer Chapman
Naomi R. Park
Rich Livett
Roberto Amato
Sally Kay
Scott Goodwin
Scott A. J. Thurston
Shavanthi Rajatileka
Sónia Gonçalves
Stephanie Lo
Theo Sanderson
Alasdair Maclean
Emily J. Goldstein
Lynne Ferguson
Rachael Tomb
Jana Catalan
Neil Jones
John Haughney
David L. Robertson
Massimo Palmarini
Surajit Ray
Emma C. Thomson
(PITCH Consortium)
(The COVID-19 Genomics UK (COG-UK) Consortium)
Ronan Lyons
format Journal article
container_title Nature Microbiology
container_volume 7
container_issue 8
container_start_page 1161
publishDate 2022
institution Swansea University
issn 2058-5276
doi_str_mv 10.1038/s41564-022-01143-7
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 1
active_str 0
description Vaccines based on the spike protein of SARS-CoV-2 are a cornerstone of the public health response to COVID-19. The emergence of hypermutated, increasingly transmissible variants of concern (VOCs) threaten this strategy. Omicron (B.1.1.529), the fifth VOC to be described, harbours multiple amino acid mutations in spike, half of which lie within the receptor-binding domain. Here we demonstrate substantial evasion of neutralization by Omicron BA.1 and BA.2 variants in vitro using sera from individuals vaccinated with ChAdOx1, BNT162b2 and mRNA-1273. These data were mirrored by a substantial reduction in real-world vaccine effectiveness that was partially restored by booster vaccination. The Omicron variants BA.1 and BA.2 did not induce cell syncytia in vitro and favoured a TMPRSS2-independent endosomal entry pathway, these phenotypes mapping to distinct regions of the spike protein. Impaired cell fusion was determined by the receptor-binding domain, while endosomal entry mapped to the S2 domain. Such marked changes in antigenicity and replicative biology may underlie the rapid global spread and altered pathogenicity of the Omicron variant.
published_date 2022-08-01T12:09:45Z
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score 11.036815