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流感疫苗接种作为体液IgA对严重急性呼吸综合征冠状病毒2感染反应的一个预后因素。

Influenza vaccination as a prognostic factor of humoral IgA responses to SARS-CoV-2 infection.

作者信息

Poniedziałek Barbara, Sikora Dominika, Hallmann Ewelina, Brydak Lidia, Rzymski Piotr

机构信息

Department of Environmental Medicine, Poznan University of Medical Sciences, Poznań, Poland.

Doctoral School, Poznan University of Medical Sciences, Poznań, Poland.

出版信息

Cent Eur J Immunol. 2024;49(1):11-18. doi: 10.5114/ceji.2024.135462. Epub 2024 Feb 17.

Abstract

There is evidence that influenza vaccination may provide additional benefits by inducing training of innate immunity and increasing humoral responses to heterologous challenges. Immunoglobulin A (IgA) antibodies dominate the early phase of the adaptive response to SARS-CoV-2 infection, but whether their production may be associated with previous influenza vaccination has not been a subject of any study. This study compared serum SARS-CoV-2-specific IgA responses, measured with Microblot-Array assay, in individuals who experienced COVID-19 (N = 1318) and differed in the status of the seasonal influenza vaccine, age, sex, and disease severity. Influenza-vaccinated individuals had a higher seroprevalence of IgA antibodies against nucleocapsid (anti-NP; by 10.1%), receptor-binding domain of spike protein (anti-RBD; by 11.8%) and the S2 subunit of spike protein (anti-S2; by 6.8%). Multivariate analysis, including age, sex, and COVID-19 severity, confirmed that receiving the influenza vaccine was associated with higher odds of being seropositive for anti-NP (OR, 95% CI = 1.57, 1.2-2.0), anti-RBD (OR, 95% CI = 1.6, 1.3-2.0), and anti-S2 (OR, 95% CI = 1.9, 1.4-2.7), as well as being seropositive for at least one anti-SARS-CoV-2 IgA antibody (OR, 95% CI = 1.7, 1.3-2.1) and all three of them (OR, 95% CI = 2.6, 1.7-4.0). Age ≥ 50 years was an additional factor predicting better IgA responses. However, the concentration of particular antibodies in seropositive subjects did not differ in relation to the influenza vaccination status. The study evidenced that influenza vaccination was associated with improved serum IgA levels produced in response to SARS-CoV-2 infection. Further studies are necessary to assess whether trained immunity is involved in the observed phenomenon.

摘要

有证据表明,流感疫苗接种可能通过诱导先天免疫训练和增强对异源刺激的体液反应而带来额外益处。免疫球蛋白A(IgA)抗体在对SARS-CoV-2感染的适应性反应早期占主导地位,但它们的产生是否与先前的流感疫苗接种有关尚未成为任何研究的主题。本研究比较了通过微印迹阵列测定法测量的、经历过COVID-19的个体(N = 1318)中血清SARS-CoV-2特异性IgA反应,这些个体在季节性流感疫苗接种状况、年龄、性别和疾病严重程度方面存在差异。接种流感疫苗的个体针对核衣壳的IgA抗体(抗NP;高10.1%)、刺突蛋白受体结合域(抗RBD;高11.8%)和刺突蛋白S2亚基(抗S2;高6.8%)的血清阳性率更高。包括年龄、性别和COVID-19严重程度在内的多变量分析证实,接种流感疫苗与抗NP血清阳性的几率更高(比值比,95%置信区间 = 1.57,1.2 - 2.0)、抗RBD(比值比,95%置信区间 = 1.6,1.3 - 2.0)和抗S2(比值比,95%置信区间 = 1.9,1.4 - 2.7),以及至少一种抗SARS-CoV-2 IgA抗体血清阳性(比值比,95%置信区间 = 1.7,1.3 - 2.1)和所有三种抗体血清阳性(比值比,95%置信区间 = 2.6,1.7 - 4.0)相关。年龄≥50岁是预测更好IgA反应的另一个因素。然而,血清阳性受试者中特定抗体的浓度与流感疫苗接种状况无关。该研究证明,流感疫苗接种与因SARS-CoV-2感染而产生的血清IgA水平提高有关。需要进一步研究以评估训练有素的免疫力是否参与了观察到的现象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a73/11130984/7cc7187076bd/CEJI-49-52418-g001.jpg

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