Serial infection with SARS-CoV-2 Omicron BA.1 and BA.2 following three-dose COVID-19 vaccination

SARS-CoV-2 Omicron infections are common among individuals who are vaccinated or have recovered from prior variant infection, but few reports have immunologically assessed serial Omicron infections. We characterized SARS-CoV-2 humoral responses in an individual who acquired laboratory-confirmed Omic...

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Main Authors: Hope R. Lapointe, Francis Mwimanzi, Peter K. Cheung, Yurou Sang, Fatima Yaseen, Rebecca Kalikawe, Sneha Datwani, Rachel Waterworth, Gisele Umviligihozo, Siobhan Ennis, Landon Young, Winnie Dong, Don Kirkby, Laura Burns, Victor Leung, Daniel T. Holmes, Mari L. DeMarco, Janet Simons, Nancy Matic, Julio S.G. Montaner, Chanson J. Brumme, Natalie Prystajecky, Masahiro Niikura, Christopher F. Lowe, Marc G. Romney, Mark A. Brockman, Zabrina L. Brumme
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.947021/full
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author Hope R. Lapointe
Francis Mwimanzi
Peter K. Cheung
Peter K. Cheung
Yurou Sang
Fatima Yaseen
Rebecca Kalikawe
Sneha Datwani
Rachel Waterworth
Gisele Umviligihozo
Siobhan Ennis
Landon Young
Winnie Dong
Don Kirkby
Laura Burns
Victor Leung
Victor Leung
Victor Leung
Daniel T. Holmes
Daniel T. Holmes
Mari L. DeMarco
Mari L. DeMarco
Janet Simons
Janet Simons
Nancy Matic
Nancy Matic
Nancy Matic
Julio S.G. Montaner
Julio S.G. Montaner
Chanson J. Brumme
Chanson J. Brumme
Natalie Prystajecky
Natalie Prystajecky
Masahiro Niikura
Christopher F. Lowe
Christopher F. Lowe
Christopher F. Lowe
Marc G. Romney
Marc G. Romney
Marc G. Romney
Mark A. Brockman
Mark A. Brockman
Mark A. Brockman
Zabrina L. Brumme
Zabrina L. Brumme
author_facet Hope R. Lapointe
Francis Mwimanzi
Peter K. Cheung
Peter K. Cheung
Yurou Sang
Fatima Yaseen
Rebecca Kalikawe
Sneha Datwani
Rachel Waterworth
Gisele Umviligihozo
Siobhan Ennis
Landon Young
Winnie Dong
Don Kirkby
Laura Burns
Victor Leung
Victor Leung
Victor Leung
Daniel T. Holmes
Daniel T. Holmes
Mari L. DeMarco
Mari L. DeMarco
Janet Simons
Janet Simons
Nancy Matic
Nancy Matic
Nancy Matic
Julio S.G. Montaner
Julio S.G. Montaner
Chanson J. Brumme
Chanson J. Brumme
Natalie Prystajecky
Natalie Prystajecky
Masahiro Niikura
Christopher F. Lowe
Christopher F. Lowe
Christopher F. Lowe
Marc G. Romney
Marc G. Romney
Marc G. Romney
Mark A. Brockman
Mark A. Brockman
Mark A. Brockman
Zabrina L. Brumme
Zabrina L. Brumme
author_sort Hope R. Lapointe
collection DOAJ
description SARS-CoV-2 Omicron infections are common among individuals who are vaccinated or have recovered from prior variant infection, but few reports have immunologically assessed serial Omicron infections. We characterized SARS-CoV-2 humoral responses in an individual who acquired laboratory-confirmed Omicron BA.1.15 ten weeks after a third dose of BNT162b2, and BA.2 thirteen weeks later. Responses were compared to 124 COVID-19-naive vaccinees. One month post-second and -third vaccine doses, the participant’s wild-type and BA.1-specific IgG, ACE2-displacement and virus neutralization activities were average for a COVID-19-naive triple-vaccinated individual. BA.1 infection boosted the participant’s responses to the cohort ≥95th percentile, but even this strong “hybrid” immunity failed to protect against BA.2. Reinfection increased BA.1 and BA.2-specific responses only modestly. Though vaccines clearly protect against severe disease, results highlight the continued importance of maintaining additional protective measures to counteract the immune-evasive Omicron variant, particularly as vaccine-induced immune responses naturally decline over time.
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spelling doaj.art-2a230b967aaf4881b88dbe6f3a4df5ec2022-12-22T03:20:59ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-09-011310.3389/fimmu.2022.947021947021Serial infection with SARS-CoV-2 Omicron BA.1 and BA.2 following three-dose COVID-19 vaccinationHope R. Lapointe0Francis Mwimanzi1Peter K. Cheung2Peter K. Cheung3Yurou Sang4Fatima Yaseen5Rebecca Kalikawe6Sneha Datwani7Rachel Waterworth8Gisele Umviligihozo9Siobhan Ennis10Landon Young11Winnie Dong12Don Kirkby13Laura Burns14Victor Leung15Victor Leung16Victor Leung17Daniel T. Holmes18Daniel T. Holmes19Mari L. DeMarco20Mari L. DeMarco21Janet Simons22Janet Simons23Nancy Matic24Nancy Matic25Nancy Matic26Julio S.G. Montaner27Julio S.G. Montaner28Chanson J. Brumme29Chanson J. Brumme30Natalie Prystajecky31Natalie Prystajecky32Masahiro Niikura33Christopher F. Lowe34Christopher F. Lowe35Christopher F. Lowe36Marc G. Romney37Marc G. Romney38Marc G. Romney39Mark A. Brockman40Mark A. Brockman41Mark A. Brockman42Zabrina L. Brumme43Zabrina L. Brumme44British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaDepartment of Molecular Biology and Biochemistry, Simon Fraser University, Burnaby, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaDivision of Medical Microbiology and Virology, St. Paul’s Hospital, Vancouver, BC, CanadaBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, CanadaBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, Providence Health Care, Vancouver, BC, CanadaDivision of Medical Microbiology and Virology, St. Paul’s Hospital, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, Providence Health Care, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, Providence Health Care, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, Providence Health Care, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, Providence Health Care, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, CanadaDivision of Medical Microbiology and Virology, St. Paul’s Hospital, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, Providence Health Care, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, CanadaBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, CanadaDepartment of Medicine, University of British Columbia, Vancouver, BC, CanadaBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, CanadaDepartment of Medicine, University of British Columbia, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, CanadaBritish Columbia Centre for Disease Control Public Health Laboratory, Vancouver, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaDivision of Medical Microbiology and Virology, St. Paul’s Hospital, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, Providence Health Care, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, CanadaDivision of Medical Microbiology and Virology, St. Paul’s Hospital, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, Providence Health Care, Vancouver, BC, CanadaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, CanadaBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaDepartment of Molecular Biology and Biochemistry, Simon Fraser University, Burnaby, BC, CanadaBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, CanadaSARS-CoV-2 Omicron infections are common among individuals who are vaccinated or have recovered from prior variant infection, but few reports have immunologically assessed serial Omicron infections. We characterized SARS-CoV-2 humoral responses in an individual who acquired laboratory-confirmed Omicron BA.1.15 ten weeks after a third dose of BNT162b2, and BA.2 thirteen weeks later. Responses were compared to 124 COVID-19-naive vaccinees. One month post-second and -third vaccine doses, the participant’s wild-type and BA.1-specific IgG, ACE2-displacement and virus neutralization activities were average for a COVID-19-naive triple-vaccinated individual. BA.1 infection boosted the participant’s responses to the cohort ≥95th percentile, but even this strong “hybrid” immunity failed to protect against BA.2. Reinfection increased BA.1 and BA.2-specific responses only modestly. Though vaccines clearly protect against severe disease, results highlight the continued importance of maintaining additional protective measures to counteract the immune-evasive Omicron variant, particularly as vaccine-induced immune responses naturally decline over time.https://www.frontiersin.org/articles/10.3389/fimmu.2022.947021/fullCOVID-19vaccineOmicron variantreinfectionhumoral immunity
spellingShingle Hope R. Lapointe
Francis Mwimanzi
Peter K. Cheung
Peter K. Cheung
Yurou Sang
Fatima Yaseen
Rebecca Kalikawe
Sneha Datwani
Rachel Waterworth
Gisele Umviligihozo
Siobhan Ennis
Landon Young
Winnie Dong
Don Kirkby
Laura Burns
Victor Leung
Victor Leung
Victor Leung
Daniel T. Holmes
Daniel T. Holmes
Mari L. DeMarco
Mari L. DeMarco
Janet Simons
Janet Simons
Nancy Matic
Nancy Matic
Nancy Matic
Julio S.G. Montaner
Julio S.G. Montaner
Chanson J. Brumme
Chanson J. Brumme
Natalie Prystajecky
Natalie Prystajecky
Masahiro Niikura
Christopher F. Lowe
Christopher F. Lowe
Christopher F. Lowe
Marc G. Romney
Marc G. Romney
Marc G. Romney
Mark A. Brockman
Mark A. Brockman
Mark A. Brockman
Zabrina L. Brumme
Zabrina L. Brumme
Serial infection with SARS-CoV-2 Omicron BA.1 and BA.2 following three-dose COVID-19 vaccination
Frontiers in Immunology
COVID-19
vaccine
Omicron variant
reinfection
humoral immunity
title Serial infection with SARS-CoV-2 Omicron BA.1 and BA.2 following three-dose COVID-19 vaccination
title_full Serial infection with SARS-CoV-2 Omicron BA.1 and BA.2 following three-dose COVID-19 vaccination
title_fullStr Serial infection with SARS-CoV-2 Omicron BA.1 and BA.2 following three-dose COVID-19 vaccination
title_full_unstemmed Serial infection with SARS-CoV-2 Omicron BA.1 and BA.2 following three-dose COVID-19 vaccination
title_short Serial infection with SARS-CoV-2 Omicron BA.1 and BA.2 following three-dose COVID-19 vaccination
title_sort serial infection with sars cov 2 omicron ba 1 and ba 2 following three dose covid 19 vaccination
topic COVID-19
vaccine
Omicron variant
reinfection
humoral immunity
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.947021/full
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