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在大流行之前保持定期体育锻炼习惯的老年人对 COVID-19 疫苗接种有更好的免疫反应。

Older Adults Who Maintained a Regular Physical Exercise Routine before the Pandemic Show Better Immune Response to Vaccination for COVID-19.

机构信息

Post-Graduation Program in Health Sciences, Santo Amaro University (UNISA), São Paulo 04829-300, Brazil.

ENT Research Lab., Department of Otorhinolaryngology-Head and Neck Surgery, Federal University of Sao Paulo (UNIFESP), São Paulo 04021-001, Brazil.

出版信息

Int J Environ Res Public Health. 2023 Jan 20;20(3):1939. doi: 10.3390/ijerph20031939.

DOI:10.3390/ijerph20031939
PMID:36767315
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9915291/
Abstract

BACKGROUND

In this study, we aimed to investigate the specific-antibody response to the COVID-19 vaccination and the immunophenotyping of T cells in older adults who were engaged or not in an exercise training program before the pandemic.

METHODS

Ninety-three aged individuals (aged between 60 and 85 years) were separated into 3 groups: practitioners of physical exercise vaccinated with CoronaVac (PE-Co, = 46), or vaccinated with ChadOx-1 (PE-Ch, = 23), and non-practitioners vaccinated with ChadOx-1 (NPE-Ch, = 24). Blood samples were collected before (pre) and 30 days after vaccination with the second vaccine dose.

RESULTS

Higher IgG levels and immunogenicity were found in the PE-Ch and NPE-Ch groups, whereas increased IgA levels were found only in the PE-Ch group post-vaccination. The PE-Co group showed a positive correlation between the IgA and IgG values, and lower IgG levels post-vaccination were associated with age. Significant alterations in the percentage of naive (CD28+CD57-), double-positive (CD28+CD57+), and senescent (CD28-CD57+) CD4+ T and CD8+ T cells were found post-vaccination, particularly in the PE-Ch group.

CONCLUSIONS

The volunteers vaccinated with the ChadOx-1 presented not only a better antibody response but also a significant modulation in the percentage of T cell profiles, mainly in the previously exercised group.

摘要

背景

在这项研究中,我们旨在研究在大流行之前参与或未参与运动训练计划的老年人对 COVID-19 疫苗的特异性抗体反应和 T 细胞免疫表型。

方法

93 名年龄在 60 至 85 岁之间的老年人被分为 3 组:接种科兴疫苗的锻炼者(PE-Co,n=46)、接种阿斯利康疫苗的锻炼者(PE-Ch,n=23)和未接种阿斯利康疫苗的锻炼者(NPE-Ch,n=24)。在接种第二剂疫苗前(pre)和接种后 30 天收集血液样本。

结果

PE-Ch 和 NPE-Ch 组的 IgG 水平和免疫原性更高,而仅在 PE-Ch 组中发现接种后 IgA 水平升高。PE-Co 组的 IgA 和 IgG 值之间存在正相关,接种后 IgG 水平较低与年龄有关。接种后,CD4+T 和 CD8+T 细胞的幼稚(CD28+CD57-)、双阳性(CD28+CD57+)和衰老(CD28-CD57+)细胞的百分比发生了显著变化,特别是在 PE-Ch 组中。

结论

接种阿斯利康疫苗的志愿者不仅表现出更好的抗体反应,而且 T 细胞表型的百分比也发生了显著变化,主要是在之前锻炼的组中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/77792dcf9f7d/ijerph-20-01939-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/54d1760e9095/ijerph-20-01939-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/1d4bc8784b0a/ijerph-20-01939-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/b19dadb742ea/ijerph-20-01939-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/3b3d421027c5/ijerph-20-01939-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/eea38400e650/ijerph-20-01939-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/eb662ad0499c/ijerph-20-01939-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/77792dcf9f7d/ijerph-20-01939-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/54d1760e9095/ijerph-20-01939-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/1d4bc8784b0a/ijerph-20-01939-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/b19dadb742ea/ijerph-20-01939-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/3b3d421027c5/ijerph-20-01939-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/eea38400e650/ijerph-20-01939-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/eb662ad0499c/ijerph-20-01939-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f699/9915291/77792dcf9f7d/ijerph-20-01939-g007.jpg

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