Highlights (for review)
• JN.1 mRNA vaccination elicits cross-neutralizing antibodies against BA.3.2.2.
• BA.3.2.2 is antigenically isolated from all circulating JN.1-descendant variants.
• Retention of wild-type F456 in BA.3.2.2 preserves class 1/2 antibody epitopes.
• AZD3152/sipavibart retains potent neutralization against BA.3.2.2.
• VYD222/pemivibart maintains broad neutralization activity across all variants tested.
Abstract
The SARS-CoV-2 BA.3.2.2 sublineage has emerged globally as the dominant branch of BA.3.2 by late 2025, yet its antigenic relationship with JN.1 vaccine-induced immunity remains unclear. We evaluated neutralizing antibody responses in 25 JN.1 mRNA vaccinees against eight variants, stratified by anti-nucleocapsid antibody serostatus. Post-vaccination titers increased significantly against all variants in both N antibody-negative and -positive groups. Cross-neutralization against BA.3.2.2 was detected in both groups despite lower titers compared to JN.1. Antigenic cartography revealed that BA.3.2.2 was antigenically isolated from all JN.1-descendant variants. AZD3152/sipavibart retained potent neutralization against BA.3.2.2 but completely lost activity against all F456L-harboring JN.1-descendant variants, while VYD222/pemivibart and SA55 maintained broad activity. Retention of wild-type F456 in BA.3.2.2 preserves class 1/2 antibody epitopes, providing a mechanistic basis for cross-neutralization and suggesting a potential therapeutic window for sipavibart should BA.3.2.2 expand globally, pending clinical confirmation.
Source:
Link: https://www.ijidonline.com/article/S1201-9712(26)00589-8/fulltext
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