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Omicron BA.1 breakthrough infections in inactivated COVID-19 vaccine recipients induced distinct pattern of antibody and T cell responses to different Omicron sublineages

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机构: [1]National Health Commission Key Laboratory of Systems Biology of Pathogens and Christophe Mérieux Laboratory, Institute of Pathogen Biology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, People’s Republic of China [2]Haihe Laboratory of Cell Ecosystem, Tianjin, People's Republic of China. [3]Key Laboratory of Respiratory Disease Pathogenomics, Chinese Academy of Medical Sciences, Beijing, People's Republic of China. [4]Organ Transplant Center, Tianjin First Center Hospital, Tianjin, People's Republic of China. [5]Laboratory of Molecular and Treatment of Liver Cancer, Tianjin First Center Hospital, Tianjin, People's Republic of China. [6]Research Institute of Transplant Medicine, Nankai University, Tianjin, People's Republic of China. [7]Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China. [8]Chinese Academy of Medical Sciences Oxford Institute, Nuffield Department of Medicine, Oxford, United Kingdom. [9]MRC Human Immunology Unit, MRC Weatherall Institute of Medicine, Oxford University, Oxford, United Kingdom. [10]Haihe Laboratory of Cell Ecosystem, State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, People's Republic of China. [11]Tianjin Institutes of Health Science, Tianjin, People's Republic of China. [12]Intensive Care Unit, Emergency Medical Research Institute, Tianjin First Center Hospital, Tianjin, People's Republic of China. [13]NHC Key Laboratory for Critical Care Medicine, Tianjin First Center Hospital, Tianjin, People's Republic of China.
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关键词: SARS-CoV-2 Omicron sublineages breakthrough infection humoral immune responses cellular immune responses

摘要:
The adaptive immunity against SARS-CoV-2 prototype strain and Omicron sublineages induced by BA.1 breakthrough infection in vaccinees of inactivated COVID-19 vaccines have not been well characterized. Here, we report that BA.1 breakthrough infection induced mucosal sIgA and resulted in higher IgG titers against prototype strain and Omicron sublineages in vaccinees than in vaccine naïve-infected individuals. BA.1 breakthrough infection boosted antibody-dependent cellular cytotoxicity and antibody-dependent cellular phagocytosis to prototype strain and BA.1, BA.1.1, BA.2, BA.2.12.1, and BA.2.75 but not BA.4/5 and induced neutralization against prototype strain and BA.1, BA.1.1, BA.2, BA.2.12.1, BA.2.75, and BA.4/5 but not BF.7, BQ.1, and XBB. In total, BA.1 breakthrough infection individuals produced less extensive sIgA, plasma IgG and NAb responses against Omicron sublineages compared with those against prototype strain. Further, BA.1 breakthrough infection induced recall B cell response to prototype strain and Omicron variant, primarily targeting memory B cells producing conserved epitopes. Memory T cell responses against Omicron is largely preserved. Individuals with vaccine booster did not induce more beneficial immune responses to Omicron sublineages upon BA.1 breakthrough infection than those with primary vaccine dose only. The breakthrough infection individuals produced stronger adaptive immunity than those of inactivated vaccine-healthy individuals. These data have important implications for understanding the vaccine effectiveness and adaptive immunity to breakthrough infection in individuals fully immunized with inactivated vaccines. Omicron sublineages, especially for those emerged after BA.4/5 strain, evade NAb responses induced by BA.1 breakthrough infection. It is urgent to optimize the vaccine immunogen design and formulations to SARS-CoV-2 variants.

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出版当年[2023]版:
大类 | 2 区 医学
小类 | 1 区 传染病学 2 区 免疫学 2 区 微生物学
最新[2023]版:
大类 | 2 区 医学
小类 | 1 区 传染病学 2 区 免疫学 2 区 微生物学
第一作者:
第一作者机构: [1]National Health Commission Key Laboratory of Systems Biology of Pathogens and Christophe Mérieux Laboratory, Institute of Pathogen Biology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, People’s Republic of China [2]Haihe Laboratory of Cell Ecosystem, Tianjin, People's Republic of China. [3]Key Laboratory of Respiratory Disease Pathogenomics, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
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通讯作者:
通讯机构: [1]National Health Commission Key Laboratory of Systems Biology of Pathogens and Christophe Mérieux Laboratory, Institute of Pathogen Biology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, People’s Republic of China [3]Key Laboratory of Respiratory Disease Pathogenomics, Chinese Academy of Medical Sciences, Beijing, People's Republic of China. [4]Organ Transplant Center, Tianjin First Center Hospital, Tianjin, People's Republic of China. [6]Research Institute of Transplant Medicine, Nankai University, Tianjin, People's Republic of China. [10]Haihe Laboratory of Cell Ecosystem, State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, People's Republic of China. [11]Tianjin Institutes of Health Science, Tianjin, People's Republic of China. [13]NHC Key Laboratory for Critical Care Medicine, Tianjin First Center Hospital, Tianjin, People's Republic of China. [*1]No. 9 Dong Dan San Tiao, Dongcheng District, Beijing 100730, People’s Republic of China [*2]No. 288 Nanjing Road, Tianjin 300020, People’s Republic of China [*3]24 Fukang Road, Nankai District, Tianjin 300192, People’s Republic of China
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