Neutralizing antibody responses to three XBB protein vaccines in older adults

Abstract The ongoing COVID-19 pandemic has underscored the importance of strong immune defenses against emerging SARS-CoV-2 variants. While COVID-19 vaccines containing XBB subvariants have proven effective in neutralizing new SARS-CoV-2 variants, a gap remains in knowledge regarding neutralizing an...

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Main Authors: Guo-Jian Yang, Mei Lu, Rui-Rui Chen, Shuang-Qing Wang, Sheng Wan, Xue-Dong Song, Guo-Ping Cao, Lei Lv, Xue-Juan He, Bing-Dong Zhan, Mai-Juan Ma
Format: Article
Language:English
Published: Nature Publishing Group 2025-02-01
Series:Signal Transduction and Targeted Therapy
Online Access:https://doi.org/10.1038/s41392-025-02132-y
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author Guo-Jian Yang
Mei Lu
Rui-Rui Chen
Shuang-Qing Wang
Sheng Wan
Xue-Dong Song
Guo-Ping Cao
Lei Lv
Xue-Juan He
Bing-Dong Zhan
Mai-Juan Ma
author_facet Guo-Jian Yang
Mei Lu
Rui-Rui Chen
Shuang-Qing Wang
Sheng Wan
Xue-Dong Song
Guo-Ping Cao
Lei Lv
Xue-Juan He
Bing-Dong Zhan
Mai-Juan Ma
author_sort Guo-Jian Yang
collection DOAJ
description Abstract The ongoing COVID-19 pandemic has underscored the importance of strong immune defenses against emerging SARS-CoV-2 variants. While COVID-19 vaccines containing XBB subvariants have proven effective in neutralizing new SARS-CoV-2 variants, a gap remains in knowledge regarding neutralizing antibody responses in older adults aged >65 years against these newly emerged variants. This study was therefore undertaken to investigate and compare neutralizing antibody responses to three XBB-containing protein-based vaccines (trivalent XBB.1.5 vaccine, bivalent Omicron XBB vaccine, and tetravalent XBB.1 vaccine) head-to-head in 90 individuals aged >65 years. The results showed that all three XBB-containing vaccines substantially enhanced the neutralizing antibody response, with 100% of vaccinees having detectable antibody titers against ancestral D614G and variants BA.5, XBB.1.5, JN.1, KP.2, and KP.3 after booster immunization. Subsequent analysis indicated that the trivalent XBB.1.5 and tetravalent XBB.1 vaccines elicited higher levels of neutralizing antibodies compared to the bivalent Omicron XBB vaccine. The KP.2 and KP.3 variants displayed antibody resistance comparable to the JN.1 variant. Older adults produce similar neutralizing antibody responses to the vaccines regardless of their underlying medical conditions. These findings indicate that booster vaccination with XBB-containing vaccines can effectively elicit strong neutralizing responses against a number of SARS-CoV-2 variants in older adults over 65 years, which will help guide vaccine strategies in this elderly population.
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spelling doaj-art-a8cf59a9280549f7bc103df94e1f5ec92025-02-09T12:56:31ZengNature Publishing GroupSignal Transduction and Targeted Therapy2059-36352025-02-0110111110.1038/s41392-025-02132-yNeutralizing antibody responses to three XBB protein vaccines in older adultsGuo-Jian Yang0Mei Lu1Rui-Rui Chen2Shuang-Qing Wang3Sheng Wan4Xue-Dong Song5Guo-Ping Cao6Lei Lv7Xue-Juan He8Bing-Dong Zhan9Mai-Juan Ma10Department of Microbiological Laboratory Technology, School of Public Health, Cheeloo College of Medicine, Shandong UniversityKaihua Center for Disease Control and PreventionState Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical SciencesDepartment of Infectious Disease Control and Prevention, Quzhou Center for Disease Control and PreventionDepartment of Infectious Disease Control and Prevention, Quzhou Center for Disease Control and PreventionState Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical SciencesDepartment of Infectious Disease Control and Prevention, Quzhou Center for Disease Control and PreventionDepartment of Infectious Disease Control and Prevention, Quzhou Center for Disease Control and PreventionState Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical SciencesDepartment of Infectious Disease Control and Prevention, Quzhou Center for Disease Control and PreventionDepartment of Microbiological Laboratory Technology, School of Public Health, Cheeloo College of Medicine, Shandong UniversityAbstract The ongoing COVID-19 pandemic has underscored the importance of strong immune defenses against emerging SARS-CoV-2 variants. While COVID-19 vaccines containing XBB subvariants have proven effective in neutralizing new SARS-CoV-2 variants, a gap remains in knowledge regarding neutralizing antibody responses in older adults aged >65 years against these newly emerged variants. This study was therefore undertaken to investigate and compare neutralizing antibody responses to three XBB-containing protein-based vaccines (trivalent XBB.1.5 vaccine, bivalent Omicron XBB vaccine, and tetravalent XBB.1 vaccine) head-to-head in 90 individuals aged >65 years. The results showed that all three XBB-containing vaccines substantially enhanced the neutralizing antibody response, with 100% of vaccinees having detectable antibody titers against ancestral D614G and variants BA.5, XBB.1.5, JN.1, KP.2, and KP.3 after booster immunization. Subsequent analysis indicated that the trivalent XBB.1.5 and tetravalent XBB.1 vaccines elicited higher levels of neutralizing antibodies compared to the bivalent Omicron XBB vaccine. The KP.2 and KP.3 variants displayed antibody resistance comparable to the JN.1 variant. Older adults produce similar neutralizing antibody responses to the vaccines regardless of their underlying medical conditions. These findings indicate that booster vaccination with XBB-containing vaccines can effectively elicit strong neutralizing responses against a number of SARS-CoV-2 variants in older adults over 65 years, which will help guide vaccine strategies in this elderly population.https://doi.org/10.1038/s41392-025-02132-y
spellingShingle Guo-Jian Yang
Mei Lu
Rui-Rui Chen
Shuang-Qing Wang
Sheng Wan
Xue-Dong Song
Guo-Ping Cao
Lei Lv
Xue-Juan He
Bing-Dong Zhan
Mai-Juan Ma
Neutralizing antibody responses to three XBB protein vaccines in older adults
Signal Transduction and Targeted Therapy
title Neutralizing antibody responses to three XBB protein vaccines in older adults
title_full Neutralizing antibody responses to three XBB protein vaccines in older adults
title_fullStr Neutralizing antibody responses to three XBB protein vaccines in older adults
title_full_unstemmed Neutralizing antibody responses to three XBB protein vaccines in older adults
title_short Neutralizing antibody responses to three XBB protein vaccines in older adults
title_sort neutralizing antibody responses to three xbb protein vaccines in older adults
url https://doi.org/10.1038/s41392-025-02132-y
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