Emerging Microbes and Infections (Dec 2023)

Previous exposure to Spike-providing parental strains confers neutralizing immunity to XBB lineage and other SARS-CoV-2 recombinants in the context of vaccination

  • Rahul K. Suryawanshi,
  • Taha Y. Taha,
  • Maria McCavitt-Malvido,
  • Ines Silva,
  • Mir M. Khalid,
  • Abdullah M. Syed,
  • Irene P. Chen,
  • Prachi Saldhi,
  • Bharath Sreekumar,
  • Mauricio Montano,
  • Kafaya Foresythe,
  • Takako Tabata,
  • G. Renuka Kumar,
  • Alicia Sotomayor-Gonzalez,
  • Venice Servellita,
  • Amelia Gliwa,
  • Jenny Nguyen,
  • Noah Kojima,
  • Teresa Arellanor,
  • Aallyah Bussanich,
  • Victoria Hess,
  • Maria Shacreaw,
  • Lauren Lopez,
  • Matthew Brobeck,
  • Fred Turner,
  • Yuzhu Wang,
  • Sydney Ghazarian,
  • Gregg Davis,
  • Diviana Rodriguez,
  • Jennifer Doudna,
  • Lee Spraggon,
  • Charles Y. Chiu,
  • Melanie Ott

DOI
https://doi.org/10.1080/22221751.2023.2270071
Journal volume & issue
Vol. 12, no. 2

Abstract

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The emergence of SARS-CoV-2 recombinants is of particular concern as they can result in a sudden increase in immune evasion due to antigenic shift. Recent recombinants XBB and XBB.1.5 have higher transmissibility than previous recombinants such as “Deltacron.” We hypothesized that immunity to a SARS-CoV-2 recombinant depends on prior exposure to its parental strains. To test this hypothesis, we examined whether Delta or Omicron (BA.1 or BA.2) immunity conferred through infection, vaccination, or breakthrough infection could neutralize Deltacron and XBB/XBB.1.5 recombinants. We found that Delta, BA.1, or BA.2 breakthrough infections provided better immune protection against Deltacron and its parental strains than did the vaccine booster. None of the sera were effective at neutralizing the XBB lineage or its parent BA.2.75.2, except for the sera from the BA.2 breakthrough group. These results support our hypothesis. In turn, our findings underscore the importance of multivalent vaccines that correspond to the antigenic profile of circulating variants of concern and of variant-specific diagnostics that may guide public health and individual decisions in response to emerging SARS-CoV-2 recombinants.

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