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06【参考資料1】Interim statement on the composition of current COVID19 vaccines World Health Organization 17 June 2022 (4 ページ)

公開元URL https://www.mhlw.go.jp/stf/newpage_26922.html
出典情報 厚生科学審議会 予防接種・ワクチン分科会(第33回 7/22)《厚生労働省》
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Omicron is the most antigenically distinct SARS-CoV-2 VOC to have spread

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globally - much more so than Alpha, or Delta, which are more antigenically similar

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to the index virus. This has been demonstrated by the substantially reduced

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neutralization activity against Omicron as compared to earlier VOCs, both in

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vaccinated individuals and in those who had been previously infected with earlier

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VOCs. Furthermore, antibody responses in previously naive (unprimed)

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individuals exposed to Omicron are strong, but they do not cross-react well with

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previous variants, including other VOCs. In contrast, in individuals who have been

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previously primed by SARS-CoV-2 infection (i.e., index virus, Alpha, Delta) or

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COVID-19 vaccination (based on the index virus), infection with Omicron elicits

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a broadly cross-reactive antibody response. Similar observations have also been

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seen in animal models and preliminary clinical data in humans assessing Omicron-

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specific vaccine candidates. Collectively, the data show that repeated exposure to

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SARS-CoV-2 antigens (either through breakthrough infection, vaccination

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following infection, or ≧ 3 vaccine doses) enhances the magnitude of the

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antibody response and an increase in breadth is observed after Omicron infection

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in previously primed humans.

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Therefore, available data indicate that the inclusion of Omicron in an updated

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vaccine composition is likely to be beneficial in populations that have already

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received a COVID-19 vaccination primary series. For an Omicron-specific

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vaccine product, the TAG-CO-VAC recognizes that viruses or viral genetic

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sequences very closely related to hCoV/South Africa/NICD-N21668/2021 or

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hCoV/USA/CA-CDC-4358237-001/2021 are some of the most antigenically

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distant from the index virus to date and are likely to enhance the magnitude and

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breadth of the antibody response.

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Importantly, the TAG-CO-VAC considers that the protection offered by an

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Omicron-specific vaccine product is likely to differ in those who have already

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received a COVID-19 vaccine primary series (primed), as compared to those who

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have not (unprimed). Based on the data to date, it is inferred that an Omicron-

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specific monovalent vaccine product administered as a booster dose for those who
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