Analysis of Neutralization Titers against SARS-CoV-2 in Health-Care Workers Vaccinated with Prime-Boost mRNA–mRNA or Vector–mRNA COVID-19 Vaccines

oleh: Christina Sølund, Alexander P. Underwood, Carlota Fernandez-Antunez, Signe Bollerup, Lotte S. Mikkelsen, Signe Lysemose Villadsen, Ulrik Fahnøe, Anni Assing Winckelmann, Shan Feng, Caroline A. Nørløv Vinten, Magnus Illum Dalegaard, Greta Vizgirda, Anna-Louise Sørensen, Santseharay Ramirez, Jens Bukh, Nina Weis

Format: Article
Diterbitkan: MDPI AG 2022-01-01

Deskripsi

With increasing numbers of vaccine-breakthrough infections worldwide, assessing the immunogenicity of vaccinated health-care workers that are frequently exposed to SARS-CoV-2-infected individuals is important. In this study, neutralization titers against SARS-CoV-2 were assessed one month after completed prime-boost vaccine regimens in health-care workers vaccinated with either mRNA–mRNA (Comirnaty<sup>®</sup>, BioNTech-Pfzier, Mainz, Germany/New York, NY, USA, <i>n</i> = 98) or vector-based (Vaxzevria<sup>®</sup>, Oxford-AstraZeneca, Cambridge, UK) followed by mRNA-based (Comirnaty<sup>®</sup> or Spikevax<sup>®</sup>, Moderna, Cambridge, MA, USA) vaccines (<i>n</i> = 16). Vaccine-induced neutralization titers were compared to time-matched, unvaccinated individuals that were infected with SARS-CoV-2 and presented with mild symptoms (<i>n</i> = 38). Significantly higher neutralizing titers were found in both the mRNA–mRNA (ID<sub>50</sub>: 2525, IQR: 1667–4313) and vector–mRNA (ID<sub>50</sub>: 4978, IQR: 3364–7508) prime-boost vaccine regimens when compared to SARS-CoV-2 infection (ID<sub>50</sub>: 401, IQR: 271–792) (<i>p</i> < 0.0001). However, infection with SARS-CoV-2 induced higher titers when compared to a single dose of Vaxzevria<sup>®</sup> (<i>p</i> = 0.0072). Between mRNA–mRNA and vector–mRNA prime-boost regimens, the vector–mRNA vaccine regimen induced higher neutralization titers (<i>p</i> = 0.0054). Demographically, both age and time between vaccination doses were associated with vaccine-induced neutralization titers (<i>p</i> = 0.02 and <i>p</i> = 0.03, respectively). This warrants further investigation into the optimal time to administer booster vaccination for optimized induction of neutralizing responses. Although anecdotal (<i>n</i> = 3), those with exposure to SARS-CoV-2, either before or after vaccination, demonstrated superior neutralizing titers, which is suggestive of further boosting through viral exposure.