Alliance for Pandemic Preparedness

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Topic: Vaccines and Immunity


June 1, 2021

SARS-CoV-2 Antibody Kinetics Eight Months from COVID-19 Onset: Persistence of Spike Antibodies but Loss of Neutralizing Antibodies in 24% of Convalescent Plasma Donors

Following infection with SARS-CoV-2, the half-life of SARS-CoV-2 neutralizing antibodies was shorter than the half-life of antibodies directed against spike or nucleocapsid. In a cohort study of 148 individuals followed for a median of 8.3 months, antibodies followed a biphasic decay curve. Neutralizing antibody titers contracted the fastest, with an estimated half-life of 47 days…


Cellular and Humoral Immunogenicity of a SARS-CoV-2 MRNA Vaccine in Patients on Hemodialysis

[Pre-print, not peer-reviewed] In a cohort of patients on intermittent hemodialysis (n=81), the Pfizer-BioNTech vaccine elicited diminished anti-SARS-CoV-2 antibody responses compared to healthy controls (n=34). Plasma and saliva IgG responses and antibody binding to variants of concern were lower in dialysis patients, particularly binding against the B.1.351 variant. Consistent with humoral responses, vaccine-induced cellular immune…


The Indirect Effect of MRNA-Based Covid-19 Vaccination on Unvaccinated Household Members

[Pre-print, not peer-reviewed] Incidence of PCR-confirmed SARS-CoV-2 infection was 43% lower among unvaccinated spouses of healthcare workers (HCWs) vaccinated with mRNA vaccines (Pfizer-BioNTech and Moderna) 10 weeks after the first dose compared to spouses of unvaccinated HCWs, according to an analysis of national-level administrative data in Finland. The authors suggest that the vaccines may confer…


Improving COVID-19 Vaccine-Related Health Literacy and Vaccine Uptake in Patients: Comparison on the Readability of Patient Information Leaflets of Approved COVID-19 Vaccines

Patient-facing information documents for COVID-19 vaccines hosted by regulatory bodies in the US (Food and Drug Administration) and in the United Kingdom (Medicines and Healthcare Products Regulatory Authority) were shown to have a readability score corresponding to a 7th to 8th grade level and an 8th to 9th grade level, respectively, according to the Flesch-Kincaid…


Neutralization Heterogeneity of United Kingdom and South-African SARS-CoV-2 Variants in BNT162b2-Vaccinated or Convalescent COVID-19 Healthcare Workers

97% (28 of 29) of healthcare workers with no prior infection had neutralizing activity against the SARS-CoV-2 B.1.351 variant of concern in their sera 1 week after receiving the second dose of the Pfizer-BioNTech vaccine, compared to only 60% (9 of 15) of healthcare workers who had COVID-19 6 months earlier. Geometric mean titers (GMTs)…


Correlation of Vaccine-Elicited Antibody Levels and Neutralizing Activities against SARS-CoV-2 and Its Variants

[Pre-print, not peer-reviewed] Analysis of sera from individuals fully vaccinated with the Pfizer-BioNTech (n=30) and Moderna (n=19) vaccines ≥22 days after the second dose showed that neutralizing activity against pseudoviruses bearing mutated spike proteins from variants of concern was detectable in all participants but was reduced by 7-10 fold against the B.1.351 variant. Anti-SARS-CoV-2 IgG…


Distinct Immunological Signatures Discriminate Severe COVID-19 from Non-SARS-CoV-2-Driven Critical Pneumonia

An analysis of the immune response profile of COVID-19 patients suggests that T-cell exhaustion and impaired early antiviral response are characteristic of severe COVID-19 when compared to other causes of severe pneumonia. The authors enrolled participants with either or mild/moderate (n=86) or severe COVID-19 disease (n=35) and participants with other causes of hospital acquired pneumonia…


Rate and Risk Factors for Breakthrough SARS-CoV-2 Infection After Vaccination

Breakthrough infection rates were not statistically significantly different by sex or the type of mRNA vaccine administered, according to an analysis of data from a cohort of US veterans (n=14,875). Risk of breakthrough infection increased with age (HR=1.11) and presence of anemia (HR=1.37) and was lower among Black vs white veterans (HR=0.65). The 410 breakthrough…


Prior COVID-19 Protects against Reinfection, Even in the Absence of Detectable Antibodies

Risk of SARS-CoV-2 infection in the UK between August 2020 and January 2021 was 80% lower among individuals with lab-confirmed infection but later testing antibody-negative (i.e. RNA-positive antibody-negative) compared to individuals who did not have infection (no test or RNA-negative and antibody-negative) during March to July 2020, according to an analysis of datasets obtained from…


A Population-Based Analysis of the Longevity of SARS-CoV-2 Antibody Seropositivity in the United States

An observational study of 39,086 US individuals with PCR-confirmed COVID-19 followed up to 10 months from March 2020 to January 2021 found that prevalence of anti-SARS-CoV-2 IgG spike (S) and nucleocapsid (N) antibodies reached approximately 90% 21 days after infection, then declined to 88% for S antibodies and 68% for N antibodies after 10 months….



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