SARS-CoV-2 mRNA 疫苗可在儿童中引发强烈的抗体反应。
SARS-CoV-2 mRNA vaccination elicits robust antibody responses in children.
机构信息
Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA 02139, USA.
Massachusetts General Hospital Department of Pediatrics, Mucosal Immunology and Biology Research Center, Boston, MA 02114, USA.
出版信息
Sci Transl Med. 2022 Nov 23;14(672):eabn9237. doi: 10.1126/scitranslmed.abn9237.
Although children have been largely spared from coronavirus disease 2019 (COVID-19), the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern (VOCs) with increased transmissibility, combined with fluctuating mask mandates and school reopenings, has led to increased infections and disease among children. Thus, there is an urgent need to roll out COVID-19 vaccines to children of all ages. However, whether children respond equivalently to adults to mRNA vaccines and whether dosing will elicit optimal immunity remain unclear. Here, we aimed to deeply profile the vaccine-induced humoral immune response in 6- to 11-year-old children receiving either a pediatric (50 μg) or adult (100 μg) dose of the mRNA-1273 vaccine and to compare these responses to vaccinated adults, infected children, and children who experienced multisystem inflammatory syndrome in children (MIS-C). Children elicited an IgG-dominant vaccine-induced immune response, surpassing adults at a matched 100-μg dose but more variable immunity at a 50-μg dose. Irrespective of titer, children generated antibodies with enhanced Fc receptor binding capacity. Moreover, like adults, children generated cross-VOC humoral immunity, marked by a decline of omicron-specific receptor binding domain, but robustly preserved omicron spike protein binding. Fc receptor binding capabilities were also preserved in a dose-dependent manner. These data indicate that both the 50- and 100-μg doses of mRNA vaccination in children elicit robust cross-VOC antibody responses and that 100-μg doses in children result in highly preserved omicron-specific functional humoral immunity.
尽管儿童在很大程度上免受 2019 年冠状病毒病(COVID-19)的影响,但具有更高传染性的严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)变体的出现,加上波动的口罩授权和学校重新开放,导致儿童感染和疾病增加。因此,迫切需要向所有年龄段的儿童推出 COVID-19 疫苗。然而,儿童是否像成年人一样对 mRNA 疫苗产生同等反应,以及剂量是否会产生最佳免疫力仍不清楚。在这里,我们旨在深入分析接受 mRNA-1273 疫苗的 6 至 11 岁儿童接受小儿(50μg)或成人(100μg)剂量的疫苗诱导的体液免疫反应,并将这些反应与接种疫苗的成年人、感染儿童和经历儿童多系统炎症综合征(MIS-C)的儿童进行比较。儿童产生 IgG 主导的疫苗诱导免疫反应,在匹配的 100μg 剂量下超过成年人,但在 50μg 剂量下免疫反应更具变异性。无论滴度如何,儿童产生的抗体均具有增强的 Fc 受体结合能力。此外,与成年人一样,儿童产生了针对多种变体的体液免疫反应,表现为针对 omicron 特异性受体结合域的滴度下降,但对 omicron 刺突蛋白的结合保持强劲。Fc 受体结合能力也以剂量依赖性方式得以保留。这些数据表明,mRNA 疫苗在儿童中的 50μg 和 100μg 剂量都能引起强大的针对多种变体的抗体反应,而儿童的 100μg 剂量则能保持高度针对 omicron 的功能性体液免疫。