Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri, USA.
J Virol. 2024 Sep 17;98(9):e0057424. doi: 10.1128/jvi.00574-24. Epub 2024 Aug 28.
Boosting with mRNA vaccines encoding variant-matched spike proteins has been implemented to mitigate their reduced efficacy against emerging SARS-CoV-2 variants. Nonetheless, in humans, it remains unclear whether boosting in the ipsilateral or contralateral arm with respect to the priming doses impacts immunity and protection. Here, we boosted K18-hACE2 mice with either monovalent mRNA-1273 (Wuhan-1 spike) or bivalent mRNA-1273.214 (Wuhan-1 + BA.1 spike) vaccine in the ipsilateral or contralateral leg after a two-dose priming series with mRNA-1273. Boosting in the ipsilateral or contralateral leg elicited equivalent levels of serum IgG and neutralizing antibody responses against Wuhan-1 and BA.1. While contralateral boosting with mRNA vaccines resulted in the expansion of spike-specific B and T cells beyond the ipsilateral draining lymph node (DLN) to the contralateral DLN, administration of a third mRNA vaccine dose at either site resulted in similar levels of antigen-specific germinal center B cells, plasmablasts/plasma cells, T follicular helper cells, and CD8 T cells in the DLNs and the spleen. Furthermore, ipsilateral and contralateral boosting with mRNA-1273 or mRNA-1273.214 vaccines conferred similar homologous or heterologous immune protection against SARS-CoV-2 BA.1 virus challenge with equivalent reductions in viral RNA and infectious virus in the nasal turbinates and lungs. Collectively, our data show limited differences in B and T cell immune responses after ipsilateral and contralateral site boosting by mRNA vaccines that do not substantively impact protection against an Omicron strain.IMPORTANCESequential boosting with mRNA vaccines has been an effective strategy to overcome waning immunity and neutralization escape by emerging SARS-CoV-2 variants. However, it remains unclear how the site of boosting relative to the primary vaccination series shapes optimal immune responses or breadth of protection against variants. In K18-hACE2 transgenic mice, we observed that intramuscular boosting with historical monovalent or variant-matched bivalent vaccines in the ipsilateral or contralateral limb elicited comparable levels of serum spike-specific antibody and antigen-specific B and T cell responses. Moreover, boosting on either side conferred equivalent protection against a SARS-CoV-2 Omicron challenge strain. Our data in mice suggest that the site of intramuscular boosting with an mRNA vaccine does not substantially impact immunity or protection against SARS-CoV-2 infection.
用编码变异匹配刺突蛋白的 mRNA 疫苗进行加强免疫已被用于减轻其对新出现的 SARS-CoV-2 变异体的效力降低。然而,在人类中,关于相对于初次免疫剂量在同侧或对侧手臂进行加强免疫是否会影响免疫和保护,目前仍不清楚。在这里,我们在 K18-hACE2 小鼠中进行了一项研究,在两剂 mRNA-1273 疫苗初次免疫系列后,使用单价 mRNA-1273(武汉-1 刺突)或双价 mRNA-1273.214(武汉-1+BA.1 刺突)疫苗在同侧或对侧腿部进行加强免疫。同侧或对侧腿部的加强免疫均引起针对武汉-1 和 BA.1 的血清 IgG 和中和抗体反应的等效水平。虽然 mRNA 疫苗对侧加强免疫导致 Spike 特异性 B 细胞和 T 细胞从同侧引流淋巴结(DLN)扩展到对侧 DLN,但在任一处给予第三剂 mRNA 疫苗,均导致 DLN 和脾脏中抗原特异性生发中心 B 细胞、浆母细胞/浆细胞、滤泡辅助 T 细胞和 CD8 T 细胞的类似水平。此外,mRNA-1273 或 mRNA-1273.214 疫苗的同侧和对侧加强免疫在 BA.1 病毒挑战时赋予了针对 SARS-CoV-2 的同源或异源免疫保护,鼻鼻甲和肺部的病毒 RNA 和传染性病毒均等量减少。总的来说,我们的数据显示,mRNA 疫苗的同侧和对侧部位加强免疫后 B 和 T 细胞免疫反应存在有限差异,这些差异不会实质性影响对奥密克戎株的保护。重要性 用 mRNA 疫苗进行序贯加强免疫是克服新出现的 SARS-CoV-2 变异体引起的免疫衰减和中和逃逸的有效策略。然而,关于相对于初次免疫系列的加强免疫部位如何影响最佳免疫反应或对变异体的保护广度,目前仍不清楚。在 K18-hACE2 转基因小鼠中,我们观察到在同侧或对侧肢体进行肌肉内加强免疫时,使用历史上的单价或变异匹配的双价疫苗,可引起血清 Spike 特异性抗体和抗原特异性 B 和 T 细胞反应的相当水平。此外,任一侧的加强免疫均能提供针对 SARS-CoV-2 奥密克戎挑战株的等效保护。我们在小鼠中的数据表明,mRNA 疫苗肌肉内加强免疫的部位不会实质性影响针对 SARS-CoV-2 感染的免疫或保护。
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