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健康受试者中对灭活 COVID-19 疫苗的抗体反应差异。

Differential Antibody Response to Inactivated COVID-19 Vaccines in Healthy Subjects.

机构信息

Department of Laboratory Medicine, Shunde Hospital of Guangzhou University of Chinese Medicine, Foshan, China.

Department of Laboratory Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Front Cell Infect Microbiol. 2021 Dec 16;11:791660. doi: 10.3389/fcimb.2021.791660. eCollection 2021.

Abstract

The appearance and magnitude of the immune response and the related factors correlated with SARS-CoV-2 vaccination need to be defined. Here, we enrolled a prospective cohort of 52 participants who received two doses of inactivated vaccines (BBIBP-CorV). Their serial plasma samples (n = 260) over 2 months were collected at five timepoints. We measured antibody responses (NAb, S-IgG and S-IgM) and routine blood parameter. NAb seroconversion occurred in 90.7% of vaccinated individuals and four typical NAb kinetic curves were observed. All of the participants who seroconverted after the first dose were females and had relatively high prevaccine estradiol levels. Moreover, those without seroconversion tended to have lower lymphocyte counts and higher serum SAA levels than those who experienced seroconversion. The NAb titers in young vaccine recipients had a significantly higher peak than those in elderly recipients. S-IgG and S-IgM dynamics were accompanied by similar trends in NAb. Here, we gained insight into the dynamic changes in NAbs and preliminarily explored the prevaccine blood parameters related to the kinetic subclasses, providing a reference for vaccination strategies.

摘要

需要明确 SARS-CoV-2 疫苗接种引起的免疫反应的出现和程度,以及与免疫反应相关的因素。在此,我们招募了 52 名接受两剂灭活疫苗(BBIBP-CorV)的前瞻性队列参与者。在 2 个月内,我们在五个时间点采集了他们的 260 份连续血浆样本。我们测量了抗体反应(NAb、S-IgG 和 S-IgM)和常规血液参数。90.7%的接种者发生了 NAb 血清转化,观察到了四种典型的 NAb 动力学曲线。所有在第一剂后发生血清转化的参与者均为女性,且疫苗接种前雌二醇水平相对较高。此外,与发生血清转化的参与者相比,未发生血清转化的参与者的淋巴细胞计数较低,血清 SAA 水平较高。年轻疫苗接种者的 NAb 滴度峰值明显高于老年接种者。S-IgG 和 S-IgM 的动态变化与 NAb 相似。在此,我们深入了解了 NAb 的动态变化,并初步探讨了与动力学亚类相关的疫苗接种前血液参数,为疫苗接种策略提供了参考。

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