第三剂COVID-19灭活疫苗对SARS-CoV-2变体的交叉中和作用

IF 4.8 3区 医学 Q1 IMMUNOLOGY
Expert Review of Vaccines Pub Date : 2025-12-01 Epub Date: 2025-09-02 DOI:10.1080/14760584.2025.2550984
Yuqing Li, Jiexiao He, Wenqing Liu, Runjie Qi, Jingxin Li, Fengcai Zhu
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引用次数: 0

摘要

背景:SARS-CoV-2变体的持续出现引起了人们对现有疫苗提供的免疫反应广度的担忧。研究设计和方法:在本研究中,年龄在18-75岁之间,无COVID-19感染或疫苗接种史的受试者接受CoronaVac疫苗接种。第一次和第二次接种间隔为28天,而第三次接种间隔为第二次接种后6个月。结果:在2022年2月1日至2月15日期间,我们招募了40名未接种任何COVID-19疫苗且先前没有COVID-19感染的符合条件的参与者。在第三次注射后,针对祖先菌株和某些Omicron变体的中和抗体水平显著增加(BA.1, BA.4/5, BF.7)。与第二次注射后28天观察到的水平相比,中和抗体水平在第三次注射后28天进一步上升,对祖先菌株的GMFI为1.69 (95% CI: 1.27, 2.20)。在其他变异中,对Omicron变异(BA.1, BA.4/5, BF.7)的GMFI超过了对Beta和Delta的GMFI,其中BA.4/5变异的GMFI最高,为4.97 (95% CI: 3.08, 8.05)。结论:第三次加强剂的必要性在于它能增强免疫反应的广度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cross-neutralization effect of the third dose of inactivated COVID-19 vaccine against the SARS-CoV-2 variants.

Background: The ongoing emergence of SARS-CoV-2 variants has raised concerns about the breadth of the immune response provided by existing vaccines.

Research design and methods: In this study, participants aged 18-75 years with no prior COVID-19 infection or vaccination history were enrolled to receive the CoronaVac vaccine. The interval between the first and second vaccine doses was 28 days, while the third dose was given 6 months after the second.

Results: Between February 1 to 15 February 2022, we recruited 40 eligible participants who had not received any COVID-19 vaccination and had no prior COVID-19 infection. After the third dose, neutralizing antibody levels significantly increased against the ancestral strain and certain Omicron variants (BA.1, BA.4/5, BF.7). Compared to levels observed 28 days post-second dose, neutralizing antibody levels rose further 28 days after the third dose, with the GMFI against the ancestral strain at 1.69 (95% CI: 1.27, 2.20). Among other variants, the GMFI against Omicron variants (BA.1, BA.4/5, BF.7) exceeded that for Beta and Delta, with the highest GMFI recorded for the BA.4/5 variant at 4.97 (95% CI: 3.08, 8.05).

Conclusions: The necessity of the third booster dose lies in its ability to enhance the breadth of the immune response.

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来源期刊
Expert Review of Vaccines
Expert Review of Vaccines 医学-免疫学
CiteScore
9.10
自引率
3.20%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Expert Review of Vaccines (ISSN 1476-0584) provides expert commentary on the development, application, and clinical effectiveness of new vaccines. Coverage includes vaccine technology, vaccine adjuvants, prophylactic vaccines, therapeutic vaccines, AIDS vaccines and vaccines for defence against bioterrorism. All articles are subject to rigorous peer-review. The vaccine field has been transformed by recent technological advances, but there remain many challenges in the delivery of cost-effective, safe vaccines. Expert Review of Vaccines facilitates decision making to drive forward this exciting field.
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