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Cell Rep Med . Antibody-dependent cellular cytotoxicity against SARS-CoV-2 Omicron sub-lineages is reduced in convalescent sera regardless of infec

tetano

Editor, Senior Moderator
Cell Rep Med


. 2022 Dec 22;100910.
doi: 10.1016/j.xcrm.2022.100910. Online ahead of print.
Antibody-dependent cellular cytotoxicity against SARS-CoV-2 Omicron sub-lineages is reduced in convalescent sera regardless of infecting variant


Simone I Richardson[SUP] 1 [/SUP], Prudence Kgagudi[SUP] 1 [/SUP], Nelia P Manamela[SUP] 1 [/SUP], Haajira Kaldine[SUP] 1 [/SUP], Elizabeth M Venter[SUP] 1 [/SUP], Thanusha Pillay[SUP] 1 [/SUP], Bronwen E Lambson[SUP] 1 [/SUP], Mieke A van der Mescht[SUP] 2 [/SUP], Tandile Hermanus[SUP] 1 [/SUP], Sashkia R Balla[SUP] 1 [/SUP], Zelda de Beer[SUP] 3 [/SUP], Talita R de Villiers[SUP] 3 [/SUP], Annie Bodenstein[SUP] 3 [/SUP], Gretha van den Berg[SUP] 3 [/SUP], Marizane du Pisanie[SUP] 4 [/SUP], Wendy A Burgers[SUP] 5 [/SUP], Ntobeko A B Ntusi[SUP] 6 [/SUP], Fareed Abdullah[SUP] 7 [/SUP], Veronica Ueckermann[SUP] 4 [/SUP], Theresa M Rossouw[SUP] 2 [/SUP], Michael T Boswell[SUP] 4 [/SUP], Penny L Moore[SUP] 8 [/SUP]



Affiliations

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron BA.4 and BA.5 variants caused major waves of infections. Here, we assess the sensitivity of BA.4 to binding, neutralization, and antibody-dependent cellular cytotoxicity (ADCC) potential, measured by FcγRIIIa signaling, in convalescent donors infected with four previous variants of SARS-CoV-2, as well as in post-vaccination breakthrough infections (BTIs) caused by Delta or BA.1. We confirm that BA.4 shows high-level neutralization resistance regardless of the infecting variant. However, BTIs retain activity against BA.4, albeit at reduced titers. BA.4 sensitivity to ADCC is reduced compared with other variants but with smaller fold losses compared with neutralization and similar patterns of cross-reactivity. Overall, the high neutralization resistance of BA.4, even to antibodies from BA.1 infection, provides an immunological mechanism for the rapid spread of BA.4 immediately after a BA.1-dominated wave. Furthermore, although ADCC potential against BA.4 is reduced, residual activity may contribute to observed protection from severe disease.

Keywords: COVID-19; Fc effector function; Omicron BA.4; SARS-CoV-2; VOC; antibody-dependent cellular cytotoxicity; breakthrough infection; neutralization.
 
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