Reference Database

YearReference
2021
Protective efficacy of Ad26.COV2.S against SARS-CoV-2 B.1.351 in macaques.
Yu, Jingyou
Tostanoski, Lisa H
Mercado, Noe B
McMahan, Katherine
Liu, Jinyan
Jacob-Dolan, Catherine
Chandrashekar, Abishek
Atyeo, Caroline
Martinez, David R
Anioke, Tochi
Bondzie, Esther A
Chang, Aiquan
Gardner, Sarah
Giffin, Victoria M
Hope, David L
Nampanya, Felix
Nkolola, Joseph
Patel, Shivani
Sanborn, Owen
Sellers, Daniel
Wan, Huahua
Hayes, Tammy
Bauer, Katherine
Pessaint, Laurent
Valentin, Daniel
Flinchbaugh, Zack
Brown, Renita
Cook, Anthony
Bueno-Wilkerson, Deandre
Teow, Elyse
Andersen, Hanne
Lewis, Mark G
Martinot, Amanda J
Baric, Ralph S
Alter, Galit
Wegmann, Frank
Zahn, Roland
Schuitemaker, Hanneke
Barouch, Dan H
Nature 2021 08;596: 423-427
Abstract

The emergence of SARS-CoV-2 variants that partially evade neutralizing antibodies poses a threat to the efficacy of current COVID-19 vaccines. The Ad26.COV2.S vaccine expresses a stabilized spike protein from the WA1/2020 strain of SARS-CoV-2, and has recently demonstrated protective efficacy against symptomatic COVID-19 in humans in several geographical regions-including in South Africa, where 95% of sequenced viruses in cases of COVID-19 were the B.1.351 variant. Here we show that Ad26.COV2.S elicits humoral and cellular immune responses that cross-react with the B.1.351 variant and protects against B.1.351 challenge in rhesus macaques. Ad26.COV2.S induced lower binding and neutralizing antibodies against B.1.351 as compared to WA1/2020, but elicited comparable CD8 and CD4 T cell responses against the WA1/2020, B.1.351, B.1.1.7, P.1 and CAL.20C variants. B.1.351 infection of control rhesus macaques resulted in higher levels of virus replication in bronchoalveolar lavage and nasal swabs than did WA1/2020 infection. Ad26.COV2.S provided robust protection against both WA1/2020 and B.1.351, although we observed higher levels of virus in vaccinated macaques after B.1.351 challenge. These data demonstrate that Ad26.COV2.S provided robust protection against B.1.351 challenge in rhesus macaques. Our findings have important implications for vaccine control of SARS-CoV-2 variants of concern.

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