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Front Immunol . Trajectory of IgG to SARS-CoV-2 After Vaccination With BNT162b2 or mRNA-1273 in an Employee Cohort and Comparison With Natural Infe

tetano

Editor, Senior Moderator
Front Immunol


. 2022 Mar 21;13:850987.
doi: 10.3389/fimmu.2022.850987. eCollection 2022.
Trajectory of IgG to SARS-CoV-2 After Vaccination With BNT162b2 or mRNA-1273 in an Employee Cohort and Comparison With Natural Infection


Behnam Keshavarz[SUP] 1 [/SUP], Nathan E Richards[SUP] 1 [/SUP], Lisa J Workman[SUP] 1 [/SUP], Jaimin Patel[SUP] 1 [/SUP], Lyndsey M Muehling[SUP] 1 [/SUP], Glenda Canderan[SUP] 1 [/SUP], Deborah D Murphy[SUP] 1 [/SUP], Savannah G Brovero[SUP] 2 [/SUP], Samuel M Ailsworth[SUP] 1 [/SUP], Will H Eschenbacher[SUP] 1 [/SUP], Emily C McGowan[SUP] 1 [/SUP], Barbara J Mann[SUP] 2 [/SUP], Michael R Nelson[SUP] 1 [/SUP], Alexandra Kadl[SUP] 3 4 [/SUP], Judith A Woodfolk[SUP] 1 [/SUP], Thomas A E Platts-Mills[SUP] 1 [/SUP], Jeffrey M Wilson[SUP] 1 [/SUP]



Affiliations

Abstract

Three COVID-19 vaccines have received FDA-authorization and are in use in the United States, but there is limited head-to-head data on the durability of the immune response elicited by these vaccines. Using a quantitative assay we studied binding IgG antibodies elicited by BNT162b2, mRNA-1273 or Ad26.COV2.S in an employee cohort over a span out to 10 months. Age and sex were explored as response modifiers. Of 234 subjects in the vaccine cohort, 114 received BNT162b2, 114 received mRNA-1273 and six received Ad26.COV2.S. IgG levels measured between seven to 20 days after the second vaccination were similar in recipients of BNT162b2 and mRNA-127 and were ~50-fold higher than in recipients of Ad26.COV2.S. However, by day 21 and at later time points IgG levels elicited by BNT162b2 were lower than mRNA-1273. Accordingly, the IgG decay curve was steeper for BNT162b2 than mRNA-1273. Age was a significant modifier of IgG levels in recipients of BNT162b2, but not mRNA-1273. After six months, IgG levels elicited by BNT162b2, but not mRNA-1273, were lower than IgG levels in patients who had been hospitalized with COVID-19 six months earlier. Similar findings were observed when comparing vaccine-elicited antibodies with steady-state IgG targeting seasonal human coronaviruses. Differential IgG decay could contribute to differences observed in clinical protection over time between BNT162b2 and mRNA-1273.

Keywords: COVID-19; IgG; OC43; SARS-CoV-2; durability; human coronaviruses (HCoV); mRNA vaccines; vaccines.
 
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