在墨西哥用不同疫苗免疫接种后,对SARS-CoV-2变异的免疫反应
Erika Garay1, Sean P J Whelan2,3, Rebecca M DuBois4
1Departamento de Genética del Desarrollo y Fisiología Molecular, Instituto de Biotecnología, Universidad Nacional Autónoma de México, Cuernavaca, Morelos, Mexico.
Epidemiology and infection
|February 5, 2024
概括
在成年人中分析了对SARS-CoV-2疫苗 (ChAdOx1-S,Sputnik V,BNT162b2) 的抗体反应. 之前的感染增强了疫苗的免疫性,而强剂增加了中和活性.
科学领域:
- 免疫学 免疫学 免疫学
- 疫苗学 疫苗学 疫苗学
- 病毒学 病毒学
背景情况:
- 关于高并发症率的发展中国家的SARS-CoV-2疫苗免疫性存在有限的数据.
- 了解抗体反应对于优化不同人群的疫苗接种策略至关重要.
研究的目的:
- 为了评估对同类SARS-CoV-2疫苗接种方案 (ChAdOx1-S,Sputnik V,BNT162b2) 的抗体反应和助推效应.
- 评估之前的SARS-CoV-2感染对疫苗免疫性和对变种的中和能力的影响.
- 在接种疫苗后4个月内调查抗体标位衰变.
主要方法:
- 与酶相关的免疫吸收试验 (ELISA) 和伪病毒中和试验 (PNA) 用于测量抗体标位.
- 参与者包括中年成人,在接种疫苗之前对SARS-CoV-2尖端蛋白具有血清阳性或血清阴性.
- 接种了同源的疫苗方案和一次ChAdOx1-S强剂,并进行了4个月的随访.
主要成果:
- 这三种疫苗 (ChAdOx1-S,Sputnik V,BNT162b2) 在之前感染了SARS-CoV-2的个人中显示出优异的IgG抗RBD和中和反应,对抗阿尔法和三角形变异.
- 一次ChAdOx1-S增强剂量在未感染和预暴露的个体中显著增加了中和活性.
- 与其他人相比,ChAdOx1-S疫苗在未感染的受试者中诱导了较弱的抗体反应.
- 抗体标位在4个月内下降,在没有感染的个体中,抗体的中和能力较低.
结论:
- 之前的SARS-CoV-2感染显著提高了同源的COVID-19疫苗的免疫性.
- 增强剂量有效增加对SARS-CoV-2变种的中和活性.
- 在血清流行率高的人群中,异种疫苗策略可能是有益的.
- 疫苗的选择和考虑先前的感染状况对于有效的SARS-CoV-2控制很重要.
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