Cohort profile: A Québec-based plasma donor biobank to study COVID-19 immunity (PlasCoV)

Marc Germain1, Antoine Lewin2, Renée Bazin2

  • 1Medical Affairs and Innovation, Héma-Québec, Québec, Montreal and Québec, Canada marc.germain@hema-quebec.qc.ca.

BMJ Open
|February 23, 2023
PubMed

Insights

Long-term COVID-19 immunity is complex. Previously infected individuals with one vaccine dose showed the strongest response, while the anti-nucleocapsid antibody response wanes quickly after infection.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Public Health

Background:

  • Understanding long-term humoral immunity to COVID-19 is challenging due to emerging variants and evolving immunity.
  • Héma-Québec established the PlasCoV biobank in April 2021 to study COVID-19 immunity.

Purpose of the Study:

  • To investigate long-term humoral immunity to COVID-19.
  • To analyze vaccine-induced and infection-induced immune responses.
  • To assess the impact of variants on immune response specificity.

Main Methods:

  • Established a large-scale plasma biobank (PlasCoV) with over 86,000 samples from 15,000 donors.
  • Utilized longitudinal samples for pre-vaccination, post-vaccination, pre-infection, and post-infection analyses.
  • Conducted seroprevalence studies to track antibody waning.

Main Results:

  • Previously infected individuals receiving one BNT162b2 vaccine dose had the strongest immune response.
  • SARS-CoV-2-naïve individuals required two vaccine doses for maximal response.
  • Anti-nucleocapsid antibody response waned rapidly, with up to one-third of previously infected donors becoming seronegative.

Conclusions:

  • Hybrid immunity (prior infection + vaccination) can elicit a robust initial response.
  • The waning of specific antibody responses, like anti-N, highlights the need for ongoing monitoring and potential booster strategies.
  • The PlasCoV biobank provides a valuable resource for longitudinal studies on COVID-19 immunity and its persistence.
Abstract