Dynamics of antibody response to BNT162b2 vaccine after six months: a longitudinal prospective study.

Dynamics of antibody response to BNT162b2 vaccine after six months: a longitudinal prospective study.
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DOI:
10.1016/j.lanepe.2021.100208
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发表时间:
2021-11
期刊:
The Lancet regional health. Europe
影响因子:
--
通讯作者:
Peterson P
Peterson P
中科院分区:
其他
文献类型:
--
作者:
Naaber P;Tserel L;Kangro K;Sepp E;Jürjenson V;Adamson A;Haljasmägi L;Rumm AP;Maruste R;Kärner J;Gerhold JM;Planken A;Ustav M;Kisand K;Peterson P

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SARS-CoV-2 mRNA疫苗已被证明具有很高的疗效,然而,关于免疫应答持续时间及其与年龄和副作用的关系的数据有限。我们研究了122名志愿者接种两剂BNT 162 b2疫苗后长达6个月的抗体和记忆T细胞反应,并将研究结果与年龄和副作用相关联。我们发现在第二次给药后对刺突蛋白的强烈抗体应答。然而,抗体水平在接种后12周和6个月下降,表明免疫应答随时间减弱。在第二剂接种后6个月,刺突抗体水平与接种一剂疫苗的人或COVID-19恢复期个体的水平相似。这些抗体在一周内有效地阻断了ACE 2受体与五种受关注变体的SARS-CoV-2刺突蛋白的结合,但在三个月后这种结合降低。87%的个体产生了刺突特异性记忆T细胞应答,这在免疫衰老CD 8 + TEMRA细胞比例增加的个体中较低。我们发现抗体反应与年龄呈负相关,与疫苗接种副作用总分呈正相关。mRNA疫苗在接种后1周诱导对SARS-CoV-2和5种VOC的强烈抗体应答,此后降低。T细胞反应,虽然在大多数可检测到的,在具有较高的T细胞免疫衰老的个体中较低。疫苗反应的恶化表明需要监测潜在的加强疫苗接种。
SARS-CoV-2 mRNA vaccines have proven high efficacy, however, limited data exists on the duration of immune responses and their relation to age and side effects. We studied the antibody and memory T cell responses after the two-dose BNT162b2 vaccine in 122 volunteers up to 6 months and correlated the findings with age and side effects. We found a robust antibody response to Spike protein after the second dose. However, the antibody levels declined at 12 weeks and 6 months post-vaccination, indicating a waning of the immune response over time. At 6 months after the second dose, the Spike antibody levels were similar to the levels in persons vaccinated with one dose or in COVID-19 convalescent individuals. The antibodies efficiently blocked ACE2 receptor binding to SARS-CoV-2 Spike protein of five variants of concern at one week but this was decreased at three months. 87% of individuals developed Spike-specific memory T cell responses, which were lower in individuals with increased proportions of immunosenescent CD8+ TEMRA cells. We found antibody response to correlate negatively with age and positively with the total score of vaccination side effects. The mRNA vaccine induces a strong antibody response to SARS-CoV-2 and five VOCs at 1 week post-vaccination that decreases thereafter. T cell responses, although detectable in the majority, were lower in individuals with higher T cell immunosenescence. The deterioration of vaccine response suggests the need to monitor for the potential booster vaccination.
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