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在接种新冠疫苗之前感染过新冠病毒的个体,其疫苗诱导的RBD特异性抗体水平和病毒中和活性可维持一年。

Individuals Infected with SARS-CoV-2 Prior to COVID-19 Vaccination Maintain Vaccine-Induced RBD-Specific Antibody Levels and Viral Neutralization Activity for One Year.

作者信息

Mcconney Christina S, Kenney Devin, Ennis Christina S, Smith-Mahoney Erika L, Ayuso Maria Jose, Zhong Jiabao, Douam Florian, Sagar Manish, Snyder-Cappione Jennifer E

机构信息

Department of Virology, Immunology, and Microbiology, Chobanian & Avedisian School of Medicine, Boston University, Boston, MA 02118, USA.

National Emerging Infectious Diseases Laboratories, Boston University, Boston, MA 02118, USA.

出版信息

Viruses. 2025 Apr 29;17(5):640. doi: 10.3390/v17050640.

DOI:10.3390/v17050640
PMID:40431652
Abstract

The effectiveness of multiple COVID-19 vaccinations in individuals with a history of SARS-CoV-2 infection remains unclear; specifically, elucidation of the durability of anti-viral antibody responses could provide important insights for epidemiological applications. We utilized the BU ELISA protocol to measure the circulating SARS-CoV-2 receptor-binding domain (RBD) and nucleocapsid (N) specific IgG and IgA antibody levels in a cohort of individuals infected with SARS-CoV-2 in the spring of 2020, with the sample collection spanning six months to two years post-symptom onset. Further, we interrogated the neutralization activity of these samples against the ancestral SARS-CoV-2 (WA-1) and Delta and Omicron (BA.1) variants. Consistent with previous studies, we found a more rapid waning of anti-N compared to anti-RBD antibodies in months prior to the first vaccinations. Vaccine-induced antibody responses in individuals previously infected with SARS-CoV-2 were elevated and sustained for more than one year post-vaccination. Similarly, neutralization activity against WA-1, Delta, and Omicron increased and remained higher than pre-vaccination levels for one year after the first COVID-19 vaccine dose. Collectively, these results indicate that infection followed by vaccination yields robust antibody responses against SARS-CoV-2 that endure for one year. These results suggest that an annual booster would stably boost anti-SARS-CoV-2 antibody responses, preventing infection and disease.

摘要

多次接种新冠疫苗对有SARS-CoV-2感染史的个体的有效性仍不明确;具体而言,阐明抗病毒抗体反应的持久性可为流行病学应用提供重要见解。我们利用波士顿大学酶联免疫吸附测定法(BU ELISA),测量了一组在2020年春季感染SARS-CoV-2的个体中循环的SARS-CoV-2受体结合域(RBD)和核衣壳(N)特异性IgG和IgA抗体水平,样本采集时间跨度为症状出现后的6个月至2年。此外,我们还检测了这些样本对原始SARS-CoV-2(WA-1)以及Delta和奥密克戎(BA.1)变体的中和活性。与之前的研究一致,我们发现在首次接种疫苗前的几个月里,抗N抗体比抗RBD抗体衰减得更快。先前感染过SARS-CoV-2的个体在接种疫苗后,疫苗诱导的抗体反应有所增强,并在接种后持续了一年多。同样,在接种第一剂新冠疫苗后的一年内,针对WA-1、Delta和奥密克戎的中和活性有所增加,且一直高于接种前的水平。总体而言,这些结果表明,先感染后接种疫苗会产生针对SARS-CoV-2的强大抗体反应,且这种反应能持续一年。这些结果表明,每年进行一次加强接种将稳定增强抗SARS-CoV-2抗体反应,预防感染和疾病。

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本文引用的文献

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Longevity of antibody responses is associated with distinct antigen-specific B cell subsets early after infection.抗体应答的持久性与感染后早期不同的抗原特异性B细胞亚群有关。
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Anti-RBD IgG dynamics following infection or vaccination.感染或接种疫苗后抗受体结合域免疫球蛋白G的动态变化。
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SARS-CoV-2-specific plasma cells are not durably established in the bone marrow long-lived compartment after mRNA vaccination.
mRNA疫苗接种后,骨髓长期存在的细胞区室中不会持久建立SARS-CoV-2特异性浆细胞。
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Equal Maintenance of Anti-SARS-CoV-2 Antibody Levels Induced by Heterologous and Homologous Regimens of the BNT162b2, ChAdOx1, CoronaVac and Ad26.COV2.S Vaccines: A Longitudinal Study Up to the 4th Dose of Booster.BNT162b2、ChAdOx1、CoronaVac和Ad26.COV2.S疫苗的异源和同源接种方案诱导的抗SARS-CoV-2抗体水平的同等维持:一项直至第四剂加强针的纵向研究
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Titers of IgG and IgA against SARS-CoV-2 proteins and their association with symptoms in mild COVID-19 infection.针对 SARS-CoV-2 蛋白的 IgG 和 IgA 滴度及其与轻症 COVID-19 感染症状的关系。
Sci Rep. 2024 Jun 3;14(1):12725. doi: 10.1038/s41598-024-59634-y.
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Anti-nucleocapsid antibody levels following initial and repeat SARS-CoV-2 infections in a cohort of long-term care facility residents in England (VIVALDI).英国一家长期护理机构居民队列(VIVALDI)中初次和再次感染新型冠状病毒2后抗核衣壳抗体水平
Wellcome Open Res. 2024 Feb 19;9:45. doi: 10.12688/wellcomeopenres.20750.1. eCollection 2024.
8
High Concentration of Anti-SARS-CoV-2 Antibodies 2 Years after COVID-19 Vaccination Stems Not Only from Boosters but Also from Widespread, Often Unrecognized, Contact with the Virus.新冠病毒疫苗接种两年后出现的高浓度抗SARS-CoV-2抗体不仅源于加强针,还源于广泛的、通常未被识别的与病毒的接触。
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Impact of SARS-CoV-2 spike stability and RBD exposure on antigenicity and immunogenicity.SARS-CoV-2 刺突稳定性和 RBD 暴露对其抗原性和免疫原性的影响。
Sci Rep. 2024 Mar 8;14(1):5735. doi: 10.1038/s41598-024-56293-x.
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