Journal article

Durable reprogramming of neutralizing antibody responses following Omicron breakthrough infection

WS Lee, HX Tan, A Reynaldi, R Esterbauer, M Koutsakos, J Nguyen, T Amarasena, HE Kent, A Aggarwal, SG Turville, G Taiaroa, P Kinsella, KC Liew, T Tran, DA Williamson, D Cromer, MP Davenport, SJ Kent, JA Juno, DS Khoury Show all

Science Advances | Published : 2023

Open access

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) breakthrough infection of vaccinated individuals is increasingly common with the circulation of highly immune evasive and transmissible Omicron variants. Here, we report the dynamics and durability of recalled spike-specific humoral immunity following Omicron BA.1 or BA.2 breakthrough infection, with longitudinal sampling up to 8 months after infection. Both BA.1 and BA.2 infections robustly boosted neutralization activity against the infecting strain while expanding breadth against BA.4, although neutralization activity was substantially reduced for the more recent XBB and BQ.1.1 strains. Cross-reactive memory B cells against both..

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