Kinetics and ability of binding antibody and surrogate virus neutralization tests to predict neutralizing antibodies against the SARS-CoV-2 Omicron variant following BNT162b2 booster administration

© 2023 Walter de Gruyter GmbH, Berlin/Boston..

OBJECTIVES: To assess the long-term humoral immunity induced by booster administration, as well as the ability of binding antibody and surrogate virus neutralization tests (sVNT) to predict neutralizing antibodies (NAbs) against the SARS-CoV-2 Omicron variant.

METHODS: A total of 269 sera samples were analyzed from 64 healthcare workers who had received a homologous booster dose of BNT162b2. Neutralizing antibodies assessed by sVNT and anti-RBD IgG measured with the sCOVG assay (Siemens Healthineers®) were analyzed at five timepoints; before and up to 6 months following the booster. Antibody titers were correlated with neutralizing antibodies against the Omicron BA.1 variant obtained by pseudovirus neutralization test (pVNT) as a reference method.

RESULTS: While Wild-type sVNT percentage of inhibition (POI) remained above 98.6% throughout the follow-up period after booster administration, anti-RBD IgG and NAbs assessed by Omicron BA.1 pVNT showed respectively a 3.4-fold and 13.3-fold decrease after 6 months compared to the peak reached at day 14. NAbs assessed by Omicron sVNT followed a steady decline until reaching a POI of 53.4%. Anti-RBD IgG and Omicron sVNT assays were strongly correlated (r=0.90) and performed similarly to predict the presence of neutralizing antibodies with Omicron pVNT (area under the ROC: 0.82 for both assays). In addition, new adapted cut-off values of anti-RBD IgG (>1,276 BAU/mL) and Omicron sVNT (POI>46.6%) were found to be better predictors of neutralizing activity.

CONCLUSIONS: This study showed a significant drop in humoral immunity 6 months after booster administration. Anti-RBD IgG and Omicron sVNT assays were highly correlated and could predict neutralizing activity with moderate performance.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:61

Enthalten in:

Clinical chemistry and laboratory medicine - 61(2023), 10 vom: 26. Sept., Seite 1875-1885

Sprache:

Englisch

Beteiligte Personen:

Simon, Germain [VerfasserIn]
Favresse, Julien [VerfasserIn]
Gillot, Constant [VerfasserIn]
Closset, Mélanie [VerfasserIn]
Catry, Émilie [VerfasserIn]
Dogné, Jean-Michel [VerfasserIn]
Douxfils, Jonathan [VerfasserIn]
Wieërs, Grégoire [VerfasserIn]
Bayart, Jean-Louis [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Neutralizing
Antibodies, Viral
BNT162 Vaccine
BNT162b2 mRNA vaccine
Binding antibodies
Immunoglobulin G
Journal Article
Neutralizing antibodies
Omicron
SARS-CoV-2
Surrogate virus neutralization tests

Anmerkungen:

Date Completed 21.08.2023

Date Revised 24.01.2024

published: Electronic-Print

Citation Status MEDLINE

doi:

10.1515/cclm-2022-1258

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355820307