Host genetic resistance to COVID-19

NIH Pandemic-Era Grants

Pandemic Era Grants

2022

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Principal Investigator: Mary N. Carrington
Organization: DIVISION OF BASIC SCIENCES - NCI
Fiscal Year: 2022
Award: $156,177
Funding agency: National Cancer Institute

The SARS- CoV-2 Omicron variant (B.1.1.529) was the cause of a new surge of infections      globally. With as many as 36 substitutions in the viral spike protein and 59 mutations in      total throughout its genome, Omicron has been found to evade neutralization by infection- and      vaccine-induced antibodies with unprecedented frequency and escape neutralization by most      therapeutic monoclonal antibodies. Additional booster vaccine doses partially compensate for      this effect, but the durability of such protective antibody response remains to be determined.      Utilizing samples from prior SARS-CoV-2 infected, vaccinated, and both prior infected and      vaccinated individuals, it was shown that circulating effector T cell responses and both CD4+      and CD8+ memory T cell responses were generally preserved to the Omicron variant. However,      distinct from previous variants of concern (VOCs), such as Delta, a subset of individuals had      reduced effector and memory T cell recognition to the Omicron spike protein relative to      wild-type spike, with a particularly noticeable effect on spike-specific CD8+ T cell memory      re- sponses. Booster doses enhanced the magnitude of responses to wild-type and Omicron spike,      although did not completely mitigate the comparatively reduced T cell reactivity to Omicron in      individual participants. These findings also raise the prospect that future SARS-CoV-2      variants may variably escape from antibody or T cell responses. They therefore support      continued evaluation of second-generation vaccine approaches that induce robust T cell      responses that target both variant spike and nonspike antigens in order to overcome current      and future SARS-CoV-2 evolution.

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