Merza M Y
Clinical Analysis Department, College of Pharmacy, Hawler Medical University, Erbil, Kurdistan Region, Iraq.
Department of Pharmacy, College of Pharmacy, Knowledge University, Erbil 44001, Iraq.
Arch Razi Inst. 2025 Feb 1;80(1):249-255. doi: 10.32592/ARI.2025.80.1.249. eCollection 2025 Feb.
The ongoing global pandemic of coronavirus disease (Covid-19) has had a considerable impact on healthcare systems and economies worldwide. The aim of vaccines against the virus is to elicit an immune response against the spike protein of the SARS-CoV-2 virus, with the objective of neutralizing the virus. Efficacy has now been demonstrated for several vaccinations, including those based on mRNA, adenoviral-vectored protein subunits, and whole-cell inactivated subunits. A comprehensive understanding of the immune responses to these vaccines, and the manner in which different antibodies are generated following vaccination, is imperative to enhance our comprehension of the pathophysiology of the disease. The present study aims to provide a comparative analysis of the humoral immune responses elicited by BNT162b2 (mRNA-based), BBIBP-CorV (inactivated virus), and ChAdOx1 (dsDNA-recombinant) vaccines against the SARS-CoV-2 virus. The study population comprised 321 individuals, with 90 individuals who had not received any vaccines (control group) and 77 individuals who had received the Pfizer and Sinopharm vaccines, respectively. Blood samples were collected 10 weeks after vaccination, and serum analysis was performed. The human SARS-CoV-2 Spike (Trimer) IgG or IgM ELISA (Thermo Fisher) was utilized to assess the quantity of IgG or IgM antibodies that had bound to the SARS-CoV-2 Spike (Trimer). The study revealed that there was no statistically significant difference between the vaccines (P value = 0.958). The investigation further demonstrated that all three vaccines (Pfizer, AstraZeneca and Sinopharm) were effective in stimulating the production of IgM and IgG. The study revealed that Sinopharm demonstrated superior efficacy in the induction of IgM and IgG. The utilization of ChAdOx1 resulted in the generation of higher levels of IgG compared to BNT162b2, as evidenced by a statistically significant difference (P value= 0.0001). The enhanced immune response observed with Sinopharm could be attributed to its nature as an inactivated subunit vaccine. The immunological reactions to the vaccines studied in the following studies have prompted a lot of issues about how they happen, and the study recommends more studies regarding the most effective vaccines among the Kurdish people in the Kurdistan Region of Iraq.
当前全球范围内的冠状病毒病(Covid-19)大流行对世界各地的医疗系统和经济产生了重大影响。针对该病毒的疫苗旨在引发针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒刺突蛋白的免疫反应,以中和该病毒。目前已证明几种疫苗具有有效性,包括基于信使核糖核酸(mRNA)、腺病毒载体蛋白亚基和全细胞灭活亚基的疫苗。全面了解对这些疫苗的免疫反应以及接种疫苗后不同抗体的产生方式,对于增强我们对该疾病病理生理学的理解至关重要。本研究旨在对BNT162b2(基于mRNA)、BBIBP-CorV(灭活病毒)和ChAdOx1(双链DNA重组)疫苗针对SARS-CoV-2病毒引发的体液免疫反应进行比较分析。研究人群包括321人,其中90人未接种任何疫苗(对照组),77人分别接种了辉瑞和国药疫苗。在接种疫苗10周后采集血样并进行血清分析。使用人SARS-CoV-2刺突(三聚体)IgG或IgM酶联免疫吸附测定(ELISA)(赛默飞世尔科技公司)来评估与SARS-CoV-2刺突(三聚体)结合的IgG或IgM抗体的数量。研究表明,各疫苗之间无统计学显著差异(P值 = 0.958)。该调查进一步证明,所有三种疫苗(辉瑞、阿斯利康和国药)在刺激IgM和IgG产生方面均有效。研究表明,国药疫苗在诱导IgM和IgG方面表现出更高的有效性。与BNT162b2相比,使用ChAdOx1导致产生更高水平的IgG,差异具有统计学显著性(P值 = 0.0001)。国药疫苗观察到的增强免疫反应可能归因于其作为灭活亚基疫苗的性质。在以下研究中对这些疫苗的免疫反应引发了许多关于它们如何发生的问题,并且该研究建议针对伊拉克库尔德地区库尔德人群中最有效的疫苗开展更多研究。