辉瑞疫苗和莫德纳疫苗对医护人员中 SARS-CoV-2 的抗体反应。
Antibody Response Induced by BNT162b2 and mRNA-1273 Vaccines against the SARS-CoV-2 in a Cohort of Healthcare Workers.
机构信息
Immunology Section, Laboratory Service, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí (I3PT), Universitat Autònoma de Barcelona, Departament de Medicina, 08208 Sabadell, Spain.
Inflammatory Joint Diseases, Bone Metabolism, and Systemic Autoimmune Diseases Research Group, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí (I3PT), Universitat Autònoma de Barcelona, 08208 Sabadell, Spain.
出版信息
Viruses. 2022 Jun 7;14(6):1235. doi: 10.3390/v14061235.
The aim of this study was to characterize the antibody response induced by SARS-CoV-2 mRNA vaccines in a cohort of healthcare workers. A total of 2247 serum samples were analyzed using the Elecsys® Anti-SARS-CoV-2 S-test (Roche Diagnostics International Ltd., Rotkreuz, Switzerland). Sex, age, body mass index (BMI), arterial hypertension, smoking and time between infection and/or vaccination and serology were considered the confounding factors. Regarding the medians, subjects previously infected with SARS-CoV-2 who preserved their response to the nucleocapsid (N) protein showed higher humoral immunogenicity (BNT162b2: 6456.0 U/mL median; mRNA-1273: 2505.0 U/mL) compared with non-infected (BNT162b2: 867.0 U/mL; mRNA-1273: 2300.5 U/mL) and infected subjects with a lost response to N protein (BNT162b2: 2992.0 U/mL). After controlling for the confounders, a higher response was still observed for mRNA-1273 compared with BNT162b2 in uninfected individuals (FC = 2.35, p < 0.0001) but not in previously infected subjects (1.11 FC, p = 0.1862). The lowest levels of antibodies were detected in previously infected non-vaccinated individuals (39.4 U/mL). Clinical variables previously linked to poor prognoses regarding SARS-CoV-2 infection, such as age, BMI and arterial hypertension, were positively associated with increasing levels of anti-S protein antibody exclusively in infected subjects. The mRNA-1273 vaccine generated a higher antibody response to the S protein than BNT162b2 in non-infected subjects only.
本研究旨在描述 2247 份血清样本的特征,这些血清样本来自一组医护人员,分析方法为使用罗氏 Elecsys® Anti-SARS-CoV-2 S-检测试剂盒(罗氏诊断国际有限公司,瑞士罗特克)。性别、年龄、体重指数(BMI)、动脉高血压、吸烟以及感染和/或接种疫苗与血清学之间的时间被视为混杂因素。就中位数而言,先前感染过 SARS-CoV-2 且保留对核衣壳(N)蛋白反应的患者表现出更高的体液免疫原性(BNT162b2:6456.0 U/mL;mRNA-1273:2505.0 U/mL),与未感染患者(BNT162b2:867.0 U/mL;mRNA-1273:2300.5 U/mL)和感染但对 N 蛋白反应丧失的患者相比(BNT162b2:2992.0 U/mL)。在控制混杂因素后,与 BNT162b2 相比,mRNA-1273 在未感染个体中仍观察到更高的反应(FC = 2.35,p < 0.0001),但在先前感染的个体中则不然(1.11 FC,p = 0.1862)。未接种疫苗的先前感染个体中检测到的抗体水平最低(39.4 U/mL)。先前与 SARS-CoV-2 感染预后不良相关的临床变量,如年龄、BMI 和动脉高血压,与感染患者 S 蛋白抗体水平的升高呈正相关,而仅与感染患者有关。mRNA-1273 疫苗在未感染个体中对 S 蛋白产生的抗体反应高于 BNT162b2。