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Front Immunol . Booster COVID-19 mRNA vaccination ameliorates impaired B-cell but not T-cell responses in older adults

tetano

Editor, Senior Moderator
Front Immunol


. 2024 Dec 9:15:1455334.
doi: 10.3389/fimmu.2024.1455334. eCollection 2024. Booster COVID-19 mRNA vaccination ameliorates impaired B-cell but not T-cell responses in older adults

Kohei Kometani[SUP] 1 [/SUP], Takaaki Yorimitsu[SUP] 1 2 [/SUP], Norihide Jo[SUP] 1 3 [/SUP], Erina Yamaguchi[SUP] 1 [/SUP], Osamu Kikuchi[SUP] 4 5 6 [/SUP], Masaru Fukahori[SUP] 7 8 [/SUP], Takeshi Sawada[SUP] 7 8 [/SUP], Yoshitaka Tsujimoto[SUP] 1 9 [/SUP], Ayana Sunami[SUP] 1 10 [/SUP], Mengqian Li[SUP] 1 [/SUP], Takeshi Ito[SUP] 1 [/SUP], Yann Pretemer[SUP] 1 [/SUP], Yuxian Gao[SUP] 1 10 [/SUP], Yu Hidaka[SUP] 11 [/SUP], Masaki Yamamoto[SUP] 12 [/SUP], Natsuko Kaku[SUP] 13 14 [/SUP], Yu Nakagama[SUP] 13 14 [/SUP], Yasutoshi Kido[SUP] 13 14 [/SUP], Alba Grifoni[SUP] 15 [/SUP], Alessandro Sette[SUP] 15 16 [/SUP], Miki Nagao[SUP] 12 [/SUP], Satoshi Morita[SUP] 11 [/SUP], Takako E Nakajima[SUP] 7 8 [/SUP], Manabu Muto[SUP] 4 5 8 [/SUP], Yoko Hamazaki[SUP] 1 10 17 [/SUP]



Affiliations
Abstract

Age-associated differences in the effect of repetitive vaccination, particularly on memory T-cell and B-cell responses, remain unclear. While older adults (aged ≥65 years) exhibited enhanced IgG responses following COVID-19 mRNA booster vaccination, they produced fewer spike-specific circulating follicular helper T cells-1 than younger adults. Similarly, the cytotoxic CD8[SUP]+[/SUP] T-cell response remained diminished with reduced PD-1 expression even after booster vaccination compared with that in younger adults, suggesting impaired memory T-cell activation in older adults. In contrast, although B-cell responses in older adults were weaker than those in younger adults in the primary response, the responses were significantly enhanced upon booster vaccination, reaching levels comparable with that observed in younger adults. Therefore, while booster vaccination ameliorates impaired humoral immunity in older adults by efficiently stimulating memory B-cell responses, it may less effectively enhance T-cell-mediated cellular immunity. Our study provides insights for the development of effective therapeutic and vaccine strategies for the most vulnerable older population.

Keywords: COVID-19 article type: original research article; booster vaccination; cTfh; immune aging; immunological memory; mRNA vaccine; memory B cells; memory T cells.

 
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