Evolution of Omicron lineage towards increased fitness in the upper respiratory tract in the absence of severe lung pathology

Abstract The emergence of the Omicron lineage represented a major genetic drift in SARS-CoV-2 evolution. This was associated with phenotypic changes including evasion of pre-existing immunity and decreased disease severity. Continuous evolution within the Omicron lineage raised concerns of potential...

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Main Authors: Arthur Wickenhagen, Meaghan Flagg, Julia R. Port, Claude Kwe Yinda, Kerry Goldin, Shane Gallogly, Jonathan E. Schulz, Tessa Lutterman, Brandi N. Williamson, Franziska Kaiser, Reshma K. Mukesh, Sarah van Tol, Brian Smith, Neeltje van Doremalen, Colin A. Russell, Emmie de Wit, Vincent J. Munster
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-55938-3
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author Arthur Wickenhagen
Meaghan Flagg
Julia R. Port
Claude Kwe Yinda
Kerry Goldin
Shane Gallogly
Jonathan E. Schulz
Tessa Lutterman
Brandi N. Williamson
Franziska Kaiser
Reshma K. Mukesh
Sarah van Tol
Brian Smith
Neeltje van Doremalen
Colin A. Russell
Emmie de Wit
Vincent J. Munster
author_facet Arthur Wickenhagen
Meaghan Flagg
Julia R. Port
Claude Kwe Yinda
Kerry Goldin
Shane Gallogly
Jonathan E. Schulz
Tessa Lutterman
Brandi N. Williamson
Franziska Kaiser
Reshma K. Mukesh
Sarah van Tol
Brian Smith
Neeltje van Doremalen
Colin A. Russell
Emmie de Wit
Vincent J. Munster
author_sort Arthur Wickenhagen
collection DOAJ
description Abstract The emergence of the Omicron lineage represented a major genetic drift in SARS-CoV-2 evolution. This was associated with phenotypic changes including evasion of pre-existing immunity and decreased disease severity. Continuous evolution within the Omicron lineage raised concerns of potential increased transmissibility and/or disease severity. To address this, we evaluate the fitness and pathogenesis of contemporary Omicron variants XBB.1.5, XBB.1.16, EG.5.1, and JN.1 in the upper (URT) and lower respiratory tract (LRT). We compare in vivo infection in Syrian hamsters with infection in primary human nasal and lung epithelium cells and assess differences in transmissibility, antigenicity, and innate immune activation. Omicron variants replicate efficiently in the URT but display limited pathology in the lungs compared to previous variants and fail to replicate in human lung organoids. JN.1 is attenuated in both URT and LRT compared to other Omicron variants and fails to transmit in the male hamster model. Our data demonstrate that Omicron lineage evolution has favored increased fitness in the URT.
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spelling doaj-art-729671bfdc7d4bed866ee588a980cad82025-01-12T12:31:44ZengNature PortfolioNature Communications2041-17232025-01-0116111510.1038/s41467-025-55938-3Evolution of Omicron lineage towards increased fitness in the upper respiratory tract in the absence of severe lung pathologyArthur Wickenhagen0Meaghan Flagg1Julia R. Port2Claude Kwe Yinda3Kerry Goldin4Shane Gallogly5Jonathan E. Schulz6Tessa Lutterman7Brandi N. Williamson8Franziska Kaiser9Reshma K. Mukesh10Sarah van Tol11Brian Smith12Neeltje van Doremalen13Colin A. Russell14Emmie de Wit15Vincent J. Munster16Laboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthRocky Mountain Veterinary Branch, Division of Intramural Research, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Applied Evolutionary Biology, Department of Medical Microbiology, Academic Medical Center, University of AmsterdamLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthLaboratory of Virology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of HealthAbstract The emergence of the Omicron lineage represented a major genetic drift in SARS-CoV-2 evolution. This was associated with phenotypic changes including evasion of pre-existing immunity and decreased disease severity. Continuous evolution within the Omicron lineage raised concerns of potential increased transmissibility and/or disease severity. To address this, we evaluate the fitness and pathogenesis of contemporary Omicron variants XBB.1.5, XBB.1.16, EG.5.1, and JN.1 in the upper (URT) and lower respiratory tract (LRT). We compare in vivo infection in Syrian hamsters with infection in primary human nasal and lung epithelium cells and assess differences in transmissibility, antigenicity, and innate immune activation. Omicron variants replicate efficiently in the URT but display limited pathology in the lungs compared to previous variants and fail to replicate in human lung organoids. JN.1 is attenuated in both URT and LRT compared to other Omicron variants and fails to transmit in the male hamster model. Our data demonstrate that Omicron lineage evolution has favored increased fitness in the URT.https://doi.org/10.1038/s41467-025-55938-3
spellingShingle Arthur Wickenhagen
Meaghan Flagg
Julia R. Port
Claude Kwe Yinda
Kerry Goldin
Shane Gallogly
Jonathan E. Schulz
Tessa Lutterman
Brandi N. Williamson
Franziska Kaiser
Reshma K. Mukesh
Sarah van Tol
Brian Smith
Neeltje van Doremalen
Colin A. Russell
Emmie de Wit
Vincent J. Munster
Evolution of Omicron lineage towards increased fitness in the upper respiratory tract in the absence of severe lung pathology
Nature Communications
title Evolution of Omicron lineage towards increased fitness in the upper respiratory tract in the absence of severe lung pathology
title_full Evolution of Omicron lineage towards increased fitness in the upper respiratory tract in the absence of severe lung pathology
title_fullStr Evolution of Omicron lineage towards increased fitness in the upper respiratory tract in the absence of severe lung pathology
title_full_unstemmed Evolution of Omicron lineage towards increased fitness in the upper respiratory tract in the absence of severe lung pathology
title_short Evolution of Omicron lineage towards increased fitness in the upper respiratory tract in the absence of severe lung pathology
title_sort evolution of omicron lineage towards increased fitness in the upper respiratory tract in the absence of severe lung pathology
url https://doi.org/10.1038/s41467-025-55938-3
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