冠状病毒和BNT162b2疫苗不同强化策略后免疫球蛋白G和干扰素γ的定量应答

Infectious diseases & clinical microbiology Pub Date : 2025-06-26 eCollection Date: 2025-06-01 DOI:10.36519/idcm.2025.546
Aylin İrem Ocaklı, Şeyma Aybüke Özyar-Kurtçu, Mertcan Uzun, Merve Kaşıkçı-Çavdar, Gülçin Telli-Dizman, Gökhan Metan, Murat Akova, Zeynep Sarıbaş, Burçin Şener
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引用次数: 0

摘要

目标:全球抗击COVID-19大流行的努力需要对疫苗功效进行全面评估,包括体液和细胞免疫反应。本研究旨在确定CoronaVac和BNT162b2加强剂对基ye接种两剂CoronaVac个体定量免疫球蛋白G (IgG)和干扰素γ (IFN-γ)应答的影响。材料和方法:本前瞻性队列研究纳入年龄在18-59岁,无合并症,未接受药物治疗,无COVID-19临床病史,并使用CoronaVac。参与者被分为三组:第一组接受单一的CoronaVac增强剂,第二组接受单一的BNT162b2增强剂,第三组接受两个BNT162b2增强剂。通过测定针对SARS-CoV-2刺突受体结合域(RBD)蛋白的IgG水平评估体液免疫,通过IFN-γ释放试验评估细胞免疫。结果:本研究纳入48名受试者。当考虑接种后6-12个月时,第1组IgG水平最低。在组2和组3中检测到较高的IgG水平,其中组3显示IgG和IFN-γ反应的最高水平。虽然三组之间的IFN-γ水平差异无统计学意义,但与同源增强个体相比,BNT162b2增强个体的IFN-γ水平高出两倍和三倍。与第三组的老年人相比,年轻参与者的IgG和IFN-γ的中位值明显更高。结论:我们的研究结果表明,尽管灭活疫苗激活个体的同源和异源增强可提供有效的体液和细胞免疫,但两剂BNT162b2增强应优先考虑,因为它对体液和细胞免疫均有积极影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quantitative Immunoglobulin G and Interferon-Gamma Responses After Different Booster Strategies of CoronaVac and BNT162b2 Vaccines in Türkiye.

Objective: The global effort to combat the COVID-19 pandemic requires a comprehensive assessment of vaccine efficacy, including both humoral and cellular immune responses. This study aimed to determine the effects of CoronaVac and BNT162b2 booster doses on quantitative immunoglobulin G (IgG) and interferon-gamma (IFN-γ) responses of individuals primed with two doses of CoronaVac in Türkiye.

Materials and methods: This prospective cohort study included participants aged 18-59 years, without comorbidities, who were not under drug therapy and had no clinical history of COVID-19 and primed with CoronaVac. Participants were divided into three groups: Group 1 received a single CoronaVac booster, Group 2 received a single BNT162b2 booster, and Group 3 received two BNT162b2 boosters. Humoral immunity was assessed by the determination of IgG levels against the spike receptor-binding domain (RBD) protein of SARS-CoV-2, and cellular immunity was assessed by the IFN-γ release assay.

Results: The study included 48 participants. When the 6-12-month post-vaccination period was considered, the lowest quantitative IgG levels were detected in Group 1. Higher IgG levels were detected in Group 2 and Group 3, with Group 3 revealing the highest levels for both IgG and IFN-γ responses. Although the differences between the IFN-γ levels among the three groups were not statistically significant, the individuals boosted with the BNT162b2 demonstrated two- and three-fold higher levels compared to the homologous boosted individuals. The median IgG and IFN-γ values were significantly higher in the younger participants compared to the older participants in Group 3.

Conclusion: Our findings revealed that although homologous and heterologous boosting in inactivated vaccine-primed individuals provided effective humoral and cellular immunity, boosting with two doses of BNT162b2 should be prioritized since it exhibited a positive impact on both humoral and cellular immunity.

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