B cell maturation restored ancestral germlines to control Omicron BA.2.86

biorxiv(2024)

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摘要
The unceasing interplay between SARS-CoV-2 and the human immune system has led to a continuous maturation of the virus and B cell response providing an opportunity to track their evolution in real time. We longitudinally analyzed the functional activity of almost 1,000 neutralizing human monoclonal antibodies (nAbs) isolated from vaccinated people, and from individuals with hybrid and super hybrid immunity (SH), developed after three mRNA vaccine doses and two breakthrough infections. The most potent neutralization and Fc functions against highly mutated variants, including BA.2.86, were found in the SH cohort. Despite different priming, epitope mapping revealed a convergent maturation of the functional antibody response. Neutralization was mainly driven by Class 1/2 nAbs while Fc functions were induced by Class 3/4 antibodies. Remarkably, broad neutralization was mediated by restored IGHV3-53/3-66 B cell germlines which, after heterogenous exposure to SARS-CoV-2 S proteins, increased their level of somatic hypermutations. Our study shows the resilience of the human immune system which restored previously expanded germlines and activated naïve B cells to broaden the antibody repertoire of antibodies to control future SARS-CoV-2 variants. ### Competing Interest Statement I.P., G.P., E.P., P.P., R.R. and E.A. are listed as inventors of full-length human monoclonal antibodies described in Italian patent applications n. 102020000015754 filed on June 30th 2020, 102020000018955 filed on August 3rd 2020 and 102020000029969 filed on 4th of December 2020, and the international patent system number PCT/IB2021/055755 filed on the 28th of June 2021. I.P., E.P., G.A., P.P., R.R. and E.A. are listed as inventors of full-length human monoclonal antibodies described in the international patent system number PCT/IB2022/061257 filed on the 22nd of November 2022. All patents were submitted by Fondazione Toscana Life Sciences, Siena, Italy. Remaining authors have no competing interests to declare.
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