Protective activity of mRNA vaccines against ancestral and variant SARS-CoV-2 strains
Although mRNA vaccines prevent COVID-19, variants jeopardize their efficacy as immunity wanes. Here, we assessed the immunogenicity and protective activity of historical (mRNA-1273, designed for Wuhan-1 spike) or modified (mRNA-1273.351, designed for B.1.351 spike) preclinical Moderna mRNA vaccines...
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Cold Spring Harbor Laboratory Press
26.08.2021
Cold Spring Harbor Laboratory |
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Abstract | Although mRNA vaccines prevent COVID-19, variants jeopardize their efficacy as immunity wanes. Here, we assessed the immunogenicity and protective activity of historical (mRNA-1273, designed for Wuhan-1 spike) or modified (mRNA-1273.351, designed for B.1.351 spike) preclinical Moderna mRNA vaccines in 129S2 and K18-hACE2 mice. Immunization with high or low dose formulations of mRNA vaccines induced neutralizing antibodies in serum against ancestral SARS-CoV-2 and several variants, although levels were lower particularly against the B.1.617.2 (Delta) virus. Protection against weight loss and lung pathology was observed with all high-dose vaccines against all viruses. Nonetheless, low-dose formulations of the vaccines, which produced lower magnitude antibody and T cell responses, and serve as a possible model for waning immunity, showed breakthrough lung infection and pneumonia with B.1.617.2. Thus, as levels of immunity induced by mRNA vaccines decline, breakthrough infection and disease likely will occur with some SARS-CoV-2 variants, suggesting a need for additional booster regimens. |
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AbstractList | Although mRNA vaccines prevent COVID-19, variants jeopardize their efficacy as immunity wanes. Here, we assessed the immunogenicity and protective activity of historical (mRNA-1273, designed for Wuhan-1 spike) or modified (mRNA-1273.351, designed for B.1.351 spike) preclinical Moderna mRNA vaccines in 129S2 and K18-hACE2 mice. Immunization with high or low dose formulations of mRNA vaccines induced neutralizing antibodies in serum against ancestral SARS-CoV-2 and several variants, although levels were lower particularly against the B.1.617.2 (Delta) virus. Protection against weight loss and lung pathology was observed with all high-dose vaccines against all viruses. Nonetheless, low-dose formulations of the vaccines, which produced lower magnitude antibody and T cell responses, and serve as a possible model for waning immunity, showed breakthrough lung infection and pneumonia with B.1.617.2. Thus, as levels of immunity induced by mRNA vaccines decline, breakthrough infection and disease likely will occur with some SARS-CoV-2 variants, suggesting a need for additional booster regimens.Although mRNA vaccines prevent COVID-19, variants jeopardize their efficacy as immunity wanes. Here, we assessed the immunogenicity and protective activity of historical (mRNA-1273, designed for Wuhan-1 spike) or modified (mRNA-1273.351, designed for B.1.351 spike) preclinical Moderna mRNA vaccines in 129S2 and K18-hACE2 mice. Immunization with high or low dose formulations of mRNA vaccines induced neutralizing antibodies in serum against ancestral SARS-CoV-2 and several variants, although levels were lower particularly against the B.1.617.2 (Delta) virus. Protection against weight loss and lung pathology was observed with all high-dose vaccines against all viruses. Nonetheless, low-dose formulations of the vaccines, which produced lower magnitude antibody and T cell responses, and serve as a possible model for waning immunity, showed breakthrough lung infection and pneumonia with B.1.617.2. Thus, as levels of immunity induced by mRNA vaccines decline, breakthrough infection and disease likely will occur with some SARS-CoV-2 variants, suggesting a need for additional booster regimens. Although mRNA vaccines prevent COVID-19, variants jeopardize their efficacy as immunity wanes. Here, we assessed the immunogenicity and protective activity of historical (mRNA-1273, designed for Wuhan-1 spike) or modified (mRNA-1273.351, designed for B.1.351 spike) preclinical Moderna mRNA vaccines in 129S2 and K18-hACE2 mice. Immunization with high or low dose formulations of mRNA vaccines induced neutralizing antibodies in serum against ancestral SARS-CoV-2 and several variants, although levels were lower particularly against the B.1.617.2 (Delta) virus. Protection against weight loss and lung pathology was observed with all high-dose vaccines against all viruses. Nonetheless, low-dose formulations of the vaccines, which produced lower magnitude antibody and T cell responses, and serve as a possible model for waning immunity, showed breakthrough lung infection and pneumonia with B.1.617.2. Thus, as levels of immunity induced by mRNA vaccines decline, breakthrough infection and disease likely will occur with some SARS-CoV-2 variants, suggesting a need for additional booster regimens. Although mRNA vaccines prevent COVID-19, variants jeopardize their efficacy as immunity wanes. Here, we assessed the immunogenicity and protective activity of historical (mRNA-1273, designed for Wuhan-1 spike) or modified (mRNA-1273.351, designed for B.1.351 spike) preclinical Moderna mRNA vaccines in 129S2 and K18-hACE2 mice. Immunization with high or low dose formulations of mRNA vaccines induced neutralizing antibodies in serum against ancestral SARS-CoV-2 and several variants, although levels were lower particularly against the B.1.617.2 (Delta) virus. Protection against weight loss and lung pathology was observed with all high-dose vaccines against all viruses. Nonetheless, low-dose formulations of the vaccines, which produced lower magnitude antibody and T cell responses, and serve as a possible model for waning immunity, showed breakthrough lung infection and pneumonia with B.1.617.2. Thus, as levels of immunity induced by mRNA vaccines decline, breakthrough infection and disease likely will occur with some SARS-CoV-2 variants, suggesting a need for additional booster regimens. Competing Interest Statement M.S.D. is a consultant for Inbios, Vir Biotechnology, Fortress Biotech, and Carnival Corporation, and on the Scientific Advisory Boards of Moderna and Immunome. The Diamond laboratory has received unrelated funding support in sponsored research agreements from Vir Biotechnology, Kaleido, Moderna, and Emergent BioSolutions. A.C., S.E., and D.K.E. are employees of and shareholders in Moderna Inc. F.K. is a coinventor on a patent application for serological assays and SARS-CoV-2 vaccines (international application numbers PCT/US2021/31110 and 62/994,252). |
Author | Krammer, Florian Whitener, Bradley Chen, Rita E Shrihari, Swathi Carreño, Juan Manuel VanBlargan, Laura A Kafai, Natasha M Carfi, Andrea Thackray, Larissa B Wilks, Samuel H Karl, Courtney E Smith, Derek J Elbashir, Sayda Mackin, Samantha Hassan, Ahmed O Liang, Chieh-Yu Edwards, Darin K Diamond, Michael S Ying, Baoling Singh, Gagandeep |
Author_xml | – sequence: 1 givenname: Baoling surname: Ying fullname: Ying, Baoling organization: Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA – sequence: 2 givenname: Bradley surname: Whitener fullname: Whitener, Bradley organization: Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA – sequence: 3 givenname: Laura A surname: VanBlargan fullname: VanBlargan, Laura A organization: Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA – sequence: 4 givenname: Ahmed O surname: Hassan fullname: Hassan, Ahmed O organization: Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA – sequence: 5 givenname: Swathi surname: Shrihari fullname: Shrihari, Swathi organization: Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA – sequence: 6 givenname: Chieh-Yu surname: Liang fullname: Liang, Chieh-Yu organization: Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA – sequence: 7 givenname: Courtney E surname: Karl fullname: Karl, Courtney E organization: The Andrew M. and Jane M. Bursky Center for Human Immunology and Immunotherapy Programs, Washington University School of Medicine. St. Louis, MO, USA – sequence: 8 givenname: Samantha surname: Mackin fullname: Mackin, Samantha organization: Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA – sequence: 9 givenname: Rita E surname: Chen fullname: Chen, Rita E organization: Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA – sequence: 10 givenname: Natasha M surname: Kafai fullname: Kafai, Natasha M organization: Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA – sequence: 11 givenname: Samuel H surname: Wilks fullname: Wilks, Samuel H organization: Center for Pathogen Evolution, Department of Zoology, University of Cambridge, Cambridge UK – sequence: 12 givenname: Derek J surname: Smith fullname: Smith, Derek J organization: Center for Pathogen Evolution, Department of Zoology, University of Cambridge, Cambridge UK – sequence: 13 givenname: Juan Manuel surname: Carreño fullname: Carreño, Juan Manuel organization: Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA – sequence: 14 givenname: Gagandeep surname: Singh fullname: Singh, Gagandeep organization: Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA – sequence: 15 givenname: Florian surname: Krammer fullname: Krammer, Florian organization: Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA – sequence: 16 givenname: Andrea surname: Carfi fullname: Carfi, Andrea organization: Moderna, Inc., Cambridge MA, USA – sequence: 17 givenname: Sayda surname: Elbashir fullname: Elbashir, Sayda organization: Moderna, Inc., Cambridge MA, USA – sequence: 18 givenname: Darin K surname: Edwards fullname: Edwards, Darin K organization: Moderna, Inc., Cambridge MA, USA – sequence: 19 givenname: Larissa B surname: Thackray fullname: Thackray, Larissa B organization: Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA – sequence: 20 givenname: Michael S surname: Diamond fullname: Diamond, Michael S organization: The Andrew M. and Jane M. Bursky Center for Human Immunology and Immunotherapy Programs, Washington University School of Medicine. St. Louis, MO, USA |
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Notes | SourceType-Working Papers-1 ObjectType-Working Paper/Pre-Print-1 content type line 50 ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 Competing Interest Statement: M.S.D. is a consultant for Inbios, Vir Biotechnology, Fortress Biotech, and Carnival Corporation, and on the Scientific Advisory Boards of Moderna and Immunome. The Diamond laboratory has received unrelated funding support in sponsored research agreements from Vir Biotechnology, Kaleido, Moderna, and Emergent BioSolutions. A.C., S.E., and D.K.E. are employees of and shareholders in Moderna Inc. F.K. is a coinventor on a patent application for serological assays and SARS-CoV-2 vaccines (international application numbers PCT/US2021/31110 and 62/994,252). |
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Recall, and Decay Kinetics of SARS-CoV-2 Vaccine Antibody Responses publication-title: ACS Nano – volume: 28 start-page: 475 year: 2020b end-page: 485 ident: 2021.08.25.457693v1.6 article-title: Neutralizing antibody and soluble ACE2 inhibition of a replication-competent VSV-SARS-CoV-2 and a clinical isolate of SARS-CoV-2 publication-title: Cell Host and Microbe – year: 2021 ident: 2021.08.25.457693v1.30 article-title: Fc-engineered antibody therapeutics with improved efficacy against COVID-19 publication-title: Research square – year: 2021 ident: 2021.08.25.457693v1.38 article-title: SARS-CoV-2 501Y.V2 escapes neutralization by South African COVID-19 donor plasma publication-title: bioRxiv – volume: 21 start-page: 1327 year: 2020 end-page: 1335 ident: 2021.08.25.457693v1.39 article-title: SARS-CoV-2 infection of human ACE2-transgenic mice causes severe lung inflammation and impaired function publication-title: Nat Immunol – volume: 305 start-page: 371 year: 2004 end-page: 376 ident: 2021.08.25.457693v1.33 article-title: Mapping the antigenic and genetic evolution of influenza virus publication-title: Science – volume: 29 start-page: 477 year: 2021c end-page: 488 ident: 2021.08.25.457693v1.18 article-title: Identification of SARS-CoV-2 spike mutations that attenuate monoclonal and serum antibody neutralization publication-title: Cell Host Microbe – volume: 384 start-page: 1885 year: 2021 end-page: 1898 ident: 2021.08.25.457693v1.19 article-title: Efficacy of the ChAdOx1 nCoV-19 Covid-19 Vaccine against the B.1.351 Variant publication-title: N Engl J Med – year: 2021b ident: 2021.08.25.457693v1.8 article-title: Resistance of SARS-CoV-2 variants to neutralization by monoclonal and serum-derived polyclonal antibodies publication-title: Nat Med – volume: 70 start-page: 1059 year: 2021 end-page: 1062 ident: 2021.08.25.457693v1.4 article-title: Outbreak of SARS-CoV-2 Infections, Including COVID-19 Vaccine Breakthrough Infections, Associated with Large Public Gatherings - Barnstable County, Massachusetts, July 2021 publication-title: MMWR Morb Mortal Wkly Rep – year: 2021 ident: 2021.08.25.457693v1.28 article-title: Comparison of two highly-effective mRNA vaccines for COVID-19 during periods of Alpha and Delta variant prevalence publication-title: medRxiv – volume: 118 year: 2021b ident: 2021.08.25.457693v1.17 article-title: Functional and genetic analysis of viral receptor ACE2 orthologs reveals a broad potential host range of SARS-CoV-2 publication-title: Proc Natl Acad Sci U S A – year: 2021a ident: 2021.08.25.457693v1.7 article-title: In vivo monoclonal antibody efficacy against SARS-CoV-2 variant strains publication-title: Nature – year: 2020 ident: 2021.08.25.457693v1.27 article-title: Spike mutation D614G alters SARS-CoV-2 fitness publication-title: Nature – year: 2021b ident: 2021.08.25.457693v1.37 article-title: mRNA vaccine-elicited antibodies to SARS-CoV-2 and circulating variants publication-title: Nature – year: 2021 ident: 2021.08.25.457693v1.20 article-title: Low dose mRNA-1273 COVID-19 vaccine generates durable T cell memory and antibodies enhanced by pre-existing crossreactive T cell memory publication-title: medRxiv – volume: 13 year: 2021 ident: 2021.08.25.457693v1.15 article-title: Different Neutralization Sensitivity of SARS-CoV-2 Cell-to-Cell and Cell-Free Modes of Infection to Convalescent Sera publication-title: Viruses |
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Snippet | Although mRNA vaccines prevent COVID-19, variants jeopardize their efficacy as immunity wanes. Here, we assessed the immunogenicity and protective activity of... |
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SubjectTerms | Biotechnology Bronchopulmonary infection COVID-19 Immunization Immunogenicity Lymphocytes T Microbiology mRNA mRNA vaccines Patent applications Severe acute respiratory syndrome coronavirus 2 |
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Title | Protective activity of mRNA vaccines against ancestral and variant SARS-CoV-2 strains |
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