The Spike sequences from VoCs were aligned and further subjected to phylogenetic analysis. The Omicron variants presented twelve mutations in RBM, including, mutations that were reported in the previous VOCs such as L452R, T478K, E484 and N501Y, also N440K, G446S, L452Q/R, S477N, T478K, E484A, F486V, Q493R, G496S, and Y505H (
Figure 1a) most of these mutations alter viral fitness and immune evasion. The interaction of several described human nAbs with the binding residues on RBM were evaluated (
Figure 1b), most of the binding occur on RBM tip (aa 473-489), where 6 amino acids residues (37,5%) are mutated in Omicron variants (S477N, T478K, E484A, F486V, Q493R, G496S). Interactions of Spike with ACE-2 were highlighted, including residues between 438–506 of the RBM, that makes the maximum contact with the N-terminal PD domain of ACE2. Described human nAbs evaluated displayed contact residues in RBM which overlaps amino acids interacting with ACE2. Since most of Omicron mutations were concentrated in RBM tip we synthetized peptides with different lengths to analyze antibody production and binding affinity. First RBM including tip region were fragmented in three 15-mer peptides S1WT (
464FERDISTEIYQAGST
478) S2WT (
476GSTPCNGVEGFNCYF
490) and S3WT (
489YFPLQSYGFQPTNGV
503) (
Figure 1c).
Seroreactivity of these three regions were tested by peptide ELISAS, using a serum panel of vaccinated individuals with one dose of Oxford/AstraZeneca (ChAdOx1-S) (
Table S1) and four doses of heterologous boosting (Oxford/AstraZeneca - ChAdOx1-S; Pfizer-BioNTech - BNT162b2 or Janssen - Ad26.COV2.S) (
Figure 2 and
Table S2). A panel of pre-pandemic sera was used as control for the cut-off calculation. Few individuals responded for IgG to the RBM tip peptides, with reactivity index >1.1, seroreactivity for peptides S1WT and S2WT were similar for prime immunization 4/30 (13.3%) and for booster heterologous doses 1/7 (14.3%). Peptide S3WT had a lower performance with only two positive samples for first-dose vaccination and one for booster heterologous doses (
Figure 2a). Although low antibody concentration, one open question is the affinity of produced Spike nAbs to these regions. Microscale thermophoresis (MST) was performed to measure the Kd of the peptide-antibody interactions. Specific purified antibodies to the RBM were separated using a recombinant protein affinity column (
Figure S1), and then antibodies were tagged with a fluorescent probe, interactions of antibodies with different concentrations of peptides (S1WT and S2WT) were measured in glass capillaries and MST traces recorded (
Figure S2). The dissociation constant (Kd) calculated from the dose-response curve was strikingly different from peptides S1WT (Kd= 640,73 nM) and S2WT (Kd=35 nM) (
Figure 2b). Results demonstrated that the binding affinity of RBM antibodies to peptide S2WT was stronger. Aiming to increase the sensitivity of the analysis a 37-mer peptide was synthesized (S8WT,
452LFRKSNLKPFERDISTEIYQAGSTPCNGVEGFNCYFP
488), also two other peptides from Omicron BA.1 (S8BA1,
452LFRKSNLKPFERDISTEIYQAGNKPCNGVAGFNCYFP
488) and Omicron BA.5 (S8BA5,
452LFRKSNLKPFERDISTEIYQAGNKPCNGVAGVNCYFP
488) included these VoCs mutations (
Figure 1c). There was a slightly increase in seroreactivity for IgG of the first dose vaccination 6/30 (20%) for peptide S8WT in comparison with fragmented residues (13-14%) (
Figure 2a,c). Mutation at the RBM region of Omicron BA.1 (S8BA1) and BA.5 (S8BA5) reduced both the reactivity index mean and the number of positive samples 4/30 and 2/30, respectively. IgM levels were low and significant different from IgG and IgA in one dose or heterologous dose vaccinated individuals (
Figure 2c,d). Additionally, some individuals with one dose of vaccine, produced IgA response to the RBM tip of Spike wild type (5/30) and reduced response to Omicron BA.1 (2/30) and BA.5 (2/30) (
Figure 2c). Analyzing the group of heterologous vaccination booster doses, only one sample had seroreactivity for IgG and IgA against wild-type sequence S8WT (
Figure 2d). Mutations in Omicron variants reduced almost three times the reactivity index of this sample. Subclasses of IgG positive samples was also analyzed for the group with the first dose vaccination, a predominancy of IgG1 was found (5/12), but reactivity significantly decreased for Omicron variants (
Figure S3).