Follow‐Up and Comparative Assessment of SARS‐CoV‐2 IgA, IgG, Neutralizing, and Total Antibody Responses After BNT162b2 or mRNA‐1273 Heterologous Booster Vaccination

<h3>Background</h3><p dir="ltr">Priming with ChAdOx1 followed by heterologous boosting is considered in several countries. Nevertheless, analyses comparing the immunogenicity of heterologous booster to homologous primary vaccination regimens and natural infection are lack...

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Main Author: Salma Younes (6424865) (author)
Other Authors: Eleonora Nicolai (496034) (author), Massimo Pieri (5023022) (author), Sergio Bernardini (504056) (author), Hanin I. Daas (21841853) (author), Duaa W. Al‐Sadeq (21841856) (author), Nadin Younes (4863280) (author), Farah M. Shurrab (21841859) (author), Parveen B. Nizamuddin (21841862) (author), Fathima Humaira (21841865) (author), Nader Al‐Dewik (14777014) (author), Hadi M. Yassine (21841868) (author), Laith J. Abu‐Raddad (21841871) (author), Ahmed Ismail (2671822) (author), Gheyath K. Nasrallah (21841874) (author)
Published: 2024
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_version_ 1864513542658457600
author Salma Younes (6424865)
author2 Eleonora Nicolai (496034)
Massimo Pieri (5023022)
Sergio Bernardini (504056)
Hanin I. Daas (21841853)
Duaa W. Al‐Sadeq (21841856)
Nadin Younes (4863280)
Farah M. Shurrab (21841859)
Parveen B. Nizamuddin (21841862)
Fathima Humaira (21841865)
Nader Al‐Dewik (14777014)
Hadi M. Yassine (21841868)
Laith J. Abu‐Raddad (21841871)
Ahmed Ismail (2671822)
Gheyath K. Nasrallah (21841874)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Salma Younes (6424865)
Eleonora Nicolai (496034)
Massimo Pieri (5023022)
Sergio Bernardini (504056)
Hanin I. Daas (21841853)
Duaa W. Al‐Sadeq (21841856)
Nadin Younes (4863280)
Farah M. Shurrab (21841859)
Parveen B. Nizamuddin (21841862)
Fathima Humaira (21841865)
Nader Al‐Dewik (14777014)
Hadi M. Yassine (21841868)
Laith J. Abu‐Raddad (21841871)
Ahmed Ismail (2671822)
Gheyath K. Nasrallah (21841874)
author_role author
dc.creator.none.fl_str_mv Salma Younes (6424865)
Eleonora Nicolai (496034)
Massimo Pieri (5023022)
Sergio Bernardini (504056)
Hanin I. Daas (21841853)
Duaa W. Al‐Sadeq (21841856)
Nadin Younes (4863280)
Farah M. Shurrab (21841859)
Parveen B. Nizamuddin (21841862)
Fathima Humaira (21841865)
Nader Al‐Dewik (14777014)
Hadi M. Yassine (21841868)
Laith J. Abu‐Raddad (21841871)
Ahmed Ismail (2671822)
Gheyath K. Nasrallah (21841874)
dc.date.none.fl_str_mv 2024-05-06T03:00:00Z
dc.identifier.none.fl_str_mv 10.1111/irv.13290
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Follow_Up_and_Comparative_Assessment_of_SARS_CoV_2_IgA_IgG_Neutralizing_and_Total_Antibody_Responses_After_BNT162b2_or_mRNA_1273_Heterologous_Booster_Vaccination/29715341
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
Immunology
Health sciences
Epidemiology
Public health
antibodies
anti- S1-IgA
anti- S-RBD IgG
booster
COVID-19
immune response
neutralizing antibody
vaccination
dc.title.none.fl_str_mv Follow‐Up and Comparative Assessment of SARS‐CoV‐2 IgA, IgG, Neutralizing, and Total Antibody Responses After BNT162b2 or mRNA‐1273 Heterologous Booster Vaccination
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">Priming with ChAdOx1 followed by heterologous boosting is considered in several countries. Nevertheless, analyses comparing the immunogenicity of heterologous booster to homologous primary vaccination regimens and natural infection are lacking. In this study, we aimed to conduct a comparative assessment of the immunogenicity between homologous primary vaccination regimens and heterologous prime‐boost vaccination using BNT162b2 or mRNA‐1273.</p><h3>Methods</h3><p dir="ltr">We matched vaccinated naïve (VN) individuals (<i>n</i> = 673) with partial vaccination (<i>n</i> = 64), primary vaccination (<i>n</i> = 590), and primary series plus mRNA vaccine heterologous booster (<i>n</i> = 19) with unvaccinated naturally infected (NI) individuals with a documented primary SARS‐CoV‐2 infection (<i>n</i> = 206). We measured the levels of neutralizing total antibodies (NTAbs), total antibodies (TAbs), anti‐S‐RBD IgG, and anti‐S1 IgA titers.</p><h3>Results</h3><p dir="ltr">Homologous primary vaccination with ChAdOx1 not only showed less potent NTAb, TAb, anti‐S‐RBD IgG, and anti‐S1 IgA immune responses compared to primary BNT162b2 or mRNA‐1273 vaccination regimens (<i>p</i> < 0.05) but also showed ~3‐fold less anti‐S1 IgA response compared to infection‐induced immunity (<i>p</i> < 0.001). Nevertheless, a heterologous booster led to an increase of ~12 times in the immune response when compared to two consecutive homologous ChAdOx1 immunizations. Furthermore, correlation analyses revealed that both anti‐S‐RBD IgG and anti‐S1 IgA significantly contributed to virus neutralization among NI individuals, particularly in symptomatic and pauci‐symptomatic individuals, whereas among VN individuals, anti‐S‐RBD IgG was the main contributor to virus neutralization.</p><h3>Conclusion</h3><p dir="ltr">The results emphasize the potential benefit of using heterologous mRNA boosters to increase antibody levels and neutralizing capacity particularly in patients who received primary vaccination with ChAdOx1.</p><h2>Other Information</h2><p dir="ltr">Published in: Influenza and Other Respiratory Viruses<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1111/irv.13290" target="_blank">https://dx.doi.org/10.1111/irv.13290</a></p>
eu_rights_str_mv openAccess
id Manara2_414f30723dc5f686d7af2b8cba844e11
identifier_str_mv 10.1111/irv.13290
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/29715341
publishDate 2024
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Follow‐Up and Comparative Assessment of SARS‐CoV‐2 IgA, IgG, Neutralizing, and Total Antibody Responses After BNT162b2 or mRNA‐1273 Heterologous Booster VaccinationSalma Younes (6424865)Eleonora Nicolai (496034)Massimo Pieri (5023022)Sergio Bernardini (504056)Hanin I. Daas (21841853)Duaa W. Al‐Sadeq (21841856)Nadin Younes (4863280)Farah M. Shurrab (21841859)Parveen B. Nizamuddin (21841862)Fathima Humaira (21841865)Nader Al‐Dewik (14777014)Hadi M. Yassine (21841868)Laith J. Abu‐Raddad (21841871)Ahmed Ismail (2671822)Gheyath K. Nasrallah (21841874)Biological sciencesGeneticsBiomedical and clinical sciencesClinical sciencesImmunologyHealth sciencesEpidemiologyPublic healthantibodiesanti- S1-IgAanti- S-RBD IgGboosterCOVID-19immune responseneutralizing antibodyvaccination<h3>Background</h3><p dir="ltr">Priming with ChAdOx1 followed by heterologous boosting is considered in several countries. Nevertheless, analyses comparing the immunogenicity of heterologous booster to homologous primary vaccination regimens and natural infection are lacking. In this study, we aimed to conduct a comparative assessment of the immunogenicity between homologous primary vaccination regimens and heterologous prime‐boost vaccination using BNT162b2 or mRNA‐1273.</p><h3>Methods</h3><p dir="ltr">We matched vaccinated naïve (VN) individuals (<i>n</i> = 673) with partial vaccination (<i>n</i> = 64), primary vaccination (<i>n</i> = 590), and primary series plus mRNA vaccine heterologous booster (<i>n</i> = 19) with unvaccinated naturally infected (NI) individuals with a documented primary SARS‐CoV‐2 infection (<i>n</i> = 206). We measured the levels of neutralizing total antibodies (NTAbs), total antibodies (TAbs), anti‐S‐RBD IgG, and anti‐S1 IgA titers.</p><h3>Results</h3><p dir="ltr">Homologous primary vaccination with ChAdOx1 not only showed less potent NTAb, TAb, anti‐S‐RBD IgG, and anti‐S1 IgA immune responses compared to primary BNT162b2 or mRNA‐1273 vaccination regimens (<i>p</i> < 0.05) but also showed ~3‐fold less anti‐S1 IgA response compared to infection‐induced immunity (<i>p</i> < 0.001). Nevertheless, a heterologous booster led to an increase of ~12 times in the immune response when compared to two consecutive homologous ChAdOx1 immunizations. Furthermore, correlation analyses revealed that both anti‐S‐RBD IgG and anti‐S1 IgA significantly contributed to virus neutralization among NI individuals, particularly in symptomatic and pauci‐symptomatic individuals, whereas among VN individuals, anti‐S‐RBD IgG was the main contributor to virus neutralization.</p><h3>Conclusion</h3><p dir="ltr">The results emphasize the potential benefit of using heterologous mRNA boosters to increase antibody levels and neutralizing capacity particularly in patients who received primary vaccination with ChAdOx1.</p><h2>Other Information</h2><p dir="ltr">Published in: Influenza and Other Respiratory Viruses<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1111/irv.13290" target="_blank">https://dx.doi.org/10.1111/irv.13290</a></p>2024-05-06T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1111/irv.13290https://figshare.com/articles/journal_contribution/Follow_Up_and_Comparative_Assessment_of_SARS_CoV_2_IgA_IgG_Neutralizing_and_Total_Antibody_Responses_After_BNT162b2_or_mRNA_1273_Heterologous_Booster_Vaccination/29715341CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/297153412024-05-06T03:00:00Z
spellingShingle Follow‐Up and Comparative Assessment of SARS‐CoV‐2 IgA, IgG, Neutralizing, and Total Antibody Responses After BNT162b2 or mRNA‐1273 Heterologous Booster Vaccination
Salma Younes (6424865)
Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
Immunology
Health sciences
Epidemiology
Public health
antibodies
anti- S1-IgA
anti- S-RBD IgG
booster
COVID-19
immune response
neutralizing antibody
vaccination
status_str publishedVersion
title Follow‐Up and Comparative Assessment of SARS‐CoV‐2 IgA, IgG, Neutralizing, and Total Antibody Responses After BNT162b2 or mRNA‐1273 Heterologous Booster Vaccination
title_full Follow‐Up and Comparative Assessment of SARS‐CoV‐2 IgA, IgG, Neutralizing, and Total Antibody Responses After BNT162b2 or mRNA‐1273 Heterologous Booster Vaccination
title_fullStr Follow‐Up and Comparative Assessment of SARS‐CoV‐2 IgA, IgG, Neutralizing, and Total Antibody Responses After BNT162b2 or mRNA‐1273 Heterologous Booster Vaccination
title_full_unstemmed Follow‐Up and Comparative Assessment of SARS‐CoV‐2 IgA, IgG, Neutralizing, and Total Antibody Responses After BNT162b2 or mRNA‐1273 Heterologous Booster Vaccination
title_short Follow‐Up and Comparative Assessment of SARS‐CoV‐2 IgA, IgG, Neutralizing, and Total Antibody Responses After BNT162b2 or mRNA‐1273 Heterologous Booster Vaccination
title_sort Follow‐Up and Comparative Assessment of SARS‐CoV‐2 IgA, IgG, Neutralizing, and Total Antibody Responses After BNT162b2 or mRNA‐1273 Heterologous Booster Vaccination
topic Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
Immunology
Health sciences
Epidemiology
Public health
antibodies
anti- S1-IgA
anti- S-RBD IgG
booster
COVID-19
immune response
neutralizing antibody
vaccination