Results from our lab indicate that Omicron encodes a 2nd type of immune escape, besides the S mutations that evade antibody responses.

Background: Basically all cells of our body are able to produce interferons (IFNs) in response to infection. IFNs are secreted and dock...

1/11
...onto their receptor on the neighbour cells. IFN activates a gene expression program that puts cells into an antiviral state. Instead of doing their normal job, they are now full of antiviral proteins to form a firewall and attract immune cells.

2/11
But: viruses have of course plenty of countermeasures in stock, mostly:
- suppressing IFN production in the infected cells
- disturbing the signaling between IFN receptor binding and the establishment of an antiviral state
- directly disarming antivirally active proteins

3/11
We checked IFN induction by cells that were infected with Omicron, in comparison to the original strain ("wt") and the Delta variant of concern
4/11
Result: one type of IFNs (IFN-beta), is about 4-fold less activated by Omicron. For the other type (IFN-lambda), there was no significant difference
5/11
How about the antiviral state? We also treated cells with different doses of IFN (dose escalation) before infection with the viruses.
Increasing doses of IFN are expected to generate more antiviral proteins, so it is increasingly harder for viruses to produce new particles
6/11
Result:
For Omicron the IFN dose-response runs much flatter than for the other two viruses, indicating it is less impressed by the antiviral state established by IFN.
7/11
For example, for the wt SARS-CoV-2 you need just 50 units IFN to bring it below 5% of the normal virus amount. For Delta, you need about 100 units IFN to reach a similar suppression level, but for Omicron you have to use 500 units.
8/11
Together, our results indicate that Omicron has an increased capability to
- suppress IFN production
- evade the IFN antiviral state

As IFNs belong to the innate immune system, this is a kind of immune evasion

9/11
BTW we have seen such a pattern earlier, when we found that wt SARS-CoV-2 from 2020 is more IFN sensitive than the "old" SARS-CoV-1 from 2003.
Apparently with the Omicron variant from end of 2021 SARS-CoV-2 has gained some ground meanwhile
10/11
jbc.org/article/S0021-…
Great collaboration with @CiesekSandra and @marek_widera, incredibly hard and efficient work by my team members Lyudmila Shalamova and Ulrike Felgenhauer
11/11
biorxiv.org/content/10.110…

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More from @Friedemann1

Jan 4
Study on cellular and humoral immunity in patients with infection (mild, moderate, or severe), compared to uninfected healthy controls and BNT162b2 vaccinated individuals.
1/
journals.plos.org/plospathogens/…
"Mild" patients (nonetheless in ER, but not hospitalized)

Cellular immune response:
- potent, within the first 2 weeks PSO (post symptom onset)
- increased further during acute phase

IgG:
- from day 13 PSO on, increased during convalescence
2/
Moderate patients (ER -> hospitalized)

cellular immune response:
- detectable within the first 2 weeks PSO
- but no increase

antibody levels:
- developed high, with a robust neutralizing capacity during convalescence
3/
Read 14 tweets
Dec 8, 2021
Fresh Pf/BNT press release on vaccine efficacy against Omikron

(check out #4/5 for CD8 T cell epitopes and severe disease!)

1/5

investors.biontech.de/news-releases/…
- preliminary laboratory studies...three doses of the Pfizer-BioNTech COVID-19 Vaccine neutralize the Omicron variant..., while two doses show significantly reduced neutralization titers

2/5
- a third dose...increases...neutralizing antibody titers by 25-fold compared to two doses against the Omicron variant

- titers after the booster...are comparable to titers...after two doses against the wild-type virus, which are associated with high levels of protection

3/5
Read 5 tweets
Nov 28, 2021
Is it possible that a variant evolves that has a CFR of more than 50%, like Ebola virus (EBOV)? Although SARS-CoV-2 has nastily surprised us already so many times, I think this is unlikely.
1/7
EBOV infects inner organs and blood vessels causing diarrhea, vomiting, and severe bleedings. Transmission occurs mainly via body fluids (Blood, Vomit, Saliva, etc). Exposed to the virus-infested fluids are hospital staff and relatives caring for the sick or washing the dead
2/7
Thus, heavy symptoms are actually helping or even required by EBOV to jump from human to human.

SARS-CoV-2, by contrast, spreads mostly through the air. For transmission, the virus only needs to replicate in cells of the upper airways.
3/7
Read 7 tweets
Nov 25, 2021
Meta-analyses and studies of large cohorts have shown that around 20–40% of individuals infected with SARS-CoV-2 have asymptomatic disease

1/
nature.com/articles/s4157…
The complexities of a working definition for the term ‘asymptomatic’ in this disease are exemplified by an early report from Wuhan, which showed that about one-third of individuals with asymptomatic infections had lung changes that were visible on computed tomography scans
2/
...subsequently confirmed in several other studies. That is, end organ damage can ensue in individuals who were otherwise unaware of their infection.
3/
Read 9 tweets
Nov 24, 2021
Warum sind unsere Impfquoten nicht ausreichend? Ich denke viele der Mythen, welche die Leute verunsichert haben, gehen auf den Flyer zurück, der Anfang 2021 in die Briefkästen geworfen wurde. Verantwortlich dafür sind @SHomburg und Sucharit Bhakdi
1/
Schon das Deckblatt nutzt den klassischen "ich stelle doch nur Fragen"-Trick.
Und die abgebildete Spritze, naja, die Größenrelation zu dem niedlichen Teddybär entspricht nicht direkt der Realität beim Impfen (man beachte auch: blutiges Pflaster, umgekippte Impfampulle)
2/
Los geht's mit dem Text:
Was unterschlagen wird:

Impfung: ist nur 1 Virusgen ("VirusgenE" ist also falsch)
Infektion: mindestens 10 verschiedene Virusgene
3/
Read 13 tweets
Nov 23, 2021
"Ireland is home to one of Europe's highest vaccination rates...three-quarters of all people, having been immunized -- but it recently imposed a midnight curfew ...as it battles a growing surge in cases and hospitalizations"
1/9

edition.cnn.com/2021/11/19/eur…
"...even small pockets of unvaccinated people can drive transmission...Ireland...around a million are still not protected.
"...we have...an epidemic of the unvaccinated -- about 10% of our population over 12 is unvaccinated, and we're seeing an epidemic in those people..."
2/9
"...elderly and vulnerable people with co-morbidities can still suffer breakthrough cases, and asymptomatic, healthy people are catching and passing on the virus.
"The combination of those four or five things has meant that our hospitals are getting quite full""
3/9
Read 9 tweets

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