Fig. 3: Anti-RBD-binding antibodies and neutralizing activity against ancestral and VOCs-derived spike.

a, ELISA showing SARS-CoV-2 S-RBDWT, -RBDD and -RBDO IgG titers in VNLRs, VNHRs and VR subjects in plasma at T0, 3M and 6M. ELISA results shown as ETs based on a standard. The dotted lines represent the LOD. At T0: VNLRs (n = 30), VNHRs (n = 30), VR subjects (n = 26); 3M: VNLRs (n = 28), VNHRs (n = 27), VR subjects (n = 25); 6M: VNLRs (n = 30), VNHRs (n = 29), VR subjects (n = 26). b, Neutralization assay showing 50%neutralizing dose titers (ND50) against S-RBDWT, -RBDD and -RBDO measured by pseudovirus (PSV)-neutralizing assay in plasma from VNLRs (n = 20) and VNHRs (n = 20) at month 6. c, Spearman’s correlation plots showing PSV ND50 and IgG ELISA ETs against S-RBDWT, -RBDD and -RBDO in plasma from VNLRs (n = 20) and VNHRs (n = 20) at month 6. VNLRs, RBDWT: R = 0.721 and P < 0.001, RBDD: R = 0.2305 and P = NS, RBDO: P = NS; VNHRs, RBDWT: R = 0.2168 and P = NS, RBDD: R = 0.6282 and P < 0.01, RBDO: R = 0.4277 and P < 0.01. NA indicates no neutralizing activity. The same subjects were longitudinally analyzed. The box plots indicate median, IQR and minimum/maximum. Each dot of box plots represents the average across two (a) and three (b) technical replicates of the same subject; the data are pooled from multiple experiments. Statistics were calculated using two-sided Wilcoxon’s signed-rank and two-sided Wilcoxon’s rank-sum test. **P < 0.01; ***P < 0.001; ****P < 0.0001.