抗SARS-CoV-2抗原抗体的减少并不反映中和率的降低:一项评估妊娠期间接种疫苗后动态和动态体液免疫反应的前瞻性研究

IF 2.5 3区 医学 Q3 IMMUNOLOGY
Gabriela Mattoso Coelho, Hellen Geremias dos Santos, Allan Henrique Depieri Cataneo, Yara Zancanaro, Gabriela Lunardelli, Taciane Elisabete Cesca, Jaqueline Makiyama, Jean Alexandre Furtado Correa Francisco, Thelma Skare, Felipe Francisco Tuon, Camila Zanluca, João Paulo Telles, Claudia Nunes Duarte dos Santos
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引用次数: 0

摘要

问题:尽管孕妇患严重COVID-19的风险增加,但最初被排除在疫苗临床试验之外,这限制了有关该群体疫苗有效性和保护的数据。为了更好地了解怀孕期间疫苗接种的免疫反应,我们在一组孕妇中比较了接种BNT162b2(辉瑞- biontech)或CoronaVac (Sinovac Biotech)疫苗时产生的针对SARS-CoV-2的中和抗体和IgG抗体的动力学和滴度。研究方法:我们在接种疫苗前和每次疫苗剂量后30天对参与者进行评估,使用多重头测定法测量针对SARS-CoV-2抗原(总刺突、刺突-1、刺突-2、受体结合域和核衣壳)的IgG抗体,并使用活病毒荧光还原中和测定法(FRNA)定量中和抗体。结果:我们的数据显示,疫苗接种导致了强大的体液反应,在第一次疫苗剂量后IgG和中和抗体水平显著增加,在疫苗增强后持续的中和反应。第二次给药后,抗刺突IgG含量略有下降,但中和率保持稳定。结论:孕妇对SARS-CoV-2疫苗的免疫反应显示出中和抗体的重要增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Decrease of Antibodies Against SARS-CoV-2 Antigens Does Not Reflect a Decrease of Neutralization Rate: A Prospective Study to Evaluate Kinetic and Dynamic Humoral Immune Response After Vaccination During Pregnancy

Problem

Despite being at increased risk for severe COVID-19, pregnant women were initially excluded from vaccine clinical trials, which limited data regarding vaccine effectiveness and protection in this group. Aiming to better understand the immune response to vaccination during pregnancy, we compared the kinetics and titers of neutralizing and IgG antibodies generated against SARS-CoV-2 during vaccination with BNT162b2 (Pfizer-BioNTech) or CoronaVac (Sinovac Biotech) in a cohort of pregnant women.

Methods of Study

We evaluated participants before vaccination and 30 days after each vaccine dose, using a multiplex bead assay to measure IgG antibodies against SARS-CoV-2 antigens (total spike, spike-1, spike-2, receptor binding domain, and nucleocapsid) and a live virus fluorescence reduction neutralization assay (FRNA) to quantify neutralizing antibodies.

Results

Our data showed that vaccination resulted in a robust humoral response, with a considerable increase in the levels of IgG and neutralizing antibodies after the first vaccine dose and a sustained neutralizing response after the vaccine boost. In addition, antispike IgG assays presented a slight decrease after the second dose, while the neutralization rate remained stable.

Conclusions

Immune response to the SARS-CoV-2 vaccine in pregnant women demonstrated an important increase in neutralizing antibodies.

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来源期刊
CiteScore
6.20
自引率
5.60%
发文量
314
审稿时长
2 months
期刊介绍: The American Journal of Reproductive Immunology is an international journal devoted to the presentation of current information in all areas relating to Reproductive Immunology. The journal is directed toward both the basic scientist and the clinician, covering the whole process of reproduction as affected by immunological processes. The journal covers a variety of subspecialty topics, including fertility immunology, pregnancy immunology, immunogenetics, mucosal immunology, immunocontraception, endometriosis, abortion, tumor immunology of the reproductive tract, autoantibodies, infectious disease of the reproductive tract, and technical news.
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