Several COVID-19 vaccines have recently gained authorization for emergency use. Limited knowledge on duration of immunity and efficacy of these vaccines is currently available. Data on other coronaviruses after natural infection suggest that immunity to SARS-CoV-2 might be short-lived, and preliminary evidence indicates waning antibody titers following SARS-CoV-2 infection. In this work, we model the relationship between immunogenicity and protective efficacy of a series of Ad26 vectors encoding stabilized variants of the SARS-CoV-2 Spike protein in rhesus macaques and validate the analyses by challenging macaques 6 months after immunization with the Ad26.COV2.S vaccine candidate that has been selected for clinical development. We show that Ad26.COV2.S confers durable protection against replication of SARS-CoV-2 in the lungs that is predicted by the levels of Spike-binding and neutralizing antibodies, indicating that Ad26.COV2.S could confer durable protection in humans and immunological correlates of protection may enable the prediction of durability of protection. Several COVID-19 vaccines have received emergency approval, but durability of protection is unclear. Here, the authors describe correlates of protection (CoP) for the Ad26.COV2.S vaccine in rhesus macaques and report that CoP predict the protection observed 6 months post vaccination.
【저자키워드】 SARS-CoV-2, viral infection, Vaccines, Predictive markers, 【초록키워드】 Efficacy, Vaccine, COVID-19 vaccine, immunogenicity, Immunity, Neutralizing antibodies, spike, knowledge, SARS-COV-2 infection, Human, variant, lung, immunization, Spike protein, Replication, Protein, Ad26.COV2.S, vector, Lungs, SARS-CoV-2 spike protein, Antibody titer, macaque, natural infection, predict, Antibody titers, Protective, Emergency use, rhesus macaques, rhesus macaque, Evidence, Analysis, other coronaviruses, approval, clinical development, Ad26, Ad26.COV2.S vaccine, authorization, post vaccination, preliminary evidence, replication of SARS-CoV-2, immunological, selected, predicted, other coronavirus, indicate, Limited, short-lived, the SARS-CoV-2, 【제목키워드】 neutralizing antibody, vaccination, predict, binding, rhesus macaque,