RT Journal Article SR Electronic T1 Hybrid immunity improves B cell frequency, antibody potency and breadth against SARS-CoV-2 and variants of concern JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.08.12.456077 DO 10.1101/2021.08.12.456077 A1 Emanuele Andreano A1 Ida Paciello A1 Giulia Piccini A1 Noemi Manganaro A1 Piero Pileri A1 Inesa Hyseni A1 Margherita Leonardi A1 Elisa Pantano A1 Valentina Abbiento A1 Linda Benincasa A1 Ginevra Giglioli A1 Concetta De Santi A1 Massimiliano Fabbiani A1 Ilaria Rancan A1 Mario Tumbarello A1 Francesca Montagnani A1 Claudia Sala A1 Emanuele Montomoli A1 Rino Rappuoli YR 2021 UL http://biorxiv.org/content/early/2021/08/12/2021.08.12.456077.abstract AB To understand the nature of the antibody response to SARS-CoV-2 vaccination, we analyzed at single cell level the B cell responses of five naïve and five convalescent people immunized with the BNT162b2 mRNA vaccine. Convalescents had higher frequency of spike protein specific memory B cells and by cell sorting delivered 3,532 B cells, compared with 2,352 from naïve people. Of these, 944 from naïve and 2,299 from convalescents produced monoclonal antibodies against the spike protein and 411 of them neutralized the original Wuhan SARS-CoV-2 virus. More than 75% of the monoclonal antibodies from naïve people lost their neutralization activity against the B.1.351 (beta) and B.1.1.248 (gamma) variants while this happened only for 61% of those from convalescents. The overall loss of neutralization was lower for the B.1.1.7 (alpha) and B.1.617.2 (delta) variants, however it was always significantly higher in those of naïve people. In part this was due to the IGHV2-5;IGHJ4-1 germline, which was found only in convalescents and generated potent and broadly neutralizing antibodies. Overall, vaccination of seropositive people increases the frequency of B cells encoding antibodies with high potency and that are not susceptible to escape by any of the four variants of concern. Our data suggest that people that are seropositive following infection or primary vaccination will produce antibodies with increased potency and breadth and will be able to better control SARS-CoV-2 emerging variants.Competing Interest StatementRino Rappuoli is an employee of GSK group of companies. EA, IP, NM, PP, EP, CDS, CS and RR are listed as inventors of full-length human monoclonal antibodies described in Italian patent applications n. 102020000015754 filed on June 30th 2020, 102020000018955 filed on August 3rd 2020 and 102020000029969 filed on 4th of December 2020, and the international patent system number PCT/IB2021/055755 filed on the 28th of June 2021.