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肠道微生物群改变了 SARS-CoV-2 疫苗接种后的抗体持久性和加强反应。

The gut microbiota modifies antibody durability and booster responses after SARS-CoV-2 vaccination.

机构信息

Department of Internal Medicine, Guro Hospital, Korea University College of Medicine, Gurodong-Ro 148, Guro-Gu, Seoul, 08308, Republic of Korea.

Asia Pacific Influenza Institute, Guro Hospital, Korea University College of Medicine, Gurodong-Ro 148, Guro-Gu, Seoul, 08308, Republic of Korea.

出版信息

J Transl Med. 2024 Sep 6;22(1):827. doi: 10.1186/s12967-024-05637-2.


DOI:10.1186/s12967-024-05637-2
PMID:39242525
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380214/
Abstract

BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines are pivotal in combating coronavirus disease 2019 (COVID-19); however, the declining antibody titers postvaccination pose challenges for sustained protection and herd immunity. Although gut microbiome is reported to affect the early antibody response after vaccination, its impact on the longevity of vaccine-induced antibodies remains unexplored. METHODS: A prospective cohort study was conducted involving 44 healthy adults who received two doses of either the BNT162b2 or ChAdOx1 vaccine, followed by a BNT162b2 booster at six months. The gut microbiome was serially analyzed using 16S rRNA and shotgun sequencing, while humoral immune response was assessed using a SARS-CoV-2 spike protein immunoassay. RESULTS: Faecalibacterium prausnitzii was associated with robust and persistent antibody responses post-BNT162b2 vaccination. In comparison, Escherichia coli was associated with a slower antibody decay following ChAdOx1 vaccination. The booster immune response was correlated with metabolic pathways involving cellular functions and aromatic amino acid synthesis. CONCLUSIONS: The findings of this study underscored the potential interaction between the gut microbiome and the longevity/boosting effect of antibodies following vaccination against SARS-CoV-2. The identification of specific microbial associations suggests the prospect of microbiome-based strategies for enhancing vaccine efficacy.

摘要

背景:严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)疫苗是抗击 2019 年冠状病毒病(COVID-19)的关键;然而,接种疫苗后抗体滴度的下降给持续保护和群体免疫带来了挑战。虽然肠道微生物组被报道会影响接种后的早期抗体反应,但它对疫苗诱导的抗体的寿命的影响仍未得到探索。

方法:进行了一项前瞻性队列研究,涉及 44 名健康成年人,他们接受了两剂 BNT162b2 或 ChAdOx1 疫苗接种,然后在六个月时接受了 BNT162b2 加强针。使用 16S rRNA 和 shotgun 测序对肠道微生物组进行了连续分析,同时使用 SARS-CoV-2 刺突蛋白免疫测定法评估体液免疫反应。

结果:Faecalibacterium prausnitzii 与 BNT162b2 接种后的强大和持久的抗体反应相关。相比之下,Escherichia coli 与 ChAdOx1 接种后的抗体衰减较慢相关。加强免疫反应与涉及细胞功能和芳香族氨基酸合成的代谢途径相关。

结论:这项研究的结果强调了肠道微生物组与接种 SARS-CoV-2 疫苗后的抗体寿命/增强效应之间的潜在相互作用。特定微生物关联的鉴定表明了基于微生物组的增强疫苗效力的策略的前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7789/11380214/f548c928ebe0/12967_2024_5637_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7789/11380214/cac456b9f1e0/12967_2024_5637_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7789/11380214/f3dabedff71e/12967_2024_5637_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7789/11380214/f548c928ebe0/12967_2024_5637_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7789/11380214/cac456b9f1e0/12967_2024_5637_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7789/11380214/f3dabedff71e/12967_2024_5637_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7789/11380214/f548c928ebe0/12967_2024_5637_Fig3_HTML.jpg

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引用本文的文献

[1]
The emerging role of the gut microbiota in vaccination responses.

Gut Microbes. 2025-12

[2]
Immunomodulatory effects of gut microbiota on vaccine efficacy against respiratory pathogens.

Front Immunol. 2025-6-3

[3]
Impact of Infection on the Gut Microbiome and Hepatitis B Vaccine Immune Response in Fishing Communities of Lake Victoria, Uganda.

Vaccines (Basel). 2025-3-31

[4]
Gut microbiota is associated with persistence of longer-term BNT162b2 vaccine immunogenicity.

Front Immunol. 2025-2-27

[5]
Impact of an intranasal L-DBF vaccine on the gut microbiota in young and elderly mice.

Gut Microbes. 2024

本文引用的文献

[1]
Immunogenicity and safety of SARS-CoV-2 recombinant protein nanoparticle vaccine GBP510 adjuvanted with AS03: interim results of a randomised, active-controlled, observer-blinded, phase 3 trial.

EClinicalMedicine. 2023-9-7

[2]
Gut microbiota as a potential key to modulating humoral immunogenicity of new platform COVID-19 vaccines.

Signal Transduct Target Ther. 2023-5-3

[3]
The immunological interplay between vaccination and the intestinal microbiota.

NPJ Vaccines. 2023-2-23

[4]
The gut microbiota and metabolome are associated with diminished COVID-19 vaccine-induced antibody responses in immunosuppressed inflammatory bowel disease patients.

EBioMedicine. 2023-2

[5]
Effects of Gut Microbiota on Host Adaptive Immunity Under Immune Homeostasis and Tumor Pathology State.

Front Immunol. 2022

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Population antibody responses following COVID-19 vaccination in 212,102 individuals.

Nat Commun. 2022-2-16

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Gut Microbiota and Short Chain Fatty Acids: Implications in Glucose Homeostasis.

Int J Mol Sci. 2022-1-20

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Gut microbiota composition is associated with SARS-CoV-2 vaccine immunogenicity and adverse events.

Gut. 2022-6

[9]
Persistent B cell memory after SARS-CoV-2 vaccination is functional during breakthrough infections.

Cell Host Microbe. 2022-3-9

[10]
mRNA vaccines induce durable immune memory to SARS-CoV-2 and variants of concern.

Science. 2021-12-3

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