Verma Sheetal, Yadav Astha, Venkatesh Vimala, Jain Amita, Kumar Mala, Tripathi Shalini, Singh Renu
Department of Microbiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Department of Pediatrics, King George's Medical University, Lucknow, Uttar Pradesh, India.
Indian J Med Res. 2024 Nov;160(5):501-505. doi: 10.25259/ijmr_964_23.
Background & objectives The COVID-19 pandemic underscores the significance of vaccination in mitigating disease spread, with Covishield and Covaxin serving as pivotal vaccines in India. Breast milk, rich in vital antibodies like IgA and IgG, plays a crucial role in enhancing the immune defence of breastfeeding infants. However, limited research exists on the antibody responses in breast milk among individuals receiving single versus double doses of the COVID-19 vaccine. This study aimed to bridge this gap by exploring IgA and IgG antibody levels in breast milk and assessing the correlation with COVID-19 vaccination status. Methods This hospital-based descriptive study aimed to assess the relationship between COVID-19 vaccination and the presence of anti-SARS-CoV-2 IgA/IgG antibodies in breast milk. Breast milk samples were collected using a sterile, closed-system electric breast pump and stored at -20°C. ELISA testing, utilizing commercially available kits, was utilized to assess anti-SARS-CoV-2 IgA and IgG antibodies. Results Among the 151 women participants, 76 (50.3%) received COVID-19 vaccination. Of these vaccinated women, 70 (92.1%) received Covishield, and 6 (7.9%) received Covaxin. Within the vaccinated cohort, 32 (42.1%) completed the recommended double-dose regimen, while 44 (57.9%) received a single dose. While no significant association was found between vaccination status and IgA positivity (P=0.491), a notable association emerged for IgG positivity (P<0.001). Notably, individuals who completed the recommended double-dose regimen exhibited higher IgA (63.6%) and IgG (65.4%) positivity compared to those receiving a single dose. Interpretation & conclusions This study underscores the significance of COVID-19 vaccination in impacting IgA and IgG antibody presence in breast milk. Completing the double-dose regimen correlated with higher IgA and IgG levels, emphasizing the benefits of complete vaccination. These findings contribute to understanding vaccination's impact on maternal-infant health.
背景与目的:新冠疫情凸显了疫苗接种在减缓疾病传播方面的重要性,在印度,Covishield和Covaxin是关键疫苗。母乳富含如IgA和IgG等重要抗体,对增强母乳喂养婴儿的免疫防御起着关键作用。然而,关于接种单剂与双剂新冠疫苗个体母乳中抗体反应的研究有限。本研究旨在通过探索母乳中IgA和IgG抗体水平并评估其与新冠疫苗接种状况的相关性来填补这一空白。方法:本基于医院的描述性研究旨在评估新冠疫苗接种与母乳中抗SARS-CoV-2 IgA/IgG抗体存在之间的关系。使用无菌、封闭系统电动吸奶器收集母乳样本,并储存在-20°C。利用市售试剂盒通过酶联免疫吸附测定(ELISA)检测来评估抗SARS-CoV-2 IgA和IgG抗体。结果:在151名女性参与者中,76人(50.3%)接种了新冠疫苗。在这些接种疫苗的女性中,70人(92.1%)接种了Covishield,6人(7.9%)接种了Covaxin。在接种疫苗的队列中,32人(42.1%)完成了推荐的双剂接种方案,而44人(57.9%)接种了单剂。虽然接种状况与IgA阳性之间未发现显著关联(P = 0.491),但IgG阳性存在显著关联(P < 0.001)。值得注意的是,完成推荐双剂接种方案的个体与接种单剂的个体相比,IgA阳性率(63.6%)和IgG阳性率(65.4%)更高。解读与结论:本研究强调了新冠疫苗接种对母乳中IgA和IgG抗体存在的重要性。完成双剂接种方案与更高的IgA和IgG水平相关,强调了全程接种的益处。这些发现有助于理解疫苗接种对母婴健康的影响。
Indian J Med Res. 2024-11
J Pediatric Infect Dis Soc. 2022-4-30
Pediatrics. 2021-11
Int J Environ Res Public Health. 2021-8-21
Immunol Res. 2023-8
Nat Rev Immunol. 2022-5
Int J Gynaecol Obstet. 2022-7