The neutralization capacity of serum samples against a SARS-CoV-2 clinical isolate from September 2020 with the D614G mutation (wildtype) as well as the variants Alpha (B.1.1.7), Delta (AY.43) and Omicron (BA.1 and BA.5) was analyzed. Additionally, the neutralizing capacity of sera from ten patients was investigated (patient 1, 6, 9, 10, 24, 27, 33, 45, 48, 52) towards their equivalent clinical isolate that caused the SARS-CoV-2 breakthrough infection in comparison to wildtype isolate.
Neutralization assays were conducted as described previously (26 (link)). Briefly, two-fold serial dilutions of patient sera (1:20 to 1:2560) were pre-incubated with 100 TCID50/50 µL SARS-CoV-2 for one hour at 37 °C. These mixtures were added to A549-AT cells and incubated for three days at 37 °C and 5% CO2. Cell cultures were stained with 0.5% crystal violet (w/v) (Roth, Karlsruhe, Germany), solved in 20% (v/v) methanol (Merck, Darmstadt, Germany) and evaluated for CPEs by transmitted light microscopy. The highest serum dilution at which none of the triplicate cultures displayed CPEs was defined as the complete neutralization titer (NT100).
Free full text: Click here