mRNA疫苗接种和感染后SARS-CoV-2变体特异性中和抗体的长期动态变化
Long-Term Dynamics of SARS-CoV-2 Variant-Specific Neutralizing Antibodies Following mRNA Vaccination and Infection.
作者信息
Vaňová Veronika, Náhliková Jana, Ličková Martina, Sláviková Monika, Kajanová Ivana, Lukáčiková Ľubomíra, Sabo Miroslav, Rádiková Žofia, Pastoreková Silvia, Klempa Boris
机构信息
Institute of Virology, Biomedical Research Center, Slovak Academy of Sciences, 845 05 Bratislava, Slovakia.
Institute of Experimental Endocrinology, Biomedical Research Center, Slovak Academy of Sciences, 845 05 Bratislava, Slovakia.
出版信息
Viruses. 2025 May 6;17(5):675. doi: 10.3390/v17050675.
Understanding the long-term dynamics of SARS-CoV-2 neutralizing antibodies is critical for evaluating vaccine-induced protection and informing booster strategies. In this longitudinal study, we analyzed 114 serum samples from 19 individuals across six time points over a three-year period following mRNA vaccination (Comirnaty) and natural SARS-CoV-2 infection. Using pseudotype-based neutralization assays against nine SARS-CoV-2 variants, including major Omicron subvariants (BA.1-BA.5, BQ.1.1, XBB), and anti-S1 IgG ELISA, we observed that antibody levels peaked after the third vaccine dose and remained relatively stable two years later. Neutralization titers rose markedly after the second and third doses, with the highest neutralization observed at two years post-booster. Strong correlations were found between anti-S1 IgG levels and mean neutralization titers for pre-Omicron variants (r = 0.79-0.93; < 0.05), but only moderate for Omicron subvariants (r ≈ 0.50-0.64). Notably, hybrid immunity (vaccination plus infection) resulted in higher neutralization titers at the final time point compared to vaccine-only participants. The lowest neutralization was observed against XBB, underscoring the immune evasiveness of emerging variants. These findings support the importance of booster vaccination and highlight the added durability of hybrid immunity in long-term protection.
了解严重急性呼吸综合征冠状病毒2(SARS-CoV-2)中和抗体的长期动态变化对于评估疫苗诱导的保护作用和为加强免疫策略提供依据至关重要。在这项纵向研究中,我们分析了19名个体在mRNA疫苗(Comirnaty)接种和自然感染SARS-CoV-2后的三年时间里六个时间点的114份血清样本。使用针对包括主要奥密克戎亚变体(BA.1-BA.5、BQ.1.1、XBB)在内的九种SARS-CoV-2变体的基于假病毒的中和试验以及抗S1 IgG酶联免疫吸附测定(ELISA),我们观察到抗体水平在第三剂疫苗接种后达到峰值,并在两年后保持相对稳定。中和滴度在第二剂和第三剂后显著上升,在加强免疫后两年观察到最高中和水平。对于奥密克戎变异株出现之前的变体,抗S1 IgG水平与平均中和滴度之间存在强相关性(r = 0.79-0.93;P < 0.05),但对于奥密克戎亚变体仅为中等相关性(r ≈ 0.50-0.64)。值得注意的是,与仅接种疫苗的参与者相比,混合免疫(接种疫苗加感染)在最后一个时间点产生了更高的中和滴度。对XBB的中和作用最低,突出了新出现变体的免疫逃逸能力。这些发现支持了加强免疫接种的重要性,并强调了混合免疫在长期保护中的额外持久性。