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评估未感染过新冠病毒的接种疫苗个体中有无刺突蛋白IgG抗体时的SARS-CoV-2 T细胞免疫情况。

Evaluating SARS-CoV-2 T Cell Immunity in COVID-19-Naive Vaccinated Individuals with and Without Spike Protein IgG Antibodies.

作者信息

Pitiriga Vassiliki C, Papamentzelopoulou Myrto, Nikoloudis Dimitris, Saldari Chrysa, Konstantinakou Kanella E, Vasileiou Irene V, Tsakris Athanasios

机构信息

Department of Microbiology, Medical School, National and Kapodistrian University of Athens, 75 Mikras Asias Street, 11527 Athens, Greece.

Molecular Biology Unit, 1st Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, 11527 Athens, Greece.

出版信息

Pathogens. 2025 Apr 25;14(5):415. doi: 10.3390/pathogens14050415.

Abstract

The effective management of vaccination schedules requires thorough knowledge of an individual's immunoprotection level, including the interaction and persistence of immune responses at both the humoral and cellular levels following SARS-CoV-2 vaccination. This study aimed to investigate the potential relationship between the levels and duration of the SARS-CoV-2 T cell response and IgG measurements in a cohort of COVID-19-naive individuals who had received the SARS-CoV-2 vaccine. We performed a retrospective descriptive analysis utilizing data retrieved from the electronic medical records of consecutive COVID-19-naive and vaccinated adult individuals who underwent COVID-19 immunity screening at a private healthcare center from September 2021 to September 2022. T cell response was evaluated using the IGRA methodology T-SPOT.COVID (Oxford Immunotec, Abingdon, Oxfordshire, UK). A retrospective analysis was conducted on a cohort of 262 individuals, comprising 148 females (56.5%) and 114 males (43.5%), with ages ranging from 17 to 92 years (mean age: 59.47 ± 15.5 years). Among the participants, 216/262 (82.4%) tested negative for SARS-CoV-2 IgG antibodies (group A), while 46/262 (17.6%) tested positive (group B). No significant difference was observed between the two groups in the time period post vaccination, with the mean times after vaccination being 136.38 ± 78.68 days in group A and 140.6 ± 79.5 days in group B (T-test, = 0.74). Among the two groups, a positive T cell reaction against the S antigen was reported in 132/216 (61.1%) participants in group A and 39/46 (84.8%) in group B ( test, = 0.002). Additionally, individuals with a positive antibody response demonstrated statistically significant higher T SPOT results compared to those with undetectable antibody levels, with a mean SFC count of 125.70 for group A and 158.73 for group B (Mann-Whitney test, = 0.006). Our findings suggest that T cell immunity may persist even when antibodies are undetectable, highlighting the potential role of cellular immunity in providing protection against COVID-19 over time. Additionally, this study demonstrates a significant correlation between humoral and cellular immune response levels to SARS-CoV-2, suggesting that the activation of humoral immunity following SARS-CoV-2 vaccination is associated with higher levels of cellular immunity compared to individuals with undetectable antibody levels.

摘要

疫苗接种计划的有效管理需要全面了解个体的免疫保护水平,包括接种SARS-CoV-2疫苗后体液和细胞水平上免疫反应的相互作用和持久性。本研究旨在调查一组未感染过COVID-19且接种过SARS-CoV-2疫苗的个体中,SARS-CoV-2 T细胞反应水平和持续时间与IgG测量值之间的潜在关系。我们利用从2021年9月至2022年9月在一家私立医疗中心接受COVID-19免疫筛查的连续未感染过COVID-19且接种过疫苗的成年个体的电子病历中检索到的数据进行了回顾性描述性分析。使用IGRA方法T-SPOT.COVID(牛津免疫技术公司,英国牛津郡阿宾顿)评估T细胞反应。对一组262名个体进行了回顾性分析,其中包括148名女性(56.5%)和114名男性(43.5%),年龄范围为17至92岁(平均年龄:59.47±15.5岁)。在参与者中,216/262(82.4%)的SARS-CoV-2 IgG抗体检测呈阴性(A组),而46/262(17.6%)检测呈阳性(B组)。两组在接种疫苗后的时间段内未观察到显著差异,A组接种疫苗后的平均时间为136.38±78.68天,B组为140.6±79.5天(T检验,P = 0.74)。在两组中,A组132/216(61.1%)的参与者和B组39/46(84.8%)的参与者报告了针对S抗原的阳性T细胞反应(检验,P = 0.002)。此外,抗体反应呈阳性的个体与抗体水平检测不到的个体相比,T SPOT结果在统计学上显著更高,A组的平均斑点形成细胞计数为125.70,B组为158.73(曼-惠特尼检验,P = 0.006)。我们的研究结果表明,即使抗体检测不到,T细胞免疫可能仍然持续,这突出了细胞免疫在长期提供针对COVID-19的保护方面的潜在作用。此外,本研究表明SARS-CoV-2的体液和细胞免疫反应水平之间存在显著相关性,这表明与抗体水平检测不到的个体相比,SARS-CoV-2疫苗接种后体液免疫的激活与更高水平的细胞免疫相关。

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