KMID : 1039120220110010096
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Clinical and Experimental Vaccine Research 2022 Volume.11 No. 1 p.96 ~ p.103
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Large inter-individual variability of cellular and humoral immunological responses to mRNA-1273 (Moderna) vaccination against SARS-CoV-2 in health care workers
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Kruttgen Alexander
Haase Gerhard Haefner Helga Imohl Matthias Kleines Michael
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Abstract
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Purpose: Studies on the immune responses to severe acute respiratory syndrome coronavirus 2 vaccines are necessary to evaluate the ongoing vaccination programs by correlating serological response data and clinical effectiveness data. We performed a longitudinal immunological profiling of health care workers vaccinated with mRNA-1273 (Moderna, Cambridge, MA, USA). Half of these vaccinees had experienced a mild coronavirus disease 2019 (COVID-19) infection in the spring of 2020 (¡°COVID-recovered¡± cohort), whereas the other half of the vaccinees had no previous COVID-19 infection (¡°COVID-naive¡± cohort).
Materials and Methods: Serum was drawn at multiple time points and subjected to assays measuring anti-Spike immunoglobulin G (IgG), avidity of anti-Spike IgG, avidity of anti-receptor binding domain (RBD) IgG, virus neutralizing activity, and interferon-¥ã release from stimulated lymphocytes.
Results: Between both cohorts and within each cohort, we found remarkable inter-individual differences regarding cellular and humoral immune responses to the Moderna mRNA-1273 vaccine.
Conclusion: First, our study indicates that the success of mRNA-1273 vaccinations should be verified by serological assays in order to identify ¡°low-responders¡± to vaccination. Second, the kinetics of anti-S IgG and neutralizing activity correlate well with clinical effectiveness data, thus explaining incipient protection against infection 2 weeks after the first dose of mRNA-1273 in COVID-naive vaccinees. Third, our IgG-avidity data indicate that this incipient protection is mediated by low-avidity anti-RBD IgG and low-avidity anti-S IgG.
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KEYWORD
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COVID-19, Non-responders, Vaccination, Avidity, SARS-CoV-2
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