mRNA-1273 and BNT162b2 mRNA vaccines have reduced neutralizing activity against the SARS-CoV-2 Omicron variant

Insights

mRNA vaccines (BNT162b2, mRNA-1273) showed reduced neutralizing activity against the Omicron variant. A third vaccine dose is necessary for robust antibody responses against SARS-CoV-2 Omicron.

Area of Science:

  • Immunology
  • Virology
  • Vaccinology

Background:

  • The emergence of SARS-CoV-2 variants, particularly Omicron with over 30 spike protein mutations, poses a challenge to existing mRNA vaccine-induced neutralizing antibody responses.
  • Understanding the impact of these mutations on vaccine efficacy is crucial for public health strategies.

Approach:

  • An authentic live virus neutralization assay was employed to assess the neutralizing activity of sera from individuals vaccinated with BNT162b2 or mRNA-1273 against the SARS-CoV-2 Omicron variant.
  • Evaluations were conducted after the second vaccine dose, six months post-second dose, and after a third booster dose.

Key Points:

  • A 30-fold reduction in neutralizing activity against Omicron was observed after the second vaccine dose.
  • Six months after the second dose, no neutralizing activity was detected in sera from naive vaccinated subjects against Omicron.
  • Recovered vaccinated individuals showed a 22-fold reduction, with over half retaining neutralizing antibodies.
  • Following a third dose, a 14-fold reduction in neutralizing activity was noted, with over 90% of boosted subjects showing response.

Conclusions:

  • The SARS-CoV-2 Omicron variant significantly reduces the neutralizing activity of antibodies induced by two doses of mRNA vaccines.
  • A third vaccine dose is essential to restore robust neutralizing antibody responses against the Omicron variant.
  • These findings underscore the importance of booster vaccinations in maintaining protection against evolving SARS-CoV-2 variants.