Omicron spike function and neutralizing activity elicited by a comprehensive panel of vaccines

Author:

Bowen John E.1ORCID,Addetia Amin1ORCID,Dang Ha V.2ORCID,Stewart Cameron1ORCID,Brown Jack T.1ORCID,Sharkey William K.1,Sprouse Kaitlin R.1ORCID,Walls Alexandra C.13ORCID,Mazzitelli Ignacio G.4ORCID,Logue Jennifer K.5ORCID,Franko Nicholas M.5ORCID,Czudnochowski Nadine2ORCID,Powell Abigail E.2ORCID,Dellota Exequiel2,Ahmed Kumail6ORCID,Ansari Asefa Shariq6ORCID,Cameroni Elisabetta7ORCID,Gori Andrea8910ORCID,Bandera Alessandra8910ORCID,Posavad Christine M.11ORCID,Dan Jennifer M.1213ORCID,Zhang Zeli12,Weiskopf Daniela12ORCID,Sette Alessandro1213ORCID,Crotty Shane1213ORCID,Iqbal Najeeha Talat6ORCID,Corti Davide7ORCID,Geffner Jorge4ORCID,Snell Gyorgy2ORCID,Grifantini Renata14ORCID,Chu Helen Y.5ORCID,Veesler David13ORCID

Affiliation:

1. Department of Biochemistry, University of Washington, Seattle, WA 98195, USA.

2. Vir Biotechnology, San Francisco, CA 94158, USA.

3. Howard Hughes Medical Institute, University of Washington, Seattle, WA 98195, USA.

4. Instituto de Investigaciones Biomédicas en Retrovirus y SIDA (INBIRS), Facultad de Medicina, Buenos Aires C1121ABG, Argentina.

5. Division of Allergy and Infectious Diseases, University of Washington, Seattle, WA 98195, USA.

6. Departments of Paediatrics and Child Health and Biological and Biomedical Sciences, Aga Khan University, Karachi 74800, Pakistan.

7. Humabs Biomed SA, a subsidiary of Vir Biotechnology, 6500 Bellinzona, Switzerland.

8. Infectious Diseases Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.

9. Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.

10. Centre for Multidisciplinary Research in Health Science (MACH), University of Milan, Milan, Italy.

11. Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.

12. Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA 92037, USA.

13. Department of Medicine, Division of Infectious Diseases and Global Public Health, University of California, San Diego, La Jolla, CA 92037, USA.

14. INGM, Istituto Nazionale Genetica Molecolare “Romeo ed Enrica Invernizzi,” Milan, Italy.

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant of concern comprises several sublineages, with BA.2 and BA.2.12.1 having replaced the previously dominant BA.1 and with BA.4 and BA.5 increasing in prevalence worldwide. We show that the large number of Omicron sublineage spike mutations leads to enhanced angiotensin-converting enzyme 2 (ACE2) binding, reduced fusogenicity, and severe dampening of plasma neutralizing activity elicited by infection or seven clinical vaccines relative to the ancestral virus. Administration of a homologous or heterologous booster based on the Wuhan-Hu-1 spike sequence markedly increased neutralizing antibody titers and breadth against BA.1, BA.2, BA.2.12.1, BA.4, and BA.5 across all vaccines evaluated. Our data suggest that although Omicron sublineages evade polyclonal neutralizing antibody responses elicited by primary vaccine series, vaccine boosters may provide sufficient protection against Omicron-induced severe disease.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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