4.7 Article

Omicron-specific mRNA vaccine induced cross-protective immunity against ancestral SARS-CoV-2 infection with low neutralizing antibodies

Journal

JOURNAL OF MEDICAL VIROLOGY
Volume 95, Issue 1, Pages -

Publisher

WILEY
DOI: 10.1002/jmv.28370

Keywords

COVID-19; mRNA vaccine; Omicron; SARS-CoV-2

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The major challenge in COVID-19 vaccine effectiveness is immune escape by SARS-CoV-2 variants. An Omicron-specific mRNA vaccine was designed to overcome this challenge. Animal studies showed that the vaccine generates non-neutralizing antibodies or cellular immunity that can recognize both Wuhan and Omicron variants, providing protection against Wuhan virus challenge.
The major challenge in COVID-19 vaccine effectiveness is immune escape by SARS-CoV-2 variants. To overcome this, an Omicron-specific messenger RNA (mRNA) vaccine was designed. The extracellular domain of the spike of the Omicron variant was fused with a modified GCN4 trimerization domain with low immunogenicity (TSomi). After immunization with TSomi mRNA in hamsters, animals were challenged with SARS-CoV-2 virus. The raised nonneutralizing antibodies or cytokine secretion responses can recognize both Wuhan S and Omicron S. However, the raised antibodies neutralized SARS-CoV-2 Omicron virus infection but failed to generate Wuhan virus neutralizing antibodies. Surprisingly, TSomi mRNA immunization protected animals from Wuhan virus challenge. These data indicated that non-neutralizing antibodies or cellular immunity may play a more important role in vaccine-induced protection than previously believed. Next-generation COVID-19 vaccines using the Omicron S antigen may provide sufficient protection against ancestral or current SARS-CoV-2 variants.

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