Neutralizing antibodies against SARS-CoV-2 variants of concern elicited by the comirnaty COVID-19 vaccine in nursing home residents

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Abstract

Immunosenescence may impact the functionality and breadth of vaccine-elicited humoral immune responses. The ability of sera to neutralize the SARS-CoV-2 spike protein (S) from Beta, Gamma, Delta, and Epsilon variants of concern (VOCs) relative to the ancestral Wuhan-Hu-1 strain was compared in Comirnaty COVID-19-vaccinated elderly nursing home residents, either SARS-CoV-2 naïve (n = 22) or experienced (n = 8), or SARS-CoV-2 naïve younger individuals (n = 18) and non-vaccinated individuals who recovered from severe COVID-19 (n = 19). In all groups, except that including SARS-CoV-2-experienced nursing home residents, some participants lacked NtAb against one or more VOCs, mainly the Beta variant (15–20%). Serum NtAb titers were lowest against the Beta variant followed by Gamma, Delta and Epsilon variants. Overall, fold change reduction in NtAb titers relative to the ancestral strain was greatest for the Beta variant (6.7–19.4) followed by Gamma (4.8–16.0), Epsilon (2.9–13.4), and Delta (3.5–6.5) variants, although subtle differences were observed for Beta, Epsilon and Delta variants across comparison groups. In summary, older age, frailty, and concurrence of co-morbidities had no major impact on the serum NtAb activity profile against SARS-CoV-2 VOCs.

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  1. SciScore for 10.1101/2021.10.06.21264607: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    EthicsIRB: The study was approved by INCLIVA Research Ethics Committee.
    Consent: Informed consent was obtained from all participants.
    Sex as a biological variableGroup 2 comprised 18 healthy individuals (14 females) aged a median of 47.5 years (range, 26-62).
    RandomizationGroup 1 included 30 nursing home (NH) residents with frailty and one or more co-morbidities (23 females), randomly selected from one NH affiliated to the Clínico-Malvarrosa Health Department, Valencia (Spain), aged a median of 90 years (range 64-100).
    Blindingnot detected.
    Power Analysisnot detected.
    Cell Line AuthenticationAuthentication: In all cases, the variant Wuhan/D614G was involved, as determined by whole-genome sequencing (not shown).

    Table 2: Resources

    Antibodies
    SentencesResources
    Twenty-two were SARS-CoV-2 naïve, as judged by a lack of antibodies targeting the SARS-CoV-2 nucleoprotein (N), and 8 had contracted COVID-19 requiring hospitalization prior to receiving the first dose of the Comirnaty® COVID-19 vaccine, as determined by positive RT-PCR results in nasopharyngeal specimens and the detection of SARS-CoV-2 N antibodies.
    SARS-CoV-2 nucleoprotein (N),
    suggested: None
    Sera testing negative (undetectable) were arbitrarily ascribed a titer of 1/20. Quantitation of SARS-CoV-2 receptor binding domain-reactive antibodies: Total antibodies (IgG and IgM) against the SARS-CoV-2 S protein receptor-binding domain (RBD) were measured by Roche Elecsys® electrochemiluminescence sandwich immunoassays (Roche Diagnostics, Pleasanton, CA, USA).
    antibodies: Total antibodies (IgG
    suggested: None
    SARS-CoV-2 S protein receptor-binding domain (RBD
    suggested: None
    The assay is calibrated with the first WHO International Standard and Reference Panel for anti-SARS-CoV-2 antibody [16].
    anti-SARS-CoV-2
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    Virus neutralization assay: The neutralization capacity of circulating antibodies (NtAb) against the SARS-CoV-2 S protein was assessed using a GFP-expressing vesicular stomatitis virus pseudotyped with different Spike variants as previously described [15], but using A549-ACE2-TMPRSS2 cells (InvivoGen catalog code a549-hace2tps).
    A549-ACE2-TMPRSS2
    suggested: None
    Software and Algorithms
    SentencesResources
    The analyses were performed using SPSS version 20.0 (SPSS, Chicago, IL, USA).
    SPSS
    suggested: (SPSS, RRID:SCR_002865)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    The relatively small sample size could be considered a limitation of the current study. Also, a limitation inherent to the use of S-pseudotyped viruses is the inability to assess the impact of variations in other viral genes outside of the S protein that could affect sera neutralization. In summary, herein we show that neutralizing activity of sera against SARS-CoV-2 variants carrying critical escape mutations in the S gene is decreased relative to the ancestral strain in both qualitative and quantitative terms in nursing home residents recently vaccinated with the Comirnaty® COVID-19 vaccine. Nevertheless, the fold reduction in NtAb activity in this population group was not different from that seen in vaccinated controls and recovered COVID-19 individuals who had not been vaccinated. Importantly, among VOCs, the Delta variant that is currently predominant worldwide was best neutralized by sera from participants in all study groups. Nevertheless, the degree to which reduced neutralization activity of the different VOCs, and especially the Delta variant, impact infection and/or disease in vaccinated nursing home residents translate into diminished effective protection is currently under investigation.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    Results from scite Reference Check: We found no unreliable references.


    About SciScore

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