Limited cross-variant immunity from SARS-CoV-2 Omicron without vaccination
- PMID: 35584773
- PMCID: PMC9279157
- DOI: 10.1038/s41586-022-04865-0
Limited cross-variant immunity from SARS-CoV-2 Omicron without vaccination
Abstract
SARS-CoV-2 Delta and Omicron are globally relevant variants of concern. Although individuals infected with Delta are at risk of developing severe lung disease, infection with Omicron often causes milder symptoms, especially in vaccinated individuals1,2. The question arises of whether widespread Omicron infections could lead to future cross-variant protection, accelerating the end of the pandemic. Here we show that without vaccination, infection with Omicron induces a limited humoral immune response in mice and humans. Sera from mice overexpressing the human ACE2 receptor and infected with Omicron neutralize only Omicron, but not other variants of concern, whereas broader cross-variant neutralization was observed after WA1 and Delta infections. Unlike WA1 and Delta, Omicron replicates to low levels in the lungs and brains of infected animals, leading to mild disease with reduced expression of pro-inflammatory cytokines and diminished activation of lung-resident T cells. Sera from individuals who were unvaccinated and infected with Omicron show the same limited neutralization of only Omicron itself. By contrast, Omicron breakthrough infections induce overall higher neutralization titres against all variants of concern. Our results demonstrate that Omicron infection enhances pre-existing immunity elicited by vaccines but, on its own, may not confer broad protection against non-Omicron variants in unvaccinated individuals.
© 2022. The Author(s).
Conflict of interest statement
J.A.D. is a cofounder of Caribou Biosciences, Editas Medicine, Scribe Therapeutics, Intellia Therapeutics and Mammoth Biosciences; a scientific advisory board member of Vertex, Caribou Biosciences, Intellia Therapeutics, eFFECTOR Therapeutics, Scribe Therapeutics, Mammoth Biosciences, Synthego, Algen Biotechnologies, Felix Biosciences, The Column Group and Inari; a director at Johnson & Johnson and Tempus; and has research projects sponsored by Biogen, Pfizer, AppleTree Partners and Roche. C.Y.C. is the director of the UCSF-Abbott Viral Diagnostics and Discovery Study; receives research support from Abbott Laboratories; and also receives support for SARS-CoV-2 research unrelated to this study from Mammoth Biosciences.
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Update of
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Limited Cross-Variant Immunity after Infection with the SARS-CoV-2 Omicron Variant Without Vaccination.medRxiv [Preprint]. 2022 Feb 9:2022.01.13.22269243. doi: 10.1101/2022.01.13.22269243. medRxiv. 2022. Update in: Nature. 2022 Jul;607(7918):351-355. doi: 10.1038/s41586-022-04865-0. PMID: 35075459 Free PMC article. Updated. Preprint.
Comment in
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Limited cross-variant neutralization after primary Omicron infection: consideration for a variant-containing booster.Signal Transduct Target Ther. 2022 Aug 22;7(1):294. doi: 10.1038/s41392-022-01146-0. Signal Transduct Target Ther. 2022. PMID: 35995763 Free PMC article. No abstract available.
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