Impact of vaccination on kinetics of neutralizing antibodies against SARS-CoV-2 by serum live neutralization test based on a prospective cohort

How much the vaccine contributes to the induction and development of neutralizing antibodies (NAbs) of breakthrough cases relative to those unvaccinated-infected cases is not fully understood. We conducted a prospective cohort study and collected serum samples from 576 individuals who were diagnosed...

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Main Authors: Liguo Zhu, Naiying Mao, Changhua Yi, Aidibai Simayi, Jialu Feng, Yi Feng, Min He, Songning Ding, Yin Wang, Yan Wang, Mingwei Wei, Jie Hong, Chuchu Li, Hua Tian, Lu Zhou, Jiefu Peng, Shihan Zhang, Ci Song, Hui Jin, Fengcai Zhu, Wenbo Xu, Jun Zhao, Changjun Bao
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Emerging Microbes and Infections
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Online Access:https://www.tandfonline.com/doi/10.1080/22221751.2022.2146535
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author Liguo Zhu
Naiying Mao
Changhua Yi
Aidibai Simayi
Jialu Feng
Yi Feng
Min He
Songning Ding
Yin Wang
Yan Wang
Mingwei Wei
Jie Hong
Chuchu Li
Hua Tian
Lu Zhou
Jiefu Peng
Shihan Zhang
Ci Song
Hui Jin
Fengcai Zhu
Wenbo Xu
Jun Zhao
Changjun Bao
author_facet Liguo Zhu
Naiying Mao
Changhua Yi
Aidibai Simayi
Jialu Feng
Yi Feng
Min He
Songning Ding
Yin Wang
Yan Wang
Mingwei Wei
Jie Hong
Chuchu Li
Hua Tian
Lu Zhou
Jiefu Peng
Shihan Zhang
Ci Song
Hui Jin
Fengcai Zhu
Wenbo Xu
Jun Zhao
Changjun Bao
author_sort Liguo Zhu
collection DOAJ
description How much the vaccine contributes to the induction and development of neutralizing antibodies (NAbs) of breakthrough cases relative to those unvaccinated-infected cases is not fully understood. We conducted a prospective cohort study and collected serum samples from 576 individuals who were diagnosed with SARS-CoV-2 Delta strain infection, including 245 breakthrough cases and 331 unvaccinated-infected cases. NAbs were analysed by live virus microneutralization test and transformation of NAb titre. NAbs titres against SARS-CoV-2 ancestral and Delta variant in breakthrough cases were 7.8-fold and 4.0-fold higher than in unvaccinated-infected cases, respectively. NAbs titres in breakthrough cases peaked at the second week after onset/infection. However, the NAbs titres in the unvaccinated-infected cases reached their highest levels during the third week. Compared to those with higher levels of NAbs, those with lower levels of NAbs had no difference in viral clearance duration time (P>0.05), did exhibit higher viral load at the beginning of infection/maximum viral load of infection. NAb levels were statistically higher in the moderate cases than in the mild cases (P<0.0001). Notably, in breakthrough cases, NAb levels were highest longer than 4 months after vaccination (Delta strain: 53,118.2 U/mL), and lowest in breakthrough cases shorter than 1 month (Delta strain: 7551.2 U/mL). Cross-neutralization against the ancestral strain and the current circulating isolate (Omicron BA.5) was significantly lower than against the Delta variant in both breakthrough cases and unvaccinated-infected cases. Our study demonstrated that vaccination could induce immune responses more rapidly and greater which could be effective in controlling SARS-CoV-2.
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spelling doaj-art-52879c4dad2a4c3cbf018966fc0eb7a12025-08-20T02:24:43ZengTaylor & Francis GroupEmerging Microbes and Infections2222-17512023-12-0112110.1080/22221751.2022.2146535Impact of vaccination on kinetics of neutralizing antibodies against SARS-CoV-2 by serum live neutralization test based on a prospective cohortLiguo Zhu0Naiying Mao1Changhua Yi2Aidibai Simayi3Jialu Feng4Yi Feng5Min He6Songning Ding7Yin Wang8Yan Wang9Mingwei Wei10Jie Hong11Chuchu Li12Hua Tian13Lu Zhou14Jiefu Peng15Shihan Zhang16Ci Song17Hui Jin18Fengcai Zhu19Wenbo Xu20Jun Zhao21Changjun Bao22NHC Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaNational Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNanjing Infectious Diseases Clinical Medical Center (The Second Hospital of Nanjing, Nanjing University of Chinese Medicine), Nanjing, P.R ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, ChinaSchool of Public Health, Nanjing Medical University, Nanjing, People’s Republic of ChinaNational Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNanjing Municipal Center for Disease Control and Prevention, Nanjing, People’s Republic of ChinaNanjing Municipal Center for Disease Control and Prevention, Nanjing, People’s Republic of ChinaYangzhou Center for Disease Control and Prevention, Yangzhou, Pople's Republic of ChinaYangzhou Center for Disease Control and Prevention, Yangzhou, Pople's Republic of ChinaNHC Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaNHC Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaNHC Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaNHC Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaNHC Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaNHC Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, ChinaSchool of Public Health, Nanjing Medical University, Nanjing, People’s Republic of ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, ChinaNHC Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaNational Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaThe Third People's Hospital of Yangzhou, Yangzhou, People’s Republic of ChinaNHC Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaHow much the vaccine contributes to the induction and development of neutralizing antibodies (NAbs) of breakthrough cases relative to those unvaccinated-infected cases is not fully understood. We conducted a prospective cohort study and collected serum samples from 576 individuals who were diagnosed with SARS-CoV-2 Delta strain infection, including 245 breakthrough cases and 331 unvaccinated-infected cases. NAbs were analysed by live virus microneutralization test and transformation of NAb titre. NAbs titres against SARS-CoV-2 ancestral and Delta variant in breakthrough cases were 7.8-fold and 4.0-fold higher than in unvaccinated-infected cases, respectively. NAbs titres in breakthrough cases peaked at the second week after onset/infection. However, the NAbs titres in the unvaccinated-infected cases reached their highest levels during the third week. Compared to those with higher levels of NAbs, those with lower levels of NAbs had no difference in viral clearance duration time (P>0.05), did exhibit higher viral load at the beginning of infection/maximum viral load of infection. NAb levels were statistically higher in the moderate cases than in the mild cases (P<0.0001). Notably, in breakthrough cases, NAb levels were highest longer than 4 months after vaccination (Delta strain: 53,118.2 U/mL), and lowest in breakthrough cases shorter than 1 month (Delta strain: 7551.2 U/mL). Cross-neutralization against the ancestral strain and the current circulating isolate (Omicron BA.5) was significantly lower than against the Delta variant in both breakthrough cases and unvaccinated-infected cases. Our study demonstrated that vaccination could induce immune responses more rapidly and greater which could be effective in controlling SARS-CoV-2.https://www.tandfonline.com/doi/10.1080/22221751.2022.2146535SARS-CoV-2Delta variantCoronaVacbreakthrough infectionneutralizing antibody
spellingShingle Liguo Zhu
Naiying Mao
Changhua Yi
Aidibai Simayi
Jialu Feng
Yi Feng
Min He
Songning Ding
Yin Wang
Yan Wang
Mingwei Wei
Jie Hong
Chuchu Li
Hua Tian
Lu Zhou
Jiefu Peng
Shihan Zhang
Ci Song
Hui Jin
Fengcai Zhu
Wenbo Xu
Jun Zhao
Changjun Bao
Impact of vaccination on kinetics of neutralizing antibodies against SARS-CoV-2 by serum live neutralization test based on a prospective cohort
Emerging Microbes and Infections
SARS-CoV-2
Delta variant
CoronaVac
breakthrough infection
neutralizing antibody
title Impact of vaccination on kinetics of neutralizing antibodies against SARS-CoV-2 by serum live neutralization test based on a prospective cohort
title_full Impact of vaccination on kinetics of neutralizing antibodies against SARS-CoV-2 by serum live neutralization test based on a prospective cohort
title_fullStr Impact of vaccination on kinetics of neutralizing antibodies against SARS-CoV-2 by serum live neutralization test based on a prospective cohort
title_full_unstemmed Impact of vaccination on kinetics of neutralizing antibodies against SARS-CoV-2 by serum live neutralization test based on a prospective cohort
title_short Impact of vaccination on kinetics of neutralizing antibodies against SARS-CoV-2 by serum live neutralization test based on a prospective cohort
title_sort impact of vaccination on kinetics of neutralizing antibodies against sars cov 2 by serum live neutralization test based on a prospective cohort
topic SARS-CoV-2
Delta variant
CoronaVac
breakthrough infection
neutralizing antibody
url https://www.tandfonline.com/doi/10.1080/22221751.2022.2146535
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