Nature Communications,
Journal Year:
2023,
Volume and Issue:
14(1)
Published: Sept. 20, 2023
The
bivalent
(original
and
Omicron
BA.4/BA.5)
mRNA-1273
COVID-19
vaccine
was
authorized
to
offer
broader
protection
against
COVID-19.
We
conducted
a
matched
cohort
study
evaluate
the
effectiveness
of
in
preventing
hospitalization
for
(primary
outcome)
medically
attended
SARS-CoV-2
infection
hospital
death
(secondary
outcomes).
Compared
individuals
who
did
not
receive
mRNA
vaccination
but
received
≥2
doses
any
monovalent
vaccine,
relative
(rVE)
70.3%
(95%
confidence
interval,
64.0%-75.4%).
rVE
consistent
across
subgroups
modified
by
time
since
last
dose
or
number
received.
Protection
durable
≥3
months
after
booster.
requiring
emergency
department/urgent
care
55.0%
(50.8%-58.8%)
82.7%
(63.7%-91.7%),
respectively.
booster
provides
additional
COVID-19,
infection,
death.
PLoS Pathogens,
Journal Year:
2023,
Volume and Issue:
19(12), P. e1011868 - e1011868
Published: Dec. 20, 2023
Severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
XBB
lineages
have
achieved
dominance
worldwide
and
keep
on
evolving.
Convergent
evolution
of
the
receptor-binding
domain
(RBD)
L455F
F456L
is
observed,
resulting
in
variants
with
substantial
growth
advantages,
such
as
EG.5,
FL.1.5.1,
XBB.1.5.70,
HK.3.
Here,
we
show
that
neutralizing
antibody
(NAb)
evasion
drives
convergent
F456L,
while
epistatic
shift
caused
by
enables
subsequent
convergence
through
ACE2
binding
enhancement
further
immune
evasion.
evade
RBD-targeting
Class
1
public
NAbs,
reducing
neutralization
efficacy
breakthrough
infection
(BTI)
reinfection
convalescent
plasma.
Importantly,
single
substitution
significantly
dampens
receptor
binding;
however,
combination
forms
an
adjacent
residue
flipping,
which
leads
to
enhanced
NAbs
resistance
affinity.
The
perturbed
mode
exceptional
NAb
evasion,
revealed
structural
analyses.
Our
results
indicate
flexibility
contributed
epistasis
cannot
be
underestimated,
potential
SARS-CoV-2
RBD
remains
high.
Immune
evasion
by
SARS-CoV-2
paired
with
immune
imprinting
from
monovalent
mRNA
vaccines
has
resulted
in
attenuated
neutralizing
antibody
responses
against
Omicron
subvariants.
In
this
study,
we
characterized
two
new
XBB
variants
rising
circulation
-
EG.5.1
and
XBB.2.3,
for
their
neutralization
syncytia
formation.
We
determined
the
titers
sera
of
individuals
that
received
a
bivalent
vaccine
booster,
BA.4/5-wave
infection,
or
XBB.1.5-wave
infection.
Bivalent
vaccination-induced
antibodies
neutralized
ancestral
D614G
efficiently,
but
to
much
less
extent,
XBB.2.3
variants.
fact,
enhanced
escape
appeared
be
driven
its
key
defining
mutation
XBB.1.5-F456L.
Notably,
infection
BA.4/5
XBB.1.5
afforded
little,
if
any,
EG.5.1,
previous
especially
unvaccinated
individuals,
average
near
limit
detection.
Additionally,
investigated
infectivity,
fusion
activity,
processing
variant
spikes
HEK293T-ACE2
CaLu-3
cells
found
no
significant
differences
compared
earlier
Overall,
our
findings
highlight
continued
subvariants
and,
more
importantly,
need
reformulate
include
better
protection.
Cell Reports Medicine,
Journal Year:
2023,
Volume and Issue:
4(4), P. 100991 - 100991
Published: March 21, 2023
Emerging
Omicron
sub-variants
are
causing
global
concerns,
and
their
immune
evasion
should
be
monitored
continuously.
We
previously
evaluated
the
escape
of
BA.1,
BA.1.1,
BA.2,
BA.3
from
an
atlas
50
monoclonal
antibodies
(mAbs),
covering
seven
epitope
classes
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
receptor-binding
domain
(RBD).
Here,
we
update
totally
77
mAbs
against
emerging
including
BQ.1.1
XBB
find
that
BA.4/5,
BQ.1.1,
display
further
evasion.
Besides,
investigation
into
correlation
binding
neutralization
reveals
important
role
antigenic
conformation
in
mAb
functioning.
Moreover,
complex
structures
BA.2
RBD/BD-604/S304
BA.4/5
RBD/BD-604/S304/S309
elucidate
molecular
mechanism
antibody
by
these
sub-variants.
By
focusing
on
identified
broadly
potent
mAbs,
a
general
hotspot
RBD,
which
could
guide
design
vaccines
calls
for
new
broad-spectrum
countermeasures
COVID-19.
Nature Communications,
Journal Year:
2023,
Volume and Issue:
14(1)
Published: Jan. 19, 2023
Waves
of
SARS-CoV-2
infection
have
resulted
from
the
emergence
viral
variants
with
neutralizing
antibody
resistance
mutations.
Simultaneously,
repeated
antigen
exposure
has
generated
affinity
matured
B
cells,
producing
broadly
receptor
binding
domain
(RBD)-specific
antibodies
activity
against
emergent
variants.
To
determine
how
might
escape
these
antibodies,
we
subjected
chimeric
viruses
encoding
spike
proteins
ancestral,
BA.1
or
BA.2
to
selection
by
40
antibodies.
We
identify
numerous
examples
epistasis,
whereby
in
vitro
selected
and
naturally
occurring
substitutions
RBD
epitopes
that
do
not
confer
Wuhan-Hu-1
spike,
so
spikes.
As
few
as
2
3
BA.5
nearly
all
substantial
plasma
most
individuals.
Thus,
epistasis
facilitates
acquisition
remained
effective
early
omicron
The Lancet Microbe,
Journal Year:
2023,
Volume and Issue:
4(5), P. e294 - e295
Published: Jan. 16, 2023
Novel
SARS-CoV-2
omicron
variants,
including
BM.1.1.1,
BQ.1.1,
and
XBB.1,
continue
to
emerge
at
an
unprecedented
rate,
evading
pre-existing
immunity
from
vaccination
previous
infection.
Quantifying
the
antigenic
diversity
of
variants
might
assist
in
selecting
future
vaccine
strains.
To
determine
relationships
between
emerging
we
others1Wilks
SH
Mühlemann
B
Shen
X
et
al.Mapping
serological
responses.bioRxiv.
2022;
(published
online
July
13.)
(preprint).https://doi.org/10.1101/2022.01.28.477987PubMed
Google
Scholar,
2Wang
W
Lusvarghi
S
Subramanian
R
al.Antigenic
cartography
well-characterized
human
sera
shows
neutralization
differences
based
on
infection
history.Cell
Host
Microbe.
30:
1745-1758Summary
Full
Text
PDF
PubMed
Scopus
(1)
3van
der
Straten
K
Guerra
D
van
Gils
MJ
using
sequence-confirmed
concern
infections
reveals
divergence
omicron.Immunity.
55:
1725-1731Summary
(7)
4Mykytyn
AZ
Rissmann
M
Kok
A
that
BA.1
BA.2
are
antigenically
distinct.Sci
Immunol.
7eabq4450Crossref
(16)
Scholar
used
cartography,
whereby
multidimensional
scaling
is
generate
maps
which
positions
antigens
antiserum
samples
directly
correspond
neutralising
titres.
This
method
allows
for
quantification
visualisation
properties
different
simultaneously.
Previously,
hamster
model
map.4Mykytyn
We
now
inoculated
hamsters
with
currently
dominant
BA.5
variant,
genetically
close
BA.2,
differing
spike
amino
acid
sequence
by
only
three
substitutions
two
deletions
(appendix
p
1).
Neutralising
titres
were
determined
all
serum
grown
previously,
along
XBB.1
emerged
late
2022
2).
Omicron
neutralised
homologous
virus,
BQ.1.1
efficiently,
whereas
BM.1.1.1
was
poorly
neutralised.
None
able
substantially
neutralise
XBB.1.
Next,
generated
updated
map
available
viral
3).
In
this
map,
positioned
distantly
pre-omicron
cluster.
within
one
unit
representing
a
two-fold
dilution
neutralisation
titrations.
All
remaining
2·3
7·0
units
each
other.
mapped
furthest
variants.
Similar
results
observed
dimensions
4).
The
data
well
represented
dimensions,
no
substantial
improvement
higher
number
5).
Two
dimensional
distances
correlated
overall
there
good
coordination
accuracy
placement
samples.
Despite
lower
certainty
positioning
reactive
heterologous
present
spaced,
allow
approximation
position
new
(without
their
respective
samples).
post-vaccination
reflected
as
largest
reduction
compared
D614G
variant
against
followed
BA.1,
similar
levels
6).
Our
reveal
cross-neutralisation
but
little
BM.1.1.1.
similarities
thus
far
evidence
increased
bivalent
vaccines,
potentially
due
immunological
imprinting.5Zou
J
Kurhade
C
Patel
al.Improved
Neutralization
BA.4/5,
BA.4.6,
BA.2.75.2,
BA.4/5
vaccine.bioRxiv.
Nov
17.)
(preprint).https://doi.org/10.1101/2022.11.17.516898Google
6Kurhade
Zou
Xia
H
al.Low
BA.2.75·2,
parental
mRNA
or
BA.5-bivalent
booster.Nat
Med.
Dec
6.)https://doi.org/10.1038/s41591-022-02162-xCrossref
7Park
YJ
Pinto
Walls
AC
al.Imprinted
antibody
responses
sublineages.Science.
378:
619-627Crossref
(6)
addition,
these
newly
do
not
cluster
other,
therefore
any
cross-neutralise
new,
could
be
equally
distant.
Continuous
mapping
greater
understanding
evolutionary
trajectory
indicate
potential
candidates.
publication
has
been
corrected.
corrected
version
first
appeared
thelancet.com/microbe
February
7,
2023
work
financially
supported
Health∼Holland
grant
LSHM19136
BLH;
cofunded
PPP
Allowance
made
Health∼Holland,
Top
Sector
Life
Sciences
&
Health,
stimulate
public-private
partnerships,
European
Union's
Horizon
2020
research
innovation
program
under
101003589
(RECoVER;
MPGK)
EU
funding
agreement
874735(VEO).
BLH,
RAMF,
DJS,
MPGK
NIH/NIAID
Centers
Excellence
Influenza
Research
Response
contract
75N93021C00014-Icahn
School
Medicine
Mt
Sinai.
MER
AK
contributed
equally.
Download
.pdf
(5.09
MB)
Help
pdf
files
Supplementary
appendix
Correction
Lancet
Microbe
2023;
published
Jan
16.
https://doi.org/10.1016/S2666-5247(22)00384-6Mykytyn
AZ,
Rosu
ME,
A,
al.
Antigenic
https://doi.org/10.1016/S2666-5247(22)00384-6—In
Correspondence,
second
sentence
fourth
paragraph
should
have
read
“Despite
imprinting.”
There
also
correction
appendix.
Full-Text
Open
Access
Frontiers in Immunology,
Journal Year:
2023,
Volume and Issue:
14
Published: May 23, 2023
The
highly
transmissible
Omicron
(B.1.1.529)
variant
of
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
was
first
detected
in
late
2021.
Initial
waves
were
primarily
made
up
sub-lineages
BA.1
and/or
BA.2,
BA.4,
and
BA.5
subsequently
became
dominant
mid-2022,
several
descendants
these
have
since
emerged.
infections
generally
caused
less
disease
on
average
than
those
by
earlier
variants
concern
healthy
adult
populations,
at
least,
part,
due
to
increased
population
immunity.
Nevertheless,
healthcare
systems
many
countries,
particularly
with
low
immunity,
been
overwhelmed
unprecedented
surges
prevalence
during
waves.
Pediatric
admissions
also
higher
compared
previous
concern.
All
exhibit
partial
escape
from
wild-type
(Wuhan-Hu
1)
spike-based
vaccine-elicited
neutralizing
antibodies,
more
enhanced
immuno-evasive
properties
emerging
over
time.
Evaluating
vaccine
effectiveness
(VE)
against
has
become
challenging
a
complex
background
varying
coverage,
platforms,
prior
infection
rates,
hybrid
Original
messenger
RNA
booster
doses
substantially
improved
VE
or
BA.2
symptomatic
disease.
However,
protection
waned,
reductions
months
after
administration.
While
original
CD8
+
CD4
T-cell
responses
cross-recognize
sub-lineages,
thereby
retaining
outcomes,
variant-adapted
vaccines
are
required
expand
the
breadth
B-cell
improve
durability
protection.
Variant-adapted
rolled
out
2022
increase
overall
antigenically
aligned
immune
mechanisms.
Cell,
Journal Year:
2023,
Volume and Issue:
186(23), P. 5151 - 5164.e13
Published: Oct. 23, 2023
The
large-scale
evolution
of
the
SARS-CoV-2
virus
has
been
marked
by
rapid
turnover
genetic
clades.
New
variants
show
intrinsic
changes,
notably
increased
transmissibility,
and
antigenic
changes
that
reduce
cross-immunity
induced
previous
infections
or
vaccinations.
How
this
functional
variation
shapes
global
remained
unclear.
Here,
we
establish
a
predictive
fitness
model
for
integrates
selection.
is
informed
tracking
time-resolved
sequence
data,
epidemiological
records,
cross-neutralization
data
viral
variants.
Our
inference
shows
immune
pressure,
including
contributions
vaccinations
infections,
become
dominant
force
driving
recent
SARS-CoV-2.
can
serve
continued
surveillance
in
two
ways.
First,
it
successfully
predicts
short-term
circulating
strains
flags
emerging
likely
to
displace
previously
predominant
variant.
Second,
profiles
successful
escape
prior
their
emergence.
The Lancet Infectious Diseases,
Journal Year:
2023,
Volume and Issue:
23(11), P. 1235 - 1243
Published: July 12, 2023
Bivalent
BA.1
booster
vaccines
were
offered
to
adults
aged
50
years
or
older
and
clinically
vulnerable
people
as
part
of
the
2022
autumn
COVID-19
vaccination
programme
in
England.
Previously,
all
England
had
been
a
primary
course
consisting
two
doses
either
ChAdOx1-S
monovalent
mRNA
vaccine
an
vaccine.
We
aimed
estimate
long-term
duration
protection
provided
by
vaccines,
incremental
effectiveness
bivalent
boosters.In
this
test-negative
case-control
study,
cases
controls
18
identified
from
national
data
for
PCR
tests
done
hospital
settings
Our
analysis
was
restricted
with
acute
respiratory
infections
coded
diagnosis
field.
Data
status
extracted
English
register
linked
testing
data.
Between
June
13
Dec
25,
2022,
we
estimated
against
hospitalisation
three
more
compared
being
unvaccinated,
stratified
age
(18-64
vs
≥65
years).
Sept
5,
Feb
2023,
(ie,
addition
earlier
vaccines)
receiving
at
least
(when
last
dose
6
months
ago)
among
older.
Analyses
adjusted
week
test,
gender,
age,
risk
group,
residing
care
home,
health
social
worker,
Index
Multiple
Deprivation
quintile,
ethnicity,
recent
positivity.Our
included
19
841
43
410
controls.
Absolute
who
received
plateaued
after
around
50%
those
65
30%
18-64
years.
analyses
boosters
9954
39
108
Incremental
peaked
53·0%
(95%
CI
47·9-57·5)
2-4
weeks
administration,
before
waning
35·9%
(31·4-40·1)
10
weeks.Our
study
provides
evidence
that
offer
moderate
effective
preventing
time
when
omicron
lineages
circulating
England.None.
Nature Communications,
Journal Year:
2023,
Volume and Issue:
14(1)
Published: May 12, 2023
Understanding
the
longitudinal
dynamics
of
antibody
immunity
following
heterologous
SAR-CoV-2
breakthrough
infection
will
inform
development
next-generation
vaccines.
Here,
we
track
SARS-CoV-2
receptor
binding
domain
(RBD)-specific
responses
up
to
six
months
Omicron
BA.1
in
mRNA-vaccinated
individuals.
Cross-reactive
serum
neutralizing
and
memory
B
cell
(MBC)
decline
by
two-
four-fold
through
study
period.
Breakthrough
elicits
minimal
de
novo
BA.1-specific
but
drives
affinity
maturation
pre-existing
cross-reactive
MBCs
toward
BA.1,
which
translates
into
enhanced
breadth
activity
across
other
variants.
Public
clones
dominate
response
at
both
early
late
time
points
breakthough
infection,
their
escape
mutation
profiles
predict
newly
emergent
sublineages,
suggesting
that
convergent
continue
shape
evolution.
While
is
limited
our
relatively
small
cohort
size,
these
results
suggest
variant
exposure
evolution
memory,
supporting
continued
variant-based