2022
DOI: 10.1101/2022.01.03.474773
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Reduced interferon antagonism but similar drug sensitivity in Omicron variant compared to Delta variant SARS-CoV-2 isolates

Abstract: The SARS-CoV-2 Omicron variant is currently causing a large number of infections in many countries. A number of antiviral agents are approved or in clinical testing for the treatment of COVID-19. Despite the high number of mutations in the Omicron variant, we here show that Omicron isolates display similar sensitivity to eight of the most important anti-SARS-CoV-2 drugs and drug candidates (including remdesivir, molnupiravir, and PF-07321332, the active compound in paxlovid), which is of timely relevance for t… Show more

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Cited by 29 publications
(49 citation statements)
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“…Finally, the higher prevalence of patients with cardiovascular, hepatic, renal disease, and multimorbidity observed in the study cohort may be due to the lower aggressiveness of the Omicron variant 31 , where patients with these comorbidities tended to develop severe COVID-19 when infected by other SARS-CoV-2 strains 32 .…”
Section: Discussionmentioning
confidence: 99%
“…Finally, the higher prevalence of patients with cardiovascular, hepatic, renal disease, and multimorbidity observed in the study cohort may be due to the lower aggressiveness of the Omicron variant 31 , where patients with these comorbidities tended to develop severe COVID-19 when infected by other SARS-CoV-2 strains 32 .…”
Section: Discussionmentioning
confidence: 99%
“…The alterations in the Omicron Spike confer resistance to several Spike-targeting monoclonal antibodies (REGN 10933 and 10897) used in the clinic. Other therapeutic agents, however, such as remdesivir, molnupiravir, nirmatrelvir, hydroxycytidine, Paxlovid, Acriflavine (ACF), PF-07321332, and soluble ACE2 remain active against the Omicron VOC at least in vitro ( 91 93 ). Several reports indicate that Omicron entry may have shifted toward the TMPRSS2-independent endosomal route ( 77 , 94 , 95 ).…”
Section: Alterations In the Omicron Spike Proteinmentioning
confidence: 99%
“…Interestingly, the sensitivity of the RADT assay also appeared to increase with time elapsed after symptoms onset, suggesting that vaccine-breakthrough Omicron variant infection may be symptomatic even in the presence of RNA loads below the threshold for viral detection by RADT. Although speculative, this phenomenon may be related to the reduced capability of the Omicron variant to antagonize the host cell interferon response [11] .…”
mentioning
confidence: 99%