Target intelligence / Profile preview

Severe acute respiratory syndrome coronavirus 2 Omicron XBB.1.5 spike protein (SARS-CoV-2 XBB.1.5 S protein)

Target
SARS-CoV-2 XBB.1.5 S protein
Molecular classification
Viral glycoprotein, Class I fusion protein, Type I transmembrane protein
01

Overview

The Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron XBB.1.5 spike protein is the primary surface glycoprotein of the XBB.1.5 subvariant, a recombinant of the BA.2.10.1 and BA.2.75 lineages (WHO, 2023). It mediates viral entry into host cells by binding to the Angiotensin-Converting Enzyme 2 (ACE2) receptor via its Receptor Binding Domain (RBD) (Nature, 2023). XBB.1.5 is characterized by the F486P mutation, which significantly enhances its binding affinity to ACE2 compared to its predecessor XBB.1, contributing to its high transmissibility (The Lancet Infectious Diseases, 2023). This target is notorious for its extensive immune evasion, rendering most previously authorized monoclonal antibodies, such as cilgavimab and tixagevimab, ineffective (NEJM, 2023). Consequently, the host immune system requires updated stimulation, leading to the development of XBB.1.5-specific monovalent mRNA and protein-based vaccines (FDA, 2023). These vaccines aim to elicit neutralizing antibodies and T-cell responses that can specifically recognize the mutated epitopes of the XBB.1.5 spike protein to prevent infection and severe disease (CDC, 2023).

Other names
XBB.1.5 spike proteinKraken variant spike proteinSARS-CoV-2 Omicron XBB.1.5 S-proteinSpike glycoprotein (XBB.1.5)
02

Mechanism of action

Induction of neutralizing antibodies and T-cell responses targeting the spike protein to block ACE2 binding and viral entry.

03

Biological functions

Viral attachment to host cellReceptor bindingMembrane fusionImmune evasion
04

Disease associations

InfectionCOVID-19
05

Safety considerations

Antigenic drift leading to immune escapePotential for reduced vaccine effectiveness over timeRare adverse events like myocarditis or pericarditis
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Interacting drugs

BNT162b2 (XBB.1.5 monovalent)

2 more in the full profile.

07

Biomarkers

Neutralizing antibody (nAb) titerAnti-spike IgG antibody titerS-protein specific T-cell response

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