Overcoming the age-dependent SARS-CoV-2 vaccine response through hybrid immunity: analysis of humoral and cellular immunity with mass cytometry profiling
Immunity & Ageing,
Journal Year:
2024,
Volume and Issue:
21(1)
Published: July 30, 2024
Abstract
Background
Age-dependent
immune
responses
to
coronavirus
disease
2019
(COVID-19)
vaccinations
and
breakthrough
infections
(BIs)
in
young
middle-aged
individuals
are
unclear.
Methods
This
nationwide
multicenter
prospective
cohort
study
analyzed
participants
of
the
ChAdOx1
(ChAd)-ChAd-mRNA
vaccine
group
using
cytometry
by
time-of-flight,
anti-spike
protein
antibody
(Sab)
anti-nucleocapsid
(Nab)
titers,
plaque
reduction
neutralization
tests
(PRNTs),
interferon-gamma
(IFN-γ)
release
assays
at
various
time
points.
Results
We
evaluated
347
with
an
average
age
38.9
±
9.4
years
(range:
21–63).
There
was
a
significant
inverse
correlation
between
Sab
levels
after
second
dose
(slope
−
14.96,
P
=
0.032),
this
more
pronounced
third
208.9,
<
0.001).
After
BIs,
older
showed
significantly
higher
titers
398.8,
0.001),
reversing
age-related
decline
observed
post-vaccination.
reversal
also
PRNTs
against
wild-type
SARS-CoV-2
BA.1
BA.5
variants.
IFN-γ
increased
markedly
Bis,
but
weak
positive
age,
without
statistical
significance.
Immune
cell
profiling
revealed
age-dependent
decrease
proportions
B-cell
lineage
cells.
The
naive
CD4
+
CD8
T
cells
were
inversely
correlated
whereas
mature
subsets
memory
function,
including
T,
EM
,
EMRA
FH
cells,
age.
Conclusions
waning
serologic
response
COVID-19
vaccines
occurred
even
individuals,
reversed
BIs.
preserved,
compensating
for
populations,
increase
populations.
Language: Английский
Natural Boosting and the Immunogenicity of the XBB.1.5 Monovalent Vaccine in the Coronavirus Disease 2019 Endemic Era: A Longitudinal Observational Study
Hyun Ji Kang,
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Hye‐Jin Kim,
No information about this author
Jiwon Jung
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et al.
The Journal of Infectious Diseases,
Journal Year:
2024,
Volume and Issue:
231(2), P. 392 - 402
Published: Nov. 27, 2024
Abstract
Background
With
the
transition
from
coronavirus
disease
2019
(COVID-19)
pandemic
into
endemicity,
changes
in
group
immunity
and
effect
of
updated
XBB.1.5
monovalent
vaccine
(MonoV)
need
to
be
investigated.
Methods
A
multicenter
cohort
was
followed
for
3
years,
investigation
period
classified
pre-Omicron,
Omicron,
endemic
eras.
Thirteen
sampling
points
were
assessed,
including
pre-
post-MonoV
administration.
Specimens
as
vaccinated,
molecularly
or
serologically
diagnosed
breakthrough
infection
(BI),
natural
boosting
(NB),
waned.
Results
total
327
healthcare
workers
contributed
2645
blood
samples
March
2021
December
2023.
The
log10
anti-spike
protein
antibody
(SAb)
levels,
elevated
by
vaccination,
declined
linearly
pre-Omicron
era,
maintained
during
Omicron
era
due
BIs,
increased
(slope
=
0.02,
P
.02)
without
additional
vaccination.
NB
cases
significantly
across
epidemiologic
incidence
rate
ratios
2.72
(P
<
.001)
Omicron/pre-Omicron
3.39
endemic/Omicron.
Plaque
reduction
neutralization
test
(PRNT)
titers
against
circulating
strains
(XBB.1.5
XBB.1.9.1)
previous
but
wild-type
PRNT
fold
exhibited
enhanced
activity.
MonoV
5.8-fold
6.6-fold
JN.1,
showing
stronger
enhancement
subsequent
epidemic
than
bivalent
vaccine.
Conclusions
Group
COVID-19
SAb
levels
adjusted
neutralizing
activities
through
BI
NB.
activity
strain
robust
JN.1
strain.
Language: Английский