Mini Review Immunological Consequences of Immunization With COVID-19 mRNA Vaccines: Preliminary Results

被引:46
作者
Lombardi, Andrea [1 ,2 ]
Bozzi, Giorgio [1 ]
Ungaro, Riccardo [1 ]
Villa, Simone [3 ]
Castelli, Valeria [1 ]
Mangioni, Davide [1 ]
Muscatello, Antonio [1 ]
Gori, Andrea [1 ,2 ,3 ]
Bandera, Alessandra [1 ,2 ,3 ]
机构
[1] Fdn Ist Ricovero & Cura Carattere Sci IRCCS Ca Gr, Infect Dis Unit, Milan, Italy
[2] Univ Milan, Dept Pathophysiol & Transplantat, Milan, Italy
[3] Univ Milan, Ctr Multidisciplinary Res Hlth Sci MACH, Milan, Italy
关键词
COVID-19; SARS-CoV-2; RNA vaccine; CTL; antibodies; neutralization test;
D O I
10.3389/fimmu.2021.657711
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background: BNT162b2 and mRNA-1273 are the two recently approved mRNA-based vaccines against COVID-19 which has shown excellent safety and efficacy. Preliminary data about specific and neutralizing antibodies is available covering the first 100 days after vaccination. Methods: We reviewed all the publications regarding the immunologic consequences of BNT162b2 and mRNA-1273 vaccination. A summary of specific antibodies concentration and neutralizing antibodies titers elicited by each vaccine is provided. Results: BNT162b2 and mRNA-1273 displayed a reassuring safety and efficacy profile, with the latter above 94%. They can elicit specific antibodies titers and neutralizing antibodies concentrations that are far superior from those observed among COVID-19 human convalescent serum, across a wide span of age, for at least 100 days after vaccination. Moreover, the vaccine-induced T cellular response is oriented toward a T(H)1 response and no evidence of vaccine-enhanced disease have been reported. Discussion: BNT162b2 and mRNA-1273 can elicit specific antibodies titers and neutralizing antibodies concentrations above those observed among COVID-19 human convalescent serum in the first 100 days after vaccination. Data about vaccine efficacy in those with previous COVID-19 or immunocompromised is still limited.
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页数:11
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