Target intelligence / Profile preview

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

Target
SARS-CoV-2 XBB.1.5 S protein
Molecular classification
Viral surface glycoprotein, Class I fusion protein, Receptor-binding protein
01

Overview

The SARS-CoV-2 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 within the Omicron family (CDC, 2023). It is the essential mediator of viral entry, utilizing its receptor-binding domain (RBD) to attach to the human Angiotensin-converting enzyme 2 (ACE2) receptor (UniProt P0DTC2). A critical F486P mutation in the RBD distinguishes XBB.1.5, providing a significant growth advantage through increased ACE2 binding affinity and potent immune evasion (Yue et al., Nature, 2023). This protein serves as the foundational antigen for the 2023-2024 monovalent COVID-19 vaccines, designed to elicit neutralizing antibodies that prevent host cell infection (FDA, 2023). Despite its role as a vaccine target, the protein's rapid evolution has led to the loss of clinical efficacy for most previously authorized monoclonal antibodies, such as tixagevimab/cilgavimab (Wang et al., Cell, 2023). Consequently, it remains a focal point for the development of next-generation therapeutics and surveillance of viral fitness.

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

Mechanism of action

The target is utilized in vaccines to induce neutralizing antibodies and T-cell responses; these antibodies bind to the spike protein's receptor-binding domain, sterically hindering its interaction with the host ACE2 receptor and preventing viral entry (FDA, 2023; Yue et al., Nature, 2023).

03

Biological functions

Viral attachment to host cellACE2 receptor bindingMembrane fusionEndocytosis mediationHost cell entry
04

Disease associations

InfectionCOVID-19Acute respiratory distress syndrome (ARDS)
05

Safety considerations

Rapid antigenic drift leading to immune escape (Wang et al., Cell, 2023)Waning of vaccine-induced immunityPotential for antibody-dependent enhancement (ADE), though not clinically significant to dateRare incidences of vaccine-associated myocarditis or pericarditis
06

Interacting drugs

mRNA-1273.815 (Moderna COVID-19 Vaccine, 2023-2024 Formula)

2 more in the full profile.

07

Biomarkers

Anti-spike IgG antibody titersNeutralizing antibody titers (nAb)S-protein specific T-cell responseViral load via RT-qPCR

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