Division of Infection Control, Norwegian Institute of Public Health (NIPH), Oslo, Norway.
Department of Immunology, Oslo University Hospital and University of Oslo, Oslo, Norway.
BMC Infect Dis. 2024 Aug 20;24(1):841. doi: 10.1186/s12879-024-09670-w.
BACKGROUND: According to Norwegian registries, 91% of individuals ≥ 16 years had received ≥ 1 dose of COVID-19 vaccine by mid-July 2022, whereas less than 2% of children < 12 years were vaccinated. Confirmed COVID-19 was reported for 27% of the population, but relaxation of testing lead to substantial underreporting. We have characterized the humoral immunity to SARS-CoV-2 in Norway in the late summer of 2022 by estimating the seroprevalence and identifying antibody profiles based on reactivity to Wuhan or Omicron-like viruses in a nationwide cross-sectional collection of residual sera, and validated our findings using cohort sera. METHODS: 1,914 anonymized convenience sera and 243 NorFlu-cohort sera previously collected from the Oslo-area with reported infection and vaccination status were analyzed for antibodies against spike, the receptor-binding domain (RBD) of the ancestral Wuhan strain and Omicron BA.2 RBD, and nucleocapsid (N). Samples were also tested for antibodies inhibiting RBD-ACE2 interaction. Neutralization assays were performed on subsets of residual sera against B.1, BA.2, XBB.1.5 and BQ.1.1. RESULTS: The national seroprevalence estimate from vaccination and/or infection was 99.1% (95% CrI 97.0-100.0%) based on Wuhan (spike_W and RBD_W) and RBD_BA2 antibodies. Sera from children < 12 years had 2.2 times higher levels of antibodies against RBD_BA2 than RBD_W and their seroprevalence estimate showed a 14.4 percentage points increase when also including anti-RBD_BA2 antibodies compared to Wuhan-antibodies alone. 50.3% (95% CI 45.0-55.5%) of residual sera from children and 38.1% (95% CI 36.0-40.4%) of all residual sera were positive for anti-N-antibodies. By combining measurements of binding- and ACE2-RBD-interaction-inhibiting antibodies, reactivity profiles indicative of infection and vaccination history were identified and validated using cohort sera. Residual sera with a profile indicative of hybrid immunity were able to neutralize newer Omicron variants XBB.1.5 and BQ.1.1. CONCLUSIONS: By late summer of 2022, most of the Norwegian population had antibodies to SARS-CoV-2, and almost all children had been infected. Antibody profiles indicated that children mostly had experienced a primary Omicron infection, while hybrid immunity was common among adults. The finding that sera displaying hybrid immunity could neutralize newer Omicron variants indicates that Wuhan-like priming of the immune response did not have a harmful imprinting effect and that infections induce cross-reacting antibodies against future variants.
背景:根据挪威登记处的数据,截至 2022 年 7 月中旬,91%的≥16 岁个体已接种≥1 剂 COVID-19 疫苗,而接种疫苗的<12 岁儿童不到 2%。报告了 27%的人群感染了 COVID-19,但由于检测放松导致大量漏报。我们通过估计血清流行率并根据对武汉或奥密克戎样病毒的反应来确定抗体谱,在全国范围内的剩余血清横断面采集物中描述了 2022 年夏末挪威人群对 SARS-CoV-2 的体液免疫,并用队列血清进行了验证。
方法:分析了来自奥斯陆地区的 1914 份匿名便利血清和 243 份 NorFlu 队列血清,这些血清报告了感染和接种状态,以检测针对刺突蛋白、原始武汉株 RBD 和奥密克戎 BA.2 RBD 和核衣壳 (N) 的抗体。还测试了样品抑制 RBD-ACE2 相互作用的抗体。对部分剩余血清进行了针对 B.1、BA.2、XBB.1.5 和 BQ.1.1 的中和测定。
结果:基于武汉(刺突_W 和 RBD_W)和 RBD_BA2 抗体,全国疫苗接种和/或感染的血清流行率估计为 99.1%(95%CI 97.0-100.0%)。<12 岁儿童的血清对 RBD_BA2 的抗体水平比 RBD_W 高 2.2 倍,与单独使用武汉抗体相比,包括抗 RBD_BA2 抗体在内的血清流行率估计增加了 14.4 个百分点。儿童的 50.3%(95%CI 45.0-55.5%)和所有剩余血清的 38.1%(95%CI 36.0-40.4%)为抗 N 抗体阳性。通过结合结合和 ACE2-RBD 相互作用抑制抗体的测量,使用队列血清确定并验证了指示感染和接种史的反应谱。具有混合免疫反应特征的剩余血清能够中和新型奥密克戎变体 XBB.1.5 和 BQ.1.1。
结论:到 2022 年夏末,挪威大部分人口都有针对 SARS-CoV-2 的抗体,几乎所有儿童都已感染。抗体谱表明,儿童主要经历了原发性奥密克戎感染,而成年人则常见混合免疫。血清显示混合免疫的发现表明,对免疫反应的武汉样启动没有产生有害的印记效应,并且感染诱导了针对未来变体的交叉反应抗体。
Influenza Other Respir Viruses. 2025-5
Emerg Microbes Infect. 2023-12
Influenza Other Respir Viruses. 2023-6
J R Stat Soc Ser C Appl Stat. 2020-8-13
BMC Public Health. 2023-5-10
Influenza Other Respir Viruses. 2023-2
Open Forum Infect Dis. 2022-12-15