mRNA COVID-19 vaccines induce superior IgA titers in cancer patients compared to viral vector vaccines: Implications for immunization strategies.

IF 4.8 2区 医学 Q1 INFECTIOUS DISEASES
Yana Debie, Lise Verbruggen, Marc Peeters, Peter A van Dam, Timon Vandamme
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引用次数: 0

Abstract

Objectives: IgA antibodies are involved in mucosal immunity and eliminate pathogens immediately at the point of entry. Vaccine-induced IgA antibodies could contribute to an additional layer of protection against SARS-CoV-2 for infection prone cancer patients. This might be particularly relevant for cancer patients as they mount reduced IgG antibody titers after dual-dose BNT162b2 COVID-19 vaccination and even lower responses after double-dose ChAdOx1 vaccination, compared to healthy individuals. However, data on vaccine-induced IgA antibodies are scarce, especially in cancer patients.

Methods: This study compares SARS-CoV-2 anti-S1 IgA antibodies after dual-dose BNT162b2 vs ChAdOx1 vaccination in cancer patients. SARS-CoV-2 anti-S1 IgA antibodies were quantified in serum samples collected 7 days after second vaccination dose (N=213) (IEQ-CoVS1RBD-IgA-1-RB ELISA kit, RayBiotech) and analyzed with colorimetric detection. Additionally correlations with different aspects of humoral immunity were assessed (neutralizing and IgG antibodies).

Results: Significant lower anti-S1 IgA antibody titers were reported in cancer patients after dual-dose ChAdOx1 compared to BNT162b2 vaccination. Moreover, cancer patients that received dual-dose BNT162b2 vaccination had a significant 16.44 fold increased chance to mount detectable IgA antibodies compared to patients receiving ChAdOx1 vaccination.

Conclusion: These findings highlight the potential role of boosters or alternative strategies to sustain mucosal immunity.

与病毒载体疫苗相比,mRNA COVID-19疫苗在癌症患者中诱导更高的IgA滴度:对免疫策略的影响
目的:IgA抗体参与粘膜免疫,并在病原体进入时立即消灭病原体。疫苗诱导的IgA抗体可以为易感染的癌症患者提供针对SARS-CoV-2的额外保护。这可能与癌症患者特别相关,因为与健康个体相比,他们在双剂量BNT162b2 COVID-19疫苗接种后产生的IgG抗体滴度降低,而在双剂量ChAdOx1疫苗接种后产生的反应甚至更低。然而,关于疫苗诱导的IgA抗体的数据很少,特别是在癌症患者中。方法:比较肿瘤患者双剂量BNT162b2和ChAdOx1接种后的SARS-CoV-2抗s1 IgA抗体。用IEQ-CoVS1RBD-IgA-1-RB酶联免疫吸附测定试剂盒(RayBiotech公司,IEQ-CoVS1RBD-IgA-1-RB酶联免疫吸附测定试剂盒)测定第二次接种后第7天(N=213)血清中SARS-CoV-2抗s1 IgA抗体,并进行比色检测。此外,还评估了体液免疫不同方面的相关性(中和抗体和IgG抗体)。结果:与BNT162b2接种相比,双剂量ChAdOx1接种后癌症患者的抗s1 IgA抗体滴度显著降低。此外,与接受ChAdOx1疫苗接种的患者相比,接受双剂量BNT162b2疫苗接种的癌症患者携带可检测的IgA抗体的机会增加了16.44倍。结论:这些发现强调了增强剂或其他策略在维持粘膜免疫方面的潜在作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
18.90
自引率
2.40%
发文量
1020
审稿时长
30 days
期刊介绍: International Journal of Infectious Diseases (IJID) Publisher: International Society for Infectious Diseases Publication Frequency: Monthly Type: Peer-reviewed, Open Access Scope: Publishes original clinical and laboratory-based research. Reports clinical trials, reviews, and some case reports. Focuses on epidemiology, clinical diagnosis, treatment, and control of infectious diseases. Emphasizes diseases common in under-resourced countries.
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