Evidence map›Paper›PMID 40735742›Full record

ArticleOne health (Amsterdam, Netherlands)2025

Cross-neutralization of human sera with diverse SARS-CoV-2 omicron exposure histories, 2022-2024: Evidence of immune heterogeneity.

Shihan Zhang, Qian Zhen, Liling Chen, Songning Ding, Jianguang Fu, Fei Deng, Huan Fan, Chen Dong, Hua Tian, Chuchu Li and 8 more

Abstract read
In one paragraph

Article in One health (Amsterdam, Netherlands), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Shihan ZhangDepartment of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, China.
Qian ZhenDepartment of Acute Infectious Disease Control and Prevention, Changzhou Center for Disease Control and Prevention, Changzhou, China.
Liling ChenDepartment of Acute Infectious Disease Control and Prevention, Suzhou Center for Disease Control and Prevention, Suzhou, China.
Songning DingDepartment of Acute Infectious Disease Control and Prevention, Nanjing Center for Disease Control and Prevention, Nanjing, China.
Jianguang FuDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Fei DengDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Huan FanDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Chen DongDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Hua TianDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Chuchu LiDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Lu ZhouDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Xiaoxiao KongDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Changjun BaoDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Ke XuDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Fengming WangDepartment of Acute Infectious Disease Control and Prevention, Changzhou Center for Disease Control and Prevention, Changzhou, China.
Liguo ZhuDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Hui JinDepartment of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, China.
Huiyan YuDepartment of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: SARS-CoV-2 Omicron lineages continue to evolve, driving recurrent infection waves since 2022 through immune escape in populations with diverse immunological histories. Understanding cross-variant neutralization capacity, especially against emerging variants like JN.1, is critical for optimizing protection strategies. Methods: We conducted genomic surveillance in Jiangsu Province (December 2022-February 2024) to identify circulating variants and stratified 150 participants into six cohorts based on immune histories (BA.5/XBB breakthrough infections, JN.1 infections, and sequential exposures). Pseudovirus neutralization assays were employed to evaluate serum responses against ancestral (WT), early Omicron (BA.4/5, BF.7, BQ.1), recombinant (XBB/XBB.1.5/XBB.1.22/EG.5.1), and JN.1 variants. Results: Sera from BA.5/XBB breakthrough infections showed significantly reduced neutralization against JN.1 and EG.5.1 (vs. WT). In contrast, recent JN.1 infection induced broad-spectrum neutralization, with cross-protection comparable across variants. Sequential Omicron exposures (e.g., BA.5 → JN.1/XBB) enhanced cross-neutralization versus single infections, notably generating potent, broad antibodies even during acute phases-a previously unreported finding. Conclusions: Heterogeneous immune backgrounds necessitate vigilant monitoring of emerging variants, and sequential Omicron exposures confer robust cross-protection that can guide vaccine design and long-term public health strategies-all within a One Health framework that integrates human serosurveillance with animal and environmental monitoring to preempt cross-species transmission and future zoonotic spillover.

Indexed as

Cross-neutralizationHeterogeneityImmune escapeOmicron sublineagesSARS-CoV-2

Identifiers

PMID40735742
PMCPMC12305720

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.