Humoral responses to SARS-CoV-2 mRNA vaccines: Role of past infection

Two mRNA vaccines (BNT162b2 and mRNA-1273) against severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) are globally authorized as a two-dose regimen. Understanding the magnitude and duration of protective immune responses is vital to curbing the pandemic. We enrolled 461 high-risk health se...

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Autores principales: Ashley N. Gray, Rachel Martin-Blais, Nicole H. Tobin, Yan Wang, Sarah L. Brooker, Fan Li, Adva Gadoth, Julie Elliott, Emmanuelle Faure-Kumar, Megan Halbrook, Christian Hofmann, Saman Kashani, Clayton Kazan, Otto O. Yang, Jennifer A. Fulcher, Kathie Grovit-Ferbas, Anne W. Rimoin, Grace M. Aldrovandi
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/45bfdda4834741c0968fc739206bab21
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spelling oai:doaj.org-article:45bfdda4834741c0968fc739206bab212021-11-18T06:34:26ZHumoral responses to SARS-CoV-2 mRNA vaccines: Role of past infection1932-6203https://doaj.org/article/45bfdda4834741c0968fc739206bab212021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8575273/?tool=EBIhttps://doaj.org/toc/1932-6203Two mRNA vaccines (BNT162b2 and mRNA-1273) against severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) are globally authorized as a two-dose regimen. Understanding the magnitude and duration of protective immune responses is vital to curbing the pandemic. We enrolled 461 high-risk health services workers at the University of California, Los Angeles (UCLA) and first responders in the Los Angeles County Fire Department (LACoFD) to assess the humoral responses in previously infected (PI) and infection naïve (NPI) individuals to mRNA-based vaccines (BNT162b2/Pfizer- BioNTech or mRNA-1273/Moderna). A chemiluminescent microparticle immunoassay was used to detect antibodies against SARS-CoV-2 Spike in vaccinees prior to (n = 21) and following each vaccine dose (n = 246 following dose 1 and n = 315 following dose 2), and at days 31–60 (n = 110) and 61–90 (n = 190) following completion of the 2-dose series. Both vaccines induced robust antibody responses in all immunocompetent individuals. Previously infected individuals achieved higher median peak titers (p = 0.002) and had a slower rate of decay (p = 0.047) than infection-naïve individuals. mRNA-1273 vaccinated infection-naïve individuals demonstrated modestly higher titers following each dose (p = 0.005 and p = 0.029, respectively) and slower rates of antibody decay (p = 0.003) than those who received BNT162b2. A subset of previously infected individuals (25%) required both doses in order to reach peak antibody titers. The biologic significance of the differences between previously infected individuals and between the mRNA-1273 and BNT162b2 vaccines remains uncertain, but may have important implications for booster strategies.Ashley N. GrayRachel Martin-BlaisNicole H. TobinYan WangSarah L. BrookerFan LiAdva GadothJulie ElliottEmmanuelle Faure-KumarMegan HalbrookChristian HofmannSaman KashaniClayton KazanOtto O. YangJennifer A. FulcherKathie Grovit-FerbasAnne W. RimoinGrace M. AldrovandiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ashley N. Gray
Rachel Martin-Blais
Nicole H. Tobin
Yan Wang
Sarah L. Brooker
Fan Li
Adva Gadoth
Julie Elliott
Emmanuelle Faure-Kumar
Megan Halbrook
Christian Hofmann
Saman Kashani
Clayton Kazan
Otto O. Yang
Jennifer A. Fulcher
Kathie Grovit-Ferbas
Anne W. Rimoin
Grace M. Aldrovandi
Humoral responses to SARS-CoV-2 mRNA vaccines: Role of past infection
description Two mRNA vaccines (BNT162b2 and mRNA-1273) against severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) are globally authorized as a two-dose regimen. Understanding the magnitude and duration of protective immune responses is vital to curbing the pandemic. We enrolled 461 high-risk health services workers at the University of California, Los Angeles (UCLA) and first responders in the Los Angeles County Fire Department (LACoFD) to assess the humoral responses in previously infected (PI) and infection naïve (NPI) individuals to mRNA-based vaccines (BNT162b2/Pfizer- BioNTech or mRNA-1273/Moderna). A chemiluminescent microparticle immunoassay was used to detect antibodies against SARS-CoV-2 Spike in vaccinees prior to (n = 21) and following each vaccine dose (n = 246 following dose 1 and n = 315 following dose 2), and at days 31–60 (n = 110) and 61–90 (n = 190) following completion of the 2-dose series. Both vaccines induced robust antibody responses in all immunocompetent individuals. Previously infected individuals achieved higher median peak titers (p = 0.002) and had a slower rate of decay (p = 0.047) than infection-naïve individuals. mRNA-1273 vaccinated infection-naïve individuals demonstrated modestly higher titers following each dose (p = 0.005 and p = 0.029, respectively) and slower rates of antibody decay (p = 0.003) than those who received BNT162b2. A subset of previously infected individuals (25%) required both doses in order to reach peak antibody titers. The biologic significance of the differences between previously infected individuals and between the mRNA-1273 and BNT162b2 vaccines remains uncertain, but may have important implications for booster strategies.
format article
author Ashley N. Gray
Rachel Martin-Blais
Nicole H. Tobin
Yan Wang
Sarah L. Brooker
Fan Li
Adva Gadoth
Julie Elliott
Emmanuelle Faure-Kumar
Megan Halbrook
Christian Hofmann
Saman Kashani
Clayton Kazan
Otto O. Yang
Jennifer A. Fulcher
Kathie Grovit-Ferbas
Anne W. Rimoin
Grace M. Aldrovandi
author_facet Ashley N. Gray
Rachel Martin-Blais
Nicole H. Tobin
Yan Wang
Sarah L. Brooker
Fan Li
Adva Gadoth
Julie Elliott
Emmanuelle Faure-Kumar
Megan Halbrook
Christian Hofmann
Saman Kashani
Clayton Kazan
Otto O. Yang
Jennifer A. Fulcher
Kathie Grovit-Ferbas
Anne W. Rimoin
Grace M. Aldrovandi
author_sort Ashley N. Gray
title Humoral responses to SARS-CoV-2 mRNA vaccines: Role of past infection
title_short Humoral responses to SARS-CoV-2 mRNA vaccines: Role of past infection
title_full Humoral responses to SARS-CoV-2 mRNA vaccines: Role of past infection
title_fullStr Humoral responses to SARS-CoV-2 mRNA vaccines: Role of past infection
title_full_unstemmed Humoral responses to SARS-CoV-2 mRNA vaccines: Role of past infection
title_sort humoral responses to sars-cov-2 mrna vaccines: role of past infection
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/45bfdda4834741c0968fc739206bab21
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