School of Public Health, Fudan University, Key Laboratory of Public Health Safety, Ministry of Education, Shanghai, China.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Clin Infect Dis. 2022 Mar 1;74(4):734-742. doi: 10.1093/cid/ciab646.
Recently emerged severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants may pose a threat to immunity. A systematic landscape of neutralizing antibodies against emerging variants is needed. We systematically searched for studies that evaluated neutralizing antibody titers induced by previous infection or vaccination against SARS-CoV-2 variants and collected individual data. We identified 106 studies meeting the eligibility criteria. Lineage B.1.351 (beta), P.1 (gamma) and B.1.617.2 (delta) significantly escaped natural infection-mediated neutralization, with an average of 4.1-fold (95% confidence interval [CI]: 3.6-4.7-fold), 1.8-fold (1.4-2.4-fold), and 3.2-fold (2.4-4.1-fold) reduction in live virus neutralization assay, while neutralizing titers against B.1.1.7 (alpha) decreased slightly (1.4-fold [95% CI: 1.2-1.6-fold]). Serum from vaccinees also led to significant reductions in neutralization of B.1.351 across different platforms, with an average of 7.1-fold (95% CI: 5.5-9.0-fold) for nonreplicating vector platform, 4.1-fold (3.7-4.4-fold) for messenger RNA platform, and 2.5-fold (1.7-2.9-fold) for protein subunit platform. Neutralizing antibody levels induced by messenger RNA vaccines against SARS-CoV-2 variants were similar to, or higher, than that derived from naturally infected individuals.
最近出现的严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)变体可能对免疫构成威胁。需要系统地了解针对新兴变体的中和抗体。我们系统地搜索了评估先前感染或接种 SARS-CoV-2 变体诱导的中和抗体滴度的研究,并收集了个体数据。我们确定了符合入选标准的 106 项研究。谱系 B.1.351(贝塔)、P.1(伽马)和 B.1.617.2(德尔塔)显著逃避了自然感染介导的中和作用,平均中和滴度分别降低了 4.1 倍(95%置信区间 [CI]:3.6-4.7 倍)、1.8 倍(1.4-2.4 倍)和 3.2 倍(2.4-4.1 倍),而针对 B.1.1.7(阿尔法)的中和滴度略有下降(1.4 倍 [95% CI:1.2-1.6 倍])。来自疫苗接种者的血清也导致了针对不同平台的 B.1.351 的中和作用显著降低,非复制载体平台的平均降低 7.1 倍(95% CI:5.5-9.0 倍),信使 RNA 平台降低 4.1 倍(3.7-4.4 倍),蛋白亚单位平台降低 2.5 倍(1.7-2.9 倍)。信使 RNA 疫苗诱导的针对 SARS-CoV-2 变体的中和抗体水平与自然感染个体衍生的水平相似或更高。
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