Decline of Humoral and Cellular Immune Responses Against SARS-CoV-2 6 Months After Full BNT162b2 Vaccination in Hospital Healthcare Workers

被引:32
作者
Bonnet, Benjamin [1 ,2 ]
Chabrolles, Helene [3 ,4 ]
Archimbaud, Christine [3 ,4 ]
Brebion, Amelie [3 ]
Cosme, Justine [1 ]
Dutheil, Frederic [5 ,6 ]
Lambert, Celine [7 ]
Junda, Maud [1 ]
Mirand, Audrey [3 ,4 ]
Ollier, Amandine [8 ]
Pereira, Bruno [7 ]
Regagnon, Christel [3 ]
Vidal, Magali [9 ]
Evrard, Bertrand [1 ,2 ]
Henquell, Cecile [3 ,4 ]
机构
[1] CHU Clermont Ferrand, Clermont Ferrand Univ Hosp, Immunol Dept, Clermont Ferrand, France
[2] Clermont Auvergne Univ, UMR UNH, ECREIN, Clermont Ferrand, France
[3] CHU Clermont Ferrand, Clermont Ferrand Univ Hosp, 3IHP, Virol Dept, Clermont Ferrand, France
[4] Clermont Auvergne Univ, CNRS UMR, LMGE, Clermont Ferrand, France
[5] CHU Clermont Ferrand, Clermont Ferrand Univ Hosp, Prevent & Occupat Med, Clermont Ferrand, France
[6] Clermont Auvergne Univ, CNRS, LaPSCo Physiol & Psychosocial Stress, Clermont Ferrand, France
[7] CHU Clermont Ferrand, Clermont Ferrand Univ Hosp, Clin Res & Innovat Direct DRCI, Biostat Unit, Clermont Ferrand, France
[8] CHU Clermont Ferrand, Clermont Ferrand Univ Hosp, IHP 3, Clin Res & Innovat Direct, Clermont Ferrand, France
[9] CHU Clermont Ferrand, Clermont Ferrand Univ Hosp, IHP 3, Infect Dis Dept, Clermont Ferrand, France
关键词
B cell response; T cell response; interferon gamma (IFN gamma); COVID-19; mRNA vaccine;
D O I
10.3389/fimmu.2022.842912
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Clinical trials and real-world evidence on COVID-19 vaccines have shown their effectiveness against severe disease and death but the durability of protection remains unknown. We analysed the humoral and T-cell immune responses in 110 healthcare workers (HCWs) vaccinated according to the manufacturer's recommended schedule of dose 2 three weeks after dose 1 from a prospective on-going cohort in early 2021, 3 and 6 months after full vaccination with the BNT162b2 mRNA vaccine. Anti-RBD IgG titres were lower in HCWs over 60 years old 3 months after the second dose (p=0.03) and declined in all the subjects between 3 and 6 months with a median percentage change of -58.5%, irrespective of age and baseline comorbidities. Specific T-cell response measured by IGRA declined over time by at least 42% (median) in 91 HCWs and increased by 33% (median) in 17 others. Six HCWs had a negative T-cell response at 6 months. Ongoing follow-up should provide correlates of long-term protection according to the different immune response profiles observed.
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页数:11
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