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ABSTRACT: Background
Vaccine-induced neutralizing antibodies are key in combating the coronavirus disease 2019 (COVID-19) pandemic. However, delays of boost immunization due to limited availability of vaccines may leave individuals vulnerable to infection and prolonged or severe disease courses. The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern (VOC)-B.1.1.7 (United Kingdom), B.1.351 (South Africa), and P.1 (Brazil)-may exacerbate this issue, as the latter two are able to evade control by antibodies.Methods
We assessed humoral and T-cell responses against SARS-CoV-2 wild-type (WT), VOC, and endemic human coronaviruses (hCoVs) that were induced after single and double vaccination with BNT162b2.Results
Despite readily detectable immunoglobulin G (IgG) against the receptor-binding domain of the SARS-CoV-2 S protein at day 14 after a single vaccination, inhibition of SARS-CoV-2 S-driven host cell entry was weak and particularly low for the B.1.351 variant. Frequencies of SARS-CoV-2 WT and VOC-specific T cells were low in many vaccinees after application of a single dose and influenced by immunity against endemic hCoV. The second vaccination significantly boosted T-cell frequencies reactive for WT and B.1.1.7 and B.1.351 variants.Conclusions
These results call into question whether neutralizing antibodies significantly contribute to protection against COVID-19 upon single vaccination and suggest that cellular immunity is central for the early defenses against COVID-19.
SUBMITTER: Stankov MV
PROVIDER: S-EPMC8384414 | biostudies-literature | 2021 Dec
REPOSITORIES: biostudies-literature
Stankov Metodi V MV Cossmann Anne A Bonifacius Agnes A Dopfer-Jablonka Alexandra A Ramos Gema Morillas GM Gödecke Nina N Scharff Anna Zychlinsky AZ Happle Christine C Boeck Anna-Lena AL Tran Anh Thu AT Pink Isabell I Hoeper Marius M MM Blasczyk Rainer R Winkler Martin S MS Nehlmeier Inga I Kempf Amy A Hofmann-Winkler Heike H Hoffmann Markus M Eiz-Vesper Britta B Pöhlmann Stefan S Behrens Georg M N GMN
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 20211201 11
<h4>Background</h4>Vaccine-induced neutralizing antibodies are key in combating the coronavirus disease 2019 (COVID-19) pandemic. However, delays of boost immunization due to limited availability of vaccines may leave individuals vulnerable to infection and prolonged or severe disease courses. The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern (VOC)-B.1.1.7 (United Kingdom), B.1.351 (South Africa), and P.1 (Brazil)-may exacerbate this issue, as the ...[more]