2022
DOI: 10.1038/s41467-022-34400-8
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Antigenic sin of wild-type SARS-CoV-2 vaccine shapes poor cross-neutralization of BA.4/5/2.75 subvariants in BA.2 breakthrough infections

Abstract: With declining SARS-CoV-2-specific antibody titers and increasing numbers of spike mutations, the ongoing emergence of Omicron subvariants causes serious challenges to current vaccination strategies. BA.2 breakthrough infections have occurred in people who have received the wild-type vaccines, including mRNA, inactivated, or recombinant protein vaccines. Here, we evaluate the antibody evasion of recently emerged subvariants BA.4/5 and BA.2.75 in two inactivated vaccine-immunized cohorts with BA.2 breakthrough … Show more

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Cited by 39 publications
(36 citation statements)
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“…As we recently reported minimal to no neutralizing antibodies against the Omicron variant in subjects with vaccine-induced or hybrid immunity at the beginning of the surge in COVID-19 cases in December 2021 [16] and none of participants had received a booster dose of vaccine, our data suggests that enhanced neutralizing antibody titers observed in this study in the cohort of individuals (Fig 6E) is due to natural exposure to SARS-CoV-2 Omicron variants. The highest titers of neutralizing antibodies elicited against the Delta variant in breakthrough infections of Omicron lineages further confirms the hypothesis of original antigenic sin proposed by others which may explain the lowest level of neutralizing antibody titers observed against BA.2.75 [44]. We were able to collect a six-month follow-up sample from nine of the participants who were infected with one of the Omicron variants prior to Feb 2022 (…”
Section: Plos Pathogenssupporting
confidence: 85%
“…As we recently reported minimal to no neutralizing antibodies against the Omicron variant in subjects with vaccine-induced or hybrid immunity at the beginning of the surge in COVID-19 cases in December 2021 [16] and none of participants had received a booster dose of vaccine, our data suggests that enhanced neutralizing antibody titers observed in this study in the cohort of individuals (Fig 6E) is due to natural exposure to SARS-CoV-2 Omicron variants. The highest titers of neutralizing antibodies elicited against the Delta variant in breakthrough infections of Omicron lineages further confirms the hypothesis of original antigenic sin proposed by others which may explain the lowest level of neutralizing antibody titers observed against BA.2.75 [44]. We were able to collect a six-month follow-up sample from nine of the participants who were infected with one of the Omicron variants prior to Feb 2022 (…”
Section: Plos Pathogenssupporting
confidence: 85%
“…Accordingly, such vaccines could, in fact, boost responses to conserved epitopes rather than induce responses to the new variants. It is uncertain if a broad immunity conferred by a bivalent vaccine containing Wuhan and Omicron strains will prove to be the best choice ( 35 ) especially considering the antigenic sin phenomenon that may impair specific responses to Omicron ( 36 ). Maybe the next steps will be to develop specific vaccines based on novel dominant and/or subdominant variants without boosting the index strain, as shown by promising results in pre-clinical assays ( 37 ).…”
Section: Discussionmentioning
confidence: 99%
“…Previous infection usually negatively impacts the response to a subsequent infection with pathogens sharing cross-reactive antigens. The initial immune background places restrictions on the antibody response induced by a subsequent SARS-CoV-2 variant [ 40 , 41 , 42 ], but it seems to show limited impact on recalling CD8 + T-cell responses [ 43 ]. The spike mutation of Omicron BA.1 induced two new MHC-I-restricted epitopes in BALB/c mice and one new MHC-I-restricted epitope in C57BL/6 mice.…”
Section: Discussionmentioning
confidence: 99%