Pathological characteristics of SARS-CoV-2 variants and immune responses induced in a COVID-19 macaque model

Emiko Urano1, Tomotaka Okamura1, Mahoko Higuchi1

  • 1Laboratory of Immunoregulation and Vaccine Research, Tsukuba Primate Research Center, National Institutes of Biomedical Innovation, Health and Nutrition, Tsukuba, Ibaraki, Japan.

Communications Biology
|February 13, 2026
PubMed

Insights

SARS-CoV-2 Omicron variants cause re-infection and pneumonia in macaques, despite initial low pathogenicity. Immune responses vary, impacting vaccine strategies against evolving strains.

Area of Science:

  • Virology
  • Immunology
  • Infectious Diseases

Background:

  • The Omicron variant of SARS-CoV-2, despite being considered less severe, continues to circulate globally.
  • Understanding the pathological characteristics and immune responses to different SARS-CoV-2 variants is crucial for public health.
  • Re-infection with SARS-CoV-2 variants poses a significant challenge in managing the pandemic.

Purpose of the Study:

  • To analyze the pathological characteristics of SARS-CoV-2 variants, including Omicron, in a non-human primate model (cynomolgus macaques).
  • To investigate the immune responses, including antibody production and T-cell activity, following re-infection with different SARS-CoV-2 strains.
  • To evaluate the implications of observed immune responses for the development of effective vaccines against SARS-CoV-2 variants.

Main Methods:

  • Cynomolgus macaques were subjected to prolonged re-challenge analysis with various SARS-CoV-2 strains (Wuhan, Alpha, Delta, Omicron).
  • Pathological characteristics, including the development of pneumonia, were assessed after primary and secondary inoculations.
  • Humoral (antibody levels) and cellular (T-cell responses) immune responses were measured against different viral strains.

Main Results:

  • Omicron infection demonstrated low initial pathogenicity, but macaques inoculated with Omicron strains during the second inoculation developed pneumonia.
  • Antibodies against Wuhan, Alpha, and Delta strains were induced irrespective of the infecting strain, while Omicron-specific antibodies were poorly induced.
  • Antibody levels against the original Wuhan strain remained highest even after re-infection with different variants, suggesting original antigenic sin.
  • Omicron infection resulted in weaker antigen-specific T-cell responses compared to other variants.

Conclusions:

  • Immune responses to SARS-CoV-2 infection differ significantly across variants, particularly with Omicron.
  • The phenomenon of original antigenic sin may influence protective immunity against subsequent infections.
  • Understanding these variant-specific immune dynamics is essential for designing updated and effective SARS-CoV-2 vaccines.

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