9:32 p.m. ET, July 20, 2021
Test-tube study finds evidence J&J vaccine may need booster to fight variants
From CNN's Maggie Fox
Doses of the Johnson & Johnson vaccine are prepared at a vaccination center in Grugliasco, Italy, on May 14.
(Stefano Guidi/Getty Images)
Researchers say they’ve found some evidence that people who got the single-dose Johnson & Johnson coronavirus vaccine might benefit from a booster dose to better protect them from new variants of the virus.
The study was done in the lab and does not reflect real-world effects of the vaccine – and it’s published online as a preprint, meaning it was not subject to careful peer review.
But Nathaniel Landau of the New York University Grossman School of Medicine and colleagues said their tests of blood taken from vaccinated volunteers shows that at least some of the newly emerging variants may evade the protection offered by a single dose of Johnson & Johnson’s Janssen vaccine.
They tested the blood using lab-engineered versions of the key parts of coronavirus variants. It’s an approach many labs are using to approximate what might happen in real life.
They found that, as other studies have shown, two doses of the Pfizer/BioNTech and Moderna vaccines provide a strong and broad immune response against the variants, with enough of a cushion to protect people even if the variant does evade the immune system somewhat.
But a single dose of the J&J vaccine did not provide the same degree of protection, they wrote. Johnson & Johnson published similar research in the New England Journal of Medicine last week that showed a single dose of its vaccine protected well against the Delta variant, with protection lasting at least eight months. Tuesday’s study contradicts this finding.
The variants Landau’s team tested includes the Delta or B.1.617.2 variant, which has been shown to be more transmissible than older lineages, as well as Beta (B.1.351), Epsilon (B.1.427/B.1.429), Iota (B.1.526), Delta plus (AY.1) and Lambda (C.37).
“Several reports have shown partial resistance of SARS-CoV-2 variants of concern to vaccine-elicited antibodies. The data shown here extend those findings to the Delta plus and Lambda variants,” the researchers wrote.
Lambda is so far barely showing up in the US, while the Delta variant represents 83% of newly diagnosed cases that are sequenced, according to the US Centers for Disease control and Prevention. Each variant carries a slightly different cluster of mutations that affect how well the immune system can recognize them.
The tests the Landau team ran showed a single dose of Johnson & Johnson’s vaccine did not produce an overwhelming antibody response against the Beta, Delta, plus and Lambda variants. It was reduced by five-fold to seven-fold compared to older lineages, they said. This “according to mathematical modeling, could result in decreased protection against infection,” they wrote.
“While a single dose vaccination has advantages, the benefit provided by a second immunization may be well worth the inconvenience,” Landau’s team wrote.
“The data presented here emphasize the importance of surveillance for breakthrough infections with the increased prevalence of highly transmissible variants. If an increase in breakthrough infections accompanied by severe COVID-19 is found following adenovirus vector or mRNA vaccination, this would provide a rationale for public health policy-makers and manufacturers to consider booster immunizations that would increase protection against the variants of concern and Lambda variant.”
UPDATE: Some information in this story has been removed as it was under embargo.