medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2022,
Volume and Issue:
unknown
Published: Jan. 28, 2022
Recognizing
that
anti-SARS-CoV-2
antibody
levels
wane
over
time
following
the
2-dose
SARS-CoV-2
mRNA
series,
FDA
approved
a
booster
dose
for
people
greater
than
12
years
old.
Limited
data
exist
on
whether
of
vaccine
results
in
protection
primary
series.
We
examined
total
and
neutralizing
antibodies
to
spike
protein
SARS-CoV-2,
against
Washington-1
(WA-1)
variants
concern
(VOC)
including
Beta,
Delta
Omicron
longitudinal
cohort.
Healthcare
workers
(HWs)
were
included
analysis
if
serum
was
collected
1)
within
14-44
days
post-dose2
an
(Timepoint
1,
TP1),
or
2)
at
least
8
months
2,
TP2),
3)
3,
TP3).
HWs
with
prior
covid-positive
PCR
excluded.
found
there
is
little
no
capability
series
omicron
variant,
capacity
any
variant
strain
tested
has
been
lost
by
8-months
post
two-dose
vaccination
However,
eliminates
immune
escape
observed
Neutralizing
titers
significantly
higher
all
post-boost
compared
The
nature
our
cohort
facilitated
paired
samples
pre
boost,
showing
15-fold
increase
neutralization
these
samples.
An
provides
quantity
quality
regimen
critical
provide
variant.
Nature Medicine,
Journal Year:
2022,
Volume and Issue:
28(5), P. 1072 - 1082
Published: Feb. 14, 2022
Antibody
responses
are
an
important
part
of
immunity
after
Coronavirus
Disease
2019
(COVID-19)
vaccination.
However,
antibody
trajectories
and
the
associated
duration
protection
a
second
vaccine
dose
remain
unclear.
In
this
study,
we
investigated
anti-spike
IgG
correlates
doses
ChAdOx1
or
BNT162b2
vaccines
for
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
in
United
Kingdom
general
population.
222,493
individuals,
found
significant
boosting
by
both
all
ages
using
different
dosing
intervals,
including
3-week
interval
BNT162b2.
After
vaccination,
generated
higher
peak
levels
than
ChAdOX1.
Older
individuals
males
had
lower
with
but
not
ChAdOx1,
whereas
declines
were
similar
across
sexes
ChAdOX1
Prior
infection
significantly
increased
level
half-life
vaccines.
Anti-spike
from
vaccination
and,
to
even
greater
degree,
prior
infection.
At
least
67%
against
was
estimated
last
2-3
months
two
doses,
5-8
those
without
1-2
years
unvaccinated
natural
A
third
booster
might
be
needed,
prioritized
recipients
more
clinically
vulnerable.
JAMA Oncology,
Journal Year:
2022,
Volume and Issue:
8(5), P. e220446 - e220446
Published: March 10, 2022
There
are
limited
comparative
data
on
the
durability
of
neutralizing
antibody
(nAb)
responses
elicited
by
messenger
RNA
(mRNA)
vaccines
against
SARS-CoV-2
variants
concern
(VOCs)
in
immunocompromised
patients
and
healthy
controls.
Clinical Journal of the American Society of Nephrology,
Journal Year:
2022,
Volume and Issue:
17(6), P. 843 - 850
Published: June 1, 2022
Patients
receiving
hemodialysis
are
at
high
risk
from
coronavirus
disease
2019
(COVID-19)
and
demonstrate
impaired
immune
responses
to
vaccines.
There
have
been
several
descriptions
of
their
immunologic
severe
acute
respiratory
syndrome
2
(SARS-CoV-2)
vaccination,
but
few
studies
described
the
clinical
efficacy
vaccination
in
patients
on
hemodialysis.In
a
multicenter
observational
study
London
population
undergoing
surveillance
PCR
testing
during
period
vaccine
rollout
with
BNT162b2
AZD1222,
all
those
positive
for
SARS-CoV-2
were
identified.
Clinical
outcomes
analyzed
according
predictor
variables,
including
status,
using
mixed
effects
logistic
regression
model.
Risk
infection
was
subgroup
base
Cox
proportional
hazards
model
status
as
time-varying
covariate.SARS-CoV-2
identified
1323
different
ethnicities
(Asian/other,
30%;
Black,
38%;
White,
32%),
1047
(79%)
unvaccinated,
86
(7%)
after
first-dose
190
(14%)
second-dose
vaccination.
The
majority
had
mild
course;
however,
515
(39%)
hospitalized,
172
(13%)
died.
Older
age,
diabetes,
suppression
associated
greater
illness
severity.
In
models
adjusted
comorbidity,
time
period,
prior
two-dose
75%
(95%
confidence
interval,
56
86)
lower
admission
88%
70
95)
fewer
deaths
compared
unvaccinated
patients.
No
loss
protection
seen
over
65
years
or
increasing
since
no
difference
between
types.These
data
substantially
COVID-19
dialysis
who
become
infected
SARS-CoV-2.
Clinical Infectious Diseases,
Journal Year:
2022,
Volume and Issue:
75(Supplement_1), P. S61 - S71
Published: May 24, 2022
Male
sex
and
old
age
are
risk
factors
for
severe
coronavirus
disease
2019,
but
the
intersection
of
aging
on
antibody
responses
to
acute
respiratory
syndrome
2
(SARS-CoV-2)
vaccines
has
not
been
characterized.
BMJ Open,
Journal Year:
2022,
Volume and Issue:
12(5), P. e059994 - e059994
Published: May 1, 2022
Objectives
We
sought
to
understand
the
demographic
and
clinical
factors
associated
with
variations
in
longitudinal
antibody
response
following
completion
of
two-dose
regiment
BNT162b2
vaccination.
Design
This
study
is
a
10-month
cohort
healthcare
workers
serially
measured
anti-spike
protein
IgG
(IgG-S)
levels
using
mixed
linear
models
examine
their
associations
participant
characteristics.
Setting
A
large,
multisite
academic
medical
centre
Southern
California,
USA.
Participants
total
843
met
inclusion
criteria
including
an
initial
course
vaccination,
complete
history
at
least
two
blood
samples
for
analysis.
Patients
had
average
age
45±13
years,
were
70%
female
7%
prior
SARS-CoV-2
infection.
Results
Vaccine-induced
IgG-S
remained
positive
range
99.6%
individuals
up
10
months
after
Prior
infection
was
primary
correlate
sustained
higher
postvaccination
(partial
R
2
=0.133),
1.74±0.11
SD
(p<0.001).
Female
sex
(beta
0.27±0.06,
p<0.001),
younger
(0.01±0.00,
p<0.001)
absence
hypertension
(0.17±0.08,
p=0.003)
also
persistently
responses.
Notably,
augmented
(−0.42
male
sex,
p=0.08)
modified
(1.17,
p=0.001),
such
that
infection-naïve
lower
whereas
infected
exhibited
over
time.
Conclusions
While
remains
mRNA
vaccination
most
adults,
determinants
include
infection,
hypertension.
Certain
appear
significantly
by
status.
These
findings
offer
insights
regarding
may
influence
‘hybrid’
immunity
conferred
natural
combined
Clinical Microbiology and Infection,
Journal Year:
2023,
Volume and Issue:
29(9), P. 1201.e1 - 1201.e5
Published: May 24, 2023
To
examine
the
differences
in
durability
and
its
determinants
of
humoral
immunity
following
2-
3-dose
COVID-19
vaccination.Throughout
pandemic,
we
evaluated
anti-spike
IgG
antibody
titers
mRNA
vaccine
recipients
over
time
among
staff
a
medical
research
center
Tokyo.
Linear
mixed
models
were
used
to
estimate
trajectories
from
14
180
days
after
last
immune-conferred
event
(vaccination
or
infection)
compare
waning
rates
across
prior
infection
vaccination
status,
background
factors
infection-naïve
participants.A
total
6901
measurements
2964
participants
(median
age,
35
years;
30%
male)
analyzed.
Antibody
rate
(percentage
per
30
[95%
CI])
was
slower
3
doses
(25%
[23-26])
than
2
(36%
[35-37]).
Participants
with
hybrid
had
further
rates:
2-dose
plus
(16%
[9-22]);
(21%
[17-25]).
Older
male
sex,
obesity,
coexisting
diseases,
immunosuppressant
use,
smoking,
alcohol
drinking
associated
lower
titers,
whereas
these
associations
disappeared
doses,
except
for
sex
(lower
female
participants)
use.
waned
slightly
faster
older
participants,
females,
drinkers
it
did
not
differ
sex.The
conferred
higher
durable
previous
modestly
enhanced
durability.
The
levels
at
given
point
speed
differed
factors;
however,
mostly
diminished
doses.
Arthritis Care & Research,
Journal Year:
2023,
Volume and Issue:
75(9), P. 1878 - 1885
Published: Jan. 30, 2023
The
risk
of
COVID-19
infection
is
increased
in
patients
with
systemic
lupus
erythematosus
(SLE)
versus
those
without
SLE.
Some
immunosuppressive
medications
increase
and
decrease
the
efficacy
vaccination.
Consensus
documents
have
suggested
management
strategies
for
handling
to
vaccine
efficacy,
but
benefit
such
has
not
been
proven.
current
study
was
undertaken
determine
effect
drugs
on
response
Frontiers in Immunology,
Journal Year:
2022,
Volume and Issue:
13
Published: Sept. 29, 2022
Background
The
duration
of
immune
response
to
COVID-19
vaccination
is
major
interest.
Our
aim
was
analyze
the
determinants
anti-SARS-CoV-2
IgG
titer
at
6
months
after
2-dose
in
an
international
cohort
vaccinated
healthcare
workers
(HCWs).
Methods
We
analyzed
data
on
levels
Spike
antibodies
and
sociodemographic
clinical
characteristics
6,327
HCWs
from
8
centers
Germany,
Italy,
Romania
Slovakia.
Time
between
1
st
dose
serology
ranged
150-210
days.
Serological
were
log-transformed
account
for
skewness
distribution
normalized
by
dividing
them
center-specific
standard
errors,
obtaining
standardized
values.
fitted
multivariate
regression
models
estimate
cohort-specific
relative
risks
(RR)
increase
deviation
log
antibody
level
corresponding
95%
confidence
interval
(CI),
finally
combined
random-effects
meta-analyses.
Results
A
6-month
serological
detected
99.6%
HCWs.
Female
sex
(RR
1.10,
95%CI
1.00-1.21),
past
infection
2.26,
1.73-2.95)
two
vaccine
doses
1.50,
1.22-1.84)
predicted
higher
titer,
contrary
since
last
10-day
0.94,
0.91-0.97)
age
10-year
0.87,
0.83-0.92).
M-RNA-based
vaccines
(p<0.001)
heterologous
2.46,
1.87-3.24,
one
cohort)
associated
with
increased
levels.
Conclusions
gender,
young
age,
infection,
doses,
m-RNA
months.
These
results
corroborate
previous
findings
offer
valuable
comparison
trends
observed
longer
follow-ups.
Frontiers in Immunology,
Journal Year:
2022,
Volume and Issue:
13
Published: May 26, 2022
COVID-19
vaccine
clinical
development
was
conducted
with
unprecedented
speed.
Immunity
measurements
were
concentrated
on
the
antibody
response
which
left
significant
gaps
in
our
understanding
how
robust
and
long-lasting
immune
protection
develops.
Better
cellular
will
fill
those
gaps,
especially
elderly
immunocompromised
populations
not
only
have
highest
risk
for
severe
infection,
but
also
frequently
inadequate
responses.
Although
immunity
are
more
logistically
complex
to
conduct
trials
compared
measurements,
feasibility
benefit
of
doing
them
has
been
demonstrated
so
should
be
widely
adopted.
Adding
metrics
provide
a
deeper
overall
vaccination,
significantly
inform
vaccination
strategies
most
vulnerable
populations.
monitoring
substantially
other
efforts,
indeed
any
therapies
that
involve
system
as
part
therapeutic
strategy.