Heterologous infection and vaccination shapes immunity against SARS-CoV-2 variants

Author:

Reynolds Catherine J.1ORCID,Gibbons Joseph M.2ORCID,Pade Corinna2ORCID,Lin Kai-Min1ORCID,Sandoval Diana Muñoz1ORCID,Pieper Franziska1ORCID,Butler David K.1ORCID,Liu Siyi1ORCID,Otter Ashley D.3ORCID,Joy George4ORCID,Menacho Katia4ORCID,Fontana Marianna5ORCID,Smit Angelique5ORCID,Kele Beatrix4ORCID,Cutino-Moguel Teresa4ORCID,Maini Mala K.6ORCID,Noursadeghi Mahdad6ORCID,Brooks Tim3ORCID,Semper Amanda3ORCID,Manisty Charlotte47ORCID,Treibel Thomas A.47ORCID,Moon James C.47ORCID,McKnight Áine2ORCID,Altmann Daniel M.8ORCID,Boyton Rosemary J.19ORCID, ,

Affiliation:

1. Department of Infectious Disease, Imperial College London, London, UK.

2. Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

3. UK Health Security Agency, Porton Down, UK.

4. St. Bartholomew’s Hospital, Barts Health NHS Trust, London, UK.

5. Royal Free London NHS Foundation Trust, London, UK.

6. Division of Infection and Immunity, University College London, London, UK.

7. Institute of Cardiovascular Science, University College London, London, UK.

8. Department of Immunology and Inflammation, Imperial College London, London, UK.

9. Lung Division, Royal Brompton and Harefield Hospitals, Guy’s and St. Thomas’ NHS Foundation Trust, London, UK.

Abstract

Immune imprinting For severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), immune responses to heterologous variants are influenced by a person’s infection history. Healthcare workers (HCWs) may be exposed to several doses and types of antigens, either by natural infection or by vaccination. Reynolds et al . studied a cohort of UK HCWs followed since March 2020. The immunological profiles of these people depended on how often the subject had encountered antigen and which variant was involved. Vaccine responses after infection were found to be less effective if the infection involved heterologous spike from a variant virus. Unfortunately, the N501Y spike mutation, found in many variants, seems to induce the regulatory T cell transcription factor FOXP3, indicating that the virus could subvert effective T cell function. Changes to antibody binding between variants also means that serology data using the Wuhan Hu-1 S1 receptor-binding domain sequence may not be a reliable measure of protection. —CA

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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