The fourth COVID-19 vaccine dose increased the neutralizing antibody response against the SARS-CoV-2 Omicron (B.1.1.529) variant in a diverse Brazilian population

ABSTRACT Most of the original immunization regimens against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were composed of two doses, followed by a subsequent third booster dose to control the Omicron variant and hence coronavirus disease 2019 (COVID-19). However, most data generated...

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Main Authors: Jéssica Pires Farias, Robert Andreata-Santos, Ruth Dalety da Silva Brito, Milena Silva Souza, Mayanna Moreira Costa Fogaça, Josilene Ramos Pinheiro, Edgar Ferreira da Cruz, Willian Liang, Rafael da Conceição Simões, Wilson Barros Luiz, Alexander Birbrair, Paloma Oliveira Vidal, Juliana Terzi Maricato, Carla Torres Braconi, Luís Carlos de Souza Ferreira, Luiz Mário Ramos Janini, Jaime Henrique Amorim
Format: Article
Language:English
Published: American Society for Microbiology 2023-12-01
Series:Microbiology Spectrum
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/spectrum.02857-23
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author Jéssica Pires Farias
Robert Andreata-Santos
Ruth Dalety da Silva Brito
Milena Silva Souza
Mayanna Moreira Costa Fogaça
Josilene Ramos Pinheiro
Edgar Ferreira da Cruz
Willian Liang
Rafael da Conceição Simões
Wilson Barros Luiz
Alexander Birbrair
Paloma Oliveira Vidal
Juliana Terzi Maricato
Carla Torres Braconi
Luís Carlos de Souza Ferreira
Luiz Mário Ramos Janini
Jaime Henrique Amorim
author_facet Jéssica Pires Farias
Robert Andreata-Santos
Ruth Dalety da Silva Brito
Milena Silva Souza
Mayanna Moreira Costa Fogaça
Josilene Ramos Pinheiro
Edgar Ferreira da Cruz
Willian Liang
Rafael da Conceição Simões
Wilson Barros Luiz
Alexander Birbrair
Paloma Oliveira Vidal
Juliana Terzi Maricato
Carla Torres Braconi
Luís Carlos de Souza Ferreira
Luiz Mário Ramos Janini
Jaime Henrique Amorim
author_sort Jéssica Pires Farias
collection DOAJ
description ABSTRACT Most of the original immunization regimens against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were composed of two doses, followed by a subsequent third booster dose to control the Omicron variant and hence coronavirus disease 2019 (COVID-19). However, most data generated regarding the fourth dose were not based on the general population. Therefore, this study aimed to verify the effect of the fourth COVID-19 vaccine dose in a diverse Brazilian population. This retrospective observational study was conducted between May and September 2022. We gathered data on the vaccine regimens and COVID-19 serologic status from 266 healthy volunteers who received three or four vaccine doses, as well as COVID-19 diagnosis and viral genome sequencing from 457 patients with flu-like symptoms. In addition, we conducted immunoinformatic analysis to assess the conserved epitopes in the locally circulating viruses. We showed that the fourth dose did not increase the serum levels of antiviral antibodies, as measured by enzyme-linked immunosorbent assay. However, it significantly increased neutralizing antibody (NAb) titers against the Omicron variant. All viral sequences generated in this study were Omicron subvariants, mainly B.A.5.1. Notably, most NAb epitopes present in the wild-type SARS-CoV-2 were not detected among the circulating Omicron subvariants. None of the volunteers who received the third or fourth doses presented COVID-19 for at least 1 year before the study period. Altogether, these results indicate that the fourth vaccine dose increases the serum levels of NAbs that recognize highly conserved epitopes in Omicron subvariants. IMPORTANCE Several additional COVID-19 vaccine doses were administered in the Brazilian population to prevent the disease caused by the B.1.1.529 (Omicron) variant. The efficacy of a third dose as a booster is already well described. However, it is important to clarify the humoral immune response gain induced by a fourth dose. In this study, we evaluate the effect of the fourth COVID-19 vaccine dose in a diverse Brazilian population, considering a real-life context. Our study reveals that the fourth dose of the COVID-19 vaccine increased the neutralizing antibody response against SARS-CoV-2 Omicron and significantly contributed in the reduction of the disease caused by this variant.
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spelling doaj.art-98392eb4aa4e4bbc8e7c72851a08f89a2023-12-12T13:17:19ZengAmerican Society for MicrobiologyMicrobiology Spectrum2165-04972023-12-0111610.1128/spectrum.02857-23The fourth COVID-19 vaccine dose increased the neutralizing antibody response against the SARS-CoV-2 Omicron (B.1.1.529) variant in a diverse Brazilian populationJéssica Pires Farias0Robert Andreata-Santos1Ruth Dalety da Silva Brito2Milena Silva Souza3Mayanna Moreira Costa Fogaça4Josilene Ramos Pinheiro5Edgar Ferreira da Cruz6Willian Liang7Rafael da Conceição Simões8Wilson Barros Luiz9Alexander Birbrair10Paloma Oliveira Vidal11Juliana Terzi Maricato12Carla Torres Braconi13Luís Carlos de Souza Ferreira14Luiz Mário Ramos Janini15Jaime Henrique Amorim16Western Bahia Virology Institute, Center of Biological Sciences and Health, Federal University of Western Bahia , Barreiras, Bahia, BrazilDepartment of Microbiology, Immunology and Parasitology, Paulista School of Medicine, Federal University of São Paulo (UNIFESP) , São Paulo, São Paulo, BrazilWestern Bahia Virology Institute, Center of Biological Sciences and Health, Federal University of Western Bahia , Barreiras, Bahia, BrazilWestern Bahia Virology Institute, Center of Biological Sciences and Health, Federal University of Western Bahia , Barreiras, Bahia, BrazilWestern Bahia Virology Institute, Center of Biological Sciences and Health, Federal University of Western Bahia , Barreiras, Bahia, BrazilWestern Bahia Virology Institute, Center of Biological Sciences and Health, Federal University of Western Bahia , Barreiras, Bahia, BrazilDepartment of Microbiology, Immunology and Parasitology, Paulista School of Medicine, Federal University of São Paulo (UNIFESP) , São Paulo, São Paulo, BrazilDepartment of Microbiology, Immunology and Parasitology, Paulista School of Medicine, Federal University of São Paulo (UNIFESP) , São Paulo, São Paulo, BrazilWestern Bahia Virology Institute, Center of Biological Sciences and Health, Federal University of Western Bahia , Barreiras, Bahia, BrazilDepartment of Biological Sciences, State University of Santa Cruz , Ilhéus, Bahia, BrazilDepartment of Dermatology, School of Medicine and Public Health, University of Wisconsin-Madison , Madison, Wisconsin, USAWestern Bahia Virology Institute, Center of Biological Sciences and Health, Federal University of Western Bahia , Barreiras, Bahia, BrazilDepartment of Microbiology, Immunology and Parasitology, Paulista School of Medicine, Federal University of São Paulo (UNIFESP) , São Paulo, São Paulo, BrazilDepartment of Microbiology, Immunology and Parasitology, Paulista School of Medicine, Federal University of São Paulo (UNIFESP) , São Paulo, São Paulo, BrazilDepartment of Microbiology, Biomedical Sciences Institute, University of São Paulo , São Paulo, São Paulo, BrazilDepartment of Microbiology, Immunology and Parasitology, Paulista School of Medicine, Federal University of São Paulo (UNIFESP) , São Paulo, São Paulo, BrazilWestern Bahia Virology Institute, Center of Biological Sciences and Health, Federal University of Western Bahia , Barreiras, Bahia, BrazilABSTRACT Most of the original immunization regimens against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were composed of two doses, followed by a subsequent third booster dose to control the Omicron variant and hence coronavirus disease 2019 (COVID-19). However, most data generated regarding the fourth dose were not based on the general population. Therefore, this study aimed to verify the effect of the fourth COVID-19 vaccine dose in a diverse Brazilian population. This retrospective observational study was conducted between May and September 2022. We gathered data on the vaccine regimens and COVID-19 serologic status from 266 healthy volunteers who received three or four vaccine doses, as well as COVID-19 diagnosis and viral genome sequencing from 457 patients with flu-like symptoms. In addition, we conducted immunoinformatic analysis to assess the conserved epitopes in the locally circulating viruses. We showed that the fourth dose did not increase the serum levels of antiviral antibodies, as measured by enzyme-linked immunosorbent assay. However, it significantly increased neutralizing antibody (NAb) titers against the Omicron variant. All viral sequences generated in this study were Omicron subvariants, mainly B.A.5.1. Notably, most NAb epitopes present in the wild-type SARS-CoV-2 were not detected among the circulating Omicron subvariants. None of the volunteers who received the third or fourth doses presented COVID-19 for at least 1 year before the study period. Altogether, these results indicate that the fourth vaccine dose increases the serum levels of NAbs that recognize highly conserved epitopes in Omicron subvariants. IMPORTANCE Several additional COVID-19 vaccine doses were administered in the Brazilian population to prevent the disease caused by the B.1.1.529 (Omicron) variant. The efficacy of a third dose as a booster is already well described. However, it is important to clarify the humoral immune response gain induced by a fourth dose. In this study, we evaluate the effect of the fourth COVID-19 vaccine dose in a diverse Brazilian population, considering a real-life context. Our study reveals that the fourth dose of the COVID-19 vaccine increased the neutralizing antibody response against SARS-CoV-2 Omicron and significantly contributed in the reduction of the disease caused by this variant.https://journals.asm.org/doi/10.1128/spectrum.02857-23Omicron subvariantsfourth dosevaccinesneutralizationepitopes
spellingShingle Jéssica Pires Farias
Robert Andreata-Santos
Ruth Dalety da Silva Brito
Milena Silva Souza
Mayanna Moreira Costa Fogaça
Josilene Ramos Pinheiro
Edgar Ferreira da Cruz
Willian Liang
Rafael da Conceição Simões
Wilson Barros Luiz
Alexander Birbrair
Paloma Oliveira Vidal
Juliana Terzi Maricato
Carla Torres Braconi
Luís Carlos de Souza Ferreira
Luiz Mário Ramos Janini
Jaime Henrique Amorim
The fourth COVID-19 vaccine dose increased the neutralizing antibody response against the SARS-CoV-2 Omicron (B.1.1.529) variant in a diverse Brazilian population
Microbiology Spectrum
Omicron subvariants
fourth dose
vaccines
neutralization
epitopes
title The fourth COVID-19 vaccine dose increased the neutralizing antibody response against the SARS-CoV-2 Omicron (B.1.1.529) variant in a diverse Brazilian population
title_full The fourth COVID-19 vaccine dose increased the neutralizing antibody response against the SARS-CoV-2 Omicron (B.1.1.529) variant in a diverse Brazilian population
title_fullStr The fourth COVID-19 vaccine dose increased the neutralizing antibody response against the SARS-CoV-2 Omicron (B.1.1.529) variant in a diverse Brazilian population
title_full_unstemmed The fourth COVID-19 vaccine dose increased the neutralizing antibody response against the SARS-CoV-2 Omicron (B.1.1.529) variant in a diverse Brazilian population
title_short The fourth COVID-19 vaccine dose increased the neutralizing antibody response against the SARS-CoV-2 Omicron (B.1.1.529) variant in a diverse Brazilian population
title_sort fourth covid 19 vaccine dose increased the neutralizing antibody response against the sars cov 2 omicron b 1 1 529 variant in a diverse brazilian population
topic Omicron subvariants
fourth dose
vaccines
neutralization
epitopes
url https://journals.asm.org/doi/10.1128/spectrum.02857-23
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