Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.
Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Front Immunol. 2023 Jan 10;13:1079995. doi: 10.3389/fimmu.2022.1079995. eCollection 2022.
Coevolution of microbiome and immunity at mucosal sites is essential for our health. Whether the oral microbiome, the second largest community after the gut, contributes to the immunogenicity of COVID-19 vaccines is not known. We investigated the baseline oral microbiome in individuals in the COVAXID clinical trial receiving the BNT162b2 mRNA vaccine. Participants (n=115) included healthy controls (HC; n=57) and people living with HIV (PLHIV; n=58) who met the study selection criteria. Vaccine-induced Spike antibodies in saliva and serum from 0 to 6 months were assessed and comparative analyses were performed against the individual salivary 16S ASV microbiome diversity. High- versus low vaccine responders were assessed on general, immunological, and oral microbiome features. Our analyses identified oral microbiome features enriched in high- . low-responders among healthy and PLHIV participants. In low-responders, an enrichment of Gram-negative, anaerobic species with proteolytic activity were found including and . In high-responders, enriched species were mainly Gram-positive and saccharolytic facultative anaerobes: , and . Combining identified microbial features in a classifier using the area under the receiver operating characteristic curve (ROC AUC) yielded scores of 0.879 (healthy controls) to 0.82 (PLHIV), supporting the oral microbiome contribution in the long-term vaccination outcome. The present study is the first to suggest that the oral microbiome has an impact on the durability of mucosal immunity after Covid-19 vaccination. Microbiome-targeted interventions to enhance long-term duration of mucosal vaccine immunity may be exploited.
黏膜部位的微生物组和免疫的共同进化对我们的健康至关重要。口腔微生物组是仅次于肠道的第二大微生物群落,它是否会影响 COVID-19 疫苗的免疫原性尚不清楚。我们研究了正在接受 BNT162b2 mRNA 疫苗的 COVAXID 临床试验中个体的基线口腔微生物组。参与者(n=115)包括健康对照者(HC;n=57)和符合研究选择标准的 HIV 感染者(PLHIV;n=58)。评估了 0 至 6 个月时唾液和血清中的疫苗诱导的 Spike 抗体,并针对个体唾液 16S ASV 微生物组多样性进行了比较分析。根据一般、免疫和口腔微生物组特征评估高应答者和低应答者。我们的分析确定了在健康和 PLHIV 参与者中高应答者和低应答者口腔微生物组特征。在低应答者中,发现了具有蛋白水解活性的革兰氏阴性、厌氧菌富集,包括 和 。在高应答者中,富集的物种主要是革兰氏阳性和兼性需氧的糖酵解菌: 、 和 。使用接收器操作特征曲线下的面积(ROC AUC)将鉴定出的微生物特征组合在分类器中,得出的分数为 0.879(健康对照者)至 0.82(PLHIV),支持口腔微生物组对长期疫苗接种结果的贡献。本研究首次表明,口腔微生物组对 COVID-19 疫苗接种后黏膜免疫的持久性有影响。可能利用针对微生物组的干预措施来增强黏膜疫苗免疫的长期持续时间。
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