medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: July 16, 2023
ABSTRACT
Introduction
While
older
adults
generally
mount
weaker
antibody
responses
to
a
primary
COVID-19
vaccine
series,
T-cell
remain
less
well
characterized
in
this
population.
We
compared
SARS-CoV-2
spike-specific
after
two-
and
three-dose
mRNA
vaccination
subsequent
breakthrough
infection
younger
adults.
Methods
quantified
CD4+
CD8+
T-cells
reactive
overlapping
peptides
spanning
the
ancestral
spike
protein
40
(median
age
79)
50
health
care
workers
39),
all
naive,
using
an
activation
induced
marker
assay.
were
further
assessed
24
participants,
including
8
adults,
who
subsequently
experienced
their
first
infection.
Results
A
third
dose
significantly
boosted
frequencies
above
two-dose
levels
did
not
differ
between
either
dose.
Multivariable
analyses
adjusting
for
sociodemographic,
vaccine-related
variables
confirmed
that
was
associated
with
impaired
cellular
responses.
Instead,
strongest
predictors
of
post-third-dose
corresponding
post-second-dose
frequencies.
Breakthrough
increased
both
T
cell
frequencies,
comparable
Exploratory
revealed
association
HLA-A*02:03
higher
post-vaccination
which
may
be
attributable
numerous
strong-binding
HLA-A*02:03-specific
epitopes
spike.
Conclusion
Older
robust
vaccination,
are
following
Few
data
exist
on
the
role
of
genetic
factors
involving
HLA
system
response
to
Covid‐19
vaccines.
Moving
from
suggestions
a
previous
study
investigating
association
some
alleles
with
humoral
BNT162b2,
we
here
compared
allele
frequencies
among
weak
(
n
=
111)
and
strong
123)
responders,
defined
as
those
healthcare
workers
lowest
highest
anti‐Spike
antibody
levels
after
vaccination.
Individuals
clinical
history
or
positive
anti‐nucleocapside
antibodies
were
excluded.
We
found
common
HLA‐A*03:01
an
independent
predictor
(OR
12.46,
95%
CI:
4.41–35.21,
p
<
0.0001),
together
younger
age
vaccines
0.004).
Correlation
between
protection
breakthrough
infection
has
been
observed,
2‐year
cumulative
incidence
42%
63%
respectively
0.03).
Due
high
frequency
need
for
seasonal
vaccinations
against
SARS‐CoV‐2
mutants,
our
findings
provide
useful
information
about
inter‐individual
differences
observed
in
vaccine
might
support
further
studies
next
Frontiers in Immunology,
Journal Year:
2024,
Volume and Issue:
15
Published: July 9, 2024
Myalgic
encephalomyelitis
or
chronic
fatigue
syndrome
(ME/CFS),
long
COVID
(LC)
and
post-COVID-19
vaccine
show
similarities
in
their
pathophysiology
clinical
manifestations.
These
disorders
are
related
to
viral
adjuvant
persistence,
immunological
alterations,
autoimmune
diseases
hormonal
imbalances.
A
developmental
model
is
postulated
that
involves
the
interaction
between
immune
hyperactivation,
hypophysitis
pituitary
hypophysitis,
depletion.
This
process
might
begin
with
a
deficient
CD4
T-cell
response
infections
genetically
predisposed
individuals
(HLA-DRB1),
followed
by
an
uncontrolled
CD8
hyperactivation
elevated
antibody
production,
some
of
which
may
be
directed
against
autoantigens,
can
trigger
direct
damage
pituitary,
resulting
decreased
production
hormones,
such
as
ACTH.
As
disease
progresses,
prolonged
exposure
antigens
lead
exhaustion
system,
exacerbating
symptoms
pathology.
It
suggested
these
could
included
autoimmune/adjuvant-induced
inflammatory
(ASIA)
because
similar
manifestations
possible
relationship
genetic
factors,
polymorphisms
HLA-DRB1
gene.
In
addition,
it
proposed
treatment
antivirals,
corticosteroids/ginseng,
antioxidants,
metabolic
precursors
improve
modulating
response,
function,
inflammation
oxidative
stress.
Therefore,
purpose
this
review
suggest
origin
adenohypophysis
improvement
after
corticosteroid
replacement
therapy.
Global
economic
and
social
burden
was
caused
by
the
SARS-CoV-2
spread
worldwide.
Despite
end
of
pandemic,
there
is
a
concern
about
virulent
evolving
variants
virus
which
can
bypass
humoral
immune
response
induced
vaccination
or
infection.
Crucial
to
viral
entrance,
amino
acid
residues
in
RBM
region,
interacts
with
cellular
receptor
ACE2,
elicit
neutralizing
antibody
response.
Herein
we
determine
immunogenicity
one-dose
heterologous
dose
vaccinated
serum
against
wild-type
mutated
region.
low
RBM,
omicron
possess
four
mutations
(S477N,
T478K,
E484A,
F486V)
that
induce
even
less
titers.
The
most
predominant
responses
were
IgA
IgG.
While
antibodies
(nAbs)
predominantly
target
RBD,
our
investigation
revealed
diminished
seroreactivity
within
RBD's
crucial
receptor-binding
motif
(RBM),
potentially
impacting
production
protective
nAbs.
S1WT
S2WT
peptides
binding
nAbs
evaluated
through
microscale
thermophoresis,
higher
affinity
(35
nM)
obtained
for
sequence
(GSTPCNGVEGFNCYF),
containing
FNCY
patch.
Our
data
indicates
not
an
immunodominant
region
individuals.
Understanding
intricate
dynamics
its
interplay
evolution
host
genetics
essential
formulation
effective
strategies,
only
but
also
future
emerging
coronaviruses.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: July 16, 2023
ABSTRACT
Introduction
While
older
adults
generally
mount
weaker
antibody
responses
to
a
primary
COVID-19
vaccine
series,
T-cell
remain
less
well
characterized
in
this
population.
We
compared
SARS-CoV-2
spike-specific
after
two-
and
three-dose
mRNA
vaccination
subsequent
breakthrough
infection
younger
adults.
Methods
quantified
CD4+
CD8+
T-cells
reactive
overlapping
peptides
spanning
the
ancestral
spike
protein
40
(median
age
79)
50
health
care
workers
39),
all
naive,
using
an
activation
induced
marker
assay.
were
further
assessed
24
participants,
including
8
adults,
who
subsequently
experienced
their
first
infection.
Results
A
third
dose
significantly
boosted
frequencies
above
two-dose
levels
did
not
differ
between
either
dose.
Multivariable
analyses
adjusting
for
sociodemographic,
vaccine-related
variables
confirmed
that
was
associated
with
impaired
cellular
responses.
Instead,
strongest
predictors
of
post-third-dose
corresponding
post-second-dose
frequencies.
Breakthrough
increased
both
T
cell
frequencies,
comparable
Exploratory
revealed
association
HLA-A*02:03
higher
post-vaccination
which
may
be
attributable
numerous
strong-binding
HLA-A*02:03-specific
epitopes
spike.
Conclusion
Older
robust
vaccination,
are
following