Fig. 5. Phylogenetic analyses suggest mutual exclusivity for P132H and ΔP168.
(A) Phylogenetic trees for viral genomes with the indicated resistance mutations (GISAID, 6-December-2022). Only the Omicron lineage is displayed for M49I due to the high frequency of this mutation.
(B) Branches of the phylogenetic tree from panel A showing transmission of a Delta lineage isolate with ΔP168 likely from a single founder event.
(C) Frequency of Mpro variants in Omicron lineage compared to all previous viral lineages.
(D) Background luminescence as a proxy for protease activity of different Mpro variants on the P132H (Omicron) background using the live cell Src-Mpro-Tat-fLuc assay.
(E) Dose-response curves for nirmatrelvir and ensitrelvir inhibition of Mpro variants on the P132H (Omicron) background using the live cell Src-Mpro-Tat-fLuc assay.