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Covid-19 spike: The tricky main ingredient in NZ's 'subvariant soup'

Author
Jamie Morton,
Publish Date
Tue, 14 Nov 2023, 10:09pm
Photo / NZ Herald
Photo / NZ Herald

Covid-19 spike: The tricky main ingredient in NZ's 'subvariant soup'

Author
Jamie Morton,
Publish Date
Tue, 14 Nov 2023, 10:09pm

An Omicron variant lurking in our communities since winter now appears to be driving the majority of Covid-19 cases in New Zealand 鈥 while another that sparked initial alarm among scientists is yet to make a splash.

As health officials closely watch another late-year uptick in cases, genomic sequencing suggests our viral landscape hasn鈥檛 shifted dramatically in more than a year, with infections still being caused by an ever-evolving soup of Omicron offshoots.

While none of these strains has proven capable of causing massive waves among what鈥檚 now a highly vaccinated, well-exposed population, they鈥檙e still finding tricky new ways to infect us.

鈥淥ur last wave, and it wasn鈥檛 a big one, was six months ago now 鈥 so some of that immunity will have waned and the variants that we have now are just a bit different from what we had back then,鈥 Covid-19 modeller Professor Michael Plank said.

鈥淎nd the reason they鈥檙e able to establish is because they have some level of immune evasion that gives them just enough of a toehold to drive cases up.鈥

One subvariant first identified here over winter 鈥 EG.5 or 鈥淓ris鈥 鈥 was the most dominant, making up more than 36 per cent of sequenced virus samples.

A 鈥渄escendant鈥 within that same type, labelled HK.3, accounted for a further 25.3 per cent.

鈥淲e鈥檝e seen plenty of variants come in, grow quickly and then hit a plateau and slow down,鈥 ESR鈥檚 pathogen genomics technical lead Dr David Winter said.

鈥淏ut EG.5 has been a bit of a freight train in its consistent, ongoing growth 鈥 and that鈥檚 because it鈥檚 been innovating and finding new mutations.鈥

This graph shows the distribution of Omicron subvariants among coronavirus samples genomically sequenced in New Zealand since August. The type EG.5, or "Eris", now makes up 36 per cent of samples, while its descendant lineage HK.3 accounts for a further 25 per cent. Source / ESR

This graph shows the distribution of Omicron subvariants among coronavirus samples genomically sequenced in New Zealand since August. The type EG.5, or "Eris", now makes up 36 per cent of samples, while its descendant lineage HK.3 accounts for a further 25 per cent. Source / ESR

When it first made itself known to the world back in February, Eris was shown to pack one new mutation in its spike protein, which the virus used to unlock host cells.

Winter said it had been 鈥渇ine-tuning鈥 itself ever since, yet still hadn鈥檛 demonstrated the potential to power big waves. Nor had any of the other Omicron subvariants circulating since last winter鈥檚 BA.5-driven surge.

These included a group of 鈥渞ecombinant鈥 strains, such as XBC, XBB and its offshoots XBB.1.16 and XBB.1.15, all of which accounted for about a third of current sequenced cases.

Intriguingly, Winter added, New Zealand and Australia remained among the few places in the world where XBC 鈥 essentially a hybrid of Delta and Omicron 鈥 was still spreading.

鈥淚t makes up about 10 per cent of our cases and it seems to stick around forever, and this could be because there鈥檚 something different about the immunity here.鈥

New Zealand authorities recently began assessing an updated Omicron vaccine targeted at the XBB.1.5 鈥淜raken鈥 strain, for which Australia鈥檚 Therapeutic Goods Administration granted full registration last month.

A Pfizer spokesperson said that, with the Covid-19 landscape continuing to evolve, it was unclear what the need for further updated vaccines would be in future.

鈥淗owever, the virus that causes Covid-19 has proven itself to be highly prone to mutations, similar to influenza, so annual vaccine updates seem likely.鈥

Another Omicron type detected here in August 鈥 BA.2.86 or 鈥淧irola鈥 鈥 accounted for just 2 per cent of cases, despite initial concern that its strikingly distinct genetic machinery could cause serious problems.

Otago University evolutionary virologist Professor Jemma Geoghegan.

Otago University evolutionary virologist Professor Jemma Geoghegan.

Otago University evolutionary virologist Professor Jemma Geoghegan said she鈥檇 been taken aback at Omicron鈥檚 growth since it began overtaking its predecessor Delta in late 2021.

鈥淭o be honest, it continues to surprise me how much convergent evolution we鈥檝e seen there within it 鈥 and how much space it still has to explore, to become even fitter and more transmissible.鈥

With the world on the verge of seven million formally reported Covid-19 deaths, the big question facing scientists such as Geoghegan and Winter is when 鈥 and how 鈥 Omicron鈥檚 successor will show up.

鈥淲e鈥檝e already seen these huge evolutionary jumps from the ancestral strain, to Alpha, to Delta and then to Omicron,鈥 Geoghegan said of the pandemic鈥檚 run of Greek letters to date.

鈥淭here鈥檚 no evidence of anything new like that circulating at the moment, but that doesn鈥檛 mean it won鈥檛 happen in future. That鈥檚 why it鈥檚 important we keep doing genomic surveillance.鈥

Jamie Morton is a specialist in science and environmental reporting. He joined the Herald in 2011 and writes about everything from conservation and climate change to natural hazards and new technology.

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