二价 SARS-CoV-2 mRNA 疫苗提高中和广度并预防小鼠感染奥密克戎变异株 BA.5。

Bivalent SARS-CoV-2 mRNA vaccines increase breadth of neutralization and protect against the BA.5 Omicron variant in mice.

机构信息

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Moderna, Inc., Cambridge, MA, USA.

出版信息

Nat Med. 2023 Jan;29(1):247-257. doi: 10.1038/s41591-022-02092-8. Epub 2022 Oct 20.

Abstract

The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants in the Omicron lineage has resulted in diminished Coronavirus Disease 2019 (COVID-19) vaccine efficacy and persistent transmission. In this study, we evaluated the immunogenicity and protective efficacy of two, recently authorized, bivalent COVID-19 vaccines that contain two mRNAs encoding Wuhan-1 and either BA.1 (mRNA-1273.214) or BA.4/5 (mRNA-1273.222) spike proteins. As a primary two-dose immunization series in mice, both bivalent vaccines induced greater neutralizing antibody responses against Omicron variants than the parental, monovalent mRNA-1273 vaccine. When administered to mice as a booster at 7 months after the primary vaccination series with mRNA-1273, the bivalent vaccines induced broadly neutralizing antibody responses. Whereas most anti-Omicron receptor binding domain antibodies in serum induced by mRNA-1273, mRNA-1273.214 and mRNA-1273.222 boosters cross-reacted with the antecedent Wuhan-1 spike antigen, the mRNA-1273.214 and mRNA-1273.222 bivalent vaccine boosters also induced unique BA.1-specific and BA.4/5-specific responses, respectively. Although boosting with parental or bivalent mRNA vaccines substantially improved protection against BA.5 compared to mice receiving two vaccine doses, the levels of infection, inflammation and pathology in the lung were lowest in animals administered the bivalent mRNA vaccines. Thus, boosting with bivalent Omicron-based mRNA-1273.214 or mRNA-1273.222 vaccines enhances immunogenicity and confers protection in mice against a currently circulating SARS-CoV-2 strain.

摘要

严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2)奥密克戎谱系变异株的出现导致了 2019 年冠状病毒病(COVID-19)疫苗效力降低和持续传播。在这项研究中,我们评估了两种最近获得授权的含两种 mRNA 的二价 COVID-19 疫苗的免疫原性和保护效力,这两种 mRNA 编码武汉-1 和 BA.1(mRNA-1273.214)或 BA.4/5(mRNA-1273.222)刺突蛋白。作为小鼠的主要两剂免疫系列,两种二价疫苗诱导针对奥密克戎变异株的中和抗体反应均高于亲本单价 mRNA-1273 疫苗。当作为初级免疫系列后 7 个月的加强针在小鼠中使用时,二价疫苗诱导了广泛的中和抗体反应。虽然 mRNA-1273、mRNA-1273.214 和 mRNA-1273.222 加强针诱导的大多数血清抗奥密克戎受体结合域抗体与前体武汉-1 刺突抗原发生交叉反应,但 mRNA-1273.214 和 mRNA-1273.222 二价疫苗加强针也分别诱导了独特的 BA.1 特异性和 BA.4/5 特异性反应。尽管与接受两剂疫苗的小鼠相比,用亲本或二价 mRNA 疫苗加强免疫可显著提高对 BA.5 的保护作用,但在接受二价 mRNA 疫苗的动物中,肺部感染、炎症和病理学的水平最低。因此,用二价基于奥密克戎的 mRNA-1273.214 或 mRNA-1273.222 疫苗加强免疫可增强免疫原性,并在小鼠中提供针对当前流行的 SARS-CoV-2 株的保护作用。

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