Published on 04/08/2021
COVID-19 Genomics and Precision Public Health Weekly Update Content
Pathogen and Human Genomics Studies
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Antibody responses to the BNT162b2 mRNA vaccine in individuals previously infected with SARS-CoV-2
JE Ebinger et al, Nature Medicine, April 1, 2021In a cohort of BNT162b2 (Pfizer–BioNTech) mRNA vaccine recipients (n?=?1,090), we observed that spike-specific IgG antibody levels and ACE2 antibody binding inhibition responses elicited by a single vaccine dose in individuals with prior SARS-CoV-2 infection (n?=?35) were similar to those seen after two doses of vaccine in individuals without prior infection (n?=?228). -
COVID-19 in individuals with sickle cell disease/trait compared with other Black individuals.
Singh Ashima et al. Blood advances 2021 4 (7) 1915-1921After 1:1 propensity score matching (based on age, sex, and other preexisting comorbidities), patients with COVID-19 and SCD remained at a higher risk of hospitalization (relative risk [RR], 2.0; 95% CI, 1.5-2.7) and development of pneumonia (RR, 2.4; 95% CI, 1.6-3.4) and pain (RR, 3.4; 95% CI, 2.5-4.8) compared with Black persons without SCD/SCT -
B.1.526 SARS-CoV-2 variants identified in New York City are neutralized by vaccine-elicited and therapeutic monoclonal antibodies.
Zhou Hao et al. bioRxiv : the preprint server for biology 2021 4We report that convalescent sera and vaccine-elicited antibodies retain full neutralizing titer against the S477N B.1.526 variant and neutralize the E484K version with a modest 3.5-fold decrease in titer as compared to D614G. The E484K version was neutralized with a 12-fold decrease in titer by the REGN10933 monoclonal antibody but the combination cocktail with REGN10987 was fully active. -
SARS-CoV-2 variants B.1.351 and P.1 escape from neutralizing antibodies.
Hoffmann Markus et al. Cell 2021 4Using pseudoparticles, we show that entry of all variants into human cells is susceptible to blockade by the entry inhibitors soluble ACE2, Camostat, EK-1, and EK-1-C4. In contrast, entry of the B.1.351 and P.1 variant was partially (Casirivimab) or fully (Bamlanivimab) resistant to antibodies used for COVID-19 treatment. Moreover, entry of these variants was less efficiently inhibited by plasma from convalescent COVID-19 patients and sera from BNT162b2-vaccinated individuals -
COVIDOUTCOME – Estimating COVID Severity Based on Mutation Signatures in the SARS-CoV-2 Genome
A Nagy et al, BIORXIV, April 2, 2021Numerous studies demonstrate frequent mutations in the genome of SARS-CoV-2. Our goal was to statistically link mutations to severe disease outcome. We used an automated machine learning approach where 1,594 viral genomes with available clinical follow-up data were used as the training set (797 - severe and 797 - mild). We identified 26 protein and UTR mutations significantly linked to severe outcome. The best algorithm uses a mutation signature of 22 mutations and patient age. -
Reactogenicity Following Receipt of mRNA-Based COVID-19 Vaccines
J Chapin-Bardales et al, JAMA, April 5, 2021The frequency of reported reactions was generally consistent with results observed in clinical trials.Data from millions of v-safe participants indicate that injection site pain is common after both the first and second doses of either mRNA-based vaccine. Systemic reactions, including fatigue, headache, myalgia, chills, fever, and joint pain, occurred in participants after the first dose, although they were more frequently reported after the second dose among. Persons 65 years and older reported less reactogenicity than younger persons. -
Increased household secondary attacks rates with Variant of Concern SARS-CoV-2 index cases
SA Buchan et al, MEDRXIV, April 5, 2021We included 1,259 index VOC and non-VOC cases in the propensity score-matched analysis. The secondary attack rate for VOC index cases in this matched cohort was 1.31 times higher than non-VOC index cases (RR=1.31, 95%CI 1.14-1.49). The study provides strong evidence of increased transmissibility in households due to VOCs and suggests that asymptomatic and pre-symptomatic transmission may be of particular importance for VOCs. -
Multiple Early Introductions of SARS-CoV-2 to Cape Town, South Africa.
Engelbrecht Susan et al. Viruses 2021 4 (3)Cape Town was the first city in South Africa to experience the full impact of the coronavirus disease 2019 (COVID-19) pandemic. We acquired samples from all suspected cases and their contacts during the first month of the pandemic from Tygerberg Hospital. Nanopore sequencing generated SARS-CoV-2 whole genomes. Phylogenetic inference with maximum likelihood and Bayesian methods were used to determine lineages that seeded the local epidemic. -
Cross-Reactive Neutralizing Antibody Responses Elicited by SARS-CoV-2 501Y.V2 (B.1.351).
Moyo-Gwete Thandeka et al. The New England journal of medicine 2021 4We found that 501Y.V2 elicits robust neutralizing antibody responses against both the original variant and 501Y.V3 (P.1), which indicates high levels of cross-reactivity. Our data indicate that vaccines built on the spike protein of 501Y.V2 may be promising candidates for the elicitation of cross-reactive neutralizing antibody responses to SARS-CoV-2. -
Neutralization of SARS-CoV-2 Variants B.1.429 and B.1.351.
Shen Xiaoying et al. The New England journal of medicine 2021 4Our results, and the high efficacy shown by these vaccines, suggest that vaccine-elicited neutralizing antibodies are likely to remain effective against the B.1.429 variant. The magnitude of resistance seen with the B.1.351 variant is of greater concern with respect to current vaccines. -
Antibody Responses in Seropositive Persons after a Single Dose of SARS-CoV-2 mRNA Vaccine.
Krammer Florian et al. The New England journal of medicine 2021 3 (14) 1372-1374We found that a single dose of mRNA vaccine elicited rapid immune responses in seropositive participants, with postvaccination antibody titers that were similar to or exceeded titers found in seronegative participants who received two vaccinations. Whether a single dose of mRNA vaccine provides effective protection in seropositive persons requires investigation.
Non-Genomics Precision Health Studies
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Antibody responses to the BNT162b2 mRNA vaccine in individuals previously infected with SARS-CoV-2
JE Ebinger et al, Nature Medicine, April 1, 2021In a cohort of BNT162b2 (Pfizer–BioNTech) mRNA vaccine recipients (n?=?1,090), we observed that spike-specific IgG antibody levels and ACE2 antibody binding inhibition responses elicited by a single vaccine dose in individuals with prior SARS-CoV-2 infection (n?=?35) were similar to those seen after two doses of vaccine in individuals without prior infection (n?=?228). -
COVID-19 in individuals with sickle cell disease/trait compared with other Black individuals.
Singh Ashima et al. Blood advances 2021 4 (7) 1915-1921After 1:1 propensity score matching (based on age, sex, and other preexisting comorbidities), patients with COVID-19 and SCD remained at a higher risk of hospitalization (relative risk [RR], 2.0; 95% CI, 1.5-2.7) and development of pneumonia (RR, 2.4; 95% CI, 1.6-3.4) and pain (RR, 3.4; 95% CI, 2.5-4.8) compared with Black persons without SCD/SCT -
B.1.526 SARS-CoV-2 variants identified in New York City are neutralized by vaccine-elicited and therapeutic monoclonal antibodies.
Zhou Hao et al. bioRxiv : the preprint server for biology 2021 4We report that convalescent sera and vaccine-elicited antibodies retain full neutralizing titer against the S477N B.1.526 variant and neutralize the E484K version with a modest 3.5-fold decrease in titer as compared to D614G. The E484K version was neutralized with a 12-fold decrease in titer by the REGN10933 monoclonal antibody but the combination cocktail with REGN10987 was fully active. -
SARS-CoV-2 variants B.1.351 and P.1 escape from neutralizing antibodies.
Hoffmann Markus et al. Cell 2021 4Using pseudoparticles, we show that entry of all variants into human cells is susceptible to blockade by the entry inhibitors soluble ACE2, Camostat, EK-1, and EK-1-C4. In contrast, entry of the B.1.351 and P.1 variant was partially (Casirivimab) or fully (Bamlanivimab) resistant to antibodies used for COVID-19 treatment. Moreover, entry of these variants was less efficiently inhibited by plasma from convalescent COVID-19 patients and sera from BNT162b2-vaccinated individuals -
COVIDOUTCOME – Estimating COVID Severity Based on Mutation Signatures in the SARS-CoV-2 Genome
A Nagy et al, BIORXIV, April 2, 2021Numerous studies demonstrate frequent mutations in the genome of SARS-CoV-2. Our goal was to statistically link mutations to severe disease outcome. We used an automated machine learning approach where 1,594 viral genomes with available clinical follow-up data were used as the training set (797 - severe and 797 - mild). We identified 26 protein and UTR mutations significantly linked to severe outcome. The best algorithm uses a mutation signature of 22 mutations and patient age. -
Reactogenicity Following Receipt of mRNA-Based COVID-19 Vaccines
J Chapin-Bardales et al, JAMA, April 5, 2021The frequency of reported reactions was generally consistent with results observed in clinical trials.Data from millions of v-safe participants indicate that injection site pain is common after both the first and second doses of either mRNA-based vaccine. Systemic reactions, including fatigue, headache, myalgia, chills, fever, and joint pain, occurred in participants after the first dose, although they were more frequently reported after the second dose among. Persons 65 years and older reported less reactogenicity than younger persons. -
Increased household secondary attacks rates with Variant of Concern SARS-CoV-2 index cases
SA Buchan et al, MEDRXIV, April 5, 2021We included 1,259 index VOC and non-VOC cases in the propensity score-matched analysis. The secondary attack rate for VOC index cases in this matched cohort was 1.31 times higher than non-VOC index cases (RR=1.31, 95%CI 1.14-1.49). The study provides strong evidence of increased transmissibility in households due to VOCs and suggests that asymptomatic and pre-symptomatic transmission may be of particular importance for VOCs. -
Multiple Early Introductions of SARS-CoV-2 to Cape Town, South Africa.
Engelbrecht Susan et al. Viruses 2021 4 (3)Cape Town was the first city in South Africa to experience the full impact of the coronavirus disease 2019 (COVID-19) pandemic. We acquired samples from all suspected cases and their contacts during the first month of the pandemic from Tygerberg Hospital. Nanopore sequencing generated SARS-CoV-2 whole genomes. Phylogenetic inference with maximum likelihood and Bayesian methods were used to determine lineages that seeded the local epidemic. -
Cross-Reactive Neutralizing Antibody Responses Elicited by SARS-CoV-2 501Y.V2 (B.1.351).
Moyo-Gwete Thandeka et al. The New England journal of medicine 2021 4We found that 501Y.V2 elicits robust neutralizing antibody responses against both the original variant and 501Y.V3 (P.1), which indicates high levels of cross-reactivity. Our data indicate that vaccines built on the spike protein of 501Y.V2 may be promising candidates for the elicitation of cross-reactive neutralizing antibody responses to SARS-CoV-2. -
Neutralization of SARS-CoV-2 Variants B.1.429 and B.1.351.
Shen Xiaoying et al. The New England journal of medicine 2021 4Our results, and the high efficacy shown by these vaccines, suggest that vaccine-elicited neutralizing antibodies are likely to remain effective against the B.1.429 variant. The magnitude of resistance seen with the B.1.351 variant is of greater concern with respect to current vaccines. -
Antibody Responses in Seropositive Persons after a Single Dose of SARS-CoV-2 mRNA Vaccine.
Krammer Florian et al. The New England journal of medicine 2021 3 (14) 1372-1374We found that a single dose of mRNA vaccine elicited rapid immune responses in seropositive participants, with postvaccination antibody titers that were similar to or exceeded titers found in seronegative participants who received two vaccinations. Whether a single dose of mRNA vaccine provides effective protection in seropositive persons requires investigation.
News, Reviews and Commentaries
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Antibody responses to the BNT162b2 mRNA vaccine in individuals previously infected with SARS-CoV-2
JE Ebinger et al, Nature Medicine, April 1, 2021In a cohort of BNT162b2 (Pfizer–BioNTech) mRNA vaccine recipients (n?=?1,090), we observed that spike-specific IgG antibody levels and ACE2 antibody binding inhibition responses elicited by a single vaccine dose in individuals with prior SARS-CoV-2 infection (n?=?35) were similar to those seen after two doses of vaccine in individuals without prior infection (n?=?228). -
COVID-19 in individuals with sickle cell disease/trait compared with other Black individuals.
Singh Ashima et al. Blood advances 2021 4 (7) 1915-1921After 1:1 propensity score matching (based on age, sex, and other preexisting comorbidities), patients with COVID-19 and SCD remained at a higher risk of hospitalization (relative risk [RR], 2.0; 95% CI, 1.5-2.7) and development of pneumonia (RR, 2.4; 95% CI, 1.6-3.4) and pain (RR, 3.4; 95% CI, 2.5-4.8) compared with Black persons without SCD/SCT -
B.1.526 SARS-CoV-2 variants identified in New York City are neutralized by vaccine-elicited and therapeutic monoclonal antibodies.
Zhou Hao et al. bioRxiv : the preprint server for biology 2021 4We report that convalescent sera and vaccine-elicited antibodies retain full neutralizing titer against the S477N B.1.526 variant and neutralize the E484K version with a modest 3.5-fold decrease in titer as compared to D614G. The E484K version was neutralized with a 12-fold decrease in titer by the REGN10933 monoclonal antibody but the combination cocktail with REGN10987 was fully active. -
SARS-CoV-2 variants B.1.351 and P.1 escape from neutralizing antibodies.
Hoffmann Markus et al. Cell 2021 4Using pseudoparticles, we show that entry of all variants into human cells is susceptible to blockade by the entry inhibitors soluble ACE2, Camostat, EK-1, and EK-1-C4. In contrast, entry of the B.1.351 and P.1 variant was partially (Casirivimab) or fully (Bamlanivimab) resistant to antibodies used for COVID-19 treatment. Moreover, entry of these variants was less efficiently inhibited by plasma from convalescent COVID-19 patients and sera from BNT162b2-vaccinated individuals -
COVIDOUTCOME – Estimating COVID Severity Based on Mutation Signatures in the SARS-CoV-2 Genome
A Nagy et al, BIORXIV, April 2, 2021Numerous studies demonstrate frequent mutations in the genome of SARS-CoV-2. Our goal was to statistically link mutations to severe disease outcome. We used an automated machine learning approach where 1,594 viral genomes with available clinical follow-up data were used as the training set (797 - severe and 797 - mild). We identified 26 protein and UTR mutations significantly linked to severe outcome. The best algorithm uses a mutation signature of 22 mutations and patient age. -
Reactogenicity Following Receipt of mRNA-Based COVID-19 Vaccines
J Chapin-Bardales et al, JAMA, April 5, 2021The frequency of reported reactions was generally consistent with results observed in clinical trials.Data from millions of v-safe participants indicate that injection site pain is common after both the first and second doses of either mRNA-based vaccine. Systemic reactions, including fatigue, headache, myalgia, chills, fever, and joint pain, occurred in participants after the first dose, although they were more frequently reported after the second dose among. Persons 65 years and older reported less reactogenicity than younger persons. -
Increased household secondary attacks rates with Variant of Concern SARS-CoV-2 index cases
SA Buchan et al, MEDRXIV, April 5, 2021We included 1,259 index VOC and non-VOC cases in the propensity score-matched analysis. The secondary attack rate for VOC index cases in this matched cohort was 1.31 times higher than non-VOC index cases (RR=1.31, 95%CI 1.14-1.49). The study provides strong evidence of increased transmissibility in households due to VOCs and suggests that asymptomatic and pre-symptomatic transmission may be of particular importance for VOCs. -
Multiple Early Introductions of SARS-CoV-2 to Cape Town, South Africa.
Engelbrecht Susan et al. Viruses 2021 4 (3)Cape Town was the first city in South Africa to experience the full impact of the coronavirus disease 2019 (COVID-19) pandemic. We acquired samples from all suspected cases and their contacts during the first month of the pandemic from Tygerberg Hospital. Nanopore sequencing generated SARS-CoV-2 whole genomes. Phylogenetic inference with maximum likelihood and Bayesian methods were used to determine lineages that seeded the local epidemic. -
Cross-Reactive Neutralizing Antibody Responses Elicited by SARS-CoV-2 501Y.V2 (B.1.351).
Moyo-Gwete Thandeka et al. The New England journal of medicine 2021 4We found that 501Y.V2 elicits robust neutralizing antibody responses against both the original variant and 501Y.V3 (P.1), which indicates high levels of cross-reactivity. Our data indicate that vaccines built on the spike protein of 501Y.V2 may be promising candidates for the elicitation of cross-reactive neutralizing antibody responses to SARS-CoV-2. -
Neutralization of SARS-CoV-2 Variants B.1.429 and B.1.351.
Shen Xiaoying et al. The New England journal of medicine 2021 4Our results, and the high efficacy shown by these vaccines, suggest that vaccine-elicited neutralizing antibodies are likely to remain effective against the B.1.429 variant. The magnitude of resistance seen with the B.1.351 variant is of greater concern with respect to current vaccines. -
Antibody Responses in Seropositive Persons after a Single Dose of SARS-CoV-2 mRNA Vaccine.
Krammer Florian et al. The New England journal of medicine 2021 3 (14) 1372-1374We found that a single dose of mRNA vaccine elicited rapid immune responses in seropositive participants, with postvaccination antibody titers that were similar to or exceeded titers found in seronegative participants who received two vaccinations. Whether a single dose of mRNA vaccine provides effective protection in seropositive persons requires investigation.
- Page last reviewed:Feb 1, 2024
- Page last updated:Apr 25, 2024
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