Antibody response induced by the BNT162b2 mRNA COVID-19 vaccine in a cohort of health-care workers, with or without prior SARS-CoV-2 infection: a prospective study.

Antibody response induced by the BNT162b2 mRNA COVID-19 vaccine in a cohort of health-care workers, with or without prior SARS-CoV-2 infection: a prospective study.
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DOI:
10.1016/j.cmi.2021.07.024
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发表时间:
2021-12
期刊:
Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases
影响因子:
--
通讯作者:
Bisoffi Z
Bisoffi Z
中科院分区:
其他
文献类型:
--
作者:
Buonfrate D;Piubelli C;Gobbi F;Martini D;Bertoli G;Ursini T;Moro L;Ronzoni N;Angheben A;Rodari P;Cardellino C;Tamarozzi F;Tais S;Rizzi E;Degani M;Deiana M;Prato M;Silva R;Bisoffi Z

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评估一组医护人员(HCW)对BNT 162 b2 mRNA COVID-19疫苗的抗体应答,比较既往感染过严重急性呼吸道综合征冠状病毒2(SARS-CoV-2)的个体和SARS-CoV-2初治个体。在T0(首次给药当天)、T1(第二次给药当天)和T2(第二次给药后2-3周)检测HCW的IgG抗核衣壳蛋白、IgM抗刺突蛋白和IgG抗受体结合域(IgG-RBD-S)。比较4个主要组之间的抗体应答:A组,既往感染且基线抗体阳性的个体; B组,具有相同病史但抗体阴性的个体; C组,无感染史但抗体阳性的个体; D组,未感染个体。重复测量分析用于比较不同时间点的结果。共纳入1935件HCW。A组的中位IgG-RBD-S滴度显著较高(232人)比B组(56名个体)均在T1(A:22 763 Au/mL,四分位距(IQR)14 222-37 204 Au/mL; B:1373 Au/mL,IQR 783-3078 Au/mL,p 0.0003)和T2(A:30 765 Au/mL,IQR 19 841-42 813 Au/mL; B:13 171 Au/mL,IQR 2324-22 688 Au/mL,p 0.0038)和D组(1563例个体; T1时796 Au/mL,IQR 379-1510 Au/mL; T2时15 494 Au/mL,IQR 9122-23 916 Au/mL,两个时间点的p < 0.0001)。A组的T1值也显著高于D组的T2值(p < 0.0001)。出现症状、年龄较小和女性与较强的抗体应答相关。3月份感染的HCW显示出明显更强的反应,(T1:35 324 Au/mL,IQR 22 003-44 531 Au/mL; T2:37 648 Au/mL,IQR 27 088-50 451 Au/mL)比11月份感染的(T1:18 499 Au/mL,IQR 11 492-27 283 Au/mL; T2:23 210 Au/mL,IQR 18 074-36 086 Au/mL,两个时间点的p < 0.0001。有SARS-CoV-2感染史的个体在一次疫苗注射后产生了强烈的抗体反应。无论感染后的时间长短,单次给药对该组患者可能足够;然而,需要研究与抗体应答的临床相关性。
To assess the antibody response to BNT162b2 mRNA COVID-19 vaccine in a cohort of health-care workers (HCW), comparing individuals with previous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and SARS-CoV-2-naive individuals. HCW were tested at T0 (day of first dose), T1 (day of second dose) and T2 (2–3 weeks after second dose) for IgG anti-nucleocapsid protein, IgM anti-spike protein and IgG anti-receptor binding domain (IgG-RBD-S). The antibody response was compared between four main groups: group A, individuals with previous infection and positive antibodies at baseline; group B, individuals with the same history but negative antibodies; group C, individuals with no infection history but positive antibodies; group D, naive individuals. Repeated measures analysis was used to compare results over time-points. A total of 1935 HCW were included. Median IgG-RBD-S titre was significantly higher for group A (232 individuals) than for group B (56 individuals) both at T1 (A: 22 763 AU/mL, interquartile range (IQR) 14 222–37 204 AU/mL; B: 1373 AU/mL, IQR 783–3078 AU/mL, p 0.0003) and T2 (A: 30 765 AU/mL, IQR 19 841–42 813 AU/mL; B: 13 171 AU/mL, IQR 2324–22 688 AU/mL, p 0.0038) and for group D (1563 individuals; 796 AU/mL, IQR 379–1510 AU/mL at T1; 15 494 AU/mL, IQR 9122–23 916 AU/mL at T2, p < 0.0001 for both time-points). T1 values of group A were also significantly higher than T2 values of group D (p < 0.0001). Presence of symptoms, younger age and being female were associated with stronger antibody response. HCW infected in March showed a significantly stronger response (T1: 35 324 AU/mL, IQR 22 003–44 531 AU/mL; T2: 37 648 AU/mL, IQR 27 088–50 451 AU/mL) than those infected in November (T1: 18 499 AU/mL, IQR 11 492–27 283 AU/mL; T2: 23 210 AU/mL, IQR 18 074–36 086 AU/mL, p < 0.0001 for both time-points. Individuals with past SARS-CoV-2 infection had a strong antibody response after one single vaccine shot. A single dose might be sufficient for this group, regardless of the time elapsed since infection; however, the clinical correlation with antibody response needs to be studied.
BNT162B2 mRNA COVID-19疫苗的安全性和功效。
DOI: 10.1056/nejmoa2034577
发表时间: 2020-12-31
期刊: The New England journal of medicine
影响因子: --
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Polack FP;Thomas SJ;Kitchin N;Absalon J;Gurtman A;Lockhart S;Perez JL;Pérez Marc G;Moreira ED;Zerbini C;Bailey R;Swanson KA;Roychoudhury S;Koury K;Li P;Kalina WV;Cooper D;Frenck RW Jr;Hammitt LL;Türeci Ö;Nell H;Schaefer A;Ünal S;Tresnan DB;Mather S;Dormitzer PR;Şahin U;Jansen KU;Gruber WC;C4591001 Clinical Trial Group
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影响因子: 5.6
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发表时间: 2021-03
期刊: Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
影响因子: --
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发表时间: 2021-04-12
影响因子: 4.5
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人类抗体对SARS-COV-2峰值蛋白的受体结合结构域的持久性和衰减在COVID-19患者中。
DOI: 10.1126/sciimmunol.abe0367
发表时间: 2020-10-08
期刊: Science immunology
影响因子: 24.8
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