Immunological memory and neutralizing activity to a single dose of COVID-19 vaccine in previously infected individuals.

Immunological memory and neutralizing activity to a single dose of COVID-19 vaccine in previously infected individuals.
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DOI:
10.1016/j.ijid.2021.05.034
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发表时间:
2021-07
期刊:
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
影响因子:
--
通讯作者:
Reddy DN
Reddy DN
中科院分区:
其他
文献类型:
--
作者:
Sasikala M;Shashidhar J;Deepika G;Ravikanth V;Krishna VV;Sadhana Y;Pragathi K;Reddy DN

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此前尚未研究COVID-19疫苗在接种后产生免疫记忆的功效。评估先前SARS-CoV-2感染个体在单剂量mRNA疫苗后的免疫记忆。在获得书面知情同意书后,纳入了医疗工作者(n = 280),并将其分为既往感染和既往无暴露组(分别为逆转录-聚合酶链反应阳性和阴性)。在基线和接种后(COVISHIELD单次给药)采血,通过化学发光计数中和抗体,通过流式细胞术计数记忆T细胞和B细胞。接种疫苗后,与先前未接触组相比,先前感染组有更高水平的:抗体反应(1124.73 ± 869.13 vs 94.23 ± 140.06 Au/ml,p = 0.0001); CD 4记忆T细胞:中央记忆CCR 7 + CD 45 RA-(p = 0.0001)、效应记忆CCR 7-/CD 45 RA-(p = 0.01);总CD 8 + T细胞(p = 0.004); CD 8+初始T细胞CCR 7 + CD 45 RA+(p = 0.01);和记忆B细胞CD 20 + CD 27+(p = 0.0001)。单剂量疫苗接种在从SARS-CoV-2感染中恢复的个体中引起了更高的中和抗体应答和保护性免疫,与先前未接触过的个体相比。
The efficacy of COVID-19 vaccines to generate immunological memory post-vaccination has not previously been studied. To assess immunological memory in previously SARS-CoV-2 infected individuals after a single dose of mRNA vaccine. Healthcare workers (n = 280) were enrolled after obtaining written informed consent and grouped under previously infected and no prior exposure (reverse transcription-polymerase chain reaction positive and negative, respectively). Blood was drawn at baseline and post-vaccination (single dose of COVISHIELD) for enumerating neutralizing antibodies by chemiluminescence and memory T- and B-cells by flow cytometry. Post vaccination, compared with the no prior exposure group, the previously infected group had higher levels of: antibody response (1124.73 ± 869.13 vs 94.23 ± 140.06 AU/ml, p = 0.0001); CD4 memory T-cells: central memory CCR7+CD45RA- (p = 0.0001), effector memory CCR7-/CD45RA- (p = 0.01); total CD8+ T-cells (p = 0.004); CD8+ naïve T-cells CCR7+CD45RA+ (p = 0.01); and memory B-cells CD20+CD27+ (p = 0.0001). Single-dose vaccination elicited higher neutralizing antibody response and protective immunity in individuals who had recovered from SARS-CoV-2 infection compared with those with no prior exposure.
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