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Divergence of variant antibodies following SARS-CoV-2 booster vaccines in myeloma and impact of hybrid immunity

  • Alberto Moreno,
  • Kelly Manning,
  • Maryam I. Azeem,
  • Ajay K. Nooka,
  • Madison Ellis,
  • Renee Julia Manalo,
  • Jeffrey M. Switchenko,
  • Bushra Wali,
  • Jonathan L. Kaufman,
  • Craig C. Hofmeister,
  • Nisha S. Joseph,
  • Sagar Lonial,
  • Kavita M. Dhodapkar,
  • Madhav V. Dhodapkar,
  • Mehul S. Suthar

摘要

Hematological malignancies are associated with an increased risk of complications during SARS-CoV-2 infections. Primary series or monovalent booster vaccines reduce disease severity, hospitalization, and death among multiple myeloma patients. We characterized virus-neutralizing and spike-binding antibody profiles following monovalent (WA1) or bivalent (WA1/BA.5) SARS-CoV-2 booster vaccination in MM patients. Bivalent vaccination improved the breadth of binding antibodies but not neutralization activity against contemporary variants. Hybrid immunity and immune imprinting impact vaccine-elicited immunity.