Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX, 77555, USA.
Department of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, SP, 05508000, Brazil.
Nat Commun. 2023 Jul 17;14(1):4260. doi: 10.1038/s41467-023-40033-2.
The SARS-CoV-2 Omicron subvariant BA.5 rapidly spread worldwide and replaced BA.1/BA.2 in many countries, becoming globally dominant. BA.5 has unique amino acid substitutions in the spike protein that both mediate immune escape from neutralizing antibodies produced by immunizations and increase ACE2 receptor binding affinity. In a comprehensive, long-term (up to 9 months post primary vaccination), experimental vaccination study using male Syrian hamsters, we evaluate neutralizing antibody responses and efficacy against BA.5 challenge after primary vaccination with Ad26.COV2.S (Janssen) or BNT162b2 (Pfizer/BioNTech) followed by a homologous or heterologous booster with mRNA-1273 (Moderna) or NVX-CoV2373 (Novavax). Notably, one high or low dose of Ad26.COV2.S provides more durable immunity than two primary doses of BNT162b2, and the NVX-CoV2373 booster provides the strongest augmentation of immunity, reduction in BA.5 viral replication, and disease. Our data demonstrate the immunogenicity and efficacy of different prime/boost vaccine regimens against BA.5 infection in an immune-competent model and provide new insights regarding COVID-19 vaccine strategies.
SARS-CoV-2 奥密克戎变异株 BA.5 迅速在全球范围内传播,并在许多国家取代了 BA.1/BA.2,成为全球主要流行株。BA.5 在刺突蛋白上具有独特的氨基酸取代,既能介导免疫逃逸中和抗体,又能增加 ACE2 受体结合亲和力。在一项使用雄性叙利亚仓鼠的全面、长期(初次接种后长达 9 个月)实验性接种研究中,我们评估了 Ad26.COV2.S(Janssen)或 BNT162b2(辉瑞/生物科技)初次接种后,使用 mRNA-1273(Moderna)或 NVX-CoV2373(Novavax)进行同源或异源加强免疫后的中和抗体反应和对 BA.5 挑战的疗效。值得注意的是,一剂或两剂 Ad26.COV2.S 提供的免疫持久性均优于两剂 BNT162b2,而 NVX-CoV2373 加强免疫提供了最强的免疫增强、BA.5 病毒复制减少和疾病预防效果。我们的数据证明了不同的初级/加强疫苗方案在免疫功能正常的模型中对 BA.5 感染的免疫原性和疗效,并为 COVID-19 疫苗策略提供了新的见解。
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