Single-cell transcriptomics reveals pediatric immune responses to COVID-19 vaccination

Xiong Zhu1, Jie Wang2, Xiaoxia Wang1

  • 1Central and Clinical Laboratory of Sanya People's Hospital, Sanya, Hainan 572000, People's Republic of China.

Iscience
|May 7, 2026
PubMed

Insights

Pediatric COVID-19 vaccination with inactivated vaccines establishes immune memory and effector responses in a two-phase process. This involves B cell and T cell dynamics, alongside regulatory cells, ensuring safe and effective protection against SARS-CoV-2.

Area of Science:

  • Immunology
  • Vaccinology
  • Pediatric Infectious Diseases

Background:

  • Inactivated vaccines are crucial for COVID-19 control.
  • Understanding pediatric immune responses to these vaccines is essential.

Purpose of the Study:

  • To characterize the cellular and molecular immune mechanisms in children following inactivated COVID-19 vaccination.
  • To delineate the dynamic immune landscape after primary and booster doses of CoronaVac.

Main Methods:

  • Single-cell transcriptomics was employed to analyze peripheral blood mononuclear cells (PBMCs).
  • Analysis focused on B cells, CD8+ T cells, monocytes, myeloid-derived suppressor cells, and regulatory T cells.

Main Results:

  • The primary vaccine dose induced memory B cells and CD8+ T cell adaptation.
  • The booster dose elicited plasma cell differentiation, class-switching, and type I interferon responses in B cells.
  • Vaccination promoted pro-inflammatory monocytes and expanded regulatory cells (MDSCs, Tregs) that balance immune activation.
  • PGE2 signaling was identified as a key regulator in restraining cytotoxicity and orchestrating T cell responses.

Conclusions:

  • Pediatric immunity to inactivated COVID-19 vaccines is a tightly regulated, two-phase process.
  • The immune response balances potent antiviral programs with crucial regulatory mechanisms for safety and efficacy.

Related Concept Videos

Immune Response Against Viral Pathogens01:29

Immune Response Against Viral Pathogens

The immune system's response to viral infections is a complex and coordinated process involving natural killer (NK) cells, T cell-mediated responses, and antibody-mediated responses.
NK Cells
NK cells are a crucial part of our innate immune system, acting as the first line of defense against viral infections. These cells can recognize and kill infected cells without prior exposure to the virus, effectively slowing down the spread of infection. Additionally, NK cells produce proinflammatory...
Vaccinations01:51

Vaccinations

Overview
Cell-mediated Immune Responses01:40

Cell-mediated Immune Responses

Overview
Vaccines01:21

Vaccines

Vaccines are among the most effective tools in preventive medicine, designed to prepare the immune system to recognize and combat infectious agents. By introducing antigens—substances that the immune system identifies as foreign—vaccines stimulate an adaptive immune response that leads to immunological memory. This immunological memory enables the body to mount a faster and more effective response upon future exposures to the actual pathogen.Vaccines can be categorized based on the type of...
Cells of the Adaptive Immune Response01:23

Cells of the Adaptive Immune Response

The T and B lymphocytes of the adaptive immune system develop from common lymphoid progenitor cells in the bone marrow. These progenitors give rise to precursors that eventually develop into both T and B lymphocytes. As these precursors mature, they gain the ability to detect and respond to foreign antigens in the body, a process known as immunocompetence. Additionally, these precursors acquire self-tolerance, a process that ensures they do not react to self-antigens. This intricate system...
Human Virome01:26

Human Virome

The human body harbors a vast and diverse viral community known as the human virome. The virome includes bacteriophages that infect bacteria, and eukaryotic viruses that infect human cells. Transient dietary and environmental viruses also contribute to this dynamic ecosystem. Estimates suggest the human body may contain on the order of 10¹³ viral particles, though abundance varies widely by body site and detection method.Comprehensive characterization of the virome has become possible only with...