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Duration of SARS-CoV-2 Immune Responses Up to Six Months Following Homologous or Heterologous Primary Immunization with ChAdOx1 nCoV-19 and BNT162b2 mRNA Vaccines
Karolinska Inst, Dept Clin Sci, Danderyd Hosp, S-18288 Stockholm, Sweden..
Karolinska Inst, Dept Clin Sci, Danderyd Hosp, S-18288 Stockholm, Sweden..
Karolinska Inst, Dept Clin Sci, Danderyd Hosp, S-18288 Stockholm, Sweden..
Karolinska Inst, Dept Clin Sci, Danderyd Hosp, S-18288 Stockholm, Sweden.;Uppsala Univ, Dept Med Cell Biol, S-75123 Uppsala, Sweden..
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2022 (English)In: Vaccines, E-ISSN 2076-393X, Vol. 10, no 3, p. 359-, article id 359Article in journal (Refereed) Published
Abstract [en]

Heterologous primary immunization against SARS-CoV-2 is part of applied recommendations. However, little is known about duration of immune responses after heterologous vaccine regimens. To evaluate duration of immune responses after primary vaccination with homologous adeno-vectored ChAdOx1 nCoV-19 vaccine (ChAd) or heterologous ChAd/BNT162b2 mRNA vaccine (BNT), anti-spike-IgG and SARS-CoV-2 VOC-neutralizing antibody responses were measured in 354 healthcare workers (HCW) at 2 weeks, 3 months, 5 months and 6 months after the second vaccine dose. T-cell responses were investigated using a whole blood interferon gamma (IFN-gamma) release assay 2 weeks and 3 months post second vaccine dose. Two hundred and ten HCW immunized with homologous BNT were enrolled for comparison of antibody responses. In study participants naive to SARS-CoV-2 prior to vaccination, heterologous ChAd/BNT resulted in 6-fold higher peak anti-spike IgG antibody titers compared to homologous ChAd vaccination. The half-life of antibody titers was 3.1 months (95% CI 2.8-3.6) following homologous ChAd vaccination and 1.9 months (95% CI 1.7-2.1) after heterologous vaccination, reducing the GMT difference between the groups to 3-fold 6 months post vaccination. Peak T-cell responses were stronger in ChAd/BNT vaccinees, but no significant difference was observed 3 months post vaccination. SARS-CoV-2 infection prior to vaccination resulted in substantially higher peak GMTs and IFN-gamma levels and enhanced SARS-CoV-2 specific antibody and T cell responses over time. Heterologous primary SARS-CoV-2 immunization with ChAd and BNT elicits a stronger initial immune response compared to homologous vaccination with ChAd. However, although the differences in humoral responses remain over 6 months, the difference in SARS-CoV-2 specific T cell responses are no longer significant three months after vaccination.

Place, publisher, year, edition, pages
MDPI AG , 2022. Vol. 10, no 3, p. 359-, article id 359
Keywords [en]
COVID-19, SARS-CoV-2, SARS-CoV-2 vaccination, heterologous, immune response, duration, antibodies, humoral response, T-cells, immunity, immunology
National Category
Immunology in the medical area
Identifiers
URN: urn:nbn:se:kth:diva-311010DOI: 10.3390/vaccines10030359ISI: 000774618600001PubMedID: 35334989Scopus ID: 2-s2.0-85125250585OAI: oai:DiVA.org:kth-311010DiVA, id: diva2:1654047
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QC 20220426

Available from: 2022-04-26 Created: 2022-04-26 Last updated: 2022-06-25Bibliographically approved

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Nilsson, PeterHober, Sophia

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