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  • Sensitivity of SARS-CoV-2 B...
    Collier, Dami A; De Marco, Anna; Ferreira, Isabella A T M; Meng, Bo; Datir, Rawlings P; Walls, Alexandra C; Kemp, Steven A; Bassi, Jessica; Pinto, Dora; Silacci-Fregni, Chiara; Bianchi, Siro; Tortorici, M Alejandra; Bowen, John; Culap, Katja; Jaconi, Stefano; Cameroni, Elisabetta; Snell, Gyorgy; Pizzuto, Matteo S; Pellanda, Alessandra Franzetti; Garzoni, Christian; Riva, Agostino; Elmer, Anne; Kingston, Nathalie; Graves, Barbara; McCoy, Laura E; Smith, Kenneth G C; Bradley, John R; Temperton, Nigel; Ceron-Gutierrez, Lourdes; Barcenas-Morales, Gabriela; Harvey, William; Virgin, Herbert W; Lanzavecchia, Antonio; Piccoli, Luca; Doffinger, Rainer; Wills, Mark; Veesler, David; Corti, Davide; Gupta, Ravindra K

    Nature (London), 05/2021, Volume: 593, Issue: 7857
    Journal Article

    Transmission of SARS-CoV-2 is uncontrolled in many parts of the world; control is compounded in some areas by the higher transmission potential of the B.1.1.7 variant , which has now been reported in 94 countries. It is unclear whether the response of the virus to vaccines against SARS-CoV-2 on the basis of the prototypic strain will be affected by the mutations found in B.1.1.7. Here we assess the immune responses of individuals after vaccination with the mRNA-based vaccine BNT162b2 . We measured neutralizing antibody responses after the first and second immunizations using pseudoviruses that expressed the wild-type spike protein or a mutated spike protein that contained the eight amino acid changes found in the B.1.1.7 variant. The sera from individuals who received the vaccine exhibited a broad range of neutralizing titres against the wild-type pseudoviruses that were modestly reduced against the B.1.1.7 variant. This reduction was also evident in sera from some patients who had recovered from COVID-19. Decreased neutralization of the B.1.1.7 variant was also observed for monoclonal antibodies that target the N-terminal domain (9 out of 10) and the receptor-binding motif (5 out of 31), but not for monoclonal antibodies that recognize the receptor-binding domain that bind outside the receptor-binding motif. Introduction of the mutation that encodes the E484K substitution in the B.1.1.7 background to reflect a newly emerged variant of concern (VOC 202102/02) led to a more-substantial loss of neutralizing activity by vaccine-elicited antibodies and monoclonal antibodies (19 out of 31) compared with the loss of neutralizing activity conferred by the mutations in B.1.1.7 alone. The emergence of the E484K substitution in a B.1.1.7 background represents a threat to the efficacy of the BNT162b2 vaccine.