Beta RBD boost broadens antibody-mediated protection against SARS-CoV-2 variants in animal models

• Published in: Cell reports. Medicine 2021-11, Vol.2 (11), p.100450-100450, Article 100450
• Main Authors: Sheward, Daniel J., Mandolesi, Marco, Urgard, Egon, Kim, Changil, Hanke, Leo, Perez Vidakovics, Laura, Pankow, Alec, Smith, Natalie L., Castro Dopico, Xaquin, McInerney, Gerald M., Coquet, Jonathan M., Karlsson Hedestam, Gunilla B., Murrell, Ben
• Format: Article
• Language: English
• Subjects: animal challenge; Animals; Antibodies, Neutralizing - blood; Antibodies, Viral - blood; COVID-19; COVID-19 Vaccines; Female; HEK293 Cells; heterotypic boost; Humans; K18-hACE2 mice; Macaca mulatta - immunology; Male; Medicin och hälsovetenskap; Mice; Models, Animal; original antigenic sin; passive immunization; SARS-CoV-2; SARS-CoV-2 - immunology; SARS-CoV-2 - metabolism; Spike Glycoprotein, Coronavirus - immunology; vaccines; variants of concern
• ISSN: 2666-3791; 2666-3791
• DOI: 10.1016/j.xcrm.2021.100450

Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) variants of concern (VOCs) with resistance to neutralizing antibodies are threatening to undermine vaccine efficacy. Vaccination and infection have led to widespread humoral immunity against the pandemic founder (Wu-Hu-1). Against this background, it is critical to assess the outcomes of subsequent immunization with variant antigens. It is not yet clear whether heterotypic boosts would be compromised by original antigenic sin, where pre-existing responses to a prior variant dampen responses to a new one, or whether the memory B cell repertoire would bridge the gap between Wu-Hu-1 and VOCs. We show, in macaques immunized with Wu-Hu-1 spike, that a single dose of adjuvanted beta variant receptor binding domain (RBD) protein broadens neutralizing antibody responses to heterologous VOCs. Passive transfer of plasma sampled after Wu-Hu-1 spike immunization only partially protects K18-hACE2 mice from lethal challenge with a beta variant isolate, whereas plasma sampled following heterotypic RBD boost protects completely against disease. [Display omitted] •Heterotypic RBD boost elicits cross-neutralizing antibody responses in macaques•No evidence that original antigenic sin hinders booster immunizations with beta RBD•Pre-boost plasma only partially protects K18-hACE2 mice from beta variant challenge•Post-boost plasma affords full protection from beta variant challenge The emergence and spread of antibody-resistant SARS-CoV-2 variants of concern (VOCs) threatens to diminish vaccine efficacy. Sheward et al. show, in rhesus macaques and K18-hACE2 mice, that reduced vaccine protection against VOCs can be restored by broadening antibody responses with a third, heterotypic RBD booster immunization.