Antibody Response of Combination of BNT162b2 and CoronaVac Platforms of COVID-19 Vaccines against Omicron Variant.

Antibody Response of Combination of BNT162b2 and CoronaVac Platforms of COVID-19 Vaccines against Omicron Variant.
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DOI:
10.3390/vaccines10020160
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发表时间:
2022-01-21
期刊:
影响因子:
7.8
通讯作者:
Hung IF
Hung IF
中科院分区:
医学3区
文献类型:
--
作者:
Khong KW;Liu D;Leung KY;Lu L;Lam HY;Chen L;Chan PC;Lam HM;Xie X;Zhang R;Fan Y;To KK;Chen H;Yuen KY;Chan KH;Hung IF

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通过对已经接种过两剂COVID-19疫苗的个体接种SARS-CoV-2 naïve,我们旨在研究使用不同平台的疫苗作为加强剂的异源启动-增强策略是否可以增强对SARS-CoV-2病毒变体的免疫反应。参与者被分为四组,每组接受不同的疫苗接种组合:两剂BNT162b2后一剂BNT162b2增强剂(B-B-B);BNT162b2(第一剂)和CoronaVac(第二剂)联合使用后,再加一剂BNT162b2增强剂(B-C-B);两剂CoronaVac后加一剂CoronaVac增强剂(C-C-C);两剂CoronaVac,随后一剂BNT162b2增强剂(C-C-B)。用活病毒微中和试验(vMN)测定血清中对病毒的中和抗体。B-B-B组和C-C-B组对SARS-CoV-2野生型(WT)、Beta变体(BV)和Delta变体(DV)的免疫原性显著提高。此外,B-B-B组和C-C-B组对Omicron变体(OV)的保护作用降低,但仍存在。此外,在增强剂量后3天观察到抗OV的vMN滴度持续上升。在安全性方面,异种的初强化疫苗策略耐受性良好。本研究表明,使用不同平台的疫苗作为加强剂可以增强对SARS-CoV-2变体的保护,对野生型病毒(WT)、Beta变体(BV)、Delta变体(DV)具有有效的中和活性,对Omicron变体(OV)具有一定的保护作用。此外,无论在哪个平台上使用初始剂量,增强mRNA疫苗都比灭活疫苗产生更强的免疫反应。
By vaccinating SARS-CoV-2 naïve individuals who have already received two doses of COVID-19 vaccines, we aimed to investigate whether a heterologous prime-boost strategy, using vaccines of different platforms as the booster dose, can enhance the immune response against SARS-CoV-2 virus variants. Participants were assigned into four groups, each receiving different combination of vaccinations: two doses of BNT162b2 followed by one dose of BNT162b2 booster (B-B-B); Combination of BNT162b2 (first dose) and CoronaVac (second dose) followed by one dose of BNT162b2 booster (B-C-B); two doses of CoronaVac followed by one dose of CoronaVac booster (C-C-C); two doses of CoronaVac followed by one dose of BNT162b2 booster (C-C-B). The neutralizing antibody in sera against the virus was determined with live virus microneutralization assay (vMN). The B-B-B group and C-C-B group demonstrated significantly higher immunogenicity against SARS-CoV-2 Wild type (WT), Beta variant (BV) and Delta variant (DV). In addition, the B-B-B group and C-C-B group showed reduced but existing protection against Omicron variant (OV). Moreover, A persistent rise in vMN titre against OV was observed 3 days after booster dose. Regarding safety, a heterologous prime-boost vaccine strategy is well tolerated. In this study, it was demonstrated that using vaccines of different platforms as booster dose can enhance protection against SARS-CoV-2 variants, offering potent neutralizing activity against wild-type virus (WT), Beta variant (BV), Delta variant (DV) and some protection against the Omicron variant (OV). In addition, a booster mRNA vaccine results in a more potent immune response than inactivated vaccine regardless of which platform was used for prime doses.
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