TY - INPR A1 - Wilhelm, Alexander A1 - Widera, Marek A1 - Grikscheit, Katharina A1 - Toptan, Tuna A1 - Schenk, Barbara A1 - Pallas, Christiane A1 - Metzler, Melinda A1 - Kohmer, Niko A1 - Hoehl, Sebastian A1 - Helfritz, Fabian Arnold A1 - Wolf, Timo A1 - Götsch, Udo A1 - Ciesek, Sandra T1 - Reduced neutralization of SARS-CoV-2 Omicron variant by vaccine sera and monoclonal antibodies T2 - medRxiv N2 - Due to numerous mutations in the spike protein, the SARS-CoV-2 variant of concern Omicron (B.1.1.529) raises serious concerns since it may significantly limit the antibody-mediated neutralization and increase the risk of reinfections. While a rapid increase in the number of cases is being reported worldwide, until now there has been uncertainty about the efficacy of vaccinations and monoclonal antibodies. Our in vitro findings using authentic SARS-CoV-2 variants indicate that in contrast to the currently circulating Delta variant, the neutralization efficacy of vaccine-elicited sera against Omicron was severely reduced highlighting T-cell mediated immunity as essential barrier to prevent severe COVID-19. Since SARS-CoV-2 Omicron was resistant to casirivimab and imdevimab, genotyping of SARS-CoV-2 may be needed before initiating mAb treatment. Variant-specific vaccines and mAb agents may be required to treat COVID-19 due to Omicron and other emerging variants of concern. Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/73637 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-736371 UR - https://www.medrxiv.org/content/10.1101/2021.12.07.21267432v1 IS - 2021.12.07.21267432 Version 1 ER -