在COVID-19疫苗接种和感染后的SARS-CoV-2抗体动力学:现实世界的横截面分析
Ritthideach Yorsaeng1, Kamolthip Atsawawaranunt2, Nungruthai Suntronwong1
1Center of Excellence in Clinical Virology, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Pathum Wan, Bangkok 10330, Thailand.
Vaccines
|July 29, 2023
概括
在接种两剂疫苗后,对SARS-CoV-2的抗体水平会下降. 对于未接种疫苗的个人来说,建议进行第三剂,以恢复免疫力并对抗COVID-19的激增.
科学领域:
- 免疫学 免疫学 免疫学
- 病毒学 病毒学
- 公共卫生 公共卫生
背景情况:
- 尽管泰国疫苗接种率很高,但COVID-19大流行仍在持续.
- 在2022年Omicron激增期间,超过70%的泰国人口被感染.
- 了解抗体动态对于管理SARS-CoV-2至关重要.
研究的目的:
- 在接种疫苗和/或感染 (混合免疫) 后分析SARS-CoV-2抗体水平.
- 为了评估特定于SARS-CoV-2受体结合域 (RBD) 的免疫球蛋白反应.
主要方法:
- 来自泰国的4126个血清样本的截面分析 (2021年1月至2022年12月).
- 针对SARS-CoV-2 RBD特有的免疫球蛋白同型 (IgG,IgM,IgA) 的量化.
- 两剂疫苗接种后抗体水平的评估与混合免疫的评估.
主要成果:
- 仅仅两剂疫苗接种就导致了较低,迅速下降的抗RBD抗体水平.
- 混合免疫可能提供更强大和持续的抗体反应 (隐含).
- 在两剂疫苗接种组中,抗体水平随着时间的推移显著下降.
结论:
- 对于只有两剂疫苗接种的人来说,建议进行第三剂疫苗,以提升衰弱的免疫力.
- 补充疫苗接种对于维持对SARS-CoV-2的充分保护至关重要.
- 进一步研究长期抗体持久性和混合免疫力是有必要的.
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