Gladstone Institutes, San Francisco, CA, USA.
Biomedical Sciences Graduate Program, University of California, San Francisco, San Francisco, CA, USA.
Nature. 2022 Jul;607(7918):351-355. doi: 10.1038/s41586-022-04865-0. Epub 2022 May 18.
SARS-CoV-2 Delta and Omicron are globally relevant variants of concern. Although individuals infected with Delta are at risk of developing severe lung disease, infection with Omicron often causes milder symptoms, especially in vaccinated individuals. The question arises of whether widespread Omicron infections could lead to future cross-variant protection, accelerating the end of the pandemic. Here we show that without vaccination, infection with Omicron induces a limited humoral immune response in mice and humans. Sera from mice overexpressing the human ACE2 receptor and infected with Omicron neutralize only Omicron, but not other variants of concern, whereas broader cross-variant neutralization was observed after WA1 and Delta infections. Unlike WA1 and Delta, Omicron replicates to low levels in the lungs and brains of infected animals, leading to mild disease with reduced expression of pro-inflammatory cytokines and diminished activation of lung-resident T cells. Sera from individuals who were unvaccinated and infected with Omicron show the same limited neutralization of only Omicron itself. By contrast, Omicron breakthrough infections induce overall higher neutralization titres against all variants of concern. Our results demonstrate that Omicron infection enhances pre-existing immunity elicited by vaccines but, on its own, may not confer broad protection against non-Omicron variants in unvaccinated individuals.
SARS-CoV-2 的 Delta 和奥密克戎变异株是全球关注的重要变异株。虽然感染 Delta 的个体有发生重症肺部疾病的风险,但感染奥密克戎通常会引起较轻的症状,尤其是在接种疫苗的个体中。那么问题来了,广泛的奥密克戎感染是否会导致未来的交叉变异保护,从而加速大流行的结束。在这里,我们发现,在没有接种疫苗的情况下,奥密克戎感染在小鼠和人类中诱导了有限的体液免疫反应。来自过表达人 ACE2 受体并感染奥密克戎的小鼠的血清仅能中和奥密克戎,而不能中和其他关注变异株,而在感染 WA1 和 Delta 后则观察到更广泛的交叉变异株中和作用。与 WA1 和 Delta 不同,奥密克戎在感染动物的肺部和大脑中复制水平较低,导致疾病较轻,促炎细胞因子表达减少,肺驻留 T 细胞激活减少。未接种疫苗并感染奥密克戎的个体的血清也表现出对奥密克戎本身的有限中和作用。相比之下,奥密克戎突破性感染会引起针对所有关注变异株的更高中和抗体滴度。我们的研究结果表明,奥密克戎感染增强了疫苗引发的固有免疫,但单独感染奥密克戎本身可能无法为未接种疫苗的个体提供针对非奥密克戎变异株的广泛保护。
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