Effective vaccination strategy using SARS-CoV-2 spike cocktail against Omicron and other variants of concern

Juan Shi1, Gang Wang1, Jian Zheng2,3

  • 1Institute for Biomedical Sciences, Georgia State University, Atlanta, GA, USA.

NPJ Vaccines
|December 19, 2022
PubMed

Insights

A new vaccine strategy combining wild-type and Omicron BA1 spike proteins generates strong neutralizing antibodies against multiple SARS-CoV-2 variants, including Omicron subvariants. This approach offers broad protection against COVID-19, addressing vaccine resistance challenges.

Area of Science:

  • Virology
  • Immunology
  • Vaccinology

Background:

  • The SARS-CoV-2 Omicron variant possesses over 30 spike protein mutations.
  • Omicron subvariants exhibit increased resistance to existing COVID-19 vaccines targeting the original spike protein.
  • There is a critical need for vaccines effective against multiple SARS-CoV-2 variants of concern (VOCs).

Purpose of the Study:

  • To evaluate the neutralizing activity and protective efficacy of a BA1-S subunit vaccine.
  • To assess the impact of combining the BA1-S vaccine with a wild-type S protein (WT-S) vaccine.
  • To determine the effectiveness of WT-S/BA1-S as a cocktail or as a prime-boost strategy.

Main Methods:

  • Developed a BA1-S subunit vaccine.
  • Administered WT-S/BA1-S as a cocktail or as a WT-S prime/BA1-S boost in mice.
  • Assessed neutralizing antibody responses against pseudotyped Omicron subvariants (BA1, BA2, BA2.12.1, BA5), other VOCs (Alpha, Beta, Gamma, Delta), original SARS-CoV-2, and SARS-CoV.
  • Evaluated protection against a lethal Delta variant challenge.

Main Results:

  • A WT-S/BA1-S cocktail or boost induced significantly higher neutralizing antibodies against Omicron subvariants compared to WT-S alone.
  • The WT-S/BA1-S strategy also generated potent neutralizing antibodies against other VOCs, SARS-CoV-2, and SARS-CoV.
  • WT-S or BA1-S alone did not induce potent neutralizing antibodies against the tested viruses.
  • The WT-S/BA1-S cocktail provided complete protection in mice against a lethal Delta variant challenge.

Conclusions:

  • A vaccination strategy using a WT-S/BA1-S cocktail or boost elicits potent, broad, and durable neutralizing antibodies.
  • This approach is effective against current SARS-CoV-2 Omicron subvariants, other VOCs, and SARS-CoV.
  • The findings provide guidance for developing next-generation vaccines to control the COVID-19 pandemic and combat future SARS-CoV-2 variants.