Laboratory of Experimental Immunology, Institute of Virology, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50931 Cologne, Germany.
Department of Infectious Diseases and Respiratory Medicine, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, 13353 Berlin, Germany.
Cell Host Microbe. 2022 Sep 14;30(9):1231-1241.e6. doi: 10.1016/j.chom.2022.07.002. Epub 2022 Jul 7.
SARS-CoV-2 neutralizing antibodies play a critical role in COVID-19 prevention and treatment but are challenged by viral evolution and the emergence of novel escape variants. Importantly, the recently identified Omicron sublineages BA.2.12.1 and BA.4/5 are rapidly becoming predominant in various countries. By determining polyclonal serum activity of 50 convalescent or vaccinated individuals against BA.1, BA.1.1, BA.2, BA.2.12.1, and BA.4/5, we reveal a further reduction in BA.4/5 susceptibility to vaccinee sera. Most notably, delineation of sensitivity to an extended 163-antibody panel demonstrates pronounced antigenic differences with distinct escape patterns among Omicron sublineages. Antigenic distance and/or higher resistance may therefore favor immune-escape-mediated BA.4/5 expansion after the first Omicron wave. Finally, while most clinical-stage monoclonal antibodies are inactive against Omicron sublineages, we identify promising antibodies with high pan-SARS-CoV-2 neutralizing potency. Our study provides a detailed understanding of Omicron-sublineage antibody escape that can inform on effective strategies against COVID-19.
SARS-CoV-2 中和抗体在 COVID-19 的预防和治疗中起着关键作用,但病毒的进化和新的逃逸变异对其构成了挑战。重要的是,最近发现的奥密克戎亚谱系 BA.2.12.1 和 BA.4/5 正在迅速成为各国的主要流行株。通过测定 50 名康复者或接种者血清对 BA.1、BA.1.1、BA.2、BA.2.12.1 和 BA.4/5 的多克隆活性,我们发现疫苗接种者血清对 BA.4/5 的敏感性进一步降低。最值得注意的是,对扩展的 163 种抗体面板的敏感性分析表明,奥密克戎亚谱系之间存在明显的抗原差异和不同的逃逸模式。因此,抗原距离和/或更高的抵抗力可能有利于首次奥密克戎浪潮后免疫逃逸介导的 BA.4/5 扩张。最后,虽然大多数临床阶段的单克隆抗体对奥密克戎亚谱系无效,但我们确定了具有高泛 SARS-CoV-2 中和效力的有前途的抗体。我们的研究提供了对奥密克戎亚谱系抗体逃逸的详细了解,可为 COVID-19 的有效策略提供信息。
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