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Reviews of "Evolution of Omicron Lineage Towards Increased Fitness in the Upper Respiratory Tract in the Absence of Severe Lung Pathology"

Reviewers: J Zheng (University of Iowa) | πŸ“—πŸ“—πŸ“—πŸ“—β—»οΈ β€’ Y Shuofeng (University of Hong Kong ) | πŸ“˜πŸ“˜πŸ“˜πŸ“˜πŸ“˜ β€’ N R Chauhan (University of Texas Medical Branch ) | πŸ“’πŸ“’πŸ“’ ◻️◻️

Published onAug 05, 2024
Reviews of "Evolution of Omicron Lineage Towards Increased Fitness in the Upper Respiratory Tract in the Absence of Severe Lung Pathology"
key-enterThis Pub is a Review of
Evolution of Omicron lineage towards increased fitness in the upper respiratory tract in the absence of severe lung pathology
Evolution of Omicron lineage towards increased fitness in the upper respiratory tract in the absence of severe lung pathology
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 evaluated 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 compared in vivo infection in Syrian hamsters with infection in primary human nasal and lung epithelium cells and assessed differences in transmissibility, antigenicity, and innate immune activation. Omicron variants replicated efficiently in the URT but displayed limited pathology in the lungs compared to previous variants and failed to replicate in human lung organoids. JN.1 was attenuated in both URT and LRT compared to other Omicron variants and failed to transmit in the hamster model. Our data demonstrate that Omicron lineage evolution has favored increased fitness in the URT.

To read the original manuscript, click the link above.

Summary of Reviews: This preprint received praise for its comprehensive analysis of Omicron variants and its implications for predicting SARS-CoV-2 evolution and prevention strategies. Reviewers found that the preprint was well-written and well-designed, but suggested several improvements in discussion section along with a number of minor comments.Β The study was recognized as providing essential public health insights into the transmission and evolution of SARS-CoV-2.

Reviewer 1 (Jian Z…) | πŸ“—πŸ“—πŸ“—πŸ“—β—»οΈ

Reviewer 2 (Yuan S…) | πŸ“˜πŸ“˜πŸ“˜πŸ“˜πŸ“˜

Reviewer 3 (Nishant Ranjan C…) | πŸ“’πŸ“’πŸ“’ ◻️◻️

RR:C19 Strength of Evidence Scale Key

πŸ“• ◻️◻️◻️◻️ = Misleading

πŸ“™πŸ“™ ◻️◻️◻️ = Not Informative

πŸ“’πŸ“’πŸ“’ ◻️◻️ = Potentially Informative

πŸ“—πŸ“—πŸ“—πŸ“—β—»οΈ = Reliable

πŸ“˜πŸ“˜πŸ“˜πŸ“˜πŸ“˜ = Strong

To read the reviews, click the links below.Β 

Comments
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The review of "Evolution of Omicron Lineage Towards Increased Fitness in the Upper Respiratory Tract in the Absence of Severe Lung Pathology" highlights that the study focuses on how the Omicron variant has evolved to be more effective in the upper respiratory tract while causing less severe lung pathology. Reviewers appreciate its insights into the variant's adaptation and its implications for public health and vaccine strategies.