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Antigenic sin and multiple breakthrough infections drive converging evolution of COVID-19 neutralizing responses

Paciello, Ida, Pierleoni, Giulio, Pantano, Elisa, Antonelli, Giada, Pileri, Piero, Maccari, Giuseppe, Cardamone, Dario, Realini, Giulia, Perrone, Federica, Neto, Martin Mayora, and others. (2024) Antigenic sin and multiple breakthrough infections drive converging evolution of COVID-19 neutralizing responses. Cell Reports, 43 (9). Article Number 114645. ISSN 2211-1247. (doi:10.1016/j.celrep.2024.114645) (KAR id:107055)

Abstract

Understanding the evolution of the B cell response to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants is fundamental to design the next generation of vaccines and therapeutics. We longitudinally analyze at the single-cell level almost 900 neutralizing human monoclonal antibodies (nAbs) isolated from vaccinated people and from individuals with hybrid and super hybrid immunity (SH), developed after three mRNA vaccine doses and two breakthrough infections. The most potent neutralization and Fc functions against highly mutated variants belong to the SH cohort. Repertoire analysis shows that the original Wuhan antigenic sin drives the convergent expansion of the same B cell germlines in vaccinated and SH cohorts. Only Omicron breakthrough infections expand previously unseen germ lines and generate broadly nAbs by restoring IGHV3-53/3-66 germ lines. Our analyses find that B cells initially expanded by the original antigenic sin continue to play a fundamental role in the evolution of the immune response toward an evolving virus.

Item Type: Article
DOI/Identification number: 10.1016/j.celrep.2024.114645
Subjects: Q Science > QR Microbiology > QR355 Virology
Divisions: Divisions > Division of Natural Sciences > Medway School of Pharmacy
Funders: Wellcome Trust (https://ror.org/029chgv08)
Depositing User: Nigel Temperton
Date Deposited: 31 Aug 2024 22:59 UTC
Last Modified: 02 Sep 2024 11:14 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/107055 (The current URI for this page, for reference purposes)

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