Omicron BA.4/BA.5 escape neutralizing immunity elicited by BA.1 infection

Author:

Khan KhadijaORCID,Karim Farina,Ganga Yashica,Bernstein MalloryORCID,Jule Zesuliwe,Reedoy Kajal,Cele Sandile,Lustig Gila,Amoako DanielORCID,Wolter NicoleORCID,Samsunder Natasha,Sivro AidaORCID,San James EmmanuelORCID,Giandhari Jennifer,Tegally Houriiyah,Pillay Sureshnee,Naidoo Yeshnee,Mazibuko Matilda,Miya Yoliswa,Ngcobo Nokuthula,Manickchund Nithendra,Magula Nombulelo,Karim Quarraisha AbdoolORCID,von Gottberg AnneORCID,Abdool Karim Salim S.ORCID,Hanekom Willem,Gosnell Bernadett I.ORCID,Khoza Thandeka,Smit Theresa,Wong Emily,Lessells Richard J.,de Oliveira Tulio,Moosa Mahomed-Yunus S.ORCID,Sigal AlexORCID,

Abstract

AbstractSARS-CoV-2 Omicron (B.1.1.529) BA.4 and BA.5 sub-lineages, first detected in South Africa, have changes relative to Omicron BA.1 including substitutions in the spike receptor binding domain. Here we isolated live BA.4 and BA.5 viruses and measured BA.4/BA.5 neutralization elicited by BA.1 infection either in the absence or presence of previous vaccination as well as from vaccination without BA.1 infection. In BA.1-infected unvaccinated individuals, neutralization relative to BA.1 declines 7.6-fold for BA.4 and 7.5-fold for BA.5. In vaccinated individuals with subsequent BA.1 infection, neutralization relative to BA.1 decreases 3.2-fold for BA.4 and 2.6-fold for BA.5. The fold-drop versus ancestral virus neutralization in this group is 4.0-fold for BA.1, 12.9-fold for BA.4, and 10.3-fold for BA.5. In contrast, BA.4/BA.5 escape is similar to BA.1 in the absence of BA.1 elicited immunity: fold-drop relative to ancestral virus neutralization is 19.8-fold for BA.1, 19.6-fold for BA.4, and 20.9-fold for BA.5. These results show considerable escape of BA.4/BA.5 from BA.1 elicited immunity which is moderated with vaccination and may indicate that BA.4/BA.5 may have the strongest selective advantage in evading neutralization relative to BA.1 in unvaccinated, BA.1 infected individuals.

Funder

Bill and Melinda Gates Foundation

Publisher

Springer Science and Business Media LLC

Subject

General Physics and Astronomy,General Biochemistry, Genetics and Molecular Biology,General Chemistry,Multidisciplinary

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