Impact of Omicron BA.1 infection on BA.4/5 immunity in transplant recipients.

clinical research/practice complication: infectious, infection, and infectious agents – viral: SARS-CoV-2/COVID-19 infectious disease

Journal

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
ISSN: 1600-6143
Titre abrégé: Am J Transplant
Pays: United States
ID NLM: 100968638

Informations de publication

Date de publication:
02 2023
Historique:
received: 31 08 2022
revised: 10 10 2022
accepted: 20 10 2022
pubmed: 7 2 2023
medline: 25 2 2023
entrez: 6 2 2023
Statut: ppublish

Résumé

Mutations in the spike protein of SARS-CoV-2 have allowed Omicron subvariants to escape neutralizing antibodies. The degree to which this occurs in transplant recipients is poorly understood. We measured BA.4/5 cross-neutralizing responses in 75 mostly vaccinated transplant recipients who recovered from BA.1 infection. Sera were collected at 1 and 6 months post-BA.1 infection, and a lentivirus pseudovirus neutralization assay was performed using spike constructs corresponding to BA.1 and BA.4/5. Uninfected immunized transplant recipients and health care worker controls were used for comparison. Following BA.1 infection, the proportion of transplant recipients with neutralizing antibody responses was 88.0% (66/75) against BA.1 and 69.3% (52/75) against BA.4/5 (P = .005). The neutralization level against BA.4/5 was approximately 17-fold lower than that against BA.1 (IQR 10.6- to 45.1-fold lower, P < .0001). BA.4/5 responses declined over time and by ≥0.5 log

Identifiants

pubmed: 36744606
pii: S1600-6135(22)27251-7
doi: 10.1016/j.ajt.2022.10.004
pmc: PMC9835003
pii:
doi:

Substances chimiques

Antibodies, Neutralizing 0
Antibodies, Viral 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

278-283

Informations de copyright

Copyright © 2022 American Society of Transplantation & American Society of Transplant Surgeons. Published by Elsevier Inc. All rights reserved.

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Auteurs

Victor H Ferreira (VH)

University Health Network, Ajmera Transplant Centre, Toronto, Ontario, Canada.

Queenie Hu (Q)

Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Sinai Health, Toronto, Ontario, Canada.

Alexandra Kurtesi (A)

Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Sinai Health, Toronto, Ontario, Canada.

Javier T Solera (JT)

University Health Network, Ajmera Transplant Centre, Toronto, Ontario, Canada.

Matthew Ierullo (M)

University Health Network, Ajmera Transplant Centre, Toronto, Ontario, Canada.

Anne-Claude Gingras (AC)

Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Sinai Health, Toronto, Ontario, Canada; Department of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.

Deepali Kumar (D)

University Health Network, Ajmera Transplant Centre, Toronto, Ontario, Canada.

Atul Humar (A)

University Health Network, Ajmera Transplant Centre, Toronto, Ontario, Canada. Electronic address: atul.humar@uhn.ca.

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Classifications MeSH