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SARS-CoV-2 specific cellular and humoral immunity after bivalent BA.4/5 COVID-19 vaccination in previously infected and non-infected individuals
candida Guckelmus
Rebecca Urschel
Saskia Bronder
Verena Klemis
Stefanie Marx
Franziska Hielscher
Amina Abu-Omar
Sophie Schneitler
Christina Baum
Soeren Becker
Barbara Gärtner
Martina Sester
Tina Schmidt
Marek Widera
Acceso Abierto
Atribución-NoComercial-SinDerivadas
https://doi.org/10.1101/2023.05.03.23289472
https://www.medrxiv.org/content/10.1101/2023.05.03.23289472v1
Abstract Knowledge is limited as to how prior SARS-CoV-2 infection influences cellular and humoral immunity after booster-vaccination with bivalent BA.4/5-adapted mRNA-vaccines, and whether vaccine-induced immunity correlates with subsequent infection. In this observational study, individuals with prior infection (n=64) showed higher vaccine-induced anti-spike IgG antibodies and neutralizing titers, but the relative increase was significantly higher in non-infected individuals (n=63). In general, both groups showed higher neutralizing activity towards the parental strain than towards Omicron subvariants BA.1, BA.2 and BA.5. In contrast, CD4 or CD8 T-cell levels towards spike from the parental strain and the Omicron subvariants, and cytokine expression profiles were similar irrespective of prior infection. Breakthrough infections occurred more frequently among previously non-infected individuals, who had significantly lower vaccine-induced spike-specific neutralizing activity and CD4 T-cell levels. Thus, the magnitude of vaccine-induced neutralizing activity and specific CD4 T-cells after bivalent vaccination may serve as a correlate for protection in previously non-infected individuals.
bioRxiv
05-05-2023
Preimpreso
Inglés
Público en general
VIRUS RESPIRATORIOS
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