怀孕降低了针对新型变种的COVID-19疫苗免疫力
medRxiv : the preprint server for health sciences
|February 20, 2025
概括
怀孕可能会削弱对COVID-19 mRNA增强剂疫苗的免疫反应,特别是对新变种的免疫反应. 与非孕妇相比,孕妇的抗体宽度和T细胞功能减少.
科学领域:
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
- 孕产妇健康 孕产妇健康
背景情况:
- 孕妇面临更高的风险从传染性疾病,如COVID-19.
- 在最初的COVID-19疫苗试验中仅包括有限的含量以及在孕妇人群中吸收率低,需要进一步研究.
研究的目的:
- 为了比较怀孕和非怀孕女性对COVID-19mRNA增强剂疫苗的血清和细胞免疫反应.
- 调查怀孕如何影响免疫力对疫苗菌株和新型SARS-CoV-2变种.
主要方法:
- 接种前和接种后收集的血液样本 (祖先和BA.5菌株).
- 评估了抗体交叉反应性,IgG亚类比率,中和,抗体依赖NK细胞活性,中性细胞化和CD4+T细胞多功能性.
主要成果:
- 孕妇的抗体对变体的交叉反应性较低 (XBB1.5,JN.1).
- 非怀孕的妇女显示出更强的抗体相关性,更高的IgG1:IgG3比率和更好的中和.
- 孕妇表现出抗体依赖NK细胞细胞因子的增加和中性粒细胞对变异的化,以及减少CD4+T细胞多功能性.
结论:
- 怀孕可能会减少幽默和细胞免疫的范围,组成和大小.
- 这些影响对新型SARS-CoV-2变种尤其明显,突出显示了孕妇人群的潜在脆弱性.
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