Laboratory of Immune-Regulation, University Hospital Gregorio Marañón and "Gregorio Marañón" Health Research Institute (IISGM), Madrid, Spain.
Department of Hematology, University Hospital Gregorio Marañón and "Gregorio Marañón" Health Research Institute (IISGM), Madrid, Spain.
Front Immunol. 2021 Oct 4;12:726960. doi: 10.3389/fimmu.2021.726960. eCollection 2021.
OBJECTIVES: In the context of the Covid-19 pandemic, the fast development of vaccines with efficacy of around 95% preventing Covid-19 illness provides a unique opportunity to reduce the mortality associated with the pandemic. However, in the absence of efficacious prophylactic medications and few treatments for this infection, the induction of a fast and robust protective immunity is required for effective disease control, not only to prevent the disease but also the infection and shedding/transmission. The objective of our study was to analyze the level of specific humoral and cellular T-cell responses against the spike protein of SARS-CoV-2 induced by two mRNA-based vaccines (BNT162b2 and mRNA-1273), but also how long it takes after vaccination to induce these protective humoral and cellular immune responses. METHODS: We studied in 40 healthy (not previously infected) volunteers vaccinated with BNT162b2 or mRNA-1273 vaccines the presence of spike-specific IgG antibodies and SARS-CoV-2-specific T cells at 3, 7 and 14 days after receiving the second dose of the vaccine. The specific T-cell response was analyzed stimulating fresh whole blood from vaccinated volunteers with SARS-CoV-2 peptides and measuring the release of cytokines secreted by T cells in response to SARS-CoV-2 stimulation. RESULTS: Our results indicate that the immunization capacity of both vaccines is comparable. However, although both BNT162b2 and mRNA-1273 vaccines can induce early B-cell and T-cell responses, these vaccine-mediated immune responses do not reach their maximum values until 14 days after completing the vaccination schedule. CONCLUSION: This refractory period in the induction of specific immunity observed after completing the vaccination could constitute a window of higher infection risk, which could explain some emerging cases of SARS-CoV-2 infection in vaccinated people.
目的:在 COVID-19 大流行背景下,具有约 95%效力的疫苗的快速开发为降低与大流行相关的死亡率提供了独特的机会。然而,由于缺乏有效的预防性药物和针对这种感染的少数治疗方法,因此需要诱导快速而强大的保护性免疫,不仅要预防疾病,而且要预防感染和脱落/传播。我们的研究目的是分析由两种基于 mRNA 的疫苗(BNT162b2 和 mRNA-1273)诱导的针对 SARS-CoV-2 刺突蛋白的特异性体液和细胞 T 细胞反应的水平,以及接种疫苗后多长时间才能诱导这些保护性体液和细胞免疫反应。
方法:我们在 40 名健康(未先前感染)志愿者中研究了接种 BNT162b2 或 mRNA-1273 疫苗后 3、7 和 14 天,针对刺突蛋白的 IgG 抗体和 SARS-CoV-2 特异性 T 细胞的存在。通过用 SARS-CoV-2 肽刺激接种疫苗的志愿者的新鲜全血来分析特异性 T 细胞反应,并测量 T 细胞对 SARS-CoV-2 刺激的细胞因子分泌情况。
结果:我们的结果表明,两种疫苗的免疫能力相当。但是,尽管 BNT162b2 和 mRNA-1273 疫苗都可以诱导早期 B 细胞和 T 细胞反应,但这些疫苗介导的免疫反应要到完成疫苗接种计划后 14 天才达到最大值。
结论:在完成疫苗接种后观察到的这种特异性免疫诱导的潜伏期可能构成了更高感染风险的窗口,这可以解释一些接种疫苗的人出现的 SARS-CoV-2 感染新病例。
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