Immunogenicity of the CoronaVac vaccine in children: a real-world study

Wbeimar Aguilar-Jimenez1, Ana Lucia Rodriguez-Perea1, Mateo Chvatal-Medina1

  • 1Grupo Inmunovirología, Facultad de Medicina, Universidad de Antioquia UdeA, Medellín, Colombia.

Frontiers in Immunology
|January 7, 2025
PubMed

Insights

CoronaVac vaccination in children generates strong antibody and T-cell responses against COVID-19 variants. While these immune responses decrease over time, especially against Omicron, booster doses may be needed.

Area of Science:

  • Immunology
  • Vaccinology
  • Pediatrics
  • Infectious Diseases

Background:

  • Limited real-world data exist on CoronaVac immunogenicity in children, particularly concerning SARS-CoV-2 variants in lower-income settings.
  • This study addresses the need for real-world evidence on CoronaVac's immune response in pediatric populations.
  • Evaluating immunogenicity stratified by prior SARS-CoV-2 exposure is crucial for understanding vaccine effectiveness.

Purpose of the Study:

  • To evaluate the immunogenicity of CoronaVac in Colombian children aged 3-11 years.
  • To assess the impact of previous SARS-CoV-2 exposure on vaccine response.
  • To analyze humoral and cellular immunity against various SARS-CoV-2 variants post-vaccination.

Main Methods:

  • Enrolled 89 children (3-11 years), divided into previously exposed and non-exposed groups.
  • Collected saliva for infection monitoring and blood for immunogenicity assessment at 2 and 6 months.
  • Measured total IgG and IgA antibodies, neutralizing titers against variants (B.1, Delta, Mu, Omicron), and T-cell responses via flow cytometry.

Main Results:

  • CoronaVac was well-tolerated with low infection rates (7.8%) in both groups.
  • Induced robust IgG, IgA, and neutralizing antibody responses against all tested variants, with titers generally above 20, despite some waning.
  • Generated a polyfunctional T-cell response (IFN-γ/TNF-α, cytotoxic molecules) in CD4+ and CD8+ T-cells, more pronounced in CD4+ cells, which persisted for 6 months, though reduced against Omicron.

Conclusions:

  • CoronaVac elicits significant humoral and cellular immune responses in children, demonstrating cross-recognition of SARS-CoV-2 variants.
  • Immune responses wane over time and are reduced against newer variants like Omicron.
  • Findings suggest the potential need for booster vaccinations to maintain protection, especially in the context of evolving viral strains.
Abstract