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Antibody escape of SARS-CoV-2 Omicron BA.4 and BA.5 from vaccine and BA.1 serum

  • OPTIC Consortium
  • , ISARIC4C consortium
  • University of Oxford
  • University of Oxford
  • Diamond Light Source
  • Oxford University Hospitals NHS Foundation Trust
  • University of Oxford Medical Sciences Division
  • Medway School of Pharmacy
  • NIHR Oxford Biomedical Research Centre

Research output: Contribution to a Journal (Peer & Non Peer)Articlepeer-review

589 Citations (Scopus)

Abstract

The Omicron lineage of SARS-CoV-2, which was first described in November 2021, spread rapidly to become globally dominant and has split into a number of sublineages. BA.1 dominated the initial wave but has been replaced by BA.2 in many countries. Recent sequencing from South Africa's Gauteng region uncovered two new sublineages, BA.4 and BA.5, which are taking over locally, driving a new wave. BA.4 and BA.5 contain identical spike sequences, and although closely related to BA.2, they contain further mutations in the receptor-binding domain of their spikes. Here, we study the neutralization of BA.4/5 using a range of vaccine and naturally immune serum and panels of monoclonal antibodies. BA.4/5 shows reduced neutralization by the serum from individuals vaccinated with triple doses of AstraZeneca or Pfizer vaccine compared with BA.1 and BA.2. Furthermore, using the serum from BA.1 vaccine breakthrough infections, there are, likewise, significant reductions in the neutralization of BA.4/5, raising the possibility of repeat Omicron infections.

Original languageEnglish
Pages (from-to)2422-2433.e13
JournalCell
Volume185
Issue number14
DOIs
Publication statusPublished - 7 Jul 2022
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • antibody escape
  • BA.4
  • BA.5
  • COVID-19
  • Omicron
  • SARS-CoV-2
  • variant
  • VoC

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