Xiaohan Zhang, Yajie Wang, Mansheng Li, Haolong Li, Xiaomei Zhang, Xingming Xu, Qingqing Ma, Di Hu, Yan Jia, Te Liang, Yunping Zhu, Surbhi Bihani, Sanjeeva Srivastava, Manuel Fuentes, Yongzhe Li, Xiaoxu Han, Bingwei Wang, Xiaobo Yu
{"title":"A High-Throughput Broad Neutralizing Antibody Assay for Detecting SARS-CoV-2 Variant Immunity in Population.","authors":"Xiaohan Zhang, Yajie Wang, Mansheng Li, Haolong Li, Xiaomei Zhang, Xingming Xu, Qingqing Ma, Di Hu, Yan Jia, Te Liang, Yunping Zhu, Surbhi Bihani, Sanjeeva Srivastava, Manuel Fuentes, Yongzhe Li, Xiaoxu Han, Bingwei Wang, Xiaobo Yu","doi":"10.1021/acsinfecdis.5c00402","DOIUrl":null,"url":null,"abstract":"<p><p>Detecting neutralizing antibodies (NAbs) to SARS-CoV-2 variants that are evolved is crucial to know the escape of host immunity to the newly arising variants. To address this need, we developed a high-throughput broad neutralizing antibody (bNAb) assay using flow cytometry with magnetic-fluorescent microspheres for detecting NAbs against diverse SARS-CoV-2 variants. The assay is rapid, reliable, and 35-fold more sensitive than Luminex technology. Our results highly correlated with the IgG serological assay (<i>R</i> = 0.90), the FDA-approved cPass sVNT assay (<i>R</i> = 0.92), pseudovirus-based neutralization assay (<i>R</i> = 0.96, 0.66, 0.65), and live virus-based neutralization assay (<i>R</i> = 0.79, 0.64). When applied to 56 healthy individuals receiving third-dose vaccines (18 CoronaVac; 38 ZF2001) and 35 HIV patients with breakthrough infection of COVID-19 (16 with CD4+ < 350 cells/μL; 19 with CD4+ > 500 cells/μL), results showed that the Omicron BA.1-BA.5 variants exhibited significant resistance to inactivated vaccines in healthy individuals. In HIV patients, the breakthrough infection of Omicron BA.5.2 or BF.7 variants can induce broad neutralizing activity to non-Omicron and Omicron variants together with vaccination. Notably, the levels of NAbs against most of the SARS-CoV-2 variants are much lower in the decreased immunity of HIV patients (CD4+ < 350 cells/μL) compared to the recovered immunity (CD4+ > 500 cells/μL), indicating that maintenance of the immune system is crucial for NAb production. Altogether, our high-throughput proteomics platform represents a powerful tool for the detection of bNAbs in the population and may inform the development of more effective COVID-19 vaccines and vaccination strategies in the future.</p>","PeriodicalId":17,"journal":{"name":"ACS Infectious Diseases","volume":" ","pages":""},"PeriodicalIF":3.8000,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Infectious Diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1021/acsinfecdis.5c00402","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CHEMISTRY, MEDICINAL","Score":null,"Total":0}
引用次数: 0
Abstract
Detecting neutralizing antibodies (NAbs) to SARS-CoV-2 variants that are evolved is crucial to know the escape of host immunity to the newly arising variants. To address this need, we developed a high-throughput broad neutralizing antibody (bNAb) assay using flow cytometry with magnetic-fluorescent microspheres for detecting NAbs against diverse SARS-CoV-2 variants. The assay is rapid, reliable, and 35-fold more sensitive than Luminex technology. Our results highly correlated with the IgG serological assay (R = 0.90), the FDA-approved cPass sVNT assay (R = 0.92), pseudovirus-based neutralization assay (R = 0.96, 0.66, 0.65), and live virus-based neutralization assay (R = 0.79, 0.64). When applied to 56 healthy individuals receiving third-dose vaccines (18 CoronaVac; 38 ZF2001) and 35 HIV patients with breakthrough infection of COVID-19 (16 with CD4+ < 350 cells/μL; 19 with CD4+ > 500 cells/μL), results showed that the Omicron BA.1-BA.5 variants exhibited significant resistance to inactivated vaccines in healthy individuals. In HIV patients, the breakthrough infection of Omicron BA.5.2 or BF.7 variants can induce broad neutralizing activity to non-Omicron and Omicron variants together with vaccination. Notably, the levels of NAbs against most of the SARS-CoV-2 variants are much lower in the decreased immunity of HIV patients (CD4+ < 350 cells/μL) compared to the recovered immunity (CD4+ > 500 cells/μL), indicating that maintenance of the immune system is crucial for NAb production. Altogether, our high-throughput proteomics platform represents a powerful tool for the detection of bNAbs in the population and may inform the development of more effective COVID-19 vaccines and vaccination strategies in the future.
期刊介绍:
ACS Infectious Diseases will be the first journal to highlight chemistry and its role in this multidisciplinary and collaborative research area. The journal will cover a diverse array of topics including, but not limited to:
* Discovery and development of new antimicrobial agents — identified through target- or phenotypic-based approaches as well as compounds that induce synergy with antimicrobials.
* Characterization and validation of drug target or pathways — use of single target and genome-wide knockdown and knockouts, biochemical studies, structural biology, new technologies to facilitate characterization and prioritization of potential drug targets.
* Mechanism of drug resistance — fundamental research that advances our understanding of resistance; strategies to prevent resistance.
* Mechanisms of action — use of genetic, metabolomic, and activity- and affinity-based protein profiling to elucidate the mechanism of action of clinical and experimental antimicrobial agents.
* Host-pathogen interactions — tools for studying host-pathogen interactions, cellular biochemistry of hosts and pathogens, and molecular interactions of pathogens with host microbiota.
* Small molecule vaccine adjuvants for infectious disease.
* Viral and bacterial biochemistry and molecular biology.