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Front Immunol . Anti-SARS-CoV-2 Immunoglobulin Isotypes, and Neutralization Activity Against Viral Variants, According to BNT162b2-Vaccination and I

tetano

Editor, Senior Moderator
Front Immunol


. 2021 Dec 17;12:793191.
doi: 10.3389/fimmu.2021.793191. eCollection 2021.
Anti-SARS-CoV-2 Immunoglobulin Isotypes, and Neutralization Activity Against Viral Variants, According to BNT162b2-Vaccination and Infection History


Maciej Tarkowski[SUP] 1 [/SUP], Wilco de Jager[SUP] 2 [/SUP], Marco Schiuma[SUP] 1 [/SUP], Alice Covizzi[SUP] 1 [/SUP], Alessia Lai[SUP] 1 [/SUP], Arianna Gabrieli[SUP] 1 [/SUP], Mario Corbellino[SUP] 3 [/SUP], Annalisa Bergna[SUP] 1 [/SUP], Carla Della Ventura[SUP] 1 [/SUP], Massimo Galli[SUP] 1 [/SUP], Agostino Riva[SUP] 1 [/SUP], Spinello Antinori[SUP] 1 [/SUP]



Affiliations

Abstract

Purpose: To compare SARS-CoV-2 antigen-specific antibody production and plasma neutralizing capacity against B.1 wild-type-like strain, and Gamma/P.1 and Delta/B.1.617.2 variants-of-concern, in subjects with different Covid-19 disease and vaccination histories.
Methods: Adult subjects were: 1) Unvaccinated/hospitalized for Covid-19; 2) Covid-19-recovered followed by one BNT162b2 vaccine dose; and 3) Covid-19-naïve/2-dose BNT162b2 vaccinated. Multiplex Luminex[SUP]®[/SUP] immunoassays measured IgG, IgA, and IgM plasma levels against SARS-CoV-2 receptor-binding domain (RBD), spike-1 (S), and nucleocapsid proteins. Neutralizing activity was determined in Vero E6 cytopathic assays.
Results: Maximum anti-RBD IgG levels were similar in Covid[SUP]-[/SUP]19‑recovered individuals 8‒10 days after single-dose vaccination and in Covid-19-naïve subjects 7 days after 2[SUP]nd[/SUP] vaccine dosing; both groups had ≈2‑fold higher anti-RBD IgG levels than Unvaccinated/Covid-19 subjects tracked through 2 weeks post-symptom onset. Anti-S IgG expression patterns were similar to RBD within each group, but with lower signal strengths. Viral antigen-specific IgA and IgM levels were more variable than IgG patterns. Anti-nucleocapsid immunoglobulins were not detected in Covid-19-naïve subjects. Neutralizing activity against the B.1 strain, and Gamma/P.1 and Delta/B.1.617.2 variants, was highest in Covid‑19-recovered/single-dose vaccinated subjects; although neutralization against the Delta variant in this group was only 26% compared to B.1 neutralization, absolute anti-Delta titers suggested maintained protection. Neutralizing titers against the Gamma and Delta variants were 33‒77% and 26‒67%, respectively, versus neutralization against the B.1 strain (100%) in the three groups.
Conclusion: These findings support SARS-CoV-2 mRNA vaccine usefulness regardless of Covid-19 history, and confirm remarkable protection provided by a single vaccine dose in people who have recovered from Covid-19.

Keywords: COVID-19; SARS-CoV-2; bead; coronavirus; fluorescence; multiplex immunoassay; neutralization assay; serological assay.
 
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