Frontiers in Immunology (Mar 2025)

Longitudinal analysis of immune responses to SARS-CoV-2 recombinant vaccine S-268019-b in phase 1/2 prime-boost study

  • Masaya Fujitani,
  • Xiuyuan Lu,
  • Ryo Shinnakasu,
  • Takeshi Inoue,
  • Yujiro Kidani,
  • Naomi M. Seki,
  • Satoru Ishida,
  • Shungo Mitsuki,
  • Takeshi Ishihara,
  • Miwa Aoki,
  • Akio Suzuki,
  • Koji Takahashi,
  • Masahiro Takayama,
  • Takeshi Ota,
  • Satoshi Iwata,
  • Risa Yokokawa Shibata,
  • Takuhiro Sonoyama,
  • Mari Ariyasu,
  • Ayumi Kitano,
  • Tommy Terooatea,
  • Jordan Kelly Villa,
  • Kazuo Yamashita,
  • Sho Yamasaki,
  • Sho Yamasaki,
  • Sho Yamasaki,
  • Tomohiro Kurosaki,
  • Tomohiro Kurosaki,
  • Shinya Omoto

DOI
https://doi.org/10.3389/fimmu.2025.1550279
Journal volume & issue
Vol. 16

Abstract

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BackgroundThe durability of vaccine-induced immune memory to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is crucial for preventing infection, especially severe disease.MethodsThis follow-up report from a phase 1/2 study of S-268019-b (a recombinant spike protein vaccine) after homologous booster vaccination confirms its long-term safety, tolerability, and immunogenicity.ResultsBooster vaccination with S-268019-b resulted in an enhancement of serum neutralizing antibody (NAb) titers and a broad range of viral neutralization. Single-cell immune profiling revealed persistent and mature antigen-specific memory B cells and T follicular helper cells, with increased B-cell receptor diversity. The expansion of B- and T-cell repertoires and presence of cross-reactive NAbs targeting conserved epitopes within the receptor-binding domain following a booster accounted for the broad-spectrum neutralizing activity.ConclusionThese findings highlight the potential of S-268019-b to provide broad and robust protection against a range of SARS-CoV-2 variants, addressing a critical challenge in the ongoing fight against coronavirus disease 2019 (COVID-19).

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