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Antibody evolution to SARS-CoV-2 after single-dose Ad26.COV2.S vaccine in humans
Authors:Alice Cho  Frauke Muecksch  Zijun Wang  Tarek Ben Tanfous  Justin DaSilva  Raphael Raspe  Brianna Johnson  Eva Bednarski  Victor Ramos  Dennis Schaefer-Babajew  Irina Shimeliovich  Juan P. Dizon  Kai-Hui Yao  Fabian Schmidt  Katrina G. Millard  Martina Turroja  Mila Jankovic  Thiago Y. Oliveira  Anna Gazumyan  Christian Gaebler  Marina Caskey  Theodora Hatziioannou  Paul D. Bieniasz  Michel C. Nussenzweig
Affiliation:1. Laboratory of Molecular Immunology, The Rockefeller University, New York, NY ; 2. Laboratory of Retrovirology, The Rockefeller University, New York, NY ; 3. Howard Hughes Medical Institute, Chevy Chase, MD
Abstract:The single-dose Ad.26.COV.2 (Janssen) vaccine elicits lower levels of neutralizing antibodies and shows more limited efficacy in protection against infection than either of the two available mRNA vaccines. In addition, Ad.26.COV.2 has been less effective in protection against severe disease during the Omicron surge. Here, we examined the memory B cell response to single-dose Ad.26.COV.2 vaccination. Compared with mRNA vaccines, Ad.26.COV.2 recipients had significantly lower numbers of RBD-specific memory B cells 1.5 or 6 mo after vaccination. Despite the lower numbers, the overall quality of the memory B cell responses appears to be similar, such that memory antibodies elicited by both vaccine types show comparable neutralizing potency against SARS-CoV-2 Wuhan-Hu-1, Delta, and Omicron BA.1 variants. The data help explain why boosting Ad.26.COV.2 vaccine recipients with mRNA vaccines is effective and why the Ad26.COV2.S vaccine can maintain some protective efficacy against severe disease during the Omicron surge.
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