按免疫高峰期的免疫反应组别划分的 COVID-19 强化接种后 5 个月体液和细胞免疫反应动力学:利用福岛疫苗接种社区调查进行的历史性队列观察研究

IF 2.7 Q3 IMMUNOLOGY
Yurie Kobashi , Takeshi Kawamura , Yuzo Shimazu , Yudai Kaneko , Yoshitaka Nishikawa , Akira Sugiyama , Yuta Tani , Aya Nakayama , Makoto Yoshida , Tianchen Zho , Chika Yamamoto , Hiroaki Saito , Morihito Takita , Masatoshi Wakui , Tatsuhiko Kodama , Masaharu Tsubokura
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引用次数: 0

摘要

背景了解加强免疫后免疫力的减弱对于确定哪些免疫力低的人群应优先接种疫苗非常重要。方法我们在一个大型社区队列中调查了接种第三剂疫苗后在免疫高峰期高细胞免疫力组和低细胞免疫力组以及体液免疫力组的纵向细胞免疫力和体液免疫力。在高峰期(T1:第三剂疫苗接种后的中位数 54 天)和衰退期(T2:第三剂疫苗接种后的中位数 145 天)收集了 1045 名参与者的血液样本,以评估 IgG(S)、中和活性和 ELISpot 反应。在 T1 阶段,参与者被分为 ELISpot/IgG(S) 高/低两组。在第三次接种后的大约五个月内,对细胞和体液反应进行了追踪。不同时间点之间的 IgG(S) 几何平均折叠变化显示,79 岁年龄组的 IgG(S) 下降幅度更大(T2/T1 折叠变化:0.27),尽管 ELISpot 几何平均值保持稳定,但低 ELISpot 组的 IgG(S) 折叠变化在 T1(T2/T1 折叠变化:0.32-0.33)时高于其他组。以证据为基础的疫苗策略对于预防疫苗可能引起的健康问题(包括副作用)至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Kinetics of humoral and cellular immune responses 5 months post-COVID-19 booster dose by immune response groups at the peak immunity phase: An observational historical cohort study using the Fukushima vaccination community survey

Background

Understanding the waning of immunity after booster vaccinations is important to identify which immune-low populations should be prioritized.

Methods

We investigated longitudinal cellular and humoral immunity after the third vaccine dose in both high- and low-cellular and humoral immunity groups at the peak immunity phase after the booster vaccination in a large community-based cohort. Blood samples were collected from 1045 participants at peak (T1: median 54 days post-third dose) and decay (T2: median 145 days post-third dose) phases to assess IgG(S), neutralizing activity, and ELISpot responses. Participants were categorized into high/low ELISpot/IgG(S) groups at T1. Cellular and humoral responses were tracked for approximately five months after the third vaccination.

Results

In total, 983 participants were included in the cohort. IgG(S) geometric mean fold change between timepoints revealed greater waning in the >79 years age group (T2/T1 fold change: 0.27) and higher IgG(S) fold change in the low-ELISpot group at T1 (T2/T1 fold change: 0.32–0.33) than in the other groups, although ELISpot geometric mean remained stable.

Conclusions

Antibody level of those who did not respond well to third dose vaccination waned rapidly than those who responded well. Evidence-based vaccine strategies are essential in preventing potential health issues caused by vaccines, including side-effects.

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来源期刊
Vaccine: X
Vaccine: X Multiple-
CiteScore
2.80
自引率
2.60%
发文量
102
审稿时长
13 weeks
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