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使用三种严重急性呼吸综合征冠状病毒2(SARS-CoV-2)抗体检测方法和一种干扰素-γ释放检测方法确定两剂ChAdOx1 nCov-19疫苗接种后BNT162b2作为加强针的体液和细胞反应:一项针对医护人员的前瞻性纵向研究。

Humoral and Cellular Responses to BNT162b2 as a Booster Following Two Doses of ChAdOx1 nCov-19 Determined Using Three SARS-CoV-2 Antibody Assays and an Interferon-Gamma Release Assay: A Prospective Longitudinal Study in Healthcare Workers.

作者信息

Jeong Seri, Lee Nuri, Lee Su Kyung, Cho Eun-Jung, Hyun Jungwon, Park Min-Jeong, Song Wonkeun, Kim Hyun Soo

机构信息

Department of Laboratory Medicine, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.

Department of Laboratory Medicine, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Gyeonggi-do, South Korea.

出版信息

Front Immunol. 2022 Jun 1;13:859019. doi: 10.3389/fimmu.2022.859019. eCollection 2022.

Abstract

Data on humoral and cellular responses to BNT162b2 as a booster dose, following two doses of ChAdOx1 nCov-19 vaccine, have seldom been reported. The aim of this study was to assess the positivity rates of three representative antibody assays targeting total, IgG, and neutralizing antibodies, and an interferon-γ release assay (IGRA), and to determine the longitudinal changes in quantitative antibody titers after each vaccination. A total of 1027 samples were collected from healthcare workers. The number of participants after the booster dose was 153, and they all completed a questionnaire on adverse reactions. All antibody assays showed 100.0% positivity at 1 month after booster vaccination. The median antibody titers of the assays were significantly increased compared with those after the second dose (22.1-fold increase for Roche total antibody, 14.0-fold increase for Abbott IgG, and 1.1-fold increase (97.5% inhibition) for GenScript neutralizing antibody). Cellular responses determined using the IGRA were positive in 92.8% of the participants. Most participants (72.5%) reported mild adverse reactions. Correlations between the three antibody assays and IGRA were weak or negligible, indicating a difference between humoral and cellular responses. Overall, our study provides information about booster vaccine strategies and laboratory settings, which could subsequently contribute to the control of the spread of coronavirus disease 2019.

摘要

关于在接种两剂ChAdOx1 nCov-19疫苗后,将BNT162b2作为加强剂量时的体液和细胞反应的数据鲜有报道。本研究的目的是评估针对总抗体、IgG和中和抗体的三种代表性抗体检测以及干扰素-γ释放检测(IGRA)的阳性率,并确定每次接种疫苗后抗体定量滴度的纵向变化。共从医护人员中收集了1027份样本。加强剂量接种后的参与者有153人,他们都完成了一份关于不良反应的问卷。所有抗体检测在加强疫苗接种后1个月时的阳性率均为100.0%。与第二剂接种后相比,这些检测的抗体滴度中位数显著增加(罗氏总抗体增加22.1倍,雅培IgG增加14.0倍,金斯瑞中和抗体增加1.1倍(97.5%抑制))。使用IGRA测定的细胞反应在92.8%的参与者中呈阳性。大多数参与者(72.5%)报告有轻度不良反应。三种抗体检测与IGRA之间的相关性较弱或可忽略不计,表明体液和细胞反应存在差异。总体而言,我们的研究提供了有关加强疫苗策略和实验室情况的信息,这随后可能有助于控制2019冠状病毒病的传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e436/9198331/7eb6f3d27edf/fimmu-13-859019-g001.jpg

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