TY - JOUR A1 - Quandt, Jasmin A1 - Muik, Alexander A1 - Salisch, Nadine Christina A1 - Lui, Bonny Gaby A1 - Lutz, Sebastian A1 - Krüger, Kimberly A1 - Wallisch, Ann-Kathrin A1 - Adams-Quack, Petra A1 - Bacher, Maren A1 - Finlayson, Andrew A1 - Ozhelvaci, Orkun A1 - Vogler, Isabel A1 - Grikscheit, Katharina A1 - Hoehl, Sebastian A1 - Götsch, Udo A1 - Ciesek, Sandra A1 - Türeci, Özlem A1 - Sahin, Ugur T1 - Omicron BA.1 breakthrough infection drives cross-variant neutralization and memory B cell formation against conserved epitopes T2 - Science Immunology N2 - Omicron is the evolutionarily most distinct severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variant of concern (VOC) to date. We report that Omicron BA.1 breakthrough infection in BNT162b2-vaccinated individuals resulted in strong neutralizing activity against Omicron BA.1, BA.2, and previous SARS-CoV-2 VOCs but not against the Omicron sublineages BA.4 and BA.5. BA.1 breakthrough infection induced a robust recall response, primarily expanding memory B (BMEM) cells against epitopes shared broadly among variants, rather than inducing BA.1-specific B cells. The vaccination-imprinted BMEM cell pool had sufficient plasticity to be remodeled by heterologous SARS-CoV-2 spike glycoprotein exposure. Whereas selective amplification of BMEM cells recognizing shared epitopes allows for effective neutralization of most variants that evade previously established immunity, susceptibility to escape by variants that acquire alterations at hitherto conserved sites may be heightened. Y1 - 2022 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/70477 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-704777 SN - 2470-9468 VL - 7 IS - 75, eabq2427 PB - American Association for the Advancement of Science CY - Washington, DC ER -