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科兴疫苗第三剂对奥密克戎变异株的中和活性:一项 20 个月随访研究。

Neutralizing activity of a third dose of CoronaVac against Omicron subvariants within a 20-month follow-up study.

机构信息

Department of Laboratory Medicine, Jiangnan University Medical Center, Wuxi, JS, China.

Wuxi School of Medicine, Jiangnan University, Wuxi, JS, China.

出版信息

Hum Vaccin Immunother. 2023 Aug 1;19(2):2242217. doi: 10.1080/21645515.2023.2242217.

DOI:10.1080/21645515.2023.2242217
PMID:37529941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10399489/
Abstract

The durability of antibody responses induced by the three-dose of CoronaVac vaccination, especially against SARS-CoV-2 Omicron subvariants, remains unclear. Here in our study, 160 plasma samples from 32 healthy individuals who received three doses of CoronaVac were longitudinally tracked for a period of 20 months. The results showed that a third homologous dose of CoronaVac efficiently increased the SARS-CoV-2 IgG and neutralizing antibody titers and enhanced neutralization activity against Omicron subvariants. The levels of IgG and neutralizing antibody declined from peak levels but remained detectable in most subjects over the course of the next 10-12 months. However, most of the individuals kept neutralizing titers against ancestral Wuhan-Hu-1, while they lost their neutralizing activities against Omicron B.1.1.529, BA.2, BA.4/BA.5, and BA.2.75.2 subvariants at 10-12 months post the third vaccination. Our results suggest that a fourth dose of vaccine may be necessary for uninfected individuals to confer higher neutralization against emerging Omicron subvariants.

摘要

三剂科兴疫苗诱导的抗体反应的持久性,特别是针对 SARS-CoV-2 奥密克戎亚变体,尚不清楚。在我们的研究中,对 32 名接种三剂科兴疫苗的健康个体的 160 份血浆样本进行了长达 20 个月的纵向跟踪。结果表明,第三剂同源科兴疫苗能有效提高 SARS-CoV-2 IgG 和中和抗体滴度,并增强对奥密克戎亚变体的中和活性。在接下来的 10-12 个月内,IgG 和中和抗体水平从峰值下降,但在大多数受试者中仍可检测到。然而,大多数个体对原始的武汉株(Wuhan-Hu-1)保持中和滴度,而对奥密克戎 B.1.1.529、BA.2、BA.4/BA.5 和 BA.2.75.2 亚变体的中和活性在第三剂接种后 10-12 个月丧失。我们的研究结果表明,对于未感染者,第四剂疫苗可能是必要的,以提供更高的针对新出现的奥密克戎亚变体的中和作用。

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本文引用的文献

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Humoral response after a fourth dose of SARS-CoV-2 vaccine in immunocompromised patients. Results of a systematic review.免疫功能低下患者接种第四剂 SARS-CoV-2 疫苗后的体液反应。系统评价结果。
Front Public Health. 2023 Mar 23;11:1108546. doi: 10.3389/fpubh.2023.1108546. eCollection 2023.
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Omicron sublineage BA.2.75.2 exhibits extensive escape from neutralising antibodies.奥密克戎亚谱系BA.2.75.2对中和抗体表现出广泛逃逸。
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以色列医护人员接种第四剂 BNT162b 疫苗与 SARS-CoV-2 感染的关联。
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CoronaVac: A review of efficacy, safety, and immunogenicity of the inactivated vaccine against SARS-CoV-2.科兴新冠疫苗克尔来福:对预防 SARS-CoV-2 感染的灭活疫苗的有效性、安全性和免疫原性的综述。
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Evolution of the SARS-CoV-2 omicron variants BA.1 to BA.5: Implications for immune escape and transmission.奥密克戎变异株 BA.1 至 BA.5 的进化:免疫逃逸和传播的影响。
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