[PDF][PDF] Fab and Fc contribute to maximal protection against SARS-CoV-2 following NVX-CoV2373 subunit vaccine with Matrix-M vaccination

MJ Gorman, N Patel, M Guebre-Xabier, AL Zhu… - Cell Reports …, 2021 - cell.com
MJ Gorman, N Patel, M Guebre-Xabier, AL Zhu, C Atyeo, KM Pullen, C Loos, Y Goez-Gazi…
Cell Reports Medicine, 2021cell.com
Recently approved vaccines have shown remarkable efficacy in limiting SARS-CoV-2-
associated disease. However, with the variety of vaccines, immunization strategies, and
waning antibody titers, defining the correlates of immunity across a spectrum of antibody
titers is urgently required. Thus, we profiled the humoral immune response in a cohort of non-
human primates immunized with a recombinant SARS-CoV-2 spike glycoprotein (NVX-
CoV2373) at two doses, administered as a single-or two-dose regimen. Both antigen dose …
Summary
Recently approved vaccines have shown remarkable efficacy in limiting SARS-CoV-2-associated disease. However, with the variety of vaccines, immunization strategies, and waning antibody titers, defining the correlates of immunity across a spectrum of antibody titers is urgently required. Thus, we profiled the humoral immune response in a cohort of non-human primates immunized with a recombinant SARS-CoV-2 spike glycoprotein (NVX-CoV2373) at two doses, administered as a single- or two-dose regimen. Both antigen dose and boosting significantly altered neutralization titers and Fc-effector profiles, driving unique vaccine-induced antibody fingerprints. Combined differences in antibody effector functions and neutralization were associated with distinct levels of protection in the upper and lower respiratory tract. Moreover, NVX-CoV2373 elicited antibodies that functionally targeted emerging SARS-CoV-2 variants. Collectively, the data presented here suggest that a single dose may prevent disease via combined Fc/Fab functions but that two doses may be essential to block further transmission of SARS-CoV-2 and emerging variants.
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