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  • Breakthrough infections by ...
    Diego, Juan García-Bernalt; Singh, Gagandeep; Jangra, Sonia; Handrejk, Kim; Laporte, Manon; Chang, Lauren A; El Zahed, Sara S; Pache, Lars; Chang, Max W; Warang, Prajakta; Aslam, Sadaf; Mena, Ignacio; Webb, Brett T; Benner, Christopher; García-Sastre, Adolfo; Schotsaert, Michael

    PLOS pathogens, 01/2024, Letnik: 20, Številka: 1
    Journal Article

    Hybrid immunity (vaccination + natural infection) to SARS-CoV-2 provides superior protection to re-infection. We performed immune profiling studies during breakthrough infections in mRNA-vaccinated hamsters to evaluate hybrid immunity induction. The mRNA vaccine, BNT162b2, was dosed to induce binding antibody titers against ancestral spike, but inefficient serum virus neutralization of ancestral SARS-CoV-2 or variants of concern (VoCs). Vaccination reduced morbidity and controlled lung virus titers for ancestral virus and Alpha but allowed breakthrough infections in Beta, Delta and Mu-challenged hamsters. Vaccination primed for T cell responses that were boosted by infection. Infection back-boosted neutralizing antibody responses against ancestral virus and VoCs. Hybrid immunity resulted in more cross-reactive sera, reflected by smaller antigenic cartography distances. Transcriptomics post-infection reflects both vaccination status and disease course and suggests a role for interstitial macrophages in vaccine-mediated protection. Therefore, protection by vaccination, even in the absence of high titers of neutralizing antibodies in the serum, correlates with recall of broadly reactive B- and T-cell responses.