key: cord-0977076-xqte49qb authors: Fang, Zhenhao; Peng, Lei; Lin, Qianqian; Zhou, Liqun; Yang, Luojia; Feng, Yanzhi; Ren, Ping; Renauer, Paul A.; Park, Jonathan J.; Zhou, Xiaoyu; Wilen, Craig B.; Chen, Sidi title: Heterotypic vaccination responses against SARS-CoV-2 Omicron BA.2 date: 2022-03-23 journal: bioRxiv DOI: 10.1101/2022.03.22.485418 sha: 8e80f9c7ffe996e5e96890273a3175ba1483876e doc_id: 977076 cord_uid: xqte49qb The Omicron sub-lineage BA.2 of SARS-CoV-2 has recently become dominant across many areas in the world in the on-going waves of COVID-19. Compared to the ancestral/wild-type (WT) virus, Omicron lineage variants, both BA.1 and BA.2, contain high number of mutations, especially in the spike protein, causing significant immune escape that leads to substantial reduction of vaccine and antibody efficacy. Because of this antigenic drift, BA.2 exhibited differential resistance profile to monoclonal antibodies than BA.1. Thus, it is important to understand whether the immunity elicited by currently available vaccines are effective against the BA.2 subvariant. We directly tested the heterotypic vaccination responses against Omicron BA.2, using vaccinated serum from animals receiving WT- and variant-specific mRNA vaccine in lipid nanoparticle (LNP) formulations. Omicron BA.1 and BA.2 antigen showed similar reactivity to serum antibodies elicited by two doses of WT, B.1.351 and B.1.617 LNP-mRNAs. Neutralizing antibody titers of B.1.351 and B.1.617 LNP-mRNA were ~2-fold higher than that of WT LNP-mRNA. Both homologous boosting with WT LNP-mRNA and heterologous boosting with BA.1 LNP-mRNA substantially increased waning immunity of WT vaccinated mice against both BA.1 and BA.2 subvariants. The BA.1 LNP-mRNA booster was ~3-fold more efficient than WT LNP-mRNA at elevating neutralizing antibody titers of BA.2. Together, these data provided a direct preclinical evaluation of WT and variant-specific LNP-mRNAs in standard two-dose and as boosters against BA.1 and BA.2 subvariants. BA.1 and BA.2 subvariants share 21 mutations, but differ in 25 sites ( Fig. 1a-1b) Fig. 1c-1d) why the antibody response to BA.2 was higher in these two variants LNP-mRNA groups compared 99 to WT LNP-mRNA (Fig. 1a) . In all three vaccination groups, antibody response to BA.2 was 100 similar to that of BA.1 (Fig. 1c) RBD S2 NTD 69del L212I S371L Q493R N764K N856K N969K P681H G446S A67V T95I G142D 211del G339D N440K N679K D796Y Q954H T547K T19I L24S 25-27del V213G S371F T376A D405N R408S 143-145del T478K Q498R S375F ins214EPE 70del S477N G496S L981F S373P K417N Coronavirus cases by world meters Data, disease and diplomacy: GISAID's innovative contribution to 269 global health How Worried Should You Be About 'Stealth Omicron'? Covid-19 cases are exploding in Asia SARS-CoV-2 Omicron has extensive but incomplete escape of Pfizer BNT162b2 278 elicited neutralization and requires ACE2 for infection. medRxiv Omicron-specific mRNA vaccination alone and as a heterologous booster against 281 SARS-CoV-2 Systems immune profiling of variant-specific vaccination against SARS-CoV-2 Structure-based design of prefusion-stabilized SARS-CoV-2 spikes Antibody evasion properties of SARS-CoV-2 Omicron sublineages Genetic Variants of SARS-CoV-2-What Do They Mean? Efficacy and Safety of the mRNA-1273 SARS-CoV-2 Vaccine Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine Measuring SARS-CoV-2 neutralizing antibody activity using pseudotyped and 295 chimeric viruses