Persistent B cell memory after SARS-CoV-2 vaccination is functional during breakthrough infections.

COVID-19 SARS-CoV-2 breakthrough infections mRNA vaccine memory B cells mucosal immunity salivary IgA waning immunity

Journal

Cell host & microbe
ISSN: 1934-6069
Titre abrégé: Cell Host Microbe
Pays: United States
ID NLM: 101302316

Informations de publication

Date de publication:
09 03 2022
Historique:
received: 17 11 2021
revised: 24 12 2021
accepted: 10 01 2022
pubmed: 9 2 2022
medline: 16 3 2022
entrez: 8 2 2022
Statut: ppublish

Résumé

Breakthrough SARS-CoV-2 infections in fully vaccinated individuals are considered a consequence of waning immunity. Serum antibodies represent the most measurable outcome of vaccine-induced B cell memory. When antibodies decline, memory B cells are expected to persist and perform their function, preventing clinical disease. We investigated whether BNT162b2 mRNA vaccine induces durable and functional B cell memory in vivo against SARS-CoV-2 3, 6, and 9 months after the second dose in a cohort of health care workers (HCWs). While we observed physiological decline of SARS-CoV-2-specific antibodies, memory B cells persist and increase until 9 months after immunization. HCWs with breakthrough infections had no signs of waning immunity. In 3-4 days, memory B cells responded to SARS-CoV-2 infection by producing high levels of specific antibodies in the serum and anti-Spike IgA in the saliva. Antibodies to the viral nucleoprotein were produced with the slow kinetics typical of the response to a novel antigen.

Identifiants

pubmed: 35134333
pii: S1931-3128(22)00039-7
doi: 10.1016/j.chom.2022.01.003
pmc: PMC8820949
pii:
doi:

Substances chimiques

Antibodies, Viral 0
COVID-19 Vaccines 0
Vaccines, Synthetic 0
mRNA Vaccines 0
BNT162 Vaccine N38TVC63NU

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

400-408.e4

Informations de copyright

Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of interests All authors declare no competing interests.

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Auteurs

Sara Terreri (S)

Diagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS; Viale di San Paolo, 15, 00146 Rome, Italy.

Eva Piano Mortari (E)

Diagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS; Viale di San Paolo, 15, 00146 Rome, Italy.

Maria Rosaria Vinci (MR)

Occupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo, 15, 00146 Rome, Italy.

Cristina Russo (C)

Microbiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy.

Claudia Alteri (C)

Microbiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy; Department of Oncology and Hemato-Oncology, University of Milan, Via festa del Perdono, 7, 20122 Milan, Italy.

Christian Albano (C)

Diagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS; Viale di San Paolo, 15, 00146 Rome, Italy.

Francesca Colavita (F)

Laboratory of virology, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Via Portuense, 292, 00149 Rome, Italy.

Giulia Gramigna (G)

Laboratory of virology, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Via Portuense, 292, 00149 Rome, Italy.

Chiara Agrati (C)

Laboratory of Cellular Immunology, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Via Portuense, 292, 00149 Rome, Italy.

Giulia Linardos (G)

Microbiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy.

Luana Coltella (L)

Microbiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy.

Luna Colagrossi (L)

Microbiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy.

Gloria Deriu (G)

Occupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo, 15, 00146 Rome, Italy.

Marta Ciofi Degli Atti (M)

Clinical Pathways and Epidemiology Function Area, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy.

Caterina Rizzo (C)

Clinical Pathways and Epidemiology Function Area, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy.

Marco Scarsella (M)

Flow Cytometry Core Facility, Research Centre, Bambino Gesù Children's Hospital, Viale di San Paolo, 15, 00146 Rome, Italy.

Rita Brugaletta (R)

Occupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo, 15, 00146 Rome, Italy.

Vincenzo Camisa (V)

Occupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo, 15, 00146 Rome, Italy.

Annapaola Santoro (A)

Occupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo, 15, 00146 Rome, Italy.

Giuseppe Roscilli (G)

Takis s.r.l., Via di Castel Romano, 100, 00128 Rome, Italy.

Emiliano Pavoni (E)

Takis s.r.l., Via di Castel Romano, 100, 00128 Rome, Italy.

Alessia Muzi (A)

Takis s.r.l., Via di Castel Romano, 100, 00128 Rome, Italy.

Nicola Magnavita (N)

Post-Graduate School of Occupational Health, Section of Occupational Medicine and Labor Law, University Cattolica del Sacro Cuore; Largo Francesco Vito, 1, 00168 Rome, Italy.

Rossana Scutari (R)

Microbiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy.

Alberto Villani (A)

Department of Emergency Medicine and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy.

Massimiliano Raponi (M)

Medical Direction, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy.

Franco Locatelli (F)

Department of Pediatric Hematology and Oncology, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy; Sapienza, University of Rome; Viale dell'Università, 37, 00185 Rome, Italy.

Carlo Federico Perno (CF)

Microbiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy.

Salvatore Zaffina (S)

Occupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children's Hospital, IRCCS, Viale di San Paolo, 15, 00146 Rome, Italy.

Rita Carsetti (R)

Diagnostic Immunology Research Unit, Multimodal Medicine Research Area, Bambino Gesù Children's Hospital, IRCCS; Viale di San Paolo, 15, 00146 Rome, Italy; Microbiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS; Piazza Sant'Onofrio, 4, 00165 Rome, Italy. Electronic address: rita.carsetti@opbg.net.

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Classifications MeSH