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Antibody feedback regulates immune memory after SARS-CoV-2 mRNA vaccination

Dennis Schaefer-Babajew, Zijun Wang, Frauke Muecksch, Alice Cho, Maximilian Loewe, Melissa Cipolla, Raphael Raspe, Brianna Johnson, Marie Canis, Justin DaSilva, Victor Ramos, Martina Turroja, Katrina G. Millard, Fabian Schmidt, Leander Witte, Juan Dizon, Irina Shimeliovich, Kai-Hui Yao, Thiago Y. Oliveira, Anna Gazumyan, Christian Gaebler, Paul D. Bieniasz (), Theodora Hatziioannou (), Marina Caskey () and Michel C. Nussenzweig ()
Additional contact information
Dennis Schaefer-Babajew: The Rockefeller University
Zijun Wang: The Rockefeller University
Frauke Muecksch: The Rockefeller University
Alice Cho: The Rockefeller University
Maximilian Loewe: The Rockefeller University
Melissa Cipolla: The Rockefeller University
Raphael Raspe: The Rockefeller University
Brianna Johnson: The Rockefeller University
Marie Canis: The Rockefeller University
Justin DaSilva: The Rockefeller University
Victor Ramos: The Rockefeller University
Martina Turroja: The Rockefeller University
Katrina G. Millard: The Rockefeller University
Fabian Schmidt: The Rockefeller University
Leander Witte: The Rockefeller University
Juan Dizon: The Rockefeller University
Irina Shimeliovich: The Rockefeller University
Kai-Hui Yao: The Rockefeller University
Thiago Y. Oliveira: The Rockefeller University
Anna Gazumyan: The Rockefeller University
Christian Gaebler: The Rockefeller University
Paul D. Bieniasz: The Rockefeller University
Theodora Hatziioannou: The Rockefeller University
Marina Caskey: The Rockefeller University
Michel C. Nussenzweig: The Rockefeller University

Nature, 2023, vol. 613, issue 7945, 735-742

Abstract: Abstract Feedback inhibition of humoral immunity by antibodies was first documented in 19091. Subsequent studies showed that, depending on the context, antibodies can enhance or inhibit immune responses2,3. However, little is known about how pre-existing antibodies influence the development of memory B cells. Here we examined the memory B cell response in individuals who received two high-affinity anti-SARS-CoV-2 monoclonal antibodies and subsequently two doses of an mRNA vaccine4–8. We found that the recipients of the monoclonal antibodies produced antigen-binding and neutralizing titres that were only fractionally lower compared than in control individuals. However, the memory B cells of the individuals who received the monoclonal antibodies differed from those of control individuals in that they predominantly expressed low-affinity IgM antibodies that carried small numbers of somatic mutations and showed altered receptor binding domain (RBD) target specificity, consistent with epitope masking. Moreover, only 1 out of 77 anti-RBD memory antibodies tested neutralized the virus. The mechanism underlying these findings was examined in experiments in mice that showed that germinal centres formed in the presence of the same antibodies were dominated by low-affinity B cells. Our results indicate that pre-existing high-affinity antibodies bias germinal centre and memory B cell selection through two distinct mechanisms: (1) by lowering the activation threshold for B cells, thereby permitting abundant lower-affinity clones to participate in the immune response; and (2) through direct masking of their cognate epitopes. This may in part explain the shifting target profile of memory antibodies elicited by booster vaccinations9.

Date: 2023
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DOI: 10.1038/s41586-022-05609-w

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