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.

PubMed

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.
Abstract

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