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Improved neutralization of the SARS-CoV-2 Omicron variant after Pfizer-BioNTech BNT162b2 COVID-19 vaccine boosting

Kerri Basile, Rebecca J Rockett, Kenneth McPhie, Michael Fennell, Jessica Johnson-Mackinnon, Jessica E Agius, Winkie Fong, Hossinur Rahman, Danny Ko, Linda Donavan, Linda Hueston, Connie Lam, Alicia Arnott, Sharon C-A Chen, Susan Maddocks, Matthew V O’Sullivan, Dominic E Dwyer, Vitali Sintchenko, Jen Kok
doi: https://doi.org/10.1101/2021.12.12.472252
Kerri Basile
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
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Rebecca J Rockett
2Centre for Infectious Diseases and Microbiology – Public Health, Westmead Hospital, Westmead New South Wales 2145, Australia
4Sydney Institute for Infectious Diseases, The University of Sydney New South Wales 2006, Australia
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Kenneth McPhie
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
3Westmead Institute for Medical Research, Westmead, New South Wales 2145, Australia
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Michael Fennell
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
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Jessica Johnson-Mackinnon
2Centre for Infectious Diseases and Microbiology – Public Health, Westmead Hospital, Westmead New South Wales 2145, Australia
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Jessica E Agius
2Centre for Infectious Diseases and Microbiology – Public Health, Westmead Hospital, Westmead New South Wales 2145, Australia
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Winkie Fong
2Centre for Infectious Diseases and Microbiology – Public Health, Westmead Hospital, Westmead New South Wales 2145, Australia
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Hossinur Rahman
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
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Danny Ko
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
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Linda Donavan
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
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Linda Hueston
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
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Connie Lam
2Centre for Infectious Diseases and Microbiology – Public Health, Westmead Hospital, Westmead New South Wales 2145, Australia
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Alicia Arnott
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
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Sharon C-A Chen
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
2Centre for Infectious Diseases and Microbiology – Public Health, Westmead Hospital, Westmead New South Wales 2145, Australia
4Sydney Institute for Infectious Diseases, The University of Sydney New South Wales 2006, Australia
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Susan Maddocks
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
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Matthew V O’Sullivan
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
2Centre for Infectious Diseases and Microbiology – Public Health, Westmead Hospital, Westmead New South Wales 2145, Australia
4Sydney Institute for Infectious Diseases, The University of Sydney New South Wales 2006, Australia
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Dominic E Dwyer
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
2Centre for Infectious Diseases and Microbiology – Public Health, Westmead Hospital, Westmead New South Wales 2145, Australia
4Sydney Institute for Infectious Diseases, The University of Sydney New South Wales 2006, Australia
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Vitali Sintchenko
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
2Centre for Infectious Diseases and Microbiology – Public Health, Westmead Hospital, Westmead New South Wales 2145, Australia
4Sydney Institute for Infectious Diseases, The University of Sydney New South Wales 2006, Australia
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Jen Kok
1Centre for Infectious Diseases and Microbiology Laboratory Services, NSW Health Pathology - Institute of Clinical Pathology and Medical Research, Westmead Hospital, Westmead New South Wales 2145, Australia
2Centre for Infectious Diseases and Microbiology – Public Health, Westmead Hospital, Westmead New South Wales 2145, Australia
4Sydney Institute for Infectious Diseases, The University of Sydney New South Wales 2006, Australia
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  • For correspondence: jen.kok@health.nsw.gov.au
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Abstract

In late November 2021, the World Health Organization declared the SARS-CoV-2 lineage B.1.1.529 the fifth variant of concern, Omicron. This variant has acquired 15 mutations in the receptor binding domain of the spike protein, raising concerns that Omicron could evade naturally acquired and vaccine-derived immunity. We utilized an authentic virus, multicycle neutralisation assay to demonstrate that sera collected 1, 3, and 6 months post-two doses of Pfizer-BioNTech BNT162b2 has a limited ability to neutralise SARS-CoV-2. However, four weeks after a third dose, neutralizing antibody titres are boosted. Despite this increase, neutralising antibody titres are reduced 4-fold for Omicron compared to lineage A.2.2 SARS-CoV-2.

Competing Interest Statement

The authors have declared no competing interest.

Footnotes

  • ↵† Joint first authors

Copyright 
The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license.
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Posted December 13, 2021.
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Improved neutralization of the SARS-CoV-2 Omicron variant after Pfizer-BioNTech BNT162b2 COVID-19 vaccine boosting
Kerri Basile, Rebecca J Rockett, Kenneth McPhie, Michael Fennell, Jessica Johnson-Mackinnon, Jessica E Agius, Winkie Fong, Hossinur Rahman, Danny Ko, Linda Donavan, Linda Hueston, Connie Lam, Alicia Arnott, Sharon C-A Chen, Susan Maddocks, Matthew V O’Sullivan, Dominic E Dwyer, Vitali Sintchenko, Jen Kok
bioRxiv 2021.12.12.472252; doi: https://doi.org/10.1101/2021.12.12.472252
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Improved neutralization of the SARS-CoV-2 Omicron variant after Pfizer-BioNTech BNT162b2 COVID-19 vaccine boosting
Kerri Basile, Rebecca J Rockett, Kenneth McPhie, Michael Fennell, Jessica Johnson-Mackinnon, Jessica E Agius, Winkie Fong, Hossinur Rahman, Danny Ko, Linda Donavan, Linda Hueston, Connie Lam, Alicia Arnott, Sharon C-A Chen, Susan Maddocks, Matthew V O’Sullivan, Dominic E Dwyer, Vitali Sintchenko, Jen Kok
bioRxiv 2021.12.12.472252; doi: https://doi.org/10.1101/2021.12.12.472252

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