在接受 Evusheld 治疗的个体中,对 SARS-CoV-2 奥密克戎 BA.2、BA.2.75、BA.2.76、BA.5、BF.7、BQ.1.1 和 XBB.1.5 的血清中和作用。

Serum neutralization of SARS-CoV-2 Omicron BA.2, BA.2.75, BA.2.76, BA.5, BF.7, BQ.1.1 and XBB.1.5 in individuals receiving Evusheld.

机构信息

Department of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Institute of Respiratory Diseases, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

J Med Virol. 2023 Jul;95(7):e28932. doi: 10.1002/jmv.28932.

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant is undergoing continuous evolution and convergent mutation. These new subvariants are raising concerns that they may evade neutralizing monoclonal antibodies (mAbs). We investigated the serum neutralization efficacy of Evusheld (cilgavimab and tixagevimab) against SARS-CoV-2 Omicron BA.2, BA.2.75, BA.2.76, BA.5, BF.7, BQ.1.1, and XBB.1.5. A total of 90 serum samples from healthy individuals were collected in Shanghai. Anti-RBD antibodies were measured and symptoms of infection with COVID-19 were compared among those individuals. The neutralizing activity of serum against Omicron variants was analyzed by pseudovirus neutralization assays in 22 samples. Evusheld retained neutralizing activity against BA.2, BA.2.75, and BA.5, albeit with somewhat reduced titers. However, the neutralizing activity of Evusheld against BA.2.76, BF.7, BQ.1.1, and XBB.1.5 significantly decreased, with XBB.1.5 showing the greatest escape activity among the subvariants. We also observed that Evusheld recipients displayed elevated antibody levels in their serum, which efficiently neutralized the original variant, and exhibited different characteristics of infection than those who did not receive Evusheld. The mAb has partial neutralization activity against Omicron sublineages. However, the increasing doses of mAb and a larger size of population should be further investigated.

摘要

严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)奥密克戎变体正在不断进化和趋同突变。这些新的亚变体引起了人们的关注,即它们可能逃避中和单克隆抗体(mAbs)。我们研究了 Evusheld(cilgavimab 和 tixagevimab)对 SARS-CoV-2 奥密克戎 BA.2、BA.2.75、BA.2.76、BA.5、BF.7、BQ.1.1 和 XBB.1.5 的血清中和效力。在上海共收集了 90 份来自健康个体的血清样本。测量了抗 RBD 抗体,并比较了这些个体感染 COVID-19 的症状。通过假病毒中和试验在 22 个样本中分析了血清对奥密克戎变体的中和活性。Evusheld 对 BA.2、BA.2.75 和 BA.5 仍具有中和活性,尽管滴度略有降低。然而,Evusheld 对 BA.2.76、BF.7、BQ.1.1 和 XBB.1.5 的中和活性显著降低,其中 XBB.1.5 在亚变体中表现出最大的逃逸活性。我们还观察到,Evusheld 受者的血清中抗体水平升高,该抗体有效地中和了原始变体,并表现出与未接受 Evusheld 者不同的感染特征。该 mAb 对奥密克戎亚谱系具有部分中和活性。然而,应该进一步研究增加 mAb 的剂量和更大的人群规模。

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