Previous COVID-19 Infection and Antibody Levels After Vaccination

Background: The emergence of new COVID-19 variants of concern coupled with a global inequity in vaccine access and distribution has prompted many public health authorities to circumvent the vaccine shortages by altering vaccination protocols and prioritizing persons at high risk. Individuals with pr...

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Autores principales: Hamad Ali, Barrak Alahmad, Abdullah A. Al-Shammari, Abdulmohsen Alterki, Maha Hammad, Preethi Cherian, Irina Alkhairi, Sardar Sindhu, Thangavel Alphonse Thanaraj, Anwar Mohammad, Ghazi Alghanim, Sriraman Deverajan, Rasheed Ahmad, Sherief El-Shazly, Ali A. Dashti, Mohammad Shehab, Salman Al-Sabah, Abdullah Alkandari, Jehad Abubaker, Mohamed Abu-Farha, Fahd Al-Mulla
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/ad22999c720942c599e5cf90241157d5
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spelling oai:doaj.org-article:ad22999c720942c599e5cf90241157d52021-12-01T21:34:02ZPrevious COVID-19 Infection and Antibody Levels After Vaccination2296-256510.3389/fpubh.2021.778243https://doaj.org/article/ad22999c720942c599e5cf90241157d52021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.778243/fullhttps://doaj.org/toc/2296-2565Background: The emergence of new COVID-19 variants of concern coupled with a global inequity in vaccine access and distribution has prompted many public health authorities to circumvent the vaccine shortages by altering vaccination protocols and prioritizing persons at high risk. Individuals with previous COVID-19 infection may not have been prioritized due to existing humoral immunity.Objective: We aimed to study the association between previous COVID-19 infection and antibody levels after COVID-19 vaccination.Methods: A serological analysis to measure SARS-CoV-2 immunoglobulin (Ig)G, IgA, and neutralizing antibodies was performed on individuals who received one or two doses of either BNT162b2 or ChAdOx1 vaccines in Kuwait. A Student t-test was performed and followed by generalized linear regression models adjusted for individual characteristics and comorbidities were fitted to compare the average levels of IgG and neutralizing antibodies between vaccinated individuals with and without previous COVID-19 infection.Results: A total of 1,025 individuals were recruited. The mean levels of IgG, IgA, and neutralizing antibodies were higher in vaccinated subjects with previous COVID-19 infections than in those without previous infection. Regression analysis showed a steeper slope of decline for IgG and neutralizing antibodies in vaccinated individuals without previous COVID-19 infection compared to those with previous COVID-19 infection.Conclusion: Previous COVID-19 infection appeared to elicit robust and sustained levels of SARS-CoV-2 antibodies in vaccinated individuals. Given the inconsistent supply of COVID-19 vaccines in many countries due to inequities in global distribution, our results suggest that even greater efforts should be made to vaccinate more people, especially individuals without previous COVID-19 infection.Hamad AliHamad AliBarrak AlahmadAbdullah A. Al-ShammariAbdullah A. Al-ShammariAbdulmohsen AlterkiAbdulmohsen AlterkiMaha HammadPreethi CherianIrina AlkhairiSardar SindhuThangavel Alphonse ThanarajAnwar MohammadGhazi AlghanimSriraman DeverajanRasheed AhmadSherief El-ShazlyAli A. DashtiMohammad ShehabSalman Al-SabahAbdullah AlkandariJehad AbubakerMohamed Abu-FarhaFahd Al-MullaFrontiers Media S.A.articleCOVID-19SARS-CoV-2BNT162b2antibodieshumoral responseChAdOx1Public aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
SARS-CoV-2
BNT162b2
antibodies
humoral response
ChAdOx1
Public aspects of medicine
RA1-1270
spellingShingle COVID-19
SARS-CoV-2
BNT162b2
antibodies
humoral response
ChAdOx1
Public aspects of medicine
RA1-1270
Hamad Ali
Hamad Ali
Barrak Alahmad
Abdullah A. Al-Shammari
Abdullah A. Al-Shammari
Abdulmohsen Alterki
Abdulmohsen Alterki
Maha Hammad
Preethi Cherian
Irina Alkhairi
Sardar Sindhu
Thangavel Alphonse Thanaraj
Anwar Mohammad
Ghazi Alghanim
Sriraman Deverajan
Rasheed Ahmad
Sherief El-Shazly
Ali A. Dashti
Mohammad Shehab
Salman Al-Sabah
Abdullah Alkandari
Jehad Abubaker
Mohamed Abu-Farha
Fahd Al-Mulla
Previous COVID-19 Infection and Antibody Levels After Vaccination
description Background: The emergence of new COVID-19 variants of concern coupled with a global inequity in vaccine access and distribution has prompted many public health authorities to circumvent the vaccine shortages by altering vaccination protocols and prioritizing persons at high risk. Individuals with previous COVID-19 infection may not have been prioritized due to existing humoral immunity.Objective: We aimed to study the association between previous COVID-19 infection and antibody levels after COVID-19 vaccination.Methods: A serological analysis to measure SARS-CoV-2 immunoglobulin (Ig)G, IgA, and neutralizing antibodies was performed on individuals who received one or two doses of either BNT162b2 or ChAdOx1 vaccines in Kuwait. A Student t-test was performed and followed by generalized linear regression models adjusted for individual characteristics and comorbidities were fitted to compare the average levels of IgG and neutralizing antibodies between vaccinated individuals with and without previous COVID-19 infection.Results: A total of 1,025 individuals were recruited. The mean levels of IgG, IgA, and neutralizing antibodies were higher in vaccinated subjects with previous COVID-19 infections than in those without previous infection. Regression analysis showed a steeper slope of decline for IgG and neutralizing antibodies in vaccinated individuals without previous COVID-19 infection compared to those with previous COVID-19 infection.Conclusion: Previous COVID-19 infection appeared to elicit robust and sustained levels of SARS-CoV-2 antibodies in vaccinated individuals. Given the inconsistent supply of COVID-19 vaccines in many countries due to inequities in global distribution, our results suggest that even greater efforts should be made to vaccinate more people, especially individuals without previous COVID-19 infection.
format article
author Hamad Ali
Hamad Ali
Barrak Alahmad
Abdullah A. Al-Shammari
Abdullah A. Al-Shammari
Abdulmohsen Alterki
Abdulmohsen Alterki
Maha Hammad
Preethi Cherian
Irina Alkhairi
Sardar Sindhu
Thangavel Alphonse Thanaraj
Anwar Mohammad
Ghazi Alghanim
Sriraman Deverajan
Rasheed Ahmad
Sherief El-Shazly
Ali A. Dashti
Mohammad Shehab
Salman Al-Sabah
Abdullah Alkandari
Jehad Abubaker
Mohamed Abu-Farha
Fahd Al-Mulla
author_facet Hamad Ali
Hamad Ali
Barrak Alahmad
Abdullah A. Al-Shammari
Abdullah A. Al-Shammari
Abdulmohsen Alterki
Abdulmohsen Alterki
Maha Hammad
Preethi Cherian
Irina Alkhairi
Sardar Sindhu
Thangavel Alphonse Thanaraj
Anwar Mohammad
Ghazi Alghanim
Sriraman Deverajan
Rasheed Ahmad
Sherief El-Shazly
Ali A. Dashti
Mohammad Shehab
Salman Al-Sabah
Abdullah Alkandari
Jehad Abubaker
Mohamed Abu-Farha
Fahd Al-Mulla
author_sort Hamad Ali
title Previous COVID-19 Infection and Antibody Levels After Vaccination
title_short Previous COVID-19 Infection and Antibody Levels After Vaccination
title_full Previous COVID-19 Infection and Antibody Levels After Vaccination
title_fullStr Previous COVID-19 Infection and Antibody Levels After Vaccination
title_full_unstemmed Previous COVID-19 Infection and Antibody Levels After Vaccination
title_sort previous covid-19 infection and antibody levels after vaccination
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/ad22999c720942c599e5cf90241157d5
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