Key result
Immunity acquired naturally after SARS-CoV-2 infection is highly dependent on the infecting variant, and mRNA-based vaccines often elicit better neutralizing antibody responses than natural immunity.
Why the study?
Does the source of SARS-CoV-2 immunity (specific variant infection vs. mRNA vaccination) affect neutralizing antibody titers against various strains?
Cross-Sectional (n=55)
No
Does the source of SARS-CoV-2 immunity (specific variant infection vs. mRNA vaccination) affect neutralizing antibody titers against various strains?
mRNA-based COVID-19 vaccination elicits higher and more broadly neutralizing antibody responses than natural infection, which is highly dependent on the infecting variant.
Variant-specific nAb heterogeneity observed in convalescents; leaves open whether infection history predicts durable cross-protection.
BACKGROUND: Since the beginning of the COVID-19 pandemic, several SARS-CoV-2 variants have sequentially emerged. In France, most cases were due to spike D641G-harbouring viruses that descended initially from the Wuhan strain, then by the variant of B.1.160 lineage we called Marseille-4 since the summer of 2020, which was followed by the Alpha and Beta variants in early 2021, then the Delta variant currently. METHODS: We determined the neutralising antibody (nAb) titres in sera from convalescent individuals previously infected by these four major local variants and from vaccine recipients to the original Wuhan strain and nine variants, including two recent circulating Delta isolates. RESULTS: The results show high inter-individual heterogeneity in nAbs, especially according to the variant tested. The major variations among nAbs are based on the genotype responsible for the infection. Patients previously infected with the beta and B.1.160 variants had the lowest nAb titres. We show that this heterogeneity is well explained by spike protein mutants modelling using in silico approaches. The highest titres were observed in individuals vaccinated with the Pfizer/BioNTech COVID-19 vaccine, even against the delta variant. CONCLUSIONS: Immunity acquired naturally after infection is highly dependent on the infecting variant, and, unexpectedly, mRNA-based vaccine efficacy was shown to be often better than natural immunity in eliciting neutralising antibodies.
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Jaafar et al. (2021) conducted a cross-sectional in COVID-19 (n=55). SARS-CoV-2 infection or COVID-19 vaccination was evaluated on Neutralizing antibody (nAb) titers against 10 SARS-CoV-2 strains. Immunity acquired naturally after SARS-CoV-2 infection is highly dependent on the infecting variant, and mRNA-based vaccines often elicit better neutralizing antibody responses than natural immunity.
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