Omicron extensively but incompletely escapes Pfizer BNT162b2 neutralization
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The emergence of the SARS-CoV-2 variant of concern Omicron (Pango lineage B.1.1.529), first identified in Botswana and South Africa, may compromise vaccine effectiveness and lead to re-infections1. Here we investigated Omicron escape from neutralization by antibodies from South African individuals vaccinated with Pfizer BNT162b2. We used blood samples taken soon after vaccination from individuals who were vaccinated and previously infected with SARS-CoV-2 or vaccinated with no evidence of previous infection. We isolated and sequence-confirmed live Omicron virus from an infected person and observed that Omicron requires the angiotensin-converting enzyme 2 (ACE2) receptor to infect cells. We compared plasma neutralization of Omicron relative to an ancestral SARS-CoV-2 strain and found that neutralization of ancestral virus was much higher in infected and vaccinated individuals compared with the vaccinated-only participants. However, both groups showed a 22-fold reduction in vaccine-elicited neutralization by the Omicron variant. Participants who were vaccinated and had previously been infected exhibited residual neutralization of Omicron similar to the level of neutralization of the ancestral virus observed in the vaccination-only group. These data support the notion that reasonable protection against Omicron may be maintained using vaccination approaches.
Originalsprog | Engelsk |
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Tidsskrift | Nature |
Vol/bind | 602 |
Udgave nummer | 7898 |
Sider (fra-til) | 654-656 |
Antal sider | 3 |
ISSN | 0028-0836 |
DOI | |
Status | Udgivet - 2022 |
Bibliografisk note
Funding Information:
Acknowledgements This study was supported by the Bill and Melinda Gates award INV-018944 (A.S.), National Institutes of Health award R01 AI138546 (A.S.), and South African Medical Research Council awards (A.S., T.d.O. and P.L.M.) and the UK Foreign, Commonwealth and Development Office and Wellcome Trust (grant no. 221003/Z/20/Z to P.L.M.). P.L.M. is also supported by the South African Research Chairs Initiative of the Department of Science and Innovation and the NRF (grant no. 98341). D.S.K., D.C. and M.P.D. are supported by NHMRC (Australia) Fellowship/Investigator grants. D.A. was supported by the European and Developing Countries Clinical Trials Partnership (EDCTP) Senior Fellowship (grant no. TMA2017SF-1960). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
© 2021, The Author(s).
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