RT Journal Article T1 Cross neutralization of SARS‐CoV‐2 omicron subvariants after repeated doses of COVID‐19 mRNA vaccines A1 Luczkowiak, Joanna A1 Rivas, Gonzalo A1 Labiod, Nuria A1 Lasala, Fátima A1 Rolo, Marta A1 Lora-Tamayo Morillo-Velarde, Jaime A1 Mancheno Losa, Mikel A1 Rial Crestelo, David A1 Pérez Rivilla, José Alfredo A1 Folgueira López, María Dolores A1 Delgado Vázquez, Rafael AB We have measured the humoral response to messenger RNA (mRNA) vaccines in COVID-19 naïve and convalescent individuals. Third doses of mRNA COVID-19 vaccines induced a significant increase in potency and breadth of neutralization against SARS-CoV-2 variants of concern (VoC) including Omicron subvariants BA.1, BA.2, and BA.2.12.1, that were cross-neutralized at comparable levels and less for BA.4/5. This booster effect was especially important in naïve individuals that only after the third dose achieved a level that was comparable with that of vaccinated COVID-19 convalescents except for BA.4/5. Avidity of RBD-binding antibodies was also significantly increased in naïve individuals after the third dose, indicating an association between affinity maturation and cross neutralization of VoC. These results suggest that at least three antigenic stimuli by infection or vaccination with ancestral SARS-CoV-2 sequences are required to induce high avidity cross-neutralizing antibodies. Nevertheless, the circulation of new subvariants such as BA.4/5 with partial resistance to neutralization will have to be closely monitored and eventually consider for future vaccine developments. PB Wiley SN 0146-6615 YR 2023 FD 2023-11-01 LK https://hdl.handle.net/20.500.14352/72699 UL https://hdl.handle.net/20.500.14352/72699 LA eng NO CRUE-CSIC (Acuerdos Transformativos 2022) NO Union Europea. Horizonte Europa NO Unión Europea. Horizonte 2020 NO Instituto de Salud Carlos III (ISCIII) NO Fundación Caixa‐Health Research DS Docta Complutense RD 9 abr 2025