怀孕和哺乳会引发对新冠病毒加强疫苗接种和新冠病毒突破性感染的不同免疫反应。

Pregnancy and lactation induce distinct immune responses to COVID-19 booster vaccination and SARS-CoV-2 breakthrough infection.

作者信息

Yin Kailin, Li Lin, Luo Xiaoyu, Neidleman Jason, Cassidy Arianna G, Golan Yarden, Ozarslan Nida, Lin Christine Y, Jigmeddagva Unurzul, Ilala Mikias, Chidboy Megan A, Prahl Mary, Gaw Stephanie L, Roan Nadia R

机构信息

Gladstone Institutes, San Francisco, California, USA.

Department of Urology.

出版信息

JCI Insight. 2025 Jul 22;10(14). doi: 10.1172/jci.insight.191930.

Abstract

The widespread uptake of COVID-19 vaccines by women provided a unique opportunity to study the effects of pregnancy and lactation on immune responses to vaccination. Leveraging a cohort with well-defined SARS-CoV-2 exposure history, we found that the magnitude of humoral and cellular immune responses to vaccine-delivered SARS-CoV-2 spike was not affected by pregnancy or lactation status. However, vaccination during pregnancy elicited more stem-like SARS-CoV-2-specific CD4+ T cells. Moreover, breakthrough infection promoted spike-specific IgG in pregnant individuals in contrast with IgA in those lactating, suggesting that the pregnancy-to-lactation transition favors mucosal antibody responses. Breakthrough infection also reduced peripheral cytolytic SARS-CoV-2-specific CD8+ T cell frequencies during lactation but not pregnancy, which may reflect trafficking of the cells to mammary glands. Our study also uncovered an impact of pregnancy and lactation on global T cell phenotypes. In particular, lactating individuals preferentially exhibited a state of diminished T cell activation. Furthermore, breakthrough infection during pregnancy, but not lactation, diminished frequencies of activated CD8+ T cells, tissue-homing CD8+ T cells, and γδ T cells. Our findings support the notion that immunity during pregnancy and lactation adapts to benefit the fetus or breastfed infant, with implications for eliciting effective long-term immunity for these uniquely vulnerable groups.

摘要

女性广泛接种新冠疫苗为研究妊娠和哺乳对疫苗免疫反应的影响提供了独特机会。利用一个具有明确新冠病毒暴露史的队列,我们发现,妊娠或哺乳状态并不影响对疫苗接种的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)刺突蛋白的体液免疫和细胞免疫反应强度。然而,孕期接种疫苗会引发更多干细胞样SARS-CoV-2特异性CD4+T细胞。此外,与哺乳期个体产生的IgA不同,孕期突破性感染会促进刺突蛋白特异性IgG的产生,这表明从妊娠到哺乳的转变有利于黏膜抗体反应。突破性感染还会降低哺乳期而非孕期外周细胞溶解性SARS-CoV-2特异性CD8+T细胞的频率,这可能反映了这些细胞向乳腺的迁移。我们的研究还揭示了妊娠和哺乳对整体T细胞表型的影响。特别是,哺乳期个体优先表现出T细胞活化减弱的状态。此外,孕期而非哺乳期的突破性感染会降低活化CD8+T细胞、组织归巢CD8+T细胞和γδT细胞的频率。我们的研究结果支持以下观点:妊娠和哺乳期的免疫会进行适应性调整,以利于胎儿或母乳喂养的婴儿,这对为这些特别脆弱的群体引发有效的长期免疫具有启示意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a053/12288967/ee0cb84ba138/jciinsight-10-191930-g115.jpg

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