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Antibody responses after a single dose of ChAdOx1 nCoV-19 vaccine in healthcare workers previously infected with SARS-CoV-2
Danderyd Hosp, Karolinska Inst, Dept Clin Sci, S-18288 Stockholm, Sweden..ORCID iD: 0000-0003-1671-8183
Danderyd Hosp, Karolinska Inst, Dept Clin Sci, S-18288 Stockholm, Sweden..
Danderyd Hosp, Karolinska Inst, Dept Clin Sci, S-18288 Stockholm, Sweden..
Danderyd Hosp, Karolinska Inst, Dept Clin Sci, S-18288 Stockholm, Sweden.;Uppsala Univ, Dept Med Cell Biol, Sci Life Lab, Uppsala, Sweden..ORCID iD: 0000-0003-2873-9088
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2021 (English)In: EBioMedicine, E-ISSN 2352-3964, Vol. 70, article id 103523Article in journal (Refereed) Published
Abstract [en]

Background: Recent reports demonstrate robust serological responses to a single dose of messenger RNA (mRNA) vaccines in individuals previously infected with SARS-CoV-2. Data on immune responses following a single-dose adenovirus-vectored vaccine expressing the SARS-CoV-2 spike protein (ChAdOx1 nCoV-19) in individuals with previous SARS-CoV-2 infection are however limited, and current guidelines recommend a two-dose regimen regardless of preexisting immunity. Methods: We compared RBD-specific IgG and RBD-ACE2 blocking antibodies against SARS-CoV-2 wild type and variants of concern following two doses of the mRNA vaccine BNT162b2 in SARS-CoV-2 naive healthcare workers (n=65) and a single dose of the adenovector vaccine ChAdOx1 nCoV-19 in 82 healthcare workers more than (n=45) and less than (n=37) 11 months post mild SARS-CoV-2 infection at time of vaccination. Findings: The post-vaccine levels of RBD-specific IgG and neutralizing antibodies against the SARS-CoV-2 wild type and variants of concern including Delta lineage 1.617.2 were similar or higher in participants receiving a single dose of ChAdOx1 nCoV-19 vaccine post SARS-CoV-2 infection (both more than and less than 11 months post infection) compared to SARS-CoV-2 naive participants who received two doses of BNT162b2 vaccine. Interpretation: Our data support that a single dose ChAdOx1 nCoV-19 vaccine that is administered up to at least 11 months post SARS-CoV-2 infection serves as an effective immune booster. This provides a possible rationale for a single-dose vaccine regimen. (C) 2021 The Author(s). Published by Elsevier B.V.

Place, publisher, year, edition, pages
Elsevier BV , 2021. Vol. 70, article id 103523
Keywords [en]
SARS-CoV-2, Neutralizing antibody response, Prior infection, ChAdOx1 nCoV-19, BNT162b2 vaccine
National Category
Infectious Medicine
Identifiers
URN: urn:nbn:se:kth:diva-302036DOI: 10.1016/j.ebiom.2021.103523ISI: 000689248200012PubMedID: 34391088Scopus ID: 2-s2.0-85112346844OAI: oai:DiVA.org:kth-302036DiVA, id: diva2:1595724
Note

QC 20210920

Available from: 2021-09-20 Created: 2021-09-20 Last updated: 2022-06-25Bibliographically approved

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Hellström, CeciliaPin, ElisaHober, SophiaNilsson, Peter

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