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Innate and Adaptive Cell-Mediated Immune Responses to a COVID-19 mRNA Vaccine in Young Children
Adriana Weinberg1,2,3, Michael J Johnson1, Krystle Garth1
1Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Insights
COVID-19 mRNA vaccines in children aged 6 to 60 months induce robust cell-mediated immunity (CMI), encompassing both adaptive and innate immune responses. These vaccine-elicited CMI responses were significant in vaccinated children.
Area of Science:
- Immunology
- Vaccinology
- Pediatrics
Background:
- Limited data exists on cell-mediated immunity (CMI) following COVID-19 mRNA vaccination in young children.
- This study investigates adaptive and innate CMI in children aged 6 to 60 months post-vaccination.
Purpose of the Study:
- To assess the adaptive and innate cell-mediated immune responses to COVID-19 mRNA vaccines in children aged 6 to 60 months.
- To compare CMI responses in children after vaccination versus SARS-CoV-2 infection.
Main Methods:
- Blood samples were collected before and 1 month after the first mRNA vaccine dose from 29 children (mean age 28.5 months).
- Flow cytometry was used to measure adaptive and innate immune cell activation after ex vivo stimulation with SARS-CoV-2 spike peptides.
- Antibody levels and prior SARS-CoV-2 infection status were also assessed.
Main Results:
- Vaccination significantly increased activated conventional CD4+ T cells, γδ T cells, natural killer cells, monocytes, and conventional dendritic cells.
- These responses were generally higher post-vaccination compared to post-SARS-CoV-2 infection in children.
- No significant difference in CMI response fold increase was observed between previously infected and uninfected children.
Conclusions:
- COVID-19 mRNA vaccination in children aged 6 to 60 months elicits strong adaptive and innate cell-mediated immunity.
- The findings support the development of robust immune responses following mRNA vaccination in this pediatric age group.
Background:
There is little information on cell-mediated immunity (CMI) to COVID-19 mRNA vaccines in children. We studied adaptive and innate CMI in vaccinated children aged 6 to 60 months.
Methods:
Blood obtained from participants in a randomized placebo-controlled trial of an mRNA vaccine before and 1 month after the first dose was used for antibody measurements and CMI (flow cytometry).
Results:
We enrolled 29 children with a mean age of 28.5 months (SD, 15.7). Antibody studies revealed that 10 participants were infected with SARS-CoV-2 prevaccination. Ex vivo stimulation of peripheral blood mononuclear cells with SARS-CoV-2 spike peptides showed significant increases pre- to postimmunization of activated conventional CD4+ and γδ T cells, natural killer cells, monocytes, and conventional dendritic cells but not mucosa-associated innate T cells. Conventional T-cell, monocyte, and conventional dendritic cell responses in children were higher immediately after vaccination than after SARS-CoV-2 infection. The fold increase in CMI pre- to postvaccination did not differ between children previously infected with SARS-CoV-2 and those uninfected.
Conclusions:
Children aged 6 to 60 months who were vaccinated with a COVID-19 mRNA vaccine developed robust CMI responses, including adaptive and innate immunity.
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