National Influenza Centre, Hospital Clinico Universitario de Valladolid, Valladolid, Spain.
Instituto de Estudios de Ciencias de la Salud de Castilla y León, ICSCYL, Soria, Spain.
Hum Vaccin Immunother. 2023 Aug 1;19(2):2236537. doi: 10.1080/21645515.2023.2236537.
The aim of this work is to describe the dynamics of influenza antibodies after vaccination in adults. We conducted a case-cohort serological study in the automobile manufacturing plants of the Renault España S.A. group in Valladolid and Palencia (Spain), including 550 workers (66.9%) previously vaccinated against influenza (group V), and 272 (33.1%) never vaccinated (group NV). A pre-vaccination serum sample was collected, another after 30-40 days and another after 6 months. The dynamics of antibodies were analyzed. A lower seroprotection of NV before vaccination was observed, but an antibody response between 2 and 4 times higher than in V was assessed. After 6 months, antibodies declined in both groups until equalize. Antibodies titers decrease with age, and no differences were found among underlying pathologies. Adults never vaccinated against influenza had lower seroprotection than those previously vaccinated, but influenza vaccination produces a more intense serological response in them, acquiring significantly higher antibody titers than those previously vaccinated. The antibodies, although in lower titers, persist and equalize among both groups at least 6 months after vaccination, which allows the individual to be protected during the entire circulation of the influenza virus in the same season.
本研究旨在描述成人接种流感疫苗后抗体的动态变化。我们在西班牙瓦拉多利德和帕伦西亚的雷诺西班牙 S.A.集团汽车制造厂进行了病例对照血清学研究,共纳入 550 名(66.9%)既往接种过流感疫苗的工人(V 组)和 272 名(33.1%)从未接种过疫苗的工人(NV 组)。采集了接种前血清样本,接种后 30-40 天和 6 个月后分别采集了另一个样本。分析了抗体的动态变化。在接种前,NV 组的血清保护率较低,但评估的抗体反应是 V 组的 2-4 倍。6 个月后,两组的抗体均下降,直到两者持平。抗体滴度随年龄增长而下降,且基础疾病之间无差异。从未接种过流感疫苗的成年人的血清保护率低于既往接种过疫苗的成年人,但流感疫苗在他们体内产生了更强烈的血清学反应,获得的抗体滴度明显高于既往接种过疫苗的成年人。至少在接种后 6 个月内,两组的抗体滴度虽然较低,但仍保持一致,这使得个体在同一流感病毒流行季节内得到保护。