npj Vaccines (Feb 2023)

Differential requirement of neutralizing antibodies and T cells on protective immunity to SARS-CoV-2 variants of concern

  • Patrick O. Azevedo,
  • Natália S. Hojo-Souza,
  • Lídia P. Faustino,
  • Marcílio J. Fumagalli,
  • Isabella C. Hirako,
  • Emiliano R. Oliveira,
  • Maria M. Figueiredo,
  • Alex F. Carvalho,
  • Daniel Doro,
  • Luciana Benevides,
  • Edison Durigon,
  • Flávio Fonseca,
  • Alexandre M. Machado,
  • Ana P. Fernandes,
  • Santuza R. Teixeira,
  • João S. Silva,
  • Ricardo T. Gazzinelli

DOI
https://doi.org/10.1038/s41541-023-00616-y
Journal volume & issue
Vol. 8, no. 1
pp. 1 – 17

Abstract

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Abstract The current COVID-19 vaccines protect against severe disease, but are not effective in controlling replication of the Variants of Concern (VOCs). Here, we used the existing pre-clinical models of severe and moderate COVID-19 to evaluate the efficacy of a Spike-based DNA vaccine (pCTV-WS) for protection against different VOCs. Immunization of transgenic (K18-hACE2) mice and hamsters induced significant levels of neutralizing antibodies (nAbs) to Wuhan and Delta isolates, but not to the Gamma and Omicron variants. Nevertheless, the pCTV-WS vaccine offered significant protection to all VOCs. Consistently, protection against lung pathology and viral load to Wuhan or Delta was mediated by nAbs, whereas in the absence of nAbs, T cells controlled viral replication, disease and lethality in mice infected with either the Gamma or Omicron variants. Hence, considering the conserved nature of CD4 and CD8 T cell epitopes, we corroborate the hypothesis that induction of effector T-cells should be a main goal for new vaccines against the emergent SARS-CoV-2 VOCs.