接种疫苗和奥密克戎突破性感染后,新冠病毒特异性B细胞和T细胞保护性免疫反应的演变

Evolution of protective SARS-CoV-2-specific B and T cell responses upon vaccination and Omicron breakthrough infection.

作者信息

Ahmed Mohamed I M, Einhauser Sebastian, Peiter Clemens, Senninger Antonia, Baranov Olga, Eser Tabea M, Huth Manuel, Olbrich Laura, Castelletti Noemi, Rubio-Acero Raquel, Carnell George, Heeney Jonathan, Kroidl Inge, Held Kathrin, Wieser Andreas, Janke Christian, Hoelscher Michael, Hasenauer Jan, Wagner Ralf, Geldmacher Christof

机构信息

Division of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, 80799 Munich, Germany.

German Centre for Infection Research (DZIF), Partner Site Munich, Munich, Germany.

出版信息

iScience. 2024 May 28;27(6):110138. doi: 10.1016/j.isci.2024.110138. eCollection 2024 Jun 21.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron breakthrough infection (BTI) induced better protection than triple vaccination. To address the underlying immunological mechanisms, we studied antibody and T cell response dynamics during vaccination and after BTI. Each vaccination significantly increased peak neutralization titers with simultaneous increases in circulating spike-specific T cell frequencies. Neutralization titers significantly associated with a reduced hazard rate for SARS-CoV-2 infection. Yet, 97% of triple vaccinees became SARS-CoV-2 infected. BTI further boosted neutralization magnitude and breadth, broadened virus-specific T cell responses to non-vaccine-encoded antigens, and protected with an efficiency of 88% from further infections by December 2022. This effect was then assessed by utilizing mathematical modeling, which accounted for time-dependent infection risk, the antibody, and T cell concentration at any time point after BTI. Our findings suggest that cross-variant protective hybrid immunity induced by vaccination and BTI was an important contributor to the reduced virus transmission observed in Bavaria in late 2022 and thereafter.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)奥密克戎突破性感染(BTI)诱导的保护作用优于三联疫苗接种。为了探究其潜在的免疫机制,我们研究了疫苗接种期间及BTI后抗体和T细胞反应动力学。每次疫苗接种均显著提高了峰值中和滴度,同时循环中刺突特异性T细胞频率增加。中和滴度与SARS-CoV-2感染风险降低显著相关。然而,97%的三联疫苗接种者仍感染了SARS-CoV-2。BTI进一步提高了中和强度和广度,拓宽了病毒特异性T细胞对非疫苗编码抗原的反应,并在2022年12月前以88%的效率保护机体免受进一步感染。然后通过数学建模评估了这种效果,该模型考虑了时间依赖性感染风险、BTI后任何时间点的抗体和T细胞浓度。我们的研究结果表明,疫苗接种和BTI诱导的交叉变异保护性混合免疫是2022年末及之后巴伐利亚州观察到的病毒传播减少的重要原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0018/11225850/b0a5e7ce7850/fx1.jpg

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