Ex Vivo Immune Responsiveness to SARS-CoV-2 Omicron BA.5.1 Following Vaccination with Unmodified mRNA-Vaccine

(1) Background: The high incidence of SARS-CoV-2 infection in vaccinated persons underscores the importance of individualized re-vaccination. PanIg antibodies that act against the S1/-receptor binding domain quantified in serum by a routine diagnostic test (ECLIA, Roche) can be used to gauge the ind...

Full description

Bibliographic Details
Main Authors: Anna Sabrina Kuechler, Eva Heger, Maike Wirtz, Sandra Weinhold, Markus Uhrberg, Fritz Boege, Karin Schulze-Bosse
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/3/598
_version_ 1797608733584392192
author Anna Sabrina Kuechler
Eva Heger
Maike Wirtz
Sandra Weinhold
Markus Uhrberg
Fritz Boege
Karin Schulze-Bosse
author_facet Anna Sabrina Kuechler
Eva Heger
Maike Wirtz
Sandra Weinhold
Markus Uhrberg
Fritz Boege
Karin Schulze-Bosse
author_sort Anna Sabrina Kuechler
collection DOAJ
description (1) Background: The high incidence of SARS-CoV-2 infection in vaccinated persons underscores the importance of individualized re-vaccination. PanIg antibodies that act against the S1/-receptor binding domain quantified in serum by a routine diagnostic test (ECLIA, Roche) can be used to gauge the individual ex vivo capacity of SARS-CoV-2 neutralization. However, that test is not adapted to mutations in the S1/-receptor binding domain, having accumulated in SARS-CoV-2 variants. Therefore, it might be unsuited to determine immune-reactivity against SARS-CoV-2 BA.5.1. (2) Method: To address this concern, we re-investigated sera obtained six months after second vaccinations with un-adapted mRNA vaccine Spikevax (Moderna). We related serum levels of panIg against the S1/-receptor binding domain quantified by the un-adapted ECLIA with full virus neutralization capacity against SARS-CoV-2 B.1 or SARS-CoV-2 BA5.1. (3) Results: 92% of the sera exhibited sufficient neutralization capacity against the B.1 strain. Only 20% of the sera sufficiently inhibited the BA5.1 strain. Sera inhibiting BA5.1 could not be distinguished from non-inhibiting sera by serum levels of panIg against the S1/-receptor binding domain quantified by the un-adapted ECLIA. (4) Conclusion: Quantitative serological tests for an antibody against the S1/-receptor binding domain are unsuited as vaccination companion diagnostics, unless they are regularly adapted to mutations that have accumulated in that domain.
first_indexed 2024-03-11T05:48:50Z
format Article
id doaj.art-fdcb30c3fa4f4584992b227486fb7d57
institution Directory Open Access Journal
issn 2076-393X
language English
last_indexed 2024-03-11T05:48:50Z
publishDate 2023-03-01
publisher MDPI AG
record_format Article
series Vaccines
spelling doaj.art-fdcb30c3fa4f4584992b227486fb7d572023-11-17T14:18:19ZengMDPI AGVaccines2076-393X2023-03-0111359810.3390/vaccines11030598Ex Vivo Immune Responsiveness to SARS-CoV-2 Omicron BA.5.1 Following Vaccination with Unmodified mRNA-VaccineAnna Sabrina Kuechler0Eva Heger1Maike Wirtz2Sandra Weinhold3Markus Uhrberg4Fritz Boege5Karin Schulze-Bosse6Central Institute for Clinical Chemistry and Laboratory Diagnostics, Medical Faculty, University Hospital Düsseldorf, Heinrich-Heine-University, 40225 Düsseldorf, GermanyInstitute for Virology, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50935 Cologne, GermanyInstitute for Virology, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50935 Cologne, GermanyInstitute for Transplantation Diagnostics and Cell Therapeutics, University Hospital Düsseldorf, Heinrich-Heine-University, 40225 Düsseldorf, GermanyInstitute for Transplantation Diagnostics and Cell Therapeutics, University Hospital Düsseldorf, Heinrich-Heine-University, 40225 Düsseldorf, GermanyCentral Institute for Clinical Chemistry and Laboratory Diagnostics, Medical Faculty, University Hospital Düsseldorf, Heinrich-Heine-University, 40225 Düsseldorf, GermanyCentral Institute for Clinical Chemistry and Laboratory Diagnostics, Medical Faculty, University Hospital Düsseldorf, Heinrich-Heine-University, 40225 Düsseldorf, Germany(1) Background: The high incidence of SARS-CoV-2 infection in vaccinated persons underscores the importance of individualized re-vaccination. PanIg antibodies that act against the S1/-receptor binding domain quantified in serum by a routine diagnostic test (ECLIA, Roche) can be used to gauge the individual ex vivo capacity of SARS-CoV-2 neutralization. However, that test is not adapted to mutations in the S1/-receptor binding domain, having accumulated in SARS-CoV-2 variants. Therefore, it might be unsuited to determine immune-reactivity against SARS-CoV-2 BA.5.1. (2) Method: To address this concern, we re-investigated sera obtained six months after second vaccinations with un-adapted mRNA vaccine Spikevax (Moderna). We related serum levels of panIg against the S1/-receptor binding domain quantified by the un-adapted ECLIA with full virus neutralization capacity against SARS-CoV-2 B.1 or SARS-CoV-2 BA5.1. (3) Results: 92% of the sera exhibited sufficient neutralization capacity against the B.1 strain. Only 20% of the sera sufficiently inhibited the BA5.1 strain. Sera inhibiting BA5.1 could not be distinguished from non-inhibiting sera by serum levels of panIg against the S1/-receptor binding domain quantified by the un-adapted ECLIA. (4) Conclusion: Quantitative serological tests for an antibody against the S1/-receptor binding domain are unsuited as vaccination companion diagnostics, unless they are regularly adapted to mutations that have accumulated in that domain.https://www.mdpi.com/2076-393X/11/3/598COVID 19-serologySARS-CoV-2-neutralizationSARS-CoV-2-vaccinationSARS-CoV-2-immunitycompanion-diagnosticSARS-CoV-2 BA.5.1
spellingShingle Anna Sabrina Kuechler
Eva Heger
Maike Wirtz
Sandra Weinhold
Markus Uhrberg
Fritz Boege
Karin Schulze-Bosse
Ex Vivo Immune Responsiveness to SARS-CoV-2 Omicron BA.5.1 Following Vaccination with Unmodified mRNA-Vaccine
Vaccines
COVID 19-serology
SARS-CoV-2-neutralization
SARS-CoV-2-vaccination
SARS-CoV-2-immunity
companion-diagnostic
SARS-CoV-2 BA.5.1
title Ex Vivo Immune Responsiveness to SARS-CoV-2 Omicron BA.5.1 Following Vaccination with Unmodified mRNA-Vaccine
title_full Ex Vivo Immune Responsiveness to SARS-CoV-2 Omicron BA.5.1 Following Vaccination with Unmodified mRNA-Vaccine
title_fullStr Ex Vivo Immune Responsiveness to SARS-CoV-2 Omicron BA.5.1 Following Vaccination with Unmodified mRNA-Vaccine
title_full_unstemmed Ex Vivo Immune Responsiveness to SARS-CoV-2 Omicron BA.5.1 Following Vaccination with Unmodified mRNA-Vaccine
title_short Ex Vivo Immune Responsiveness to SARS-CoV-2 Omicron BA.5.1 Following Vaccination with Unmodified mRNA-Vaccine
title_sort ex vivo immune responsiveness to sars cov 2 omicron ba 5 1 following vaccination with unmodified mrna vaccine
topic COVID 19-serology
SARS-CoV-2-neutralization
SARS-CoV-2-vaccination
SARS-CoV-2-immunity
companion-diagnostic
SARS-CoV-2 BA.5.1
url https://www.mdpi.com/2076-393X/11/3/598
work_keys_str_mv AT annasabrinakuechler exvivoimmuneresponsivenesstosarscov2omicronba51followingvaccinationwithunmodifiedmrnavaccine
AT evaheger exvivoimmuneresponsivenesstosarscov2omicronba51followingvaccinationwithunmodifiedmrnavaccine
AT maikewirtz exvivoimmuneresponsivenesstosarscov2omicronba51followingvaccinationwithunmodifiedmrnavaccine
AT sandraweinhold exvivoimmuneresponsivenesstosarscov2omicronba51followingvaccinationwithunmodifiedmrnavaccine
AT markusuhrberg exvivoimmuneresponsivenesstosarscov2omicronba51followingvaccinationwithunmodifiedmrnavaccine
AT fritzboege exvivoimmuneresponsivenesstosarscov2omicronba51followingvaccinationwithunmodifiedmrnavaccine
AT karinschulzebosse exvivoimmuneresponsivenesstosarscov2omicronba51followingvaccinationwithunmodifiedmrnavaccine