National Institute for Communicable Diseases of the National Health Laboratory Services, Johannesburg, South Africa.
MRC Antibody Immunity Research Unit, School of Pathology, University of the Witwatersrand, Johannesburg, South Africa.
Sci Rep. 2023 Jan 21;13(1):1222. doi: 10.1038/s41598-023-27698-x.
The SARS-CoV-2 Omicron (B.1.1.529) Variant of Concern (VOC) and its sub-lineages (including BA.2, BA.4, BA.5, BA.2.12.1) contain spike mutations that confer high level resistance to neutralizing antibodies induced by vaccination with ancestral spike or infection with previously circulating variants. The NVX-CoV2373 vaccine, a protein nanoparticle vaccine containing the ancestral spike sequence, has value in countries with constrained cold-chain requirements. Here we report neutralizing titers following two or three doses of NVX-CoV2373. We show that after two doses, Omicron sub-lineages BA.1 and BA.4/BA.5 were resistant to neutralization by 72% (21/29) and 59% (17/29) of samples respectively. However, after a third dose of NVX-CoV2373, we observed high titers against Omicron BA.1 (GMT: 1,197) and BA.4/BA.5 (GMT: 582), with responses similar in magnitude to those triggered by three doses of an mRNA vaccine. These data are of particular relevance as BA.4/BA.5 is dominating in multiple locations, and highlight the potential utility of the NVX-CoV2373 vaccine as a booster in resource-limited environments.
SARS-CoV-2 的奥密克戎(B.1.1.529)变体和其亚谱系(包括 BA.2、BA.4、BA.5、BA.2.12.1)含有刺突突变,这些突变使疫苗接种或先前流行变体感染诱导的中和抗体的水平产生高度抗性。NVX-CoV2373 疫苗是一种含有原始刺突序列的蛋白纳米颗粒疫苗,在冷链要求有限的国家具有价值。在此,我们报告了接种两剂或三剂 NVX-CoV2373 后的中和效价。我们发现,接种两剂后,奥密克戎亚谱系 BA.1 和 BA.4/BA.5 分别对 72%(21/29)和 59%(17/29)的样本具有抗中和作用。然而,接种第三剂 NVX-CoV2373 后,我们观察到针对奥密克戎 BA.1(GMT:1197)和 BA.4/BA.5 的高滴度(GMT:582),其反应强度与三剂 mRNA 疫苗相似。这些数据在 BA.4/BA.5 在多个地区占主导地位的情况下具有特别重要的意义,突显了 NVX-CoV2373 疫苗作为资源有限环境中加强针的潜在效用。
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