Department of Microbiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Research and Diagnostic Center for Emerging Infectious Diseases (RCEID), Khon Kaen University, Khon Kaen, Thailand.
Sci Rep. 2023 Oct 31;13(1):18762. doi: 10.1038/s41598-023-46053-8.
Several vaccine programs were introduced during the COVID-19 pandemic, which included inactivated virus, DNA viral vectors and mRNA vaccines. Booster programs are recommended, especially for those in high-risk groups. However, many of these booster programs involve heterologous vaccines. This study enrolled volunteers who first received two full-dose CoronaVac vaccinations before receiving heterologous boosters with DNA- and/or mRNA-vaccines for an additional 2 doses (n = 40) or an additional 3 doses (n = 16). Our results showed no difference in side effects, neutralizing antibodies, or T-cell responses for any of the heterologous vaccination programs. However, the neutralizing capacity and IFN-γ responses against the Omicron variant in volunteers who received 4 or 5 doses were improved. Polarization of peripheral memory T cells after stimulation in all booster groups with Omicron peptide showed an increased trend of naïve and central memory phenotypes of both CD4+ and CD8+ T cells, suggesting that exposure to Omicron antigens will drive T cells into a lymphoid resident T cell phenotype. Our data support a continuous vaccination program to maximize the effectiveness of immunity, especially in people at high risk. Furthermore, the number of boosting doses is important for maintaining immunity.
在 COVID-19 大流行期间推出了几种疫苗接种计划,包括灭活病毒、DNA 病毒载体和 mRNA 疫苗。建议进行加强免疫接种计划,特别是针对高风险人群。然而,这些加强免疫接种计划中的许多都涉及异源疫苗。本研究招募了志愿者,他们首先接受了两剂全剂量科兴疫苗接种,然后再接受 DNA-和/或 mRNA 疫苗的异源加强免疫接种,另外接种 2 剂(n=40)或 3 剂(n=16)。我们的研究结果显示,任何异源疫苗接种计划在副作用、中和抗体或 T 细胞反应方面均无差异。然而,接受 4 或 5 剂疫苗接种的志愿者对奥密克戎变异株的中和能力和 IFN-γ 反应均有所提高。在所有使用奥密克戎肽的加强免疫组中,外周记忆 T 细胞在刺激后的极化显示出 CD4+和 CD8+T 细胞的幼稚和中央记忆表型的增加趋势,这表明接触奥密克戎抗原将促使 T 细胞进入淋巴细胞驻留 T 细胞表型。我们的数据支持持续的疫苗接种计划,以最大限度地提高免疫力,特别是对高风险人群。此外,加强免疫接种的剂量对于维持免疫力很重要。
Biomed Pharmacother. 2023-2