As nurses and doctors struggle with a record-breaking wave of
omicron cases, evolutionary biologists are engaged in a struggle of their own:
figuring out how this world-dominating variant came to be.
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When the omicron variant took off in southern Africa in
November, scientists were taken aback by its genetic makeup. Whereas earlier
variants had differed from the original Wuhan version of the coronavirus by a
dozen or two mutations, omicron had 53 — a shockingly large jump in viral evolution.
In a study posted online Jan. 18, an international team of
scientists further deepened the mystery. They found that 13 of those mutations
were rarely, if ever, found in other coronaviruses, suggesting they should have
been harmful to omicron. Instead, when acting in concert, these mutations
appear to be key to some of omicron’s most essential functions.
Now the researchers are trying to figure out how omicron defied
the normal rules of evolution and used these mutations to become such a
successful vector of disease.
“There’s a mystery here that someone has to figure out,” said
Darren Martin, a virus expert at the University of Cape Town who worked on the
new study.
As soon as omicron came to light, Martin and his colleagues set
about reconstructing the variant’s radical evolution by comparing its 53
mutations with those of other coronaviruses. Some mutations were shared by
omicron, delta and other variants, suggesting that they had arisen several
times and that natural selection had favored them over and over again.
But the scientists found a different pattern when they looked at
the “spike” protein that studs omicron’s surface and allows it to latch on to
cells.
Omicron’s spike gene has 30 mutations. The researchers found
that 13 of them were extraordinarily rare in other coronaviruses — even their
distant viral cousins found in bats. Some of the 13 had never been seen before
in the millions of coronavirus genomes scientists have sequenced over the
course of the pandemic.
If a mutation were beneficial to the virus, or even neutral,
scientists would expect it to show up more often in the samples. But if it is
rare or missing altogether, that’s typically a sign that it is harmful to the
virus, preventing it from multiplying.
“When you see that pattern, it’s telling you something very loud
and very clear,” Martin said. “Anything that sustains a change at those sites
is probably going to be defective and isn’t going to survive for very long and
will die out.”
And yet omicron was flouting that logic. “Omicron wasn’t exactly
dying out,” Martin said. “It was just taking off like nothing we’d ever seen
before.”
What makes these 13 mutations all the more intriguing is that
they’re not randomly sprinkled across omicron’s spike. They form three
clusters, each altering a small portion of the protein. And each of those three
areas play a big part of what makes omicron unique.
Two of the clusters change the spike near its tip, making it
harder for human antibodies to stick to the virus and keep it out of cells. As
a result, omicron is good at infecting even people who have antibodies from
vaccinations or a previous COVID infection.
The third cluster of mutations alters the spike closer to its
base. This region, known as the fusion domain, swings into action once the tip
of the spike has hooked onto a cell, enabling the virus to deliver its genes
inside its new host.
Typically, coronaviruses use the fusion domain to merge with a
cell’s membrane. Their genes can then float away into the depths of the cell.
But omicron’s fusion domain usually does something different.
Rather than merging into the cell membrane, the whole virus gets swallowed up
in a kind of cellular sink hole, which pinches off to form a bubble inside the
cell. Once the virus is captured inside the bubble, it can break open and
release its genes.
This new pathway to infection may help to explain why omicron is
less severe than delta. The cells in the upper airway can readily swallow up
omicron in bubbles. But deep in the lungs, where COVID can cause
life-threatening damage, coronaviruses have to fuse to cells, which omicron
doesn’t do well.
These three regions of the spike seem to have been important for
omicron’s success. This makes it all the more puzzling that these 13 mutations
were so vanishingly rare before omicron.
Martin and his colleagues suspect the reason is “epistasis”: an
evolutionary phenomenon that can cause mutations to be harmful on their own but
beneficial when combined.
Omicron may have turned a batch of 13 bad mutations to its
advantage by evolving under unusual conditions. One possibility is that it
arose after a sustained period inside the body of a person with an especially
weak immune system, such as an HIV patient. People with chronic COVID-19
infections can become evolutionary laboratories, hosting many generations of
coronaviruses.
Evolution can play out differently in such a host than it would
if the virus hopped from one healthy person to another every few days or weeks.
“Now it’s stuck in this one individual, so all of a sudden it’s
doing things that it normally wouldn’t do,” said Sergei Pond, an evolutionary
biologist at Temple University and an author of the new study.
Because an immunocompromised host doesn’t produce a lot of
antibodies, many viruses are left to propagate. And new mutant viruses that
resist the antibodies can multiply.
A mutation that allows a virus to evade antibodies isn’t
necessarily advantageous. It could make the virus’s spike protein unstable so
that it can’t latch quickly onto a cell, for example. But inside someone with a
weak immune system, viruses may be able to gain a new mutation that stabilizes
the spike again.
Similar mutations could have built upon themselves again and
again in the same person, Pond speculates, until omicron evolved a spike
protein with just the right combination of mutations to allow it to spread
supremely well among healthy people.
“It certainly seems plausible,” said Sarah Otto, an evolutionary
biologist at the University of British Columbia who was not involved in the
study. But she said scientists still needed to run experiments to rule out
alternative explanations.
It’s possible, for example, that the 13 spike mutations offer no
benefit to omicron at all. Instead, some of the other spike mutations could be
making omicron successful, and the 13 are just along for the ride.
“I would be cautious about interpreting the data to indicate
that all of these previously deleterious mutations have been adaptively
favored,” Otto said.
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