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波多黎各SARS-CoV-2 IgG抗体持久性的纵向分析。

Longitudinal analysis of SARS-CoV-2 IgG antibody durability in Puerto Rico.

作者信息

Madewell Zachary J, Graff Nathan E, Lopez Velma K, Rodriguez Dania M, Wong Joshua M, Maniatis Panagiotis, Medina Freddy A, Muñoz Jorge L, Briggs-Hagen Melissa, Adams Laura E, Rivera-Amill Vanessa, Paz-Bailey Gabriela, Major Chelsea G

机构信息

Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico.

Coronavirus and Other Respiratory Viruses Division, Centers for Disease Control and Prevention, Atlanta, Georgia.

出版信息

Sci Rep. 2024 Dec 28;14(1):30743. doi: 10.1038/s41598-024-80465-4.

Abstract

Understanding the dynamics of antibody responses following vaccination and SARS-CoV-2 infection is important for informing effective vaccination strategies and other public health interventions. This study investigates SARS-CoV-2 antibody dynamics in a Puerto Rican cohort, analyzing how IgG levels vary by vaccination status and previous infection. We assess waning immunity and the distribution of hybrid immunity with the aim to inform public health strategies and vaccination programs in Puerto Rico and similar settings. We conducted a prospective, longitudinal cohort study to identify SARS-CoV-2 infections and related outcomes in Ponce, Puerto Rico, from June 2020-August 2022. Participants provided self-collected nasal swabs every week and serum every six months for RT-PCR and IgG testing, respectively. IgG reactivity against nucleocapsid (N) antigens, which generally indicate previous infection, and spike (S1) and receptor-binding domain (RBD) antigens, which indicate history of either infection or vaccination, was assessed using the Luminex Corporation xMAP® SARS-CoV-2 Multi-Antigen IgG Assay. Prior infection was defined by positive RT-PCRs, categorized by the predominant circulating SARS-CoV-2 variant at the event time. Demographic information, medical history, and COVID-19 vaccination history were collected through standardized questionnaires. Of 882 participants included in our analysis, 34.0% experienced at least one SARS-CoV-2 infection, with most (78.7%) occurring during the Omicron wave (December 2021 onwards). SARS-CoV-2 antibody prevalence increased over time, reaching 98.4% by the final serum collection, 67.0% attributable to vaccination alone, 1.6% from infection alone, and 31.4% from both. Regardless of prior infection status, RBD and S1 IgG levels gradually declined following two vaccine doses. A third dose boosted these antibody levels and showed a slower decline over time. N-antibody levels peaked during the Omicron surge and waned over time. Vaccination in individuals with prior SARS-CoV-2 infection elicited the highest and most durable antibody responses. N or S1 seropositivity was associated with lower odds of a subsequent positive PCR test during the Omicron period, with N antibodies showing a stronger association. By elucidating the differential decay of RBD and S1 antibodies following vaccination and the complexities of N-antibody response following infection, this study in a Puerto Rican cohort strengthens the foundation for developing targeted interventions and public health strategies.

摘要

了解接种疫苗和感染新冠病毒后抗体反应的动态变化,对于制定有效的疫苗接种策略和其他公共卫生干预措施至关重要。本研究调查了波多黎各一个队列中的新冠病毒抗体动态变化,分析了IgG水平如何因疫苗接种状况和既往感染情况而有所不同。我们评估了免疫力的减弱以及混合免疫的分布情况,旨在为波多黎各及类似环境中的公共卫生策略和疫苗接种计划提供参考。我们进行了一项前瞻性纵向队列研究,以确定2020年6月至2022年8月期间在波多黎各庞塞发生的新冠病毒感染及相关结果。参与者每周自行采集鼻拭子,每六个月采集血清,分别用于RT-PCR检测和IgG检测。使用Luminex公司的xMAP®新冠病毒多抗原IgG检测法评估针对核衣壳(N)抗原(通常表明既往感染)、刺突(S1)和受体结合域(RBD)抗原(表明感染或疫苗接种史)的IgG反应性。既往感染通过RT-PCR检测呈阳性来定义,并根据事件发生时主要流行的新冠病毒变异株进行分类。通过标准化问卷收集人口统计学信息、病史和新冠疫苗接种史。在我们分析的882名参与者中,34.0%至少经历过一次新冠病毒感染,其中大多数(78.7%)发生在奥密克戎毒株流行期间(2021年12月起)。新冠病毒抗体流行率随时间增加,在最后一次血清采集时达到98.4%,其中仅因接种疫苗产生抗体的占67.0%,仅因感染产生抗体的占1.6%,因两者都有产生抗体的占31.4%。无论既往感染状况如何,接种两剂疫苗后,RBD和S1 IgG水平均逐渐下降。第三剂疫苗提高了这些抗体水平,并显示出随时间下降较慢的趋势。N抗体水平在奥密克戎毒株激增期间达到峰值,随后随时间下降。既往感染过新冠病毒的个体接种疫苗后引发的抗体反应最高且最持久。在奥密克戎毒株流行期间,N或S1血清学阳性与后续PCR检测呈阳性的几率较低相关,其中N抗体显示出更强的相关性。通过阐明接种疫苗后RBD和S1抗体的不同衰减情况以及感染后N抗体反应的复杂性,这项针对波多黎各一个队列的研究为制定有针对性的干预措施和公共卫生策略奠定了更坚实的基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58b6/11681247/2d898ef38739/41598_2024_80465_Fig1_HTML.jpg

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