Ben Murrell Profile picture
Sep 1 11 tweets 3 min read Twitter logo Read on Twitter
Real-time data update: we've got our first BA.2.86 (see red arrow) neutralization results. Short 🧵with much credit to @DannySheward and the rest of the team. Image
Our initial data takes two cohorts of blood donors from Stockholm: one from before XBB arrived in late 2022, and one from last week. Exposure histories (ie. vaccination and infection) are exceptionally diverse at this point, so we prefer a random slice with well-defined timing.
The variants we compare are BA.2, the recently-dominant XBB.1.5, and BA.2.86, which emerges from BA.2 with a long branch, with over 30 spike mutations of unobserved evolution. An uncomfortably familiar situation. (figure hat tip @PeacockFlu) Image
The pre-XBB samples were poor at neutralizing BA.2.86 (and not much better against XBB.1.5). But, somewhat encouragingly, last week's samples were substantially better, with 8 out of 12 neutralizing BA.2.86 at titers over 100. Image
We also screened a few monoclonal antibodies. BA.2.86 was resistant against all of these, including sotrovimab (which was previously quite robust, if not very potent). Image
These blood donor and monoclonal antibody results are largely concordant with those that @yunlong_cao posted yesterday.
Overall, it doesn't appear to be nearly as extreme a situation as the original emergence of Omicron. It isn't yet clear whether BA.2.86 (or its offspring) will outcompete the currently-circulating variants, and I don't think there is yet any data about its severity, but...
...our antibodies do not appear to be completely powerless against it.

The fact, however, that another Omicron-like emergence event has occurred, with that long unobserved branch and subsequent spread, should warn us against giving up our genomic surveillance infrastructure.
In the coming days we'll be adding to this data, increasing the number of samples, and possibly adding a few variants into the mix.
Again, credit to @dannysheward and the team (I'm not 100% sure who wants to be singled out in public), the people tirelessly depositing genomes (including @Jan_Albert_ here at KI), and to folks like @shay_fleishon and @LongDesertTrain who so rapidly spot these variants.
Forgot to mention (thanks @StuartTurville!): this is from a pseudovirus assay.

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More from @BenjMurrell

Sep 16, 2022
BA.2.75.2 exhibits more extreme antibody escape than any variant we've seen so far. A short 🧵
As with our previous work, this effort was led by @DannySheward, with @PeacockFlu helping us accelerate things.
@EricTopol made a gutsy call a while back, saying that BA.2.75 was "a scariant".
This may turn out to be correct, but BA.2.75's daughter, BA.2.75.2, with just three additional mutations, is genuinely scary.
Read 9 tweets
Jan 5, 2022
We recently discovered that a “public” class of antibodies (one that most people should be able to make) can mature to cross-neutralize Omicron, and all other SARS-CoV-2 variants we tested: biorxiv.org/content/10.110…
This story is the result of a three-lab collaboration with the labs of @NillaKH and @BMartinHallberg (who also made the structure figures I'm posting here), with @DannySheward, @Pradee05, and @das_hrishikesh1.
After we raced to establish an assay to measure antibody neutralization of Omicron, showing that, in many people, the loss wasn’t as extreme as was expected , we then set about looking for new antibodies that could neutralize it.
Read 14 tweets
Dec 11, 2021
Another Omicron neutralization thread, this time about monoclonal antibodies. Once again, massive cred to @DannySheward, and everyone else from the previous data release. This time, we also need to especially thank @ReddyLab_ETHZ (1/n)
It turns out that panels of relevant monoclonal antibodies are non-trivial to find in a hurry, and @roy_ehling and @saireddy911were happy to provide these ASAP. Before results, some caveats: (2/n)
First: these antibodies are not the versions produced by the companies or labs that developed them - they are made in-house at @ReddyLab_ETHZ. The important bits should be the same, but the production process differs, and it is not impossible that this matters. (3/n)
Read 15 tweets
Dec 7, 2021
Omicron antibody neutralization thread, with preliminary results, and substantial caveats. Most credit to @DannySheward. We’ve been racing to generate neutralization data as fast as possible, and our first results were read this afternoon (1/n).
Major NB: this is preliminary data. Given the circumstances, however, we feel it critical to release data right away, and explain current caveats that we can later iron out and investigate. Link here: tinyurl.com/ycx4x4d4 (2/n).
Summary: In our hands, from a first set of results, the loss of neutralization against Omicron (relative to the pandemic founder) is exceptionally variable, with some samples showing almost no loss, and some showing ±25-fold loss relative to the pandemic founder variant (3/n).
Read 13 tweets

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