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综述:接种 COVID-19 mRNA 疫苗的免疫后果:初步结果。

Mini Review Immunological Consequences of Immunization With COVID-19 mRNA Vaccines: Preliminary Results.

机构信息

Infectious Diseases Unit, Foundation Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Department of Pathophysiology and Transplantation, University of Milano, Milan, Italy.

出版信息

Front Immunol. 2021 Mar 12;12:657711. doi: 10.3389/fimmu.2021.657711. eCollection 2021.

Abstract

BNT162b2 and mRNA-1273 are the two recently approved mRNA-based vaccines against COVID-19 which has shown excellent safety and efficacy. Preliminary data about specific and neutralizing antibodies is available covering the first 100 days after vaccination. We reviewed all the publications regarding the immunologic consequences of BNT162b2 and mRNA-1273 vaccination. A summary of specific antibodies concentration and neutralizing antibodies titers elicited by each vaccine is provided. BNT162b2 and mRNA-1273 displayed a reassuring safety and efficacy profile, with the latter above 94%. They can elicit specific antibodies titers and neutralizing antibodies concentrations that are far superior from those observed among COVID-19 human convalescent serum, across a wide span of age, for at least 100 days after vaccination. Moreover, the vaccine-induced T cellular response is oriented toward a T1 response and no evidence of vaccine-enhanced disease have been reported. BNT162b2 and mRNA-1273 can elicit specific antibodies titers and neutralizing antibodies concentrations above those observed among COVID-19 human convalescent serum in the first 100 days after vaccination. Data about vaccine efficacy in those with previous COVID-19 or immunocompromised is still limited.

摘要

BNT162b2 和 mRNA-1273 是两种最近获得批准的针对 COVID-19 的基于 mRNA 的疫苗,它们显示出了优异的安全性和有效性。在接种疫苗后的 100 天内,已有关于特定抗体和中和抗体的初步数据。我们查阅了所有关于 BNT162b2 和 mRNA-1273 疫苗免疫后果的出版物。提供了每种疫苗引起的特异性抗体浓度和中和抗体滴度的总结。BNT162b2 和 mRNA-1273 显示出令人放心的安全性和有效性,后者超过 94%。它们可以引起特异性抗体滴度和中和抗体浓度,远远超过 COVID-19 人类恢复期血清中观察到的水平,跨越广泛的年龄范围,至少在接种疫苗后 100 天内。此外,疫苗诱导的 T 细胞反应偏向 T1 反应,并且没有报告疫苗增强疾病的证据。BNT162b2 和 mRNA-1273 可以在接种疫苗后的 100 天内引起特异性抗体滴度和中和抗体浓度,超过 COVID-19 人类恢复期血清中观察到的水平。关于先前患有 COVID-19 或免疫功能低下者的疫苗有效性的数据仍然有限。

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