Impact of circulating SARS-CoV-2 variants on mRNA vaccine-induced immunity
Open accessPublished version of a preprint
Abstract
The emergence of SARS-CoV-2 variants with mutations in major neutralizing antibody-binding sites can affect humoral immunity induced by infection or vaccination 1-6. Here we analysed the development of anti-SARS-CoV-2 antibody and T cell responses in individuals who were previously infected (recovered) or uninfected (naive) and received mRNA vaccines to SARS-CoV-2. While individuals who were previously infected sustained higher antibody titres than individuals who were uninfected post-vaccination, the latter reached comparable levels of neutralization responses to the ancestral strain after the second vaccine dose. T cell activation markers measured upon spike or nucleocapsid peptide in vitro stimulation showed a progressive increase after vaccination. Comprehensive analysis of plasma neutralization using 16 authentic isolates of distinct locally circulating SARS-CoV-2 variants revealed a range of reduction in the neutralization capacity associated with specific mutations in the spike gene: lineages with E484K and N501Y/T (for example, B.1.351 and P.1) had the greatest reduction, followed by lineages with L452R (for example, B.1.617.2). While both groups retained neutralization capacity against all variants, plasma from individuals who were previously infected and vaccinated displayed overall better neutralization capacity than plasma from individuals who were uninfected and also received two vaccine doses, pointing to vaccine boosters as a relevant future strategy to alleviate the effect of emerging variants on antibody neutralizing activity.
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Vaccination of convalescent individuals improved cross-reactivity to variants.
“and improved cross-reactivity to variants.27, 28, 29, 30”
From Neutralising antibody titres as predictors of protection against SARS-CoV-2 variants and the impact of boosting: a meta-analysis (2022) · cites this paper as [30]
Vaccination of convalescent individuals led to 2-10-fold higher neutralisation titres than naive individuals after primary vaccination.
“Aggregating these studies, we found that vaccination of convalescent individuals led to 2–10-fold higher neutralisation titres than that seen in naive individuals after primary vaccination (figure 3 ; appendix p 19)26, 27, 28, 29, 30, 31”
From Neutralising antibody titres as predictors of protection against SARS-CoV-2 variants and the impact of boosting: a meta-analysis (2022) · cites this paper as [30]
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References 39 · Cited by 226
Research works printed but not linked: 1
- [8]Walsh EE Safety and Immunogenicity of Two RNA-Based Covid-19 Vaccine Candidates. N. Engl. J. Med 383, 2439– 2450 (2020). 33053279 PMC7583697
- Authors
- Lucas, C., Vogels, C. B. F., Yildirim, I., Rothman, J. E., Lu, P., Monteiro, V., Gehlhausen, J. R., Campbell, M., Silva, J., Tabachnikova, A., Peña-Hernandez, M. A., Muenker, M. C., Breban, M. I., Fauver, J. R., Mohanty, S., Huang, J., Initiative, Y. S.-C.-2. G. S., Pearson, C., Muyombwe, A., Downing, R., Razeq, J., Petrone, M., Ott, I., Watkins, A., Kalinich, C., Alpert, T., Brito, A., Earnest, R., Murphy, S., Neal, C., Laszlo, E., Altajar, A., Tikhonova, I., Castaldi, C., Mane, S., Bilguvar, K., Kerantzas, N., Ferguson, D., Schulz, W., Landry, M., Peaper, D., Shaw, A. C., Ko, A. I., Omer, S. B., Grubaugh, N. D., & Iwasaki, A.
- Affiliations
- Yale University (US)
- Connecticut Department of Public Health (US)
- Greenwich Public Schools (US)
- Yale New Haven Hospital (US)
- Howard Hughes Medical Institute (US)
- Corresponding author
- Iwasaki, Akiko
- ORCID
- Lucas, Carolina
- Vogels, Chantal B. F.
- Yildirim, Inci
- Rothman, Jessica E.
- Lu, Peiwen
- Monteiro, Valter
- Gehlhausen, Jeff R.
- Campbell, Melissa
- Silva, Julio
- Tabachnikova, Alexandra
- Muenker, M. Catherine
- Breban, Mallery I.
- Fauver, Joseph R.
- Mohanty, Subhasis
- Huang, Jiefang
- Petrone, Mary
- Ott, Isabel
- Watkins, Anne
- Kalinich, Chaney
- Alpert, Tara
- Brito, Anderson
- Earnest, Rebecca
- Neal, Caleb
- Tikhonova, Irina
- Castaldi, Christopher
- Mane, Shrikant
- Ferguson, David
- Schulz, Wade
- Landry, Marie
- Peaper, David
- Shaw, Albert C.
- Ko, Albert I.
- Omer, Saad B.
- Grubaugh, Nathan D.
- Iwasaki, Akiko
- Venue
- Nature
- Published
- 2021-10-11
- Volume
- 600
- Issue
- 7889
- Pages
- 523-529
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC9348899
- OpenAlex
- W3206303627
- Cited by
- 226
- References
- 39
- Citations by year
- 2026: 6 · 2025: 13 · 2024: 17 · 2023: 49 · 2022: 118 · 2021: 23
- FWCI
- 16.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Nature (publishedVersion)
- medRxiv (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- Howard Hughes Medical Institute
- Pfizer
- Yale University
- Ludwig Family Foundation
- Moderna
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (Rubicon 019.181EN.004, 019.181EN.004)
- National Institute of Allergy and Infectious Diseases (T32AI007019)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (T32AR007016)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › vaccines and immunoinformatics approaches
- Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Animal Virus Infections Studies
- Keywords
- SARS-CoV-2 variants, mRNA vaccines, neutralizing antibodies, T cell response, prior SARS-CoV-2 infection, booster vaccination, spike protein mutations, E484K, N501Y, L452R, Beta variant, P.1, Delta variant, humoral immunity
- MeSH terms
- COVID-19, SARS-CoV-2, mRNA Vaccines, BNT162 Vaccine, 2019-nCoV Vaccine mRNA-1273, Adult, Aged, Antibodies, Viral, Female, Health Personnel, Humans, Male, Middle Aged, Mutation, Retrospective Studies, T-Lymphocytes, Vaccines, Synthetic, Immunity, Humoral, Antibodies, Neutralizing, Spike Glycoprotein, Coronavirus
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