Diagnostics (Feb 2023)

Neutralizing Antibodies against SARS-CoV-2 Beta and Omicron Variants Inhibition Comparison after BNT162b2 mRNA Booster Doses with a New PETIA sVNT Assay

  • Marta Fogolari,
  • Bruno Daniele Leoni,
  • Marina De Cesaris,
  • Rita Italiano,
  • Flavio Davini,
  • Ginevra Azzurra Miccoli,
  • Daniele Donati,
  • Luigi Clerico,
  • Andrea Stanziale,
  • Giovanni Savini,
  • Nicola Petrosillo,
  • Massimo Ciccozzi,
  • Lorenzo Sommella,
  • Elisabetta Riva,
  • Paolo Fazii,
  • Silvia Angeletti

DOI
https://doi.org/10.3390/diagnostics13050889
Journal volume & issue
Vol. 13, no. 5
p. 889

Abstract

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Background: Monitoring antibody response following SARS-CoV-2 vaccination is strategic, and neutralizing antibodies represent the gold standard. The neutralizing response to Beta and Omicron VOCs was evaluated versus the gold standard by a new commercial automated assay. Methods: Serum samples from 100 healthcare workers from the Fondazione Policlinico Universitario Campus Biomedico and the Pescara Hospital were collected. IgG levels were determined by chemiluminescent immunoassay (Abbott Laboratories, Wiesbaden, Germany) and serum neutralization assay as the gold standard. Moreover, a new commercial immunoassay, the PETIA test Nab (SGM, Rome, Italy), was used for neutralization evaluation. Statistical analysis was performed with R software, version 3.6.0. Results: Anti-SARS-CoV-2 IgG titers decayed during the first ninety days after the vaccine second dose. The following booster dose significantly (p p < 0.05. Compared to the Beta variant of the virus, the Omicron VOC was associated with a significantly larger quantity of IgG antibodies needed to achieve the same degree of neutralization. The best Nab test cutoff for high neutralization titer (≥1:80) was set for both Beta and Omicron variants. Conclusion: This study correlates vaccine-induced IgG expression and neutralizing activity using a new PETIA assay, suggesting its usefulness for SARS-CoV2 infection management.

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