两剂 BNT162b2 mRNA 疫苗接种间隔 16 周,可诱导针对 SARS-CoV-2 刺突的强烈体液免疫应答。

Strong humoral immune responses against SARS-CoV-2 Spike after BNT162b2 mRNA vaccination with a 16-week interval between doses.

机构信息

Centre de Recherche du CHUM, Montreal, QC H2X 0A9, Canada; Département de Microbiologie, Infectiologie et Immunologie, Université de Montréal, Montreal, QC H2X 0A9, Canada.

Centre de Recherche du CHUM, Montreal, QC H2X 0A9, Canada; Department of Microbiology and Immunology, McGill University, Montreal, QC H3A 2B4, Canada.

出版信息

Cell Host Microbe. 2022 Jan 12;30(1):97-109.e5. doi: 10.1016/j.chom.2021.12.004. Epub 2021 Dec 3.

Abstract

The standard regimen of the BNT162b2 mRNA vaccine for SARS-CoV-2 includes two doses administered three weeks apart. However, some public health authorities spaced these doses, raising questions about efficacy. We analyzed longitudinal humoral responses against the D614G strain and variants of concern for SARS-CoV-2 in a cohort of SARS-CoV-2-naive and previously infected individuals who received the BNT162b2 mRNA vaccine with sixteen weeks between doses. While administering a second dose to previously infected individuals did not significantly improve humoral responses, these responses significantly increased in naive individuals after a 16-week spaced second dose, achieving similar levels as in previously infected individuals. Comparing these responses to those elicited in individuals receiving a short (4-week) dose interval showed that a 16-week interval induced more robust responses among naive vaccinees. These findings suggest that a longer interval between vaccine doses does not compromise efficacy and may allow greater flexibility in vaccine administration.

摘要

BNT162b2 mRNA 疫苗用于 SARS-CoV-2 的标准方案包括相隔三周接种两剂。然而,一些公共卫生部门错开了这些剂量,引发了对疗效的质疑。我们分析了在接受 BNT162b2 mRNA 疫苗的 SARS-CoV-2 初治和既往感染者队列中,针对 D614G 株和 SARS-CoV-2 关注变异株的纵向体液反应,剂量间隔为 16 周。虽然对既往感染者给予第二剂并不能显著改善体液反应,但在 16 周间隔的第二剂后,初治者的反应显著增加,达到与既往感染者相似的水平。将这些反应与接受短(4 周)间隔剂量的个体产生的反应进行比较表明,16 周间隔可在初治疫苗接种者中诱导更强烈的反应。这些发现表明,疫苗接种剂量间隔较长不会降低疗效,并且可能在疫苗接种管理方面提供更大的灵活性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d01a/8639412/f2a96eb297d4/fx1_lrg.jpg

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