Bozhkova Martina, Raycheva Ralitsa, Petrov Steliyan, Dudova Dobrina, Kalfova Teodora, Murdjeva Marianna, Taskov Hristo, Shivarov Velizar
Department of Medical Microbiology and Immunology-"Prof. Dr. Elissay Yanev", Medical University of Plovdiv, 4002 Plovdiv, Bulgaria.
Research Institute, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria.
Vaccines (Basel). 2025 Jul 28;13(8):799. doi: 10.3390/vaccines13080799.
BACKGROUND: Understanding the duration and quality of immune memory following SARS-CoV-2 infection and vaccination is critical for informing public health strategies and vaccine development. While waning antibody levels have raised concerns about long-term protection, the persistence of memory B cells (MBCs) and T cells plays a vital role in sustaining immunity. MATERIALS AND METHODS: We conducted a longitudinal prospective study over 12 months, enrolling 285 participants in total, either after natural infection or vaccination with BNT162b2 or mRNA-1273. Peripheral blood samples were collected at four defined time points (baseline, 1-2 months, 6-7 months, and 12-13 months after vaccination or disease onset). Immune responses were assessed through serological assays quantifying anti-RBD IgG and neutralizing antibodies, B-ELISPOT, and multiparameter flow cytometry for S1-specific memory B cells. RESULTS: Both mRNA vaccines induced robust B cell and antibody responses, exceeding those observed after natural infection. Memory B cell frequencies peaked at 6 months and declined by 12 months, but remained above the baseline. The mRNA-1273 vaccine elicited stronger and more durable humoral and memory B-cell-mediated immunity compared to BNT162b2, likely influenced by its higher mRNA dose and longer prime-boost interval. Class-switched memory B cells and S1-specific B cells were significantly expanded in vaccine recipients. Natural infection induced more heterogeneous immune memory. CONCLUSIONS: Both mRNA vaccination and natural SARS-CoV-2 infection induce a comparable expansion of memory B cell subsets, reflecting a consistent pattern of humoral immune responses across all studied groups. These findings highlight the importance of vaccination in generating sustained immunological memory and suggest that the vaccine platform and dosage influence the magnitude and durability of immune responses against SARS-CoV-2.
背景:了解新型冠状病毒2(SARS-CoV-2)感染和疫苗接种后免疫记忆的持续时间和质量对于制定公共卫生策略和疫苗研发至关重要。虽然抗体水平下降引发了对长期保护的担忧,但记忆B细胞(MBC)和T细胞的持久性在维持免疫力方面起着至关重要的作用。 材料和方法:我们进行了一项为期12个月的纵向前瞻性研究,共招募了285名参与者,他们或是自然感染后,或是接种了BNT162b2或mRNA-1273疫苗。在四个确定的时间点(接种疫苗或疾病发作后的基线、1 - 2个月、6 - 7个月和12 - 13个月)采集外周血样本。通过血清学检测定量抗受体结合域(RBD)IgG和中和抗体、B-酶联免疫斑点法(B-ELISPOT)以及针对S1特异性记忆B细胞的多参数流式细胞术评估免疫反应。 结果:两种mRNA疫苗均诱导了强烈的B细胞和抗体反应,超过了自然感染后观察到的反应。记忆B细胞频率在6个月时达到峰值,并在12个月时下降,但仍高于基线水平。与BNT162b2相比,mRNA-1273疫苗引发了更强且更持久的体液免疫和记忆B细胞介导的免疫,这可能受其更高的mRNA剂量和更长的初免-加强间隔影响。在疫苗接种者中,类别转换记忆B细胞和S1特异性B细胞显著扩增。自然感染诱导的免疫记忆更为异质性。 结论:mRNA疫苗接种和自然SARS-CoV-2感染均诱导了记忆B细胞亚群的类似扩增,反映了所有研究组中体液免疫反应的一致模式。这些发现突出了疫苗接种在产生持续免疫记忆方面的重要性,并表明疫苗平台和剂量会影响针对SARS-CoV-2的免疫反应的强度和持续时间。
Vaccines (Basel). 2025-7-28
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