Glycan Shielding and Epitope Reorganization Drive Sotrovimab Resistance in SARS-CoV-2 Omicron Variants.

Publication date: May 12, 2026

The rapid antigenic evolution of the SARS-CoV-2 spike protein has progressively eroded the efficacy of therapeutic monoclonal antibodies, including sotrovimab. Omicron BA. 1 and BA. 2 variants exhibit markedly reduced neutralization potency; however, the molecular and energetic mechanisms underlying this resistance, particularly the contribution of glycan-mediated epitope reorganization, remain insufficiently resolved. Here, we elucidate how BA. 1 and BA. 2 mutations reshape the structural dynamics, interfacial energetics, and glycan-mediated epitope masking in the sotrovimab-receptor-binding domain (RBD) complex. Extensive molecular dynamics simulations (1. 5 μs all-atom; 15 μs coarse-grained) revealed that Omicron-specific mutations induce pronounced conformational plasticity within the RBD, accompanied by local secondary-structure destabilization and enhanced dynamic heterogeneity relative to the wild-type complex. These changes weaken sotrovimab-stabilizing hydrogen-bond networks and disrupt persistent interfacial contacts critical for sotrovimab recognition. Free-energy landscape analyses demonstrated a shift toward less favorable binding conformational states in both BA. 1 and BA. 2, consistent with reduced complex stability. Dynamic cross-correlation analysis further demonstrated progressive loss of coordinated long-range motions and fragmentation of the sotrovimab-RBD communication network, most prominently in BA. 2. Binding free-energy decomposition further revealed substantial losses in overall affinity and pronounced redistribution of residue-level energetic contributions at the sotrovimab-RBD interface. Notably, mutation-induced reorientation and increased mobility of the conserved N343-linked glycan enhances steric shielding of the sotrovimab epitope and perturbs key glycan-mediated stabilizing interactions, amplifying sotrovimab-escape despite limited direct epitope mutation. Together, these results establish that sotrovimab resistance in Omicron BA. 1 and BA. 2 arises from a synergistic interplay of RBD conformational destabilization, weakened interfacial energetics, disrupted dynamic coupling, and glycan-mediated epitope shielding.

Concepts Keywords
Antibodies Antibody-antigen recognition
Biophys Glycan-mediated epitope shielding
Mutations Multiscale molecular simulations
Potency N343-linked glycan
Reorientation Sotrovimab resistance

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