Poolchanuan Prapassorn, Matsee Wasin, Dulsuk Adul, Phunpang Rungnapa, Runcharoen Chakkaphan, Boonprakob Thitiya, Hemtong Onura, Chowplijit Suchada, Chuapaknam Vachara, Siripoon Tanaya, Pisutsan Phimphan, Piyaphanee Watcharapong, Khongsiri Wathusiri, Kosoltanapiwat Nathamon, Tan Le Van, Dunachie Susanna, Tan Chee Wah, Wang Lin-Fa, Chantratita Wasun, Luvira Viravarn, Chantratita Narisara
Department of Microbiology and Immunology, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok, 10400, Thailand.
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Sci Rep. 2025 May 6;15(1):15831. doi: 10.1038/s41598-025-98627-3.
Antibodies play a crucial role in protection against SARS-CoV-2. Understanding the correlation between binding and functional antibodies is essential to determine whether binding antibody levels can reliably predict neutralizing activity. We assessed antibody responses in 111 individuals vaccinated with the inactivated vaccine CoronaVac and 111 COVID-19 patients in Thailand. Plasma levels of ACE2-blocking antibodies targeting the receptor-binding domain (RBD) of SARS-Co-V2 variants were measured before vaccination and at 14 and 28 days after the second dose using a multiplex surrogate virus neutralization test. Anti-spike and anti-nucleocapsid antibodies were quantified by electrochemiluminescence immunoassay, and anti-RBD IgG by ELISA. After vaccination, blocking, anti-spike, and IgG antibody levels increased but declined rapidly within a month, whereas antibody levels in COVID-19 patients increased and persisted. Blocking and anti-spike antibody correlated at day 14 post-vaccination but not at day 28. In COVID-19 patients, correlations were moderate at day 14, and stronger at day 28. Correlations were weaker for Omicron subvariants than for the ancestral strain and non-Omicron variants. The weak correlation between blocking and anti-RBD IgG suggests binding antibodies might not predict neutralizing activity. These findings highlight the temporal nature of CoronaVac-induced immunity and the need for booster doses and variant-adapted vaccine.
抗体在抵御新冠病毒(SARS-CoV-2)中发挥着关键作用。了解结合抗体与功能性抗体之间的相关性对于确定结合抗体水平是否能够可靠地预测中和活性至关重要。我们评估了泰国111名接种灭活疫苗科兴新冠疫苗的个体以及111名新冠肺炎患者的抗体反应。在接种疫苗前以及第二剂接种后14天和28天,使用多重替代病毒中和试验测量了针对SARS-CoV-2变体受体结合域(RBD)的血管紧张素转换酶2(ACE2)阻断抗体的血浆水平。通过电化学发光免疫测定法定量检测抗刺突蛋白和抗核衣壳抗体,通过酶联免疫吸附测定法检测抗RBD IgG。接种疫苗后,阻断抗体、抗刺突蛋白抗体和IgG抗体水平升高,但在一个月内迅速下降,而新冠肺炎患者的抗体水平升高并持续存在。接种疫苗后第14天,阻断抗体与抗刺突蛋白抗体相关,但在第28天不相关。在新冠肺炎患者中,第14天相关性中等,第28天相关性更强。奥密克戎亚变体的相关性比原始毒株和非奥密克戎变体弱。阻断抗体与抗RBD IgG之间的弱相关性表明结合抗体可能无法预测中和活性。这些发现突出了科兴新冠疫苗诱导免疫的时间特性以及加强针和适应变体疫苗的必要性。
Proc Natl Acad Sci U S A. 2024-8-6
Lancet Infect Dis. 2024-7
Lancet Infect Dis. 2024-6