Lotz Christopher, Herrmann Johannes, Hübsch Martha-Emilia, Notz Quirin, Meybohm Patrick
Anasthesiol Intensivmed Notfallmed Schmerzther. 2022 Apr;57(4):302-306. doi: 10.1055/a-1783-3932. Epub 2022 Apr 21.
Vaccination against severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) provides effective protection against infection or severe coronavirus disease 2019 (COVID-19). Moreover, it is regarded as the single most important measure to end the pandemic. Individual vaccination effectiveness is often judged via measurement of anti-SARS-CoV-2 antibodies. However, considering the complexity of the humoral and cellular immune response the question arises whether the relation of anti-SARS-CoV-2 antibody titers and COVID-19 vaccine effectiveness is a myth or a fact? The current article aims to answer this question and provide a short review of the immunological mechanisms of SARS-CoV-2 vaccination. Recommendations for clinical practice are given based on the current evidence and known problems of anti-SARS-CoV-2 antibody measurements after vaccination.
接种严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)疫苗可有效预防感染或严重的2019冠状病毒病(COVID-19)。此外,它被视为结束疫情的最重要单一措施。个体疫苗效力通常通过检测抗SARS-CoV-2抗体来判断。然而,考虑到体液免疫和细胞免疫反应的复杂性,抗SARS-CoV-2抗体滴度与COVID-19疫苗效力之间的关系究竟是虚构还是事实这一问题便随之而来?本文旨在回答这一问题,并简要综述SARS-CoV-2疫苗接种的免疫机制。基于目前的证据以及接种后抗SARS-CoV-2抗体检测的已知问题,给出了临床实践建议。