Characterization of immune responses in fully vaccinated individuals after breakthrough infection with the SARS-CoV-2 delta variant

被引:52
作者
Collier, Ai-Ris Y. [1 ,2 ,3 ]
Brown, Catherine M. [4 ]
McMahan, Katherine A. [1 ]
Yu, Jingyou [1 ]
Liu, Jinyan [1 ]
Jacob-Dolan, Catherine [1 ,2 ]
Chandrashekar, Abishek [1 ]
Tierney, Dylan [4 ]
Ansel, Jessica L. [1 ]
Rowe, Marjorie [1 ]
Sellers, Daniel [1 ]
Ahmad, Kunza [1 ]
Aguayo, Ricardo [1 ,3 ]
Anioke, Tochi [1 ]
Gardner, Sarah [1 ]
Siamatu, Mazuba [1 ]
Bermudez-Rivera, Lorraine [1 ]
Hacker, Michele R. [2 ,3 ]
Madoff, Lawrence C. [4 ]
Barouch, Dan H. [1 ,2 ,5 ]
机构
[1] Beth Israel Deaconess Med Ctr, Ctr Virol & Vaccine Res, Boston, MA 02115 USA
[2] Harvard Med Sch, Boston, MA 02115 USA
[3] Beth Israel Deaconess Med Ctr, Dept Obstet & Gynecol, Boston, MA 02215 USA
[4] Massachusetts Dept Publ Hlth, Boston, MA 02108 USA
[5] Ragon Inst MGH MIT & Harvard, Cambridge, MA 02139 USA
关键词
D O I
10.1126/scitranslmed.abn6150
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Breakthrough infections with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants have been reported frequently in vaccinated individuals with waning immunity. In particular, a cluster of over 1000 infections with the SARS-CoV-2 delta variant was identified in a predominantly fully vaccinated population in Provincetown, Massachusetts in July 2021. In this study, vaccinated individuals who tested positive for SARS-CoV- 2 (n = 16) demonstrated substantially higher serum antibody responses than vaccinated individuals who tested negative for SARS-CoV-2 (n = 23), including 32-fold higher binding antibody titers and 31-fold higher neutralizing antibody titers against the SARS-CoV-2 delta variant. Vaccinated individuals who tested positive also showed higher mucosal antibody responses in nasal secretions and higher spike protein-specific CD8+ T cell responses in peripheral blood than did vaccinated individuals who tested negative. These data demonstrate that fully vaccinated individuals developed robust anamnestic antibody and T cell responses after infection with the SARS-CoV-2 delta variant. Moreover, these findings suggest that population immunity will likely increase over time by a combination of widespread vaccination and breakthrough infections.
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页数:7
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