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mRNA 疫苗接种后早期检测到的中和抗体水平本身不能预测随后 SARS-CoV-2 的突破性感染。

Neutralizing antibody levels detected early after mRNA-based vaccination do not predict by themselves subsequent breakthrough infections of SARS-CoV-2.

机构信息

Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Instituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

出版信息

Front Immunol. 2024 Feb 9;15:1341313. doi: 10.3389/fimmu.2024.1341313. eCollection 2024.


DOI:10.3389/fimmu.2024.1341313
PMID:38404583
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10884961/
Abstract

The development of mRNA vaccines represented a significant achievement in response to the global health crisis during the SARS-CoV-2 pandemic. Evaluating vaccine efficacy entails identifying different anti-SARS-CoV-2 antibodies, such as total antibodies against the Receptor Binding Domain (RBD) of the S-protein, or neutralizing antibodies (NAbs). This study utilized an innovative PETIA-based kit to measure NAb, and the investigation aimed to assess whether levels of anti-RBD IgG and NAb uniformly measured 30 days after vaccination could predict individuals at a higher risk of subsequent infection in the months following vaccination. Among a cohort of healthy vaccinated healthcare workers larger than 6,000, 12 mRNA-1273- and 115 BNT162b2-vaccinated individuals contracted infections after the first two doses. The main finding is that neither anti-RBD IgG nor NAb levels measured at day 30 post-vaccination can be used as predictors of breakthrough infections (BI). Therefore, the levels of anti-SARS-CoV-2 antibodies detected shortly after vaccination are not the pivotal factors involved in antiviral protection, and other characteristics must be considered in understanding protection against infection. Furthermore, the levels of anti-RBD and NAbs followed a very similar pattern, with a correlation coefficient of r = 0.96. This robust correlation would justify ceasing the quantification of NAbs, as the information provided by both determinations is highly similar. This optimization would help allocate resources more efficiently and speed up the determination of individuals' humoral immunity status.

摘要

mRNA 疫苗的开发是应对 SARS-CoV-2 大流行期间全球健康危机的重大成就。评估疫苗的功效需要确定不同的抗 SARS-CoV-2 抗体,例如针对 S 蛋白受体结合域(RBD)的总抗体或中和抗体(NAb)。本研究利用一种创新的基于 PETIA 的试剂盒来测量 NAb,并旨在评估接种疫苗后 30 天测量的抗 RBD IgG 和 NAb 水平是否可以预测接种疫苗后几个月内感染风险较高的个体。在一个超过 6000 名接种过疫苗的健康医护人员队列中,12 名接受 mRNA-1273 疫苗和 115 名接受 BNT162b2 疫苗接种的个体在接种两剂疫苗后感染。主要发现是,接种后第 30 天测量的抗 RBD IgG 和 NAb 水平均不能用作突破性感染(BI)的预测指标。因此,接种后不久检测到的抗 SARS-CoV-2 抗体水平不是抗病毒保护的关键因素,必须考虑其他特征来理解对感染的保护。此外,抗 RBD 和 NAb 的水平遵循非常相似的模式,相关系数 r = 0.96。这种强大的相关性将证明停止 NAb 的定量是合理的,因为这两种测定提供的信息高度相似。这种优化将有助于更有效地分配资源并加快确定个体的体液免疫状态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f8/10884961/9e61daa9c0f0/fimmu-15-1341313-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f8/10884961/3674bf69f3a4/fimmu-15-1341313-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f8/10884961/899a7ed4386f/fimmu-15-1341313-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f8/10884961/9e61daa9c0f0/fimmu-15-1341313-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f8/10884961/3674bf69f3a4/fimmu-15-1341313-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f8/10884961/899a7ed4386f/fimmu-15-1341313-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4f8/10884961/9e61daa9c0f0/fimmu-15-1341313-g003.jpg

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引用本文的文献

[1]
Clinical Significance of Neutralizing Antibodies in COVID-19: Implications for Disease Prognosis.

Life (Basel). 2025-3-8

[2]
Humoral and cellular response to SARS-CoV-2 mRNA vaccine in paediatric heart transplant recipients.

Heliyon. 2024-12-31

[3]
Declining Levels of Neutralizing Antibodies to SARS-CoV-2 Omicron Variants Are Enhanced by Hybrid Immunity and Original/Omicron Bivalent Vaccination.

Vaccines (Basel). 2024-5-22

本文引用的文献

[1]
SARS-CoV-2-specific immune responses and clinical outcomes after COVID-19 vaccination in patients with immune-suppressive disease.

Nat Med. 2023-7

[2]
Influence of age, gender, previous SARS-CoV-2 infection, and pre-existing diseases in antibody response after COVID-19 vaccination: A review.

Mol Immunol. 2023-4

[3]
Neutralizing Antibodies against SARS-CoV-2 Beta and Omicron Variants Inhibition Comparison after BNT162b2 mRNA Booster Doses with a New PETIA sVNT Assay.

Diagnostics (Basel). 2023-2-26

[4]
Factors Influencing Antibody Response to SARS-CoV-2 Vaccination.

Vaccines (Basel). 2023-2-15

[5]
Effectiveness of Bivalent Boosters against Severe Omicron Infection.

N Engl J Med. 2023-2-23

[6]
T-Cell Mediated Response after Primary and Booster SARS-CoV-2 Messenger RNA Vaccination in Nursing Home Residents.

J Am Med Dir Assoc. 2023-2

[7]
IgG anti-RBD levels during 8-month follow-up post-vaccination with BNT162b2 and mRNA-1273 vaccines in healthcare workers: A one-center study.

Front Cell Infect Microbiol. 2022

[8]
Broadly neutralizing antibodies to SARS-CoV-2 and other human coronaviruses.

Nat Rev Immunol. 2023-3

[9]
Assessment of the humoral response to the homologous Gam-COVID-Vac (Sputnik V) or heterologous Sputnik V/mRNA-1273 (Moderna) vaccination against SARS-CoV-2 in dialysis patients.

J Nephrol. 2023-4

[10]
Comparison of the measured values of quantitative SARS-CoV-2 spike antibody assays.

J Clin Virol. 2022-10

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