Journal of the American Medical Directors Association,
Journal Year:
2023,
Volume and Issue:
24(5), P. 753 - 758
Published: March 28, 2023
To
identify
factors
that
contribute
to
protection
from
infection
with
the
Omicron
variant
of
SARS-CoV-2
in
older
adults
nursing
and
retirement
homes.Longitudinal
cohort
study
retrospective
analysis
risk.997
residents
homes
Ontario,
Canada,
COVID
LTC
study.Residents
3
messenger
RNA
(mRNA)
dose
vaccinations
were
included
study.
was
determined
by
positive
nasopharyngeal
polymerase
chain
reaction
test
and/or
circulating
antinucleocapsid
IgG
antibodies.
Cumulative
probability
after
recent
COVID-19
assessed
log-rank
Kaplan-Meier
curves.
Cox
regression
used
assess
risk
age,
sex,
mRNA
vaccine
combination,
whether
individuals
received
a
fourth
dose,
as
well
COVID-19.In
total,
171
(17.2%)
had
presumed
between
December
15,
2021
(local
start
first
wave)
May
3,
2022.
Risk
not
different
age
[hazard
ratio
(95%
confidence
interval)
1.01
(0.99‒1.02)],
or
women
compared
men
[0.97
(0.70‒1.34)],
but
decreased
47%
doses
mRNA-1273
(Moderna)
BNT162b2
(Pfizer)
[0.53
(0.31-0.90)],
81%
any
[0.19
(0.12‒0.30)],
48%
months
prior
beginning
wave
[0.52,
(0.27‒0.99)].Vaccine
type
(ie,
mRNA-1273/Spikevax
vs
BNT162b2/Cominarty),
hybrid
immunity
COVID-19,
protective
against
variant.
These
data
emphasize
importance
type,
number
doses,
maintenance
reduction
breakthrough
infection.
findings
promote
continued
public
health
efforts
support
vaccination
programs
monitor
immunogenicity
adults.
Cell Host & Microbe,
Journal Year:
2022,
Volume and Issue:
30(8), P. 1093 - 1102.e3
Published: April 25, 2022
Recent
reports
of
SARS-CoV-2
Omicron
variant
sub-lineages,
BA.1,
BA.1.1,
and
BA.2,
have
reignited
concern
over
potential
escape
from
vaccine-
infection-induced
immunity.
We
examine
the
sensitivity
these
sub-lineages
other
major
variants
to
neutralizing
antibodies
mRNA-vaccinated
boosted
individuals,
as
well
recovered
COVID-19
patients,
including
those
infected
with
Omicron.
find
that
all
especially
BA.1
exhibit
substantial
immune
is
largely
overcome
by
mRNA
vaccine
booster
doses.
While
BA.1.1
escapes
almost
completely
neutralization
early-pandemic
patient
sera
a
lesser
extent
Delta-infected
sensitive
Omicron-infected
sera.
Critically,
are
comparably
neutralized
These
results
highlight
importance
doses
for
protection
against
provide
insight
into
immunity
natural
infection
sub-lineages.
Science Immunology,
Journal Year:
2022,
Volume and Issue:
7(73)
Published: May 12, 2022
Understanding
immune
responses
after
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
breakthrough
infection
will
facilitate
the
development
of
next-generation
vaccines.
Here,
we
profiled
spike
(S)–specific
B
cell
Omicron/BA.1
in
messenger
RNA–vaccinated
donors.
The
antibody
response
was
characterized
by
high
levels
somatic
hypermutation
and
a
bias
toward
recognition
ancestral
SARS-CoV-2
strains,
suggesting
early
activation
vaccine-induced
memory
cells.
BA.1
induced
shift
immunodominance
hierarchy
from
S2
subunit,
which
is
highly
conserved
across
variants
concern
(VOCs),
antigenically
variable
receptor
binding
domain
(RBD).
A
large
proportion
RBD-directed
neutralizing
antibodies
isolated
donors
displayed
convergent
sequence
features
broadly
recognized
VOCs.
Together,
these
findings
provide
insights
into
role
preexisting
immunity
shaping
to
heterologous
variant
exposure.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2022,
Volume and Issue:
unknown
Published: Oct. 20, 2022
Abstract
Continued
evolution
of
SARS-CoV-2
has
led
to
the
emergence
several
new
Omicron
subvariants,
including
BQ.1,
BQ.
1.1,
BA.4.6,
BF.7
and
BA.2.75.2.
Here
we
examine
neutralization
resistance
these
as
well
their
ancestral
BA.4/5,
BA.2.75
D614G
variants,
against
sera
from
3-dose
vaccinated
health
care
workers,
hospitalized
BA.1-wave
patients,
BA.5-wave
patients.
We
found
enhanced
in
all
especially
BQ.1
BQ.1.1
subvariants
driven
by
a
key
N460K
mutation,
lesser
extent,
R346T
K444T
mutations,
BA.2.75.2
subvariant
largely
its
F486S
mutation.
The
also
exhibited
fusogenicity
S
processing
dictated
Interestingly,
saw
an
enhancement
mutation
reduction
D1199N
processing,
resulting
minimal
overall
change.
Molecular
modelling
revealed
mechanisms
receptor-binding
non-receptor
binding
monoclonal
antibody-mediated
immune
evasion
R346T,
K444T,
mutations.
Altogether,
findings
shed
light
on
concerning
newly
emerging
subvariants.
Nature,
Journal Year:
2022,
Volume and Issue:
607(7918), P. 356 - 359
Published: May 6, 2022
Abstract
The
extent
to
which
Omicron
infection
1–9
,
with
or
without
previous
vaccination,
elicits
protection
against
the
previously
dominant
Delta
(B.1.617.2)
variant
is
unclear.
Here
we
measured
neutralization
capacity
variants
of
severe
acute
respiratory
syndrome
coronavirus
2
in
39
individuals
South
Africa
infected
sublineage
BA.1
starting
at
a
median
6
(interquartile
range
3–9)
days
post
symptom
onset
and
continuing
until
last
follow-up
sample
available,
23
19–27)
symptoms
allow
BA.1-elicited
neutralizing
immunity
time
develop.
Fifteen
participants
were
vaccinated
Pfizer's
BNT162b2
Johnson
&
Johnson's
Ad26.CoV2.S
had
breakthrough
infections,
24
unvaccinated.
increased
from
geometric
mean
50%
focus
reduction
test
titre
42
enrolment
575
point
(13.6-fold)
46
272
(6.0-fold)
unvaccinated
participants.
virus
also
increased,
192
1,091
(5.7-fold)
28
91
(3.0-fold)
At
point,
low
absolute
levels
for
non-BA.1
viruses
2.2-fold
lower
neutralization,
12.0-fold
9.6-fold
Beta
17.9-fold
ancestral
4.8-fold
BA.2
relative
BA.1.
These
results
indicate
that
hybrid
formed
by
vaccination
should
be
protective
other
variants.
By
contrast,
alone
offers
limited
cross-protection
despite
moderate
enhancement.
Vaccines,
Journal Year:
2022,
Volume and Issue:
10(4), P. 591 - 591
Published: April 12, 2022
The
COVID-19
pandemic
has
led
the
world
to
undertake
largest
vaccination
campaign
in
human
history.
In
record
time,
unprecedented
scientific
and
governmental
efforts
have
resulted
acquisition
of
immunizers
utilizing
different
technologies
(nucleotide
acids,
viral
vectors,
inactivated
protein-based
vaccines).
Currently,
33
vaccines
already
been
approved
by
regulatory
agencies
countries,
more
than
10
billion
doses
administered
worldwide.
Despite
undeniable
impact
on
control
pandemic,
recurrent
emergence
new
variants
interest
raised
challenges.
recent
mutations
precede
outbreaks
that
rapidly
spread
at
global
proportions.
addition,
reducing
protective
efficacy
rates
observed
among
main
authorized
vaccines.
Besides
these
issues,
several
other
crucial
issues
for
appropriate
combatting
remain
uncertain
or
under
investigation.
Particularly
noteworthy
include
use
vaccine-boosting
strategies
increase
protection;
concerns
related
long-term
safety
vaccines,
child
immunization
reliability
uncommon
adverse
events;
persistence
virus
society;
transition
from
a
an
endemic
state.
this
review,
we
describe
updated
scenario
regarding
SARS-CoV-2
outline
current
discussions
covering
vaccine
efficacy,
future
perspectives.
Nature Communications,
Journal Year:
2022,
Volume and Issue:
13(1)
Published: Aug. 19, 2022
Abstract
England
has
experienced
a
heavy
burden
of
COVID-19,
with
multiple
waves
SARS-CoV-2
transmission
since
early
2020
and
high
infection
levels
following
the
emergence
spread
Omicron
variants
late
2021.
In
response
to
rising
cases,
booster
vaccinations
were
accelerated
offered
all
adults
in
England.
Using
model
fitted
more
than
2
years
epidemiological
data,
we
project
potential
dynamics
infections,
hospital
admissions
deaths
December
2022.
We
consider
key
uncertainties
including
future
behavioural
change
waning
immunity
assess
effectiveness
mitigating
disease
between
October
2021
If
no
new
emerge,
is
expected
decline,
low
remaining
coming
months.
The
extent
which
projected
resurges
later
2022
depends
largely
on
assumptions
around
some
extent,
behaviour,
seasonality.
JAMA Network Open,
Journal Year:
2022,
Volume and Issue:
5(10), P. e2236670 - e2236670
Published: Oct. 14, 2022
Importance
The
Omicron
variant
is
phylogenetically
and
antigenically
distinct
from
earlier
SARS-CoV-2
variants
the
original
vaccine
strain.
Protection
conferred
by
prior
infection
against
reinfection,
with
without
vaccination,
requires
quantification.
Objective
To
estimate
protection
reinfection
hospitalization
heterologous
non-Omicron
and/or
up
to
3
doses
of
an
ancestral,
Wuhan-like
messenger
RNA
(mRNA)
vaccine.
Design,
Setting,
Participants
This
test-negative,
population-based
case-control
study
was
conducted
between
December
26,
2021,
March
12,
2022,
included
community-dwelling
individuals
aged
12
years
or
older
who
were
tested
for
in
province
Quebec,
Canada.
Exposures
Prior
laboratory-confirmed
mRNA
vaccination.
Main
Outcomes
Measures
main
outcome
associated
hospitalization,
presumed
be
according
genomic
surveillance.
odds
vaccination
compared
case
participants
hospitalizations
vs
test-negative
control
participants.
Estimated
derived
as
1
−
ratio,
adjusted
age,
sex,
testing
indication,
epidemiologic
week.
Analyses
stratified
severity
time
since
last
dose.
Results
696
439
(224
007
472
432
participants);
62.2%
63.9%
female
87.4%
75.5%
18
69
years,
respectively.
detected
9505
(4.2%)
29
712
(6.3%).
Among
nonvaccinated
individuals,
a
44%
reduction
(95%
CI,
38%-48%)
risk,
which
decreased
66%
57%-73%)
at
5
months
35%
21%-47%)
9
11
postinfection
below
30%
thereafter.
more
severe
infection,
greater
risk
reduction.
CI)
consistently
significantly
higher
among
vaccinated
infection-naive
65%
(63%-67%)
20%
(16%-24%)
dose,
68%
(67%-70%)
42%
(41%-44%)
2
doses,
83%
(81%-84%)
73%
(72%-73%)
doses.
For
estimated
Omicron-associated
81%
(66%-89%)
increased
86%
(77%-99%)
1,
94%
(91%-96%)
2,
97%
(94%-99%)
signs
waning.
Conclusions
Relevance
findings
this
suggest
that
provided
greatest
hospitalization.
In
context
program
goals
prevent
outcomes
preserve
health
care
system
capacity,
third
dose
may
add
limited
twice-vaccinated
infection.