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Hum Vaccin Immunother . SARS-CoV-2 IgG Spike antibody levels and avidity in natural infection or following vaccination with mRNA-1273 or BNT162b2 v

tetano

Editor, Senior Moderator
Hum Vaccin Immunother


. 2023 Jun 1;2215677.
doi: 10.1080/21645515.2023.2215677. Online ahead of print. SARS-CoV-2 IgG Spike antibody levels and avidity in natural infection or following vaccination with mRNA-1273 or BNT162b2 vaccines

Thomas E Hickey[SUP] 1 [/SUP], Troy J Kemp[SUP] 1 [/SUP], Jimmie Bullock[SUP] 1 [/SUP], Aaron Bouk[SUP] 2 [/SUP], Jordan Metz[SUP] 1 [/SUP], Abigail Neish[SUP] 3 [/SUP], James Cherry[SUP] 4 [/SUP], Douglas R Lowy[SUP] 5 [/SUP], Ligia A Pinto[SUP] 1 [/SUP]



Affiliations
Abstract

Certain aspects of the immunogenicity and effectiveness of the messenger ribonucleic acid (mRNA) vaccines (mRNA-1273 and BNT162b2) developed in response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic are still uncharacterized. Serum or plasma samples from healthy donor recipients of either vaccine (BNT162b2 n = 53, mRNA-1273 n = 49; age 23-67), and individuals naturally infected with SARS-CoV-2 (n = 106; age 18-82) were collected 0-2 months post-infection or 1- and 4 months after second dose of vaccination. Anti-Spike antibody levels and avidity were measured via an enzyme-linked immunosorbent assay (ELISA). Overall, vaccination induced higher circulating anti-Spike protein immunoglobulin G (IgG) antibody levels and avidity compared to infection at similar time intervals. Both vaccines produced similar anti-Spike IgG concentrations at 1 month, while mRNA-1273 demonstrated significantly higher circulating antibody concentrations after 4 months. mRNA-1273 induced significantly higher avidity at month 1 compared to BNT162b2 across all age groups. However, the 23-34 age group was the only group to maintain statistical significance by 4 months. Male BNT162b2 recipients were approaching statistically significant lower anti-Spike IgG avidity compared to females by month 4. These findings demonstrate enhanced anti-Spike IgG levels and avidity following vaccination compared to natural infection. In addition, the mRNA-1273 vaccine induced higher antibody levels by 4 months compared to BNT162b2.

Keywords: Avidity; IgG; SARS-CoV-2; Spike; infection; serology; vaccines.

 
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