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J Med Virol . The impact of ABO blood types on humoral immunity responses and antibody persistency after different COVID-19 vaccine regimens

tetano

Editor, Senior Moderator
J Med Virol


. 2024 Feb;96(2):e29438.
doi: 10.1002/jmv.29438. The impact of ABO blood types on humoral immunity responses and antibody persistency after different COVID-19 vaccine regimens

Mona Sadat Larijani[SUP] 1 [/SUP], Amir Javadi[SUP] 2 [/SUP], Seyed Ebrahim Eskandari[SUP] 3 [/SUP], Delaram Doroud[SUP] 4 [/SUP], Fatemeh Ashrafian[SUP] 1 [/SUP], Mohammad Banifazl[SUP] 5 [/SUP], Ali Khamesipour[SUP] 3 [/SUP], Anahita Bavand[SUP] 1 [/SUP], Amitis Ramezani[SUP] 1 [/SUP]



Affiliations
Abstract

This study evaluated the possible effects of blood types on coronavirus disease (COVID-19) vaccine immunogenicity and antibody (Ab) persistency. Five different vaccinated groups against COVID-19 were investigated at Pasteur Institute of Iran from April 2021 to December 2022. Anti-Spike IgG and neutralizing Ab rise were tracked on Day 21 as well as the humoral immune persistency assessment 180 after booster shots. Late adverse events up to 6 months after the booster dose were collected. The results showed that blood type A, led to a significantly higher anti-Spike Ab rise in AstraZeneca primed recipients in comparison with Sinopharm primed ones in heterologous regimens (p: 0.019). Furthermore, blood type O was a great co-effector in homologous AstraZeneca recipients regarding neutralizing Ab rise (0.013). In addition, blood type O led to a better anti-Spike Ab persistency in the Sinopharm homologous group whereas type A had the best effect on neutralizing Ab durability in the same vaccine group. What is more, Rh-positive individuals in AstraZeneca + PastoCovac Plus group had a higher rate of anti-Spike Ab rise (p = 0.001). Neutralizing Ab rise was also induced in AstraZeneca homologous and heterologous regimens of Rh-positive individuals significantly higher than Sinopharm primed cases. The present study showed the potential impact of blood types A/O and Rh-positive on a better humoral immune responses and Ab persistency. It is proposed that blood type A and Rh-positive could increase the Ab rise in AstraZeneca vaccinated individuals. Moreover, blood type O might be a better co-effector of anti-Spike Ab persistency in Sinopharm recipients.

Keywords: COVID-19; Rh factor; blood types; immunogenicity; late adverse events; protein vaccine.

 
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