Low neutralization of SARS-CoV-2 Omicron BA.2.75.2, BQ.1.1 and XBB.1 by parental mRNA vaccine or a BA.5 bivalent booster

The newly emerged severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron sublineages, including the BA.2-derived BA.2.75.2 and the BA.5-derived BQ.1.1 and XBB.1, have accumulated additional spike mutations that may affect vaccine effectiveness. Here we report neutralizing activities of...

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Veröffentlicht in:Nature medicine 2023-02, Vol.29 (2), p.344-347
Hauptverfasser: Kurhade, Chaitanya, Zou, Jing, Xia, Hongjie, Liu, Mingru, Chang, Hope C., Ren, Ping, Xie, Xuping, Shi, Pei‑Yong
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container_end_page 347
container_issue 2
container_start_page 344
container_title Nature medicine
container_volume 29
creator Kurhade, Chaitanya
Zou, Jing
Xia, Hongjie
Liu, Mingru
Chang, Hope C.
Ren, Ping
Xie, Xuping
Shi, Pei‑Yong
description The newly emerged severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron sublineages, including the BA.2-derived BA.2.75.2 and the BA.5-derived BQ.1.1 and XBB.1, have accumulated additional spike mutations that may affect vaccine effectiveness. Here we report neutralizing activities of three human serum panels collected from individuals 23–94 days after dose 4 of a parental mRNA vaccine; 14–32 days after a BA.5 bivalent booster from individuals with 2–4 previous doses of parental mRNA vaccine; or 14–32 days after a BA.5 bivalent booster from individuals with previous SARS-CoV-2 infection and 2–4 doses of parental mRNA vaccine. The results showed that a BA.5 bivalent booster elicited a high neutralizing titer against BA.4/5 measured at 14–32 days after boost; however, the BA.5 bivalent booster did not produce robust neutralization against the newly emerged BA.2.75.2, BQ.1.1 or XBB.1. Previous infection substantially enhanced the magnitude and breadth of BA.5 bivalent booster-elicited neutralization. Our data support a vaccine update strategy that future boosters should match newly emerged circulating SARS-CoV-2 variants. Circulating variants of SARS-CoV-2 continue to evade neutralization by COVID-19 vaccines, including bivalent boosters that target the BA.4/BA.5 variants of concern, suggesting that strategies to get ahead of the virus’ evolution might be warranted.
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subjects 631/326/590/2293
631/326/596/4130
Antibodies, Neutralizing
Antibodies, Viral
Biomedical and Life Sciences
Biomedicine
Brief Communication
Cancer Research
Coronaviruses
COVID-19
COVID-19 vaccines
Humans
Infectious Diseases
Metabolic Diseases
Molecular Medicine
mRNA
mRNA Vaccines
Mutation
Neurosciences
Neutralization
Neutralizing
Respiratory diseases
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Vaccine efficacy
Vaccines
Vaccines, Synthetic
Viral diseases
title Low neutralization of SARS-CoV-2 Omicron BA.2.75.2, BQ.1.1 and XBB.1 by parental mRNA vaccine or a BA.5 bivalent booster
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