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T cell independent antibody responses with class switch and memory using peptides anchored on liposomes. 利用锚定在脂质体上的多肽实现具有类别转换和记忆功能的独立于 T 细胞的抗体反应。
IF 6.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-22 DOI: 10.1038/s41541-024-00902-3
Ásdís Hjálmsdóttir, Fabio Hasler, Ying Waeckerle-Men, Agathe Duda, María Pilar López-Deber, Maria Pihlgren, Marija Vukicevic, Thomas M Kündig, Pål Johansen

Vaccines generally require T lymphocytes for B-cell activation and immunoglobulin class switching in response to peptide or protein antigens. In the absence of T cells, limited IgG class switch takes place, germinal centers are short-lived, and the B cells lack memory. Here, immunization of mice with liposomes containing 15mer peptides and monophosphoryl lipid A (MPLA) as adjuvant, induced T-cell independent (TI) IgG class switch within three days, as well as germinal center formation. The antibody responses were long-lived, strictly dependent on Toll-like receptor 4 (TLR4) signaling, partly dependent on Bruton's tyrosine kinase (BTK) signal transmission, and independent of signaling through T-cell receptors, MHC class II and inflammasome. The antibody response showed characteristics of both TI type 1 and TI type 2. All IgG subclasses could be boosted months after primary immunization, and the biological function of the secreted antibodies was demonstrated in murine models of allergic anaphylaxis and of bacterial infection. Moreover, antibody responses after immunization with peptide- and MPLA-loaded liposomes could be triggered in neonatal mice and in mice receiving immune-suppressants. This study demonstrates T-cell independent endogenous B-cell memory and recall responses in vivo using a peptide antigen. The stimulation of these antibody responses required a correct and dense assembly and administration of peptide and adjuvant on the surface of liposomes. In the future, TI vaccines may prove beneficial in pathological conditions in which T-cell immunity is compromised through disease or medicines or when rapid, antibody-mediated immune protection is needed.

疫苗通常需要 T 淋巴细胞来激活 B 细胞,并对肽或蛋白质抗原进行免疫球蛋白类转换。在缺乏 T 细胞的情况下,IgG 类的转换有限,生殖中心寿命短,B 细胞缺乏记忆。在这里,用含有15mer肽的脂质体和单磷脂A(MPLA)作为佐剂对小鼠进行免疫,可在三天内诱导出独立于T细胞(TI)的IgG类别转换以及生殖中心的形成。抗体反应持续时间长,严格依赖于Toll样受体4(TLR4)信号传导,部分依赖于布鲁顿酪氨酸激酶(BTK)信号传导,与T细胞受体、MHC II类和炎症小体的信号传导无关。抗体反应显示出 TI 1 型和 TI 2 型的特征。所有 IgG 亚类都能在初次免疫数月后得到增强,分泌抗体的生物功能在过敏性过敏性休克和细菌感染的小鼠模型中得到了证实。此外,新生小鼠和接受免疫抑制药物的小鼠在免疫多肽和载 MPLA 脂质体后也能触发抗体反应。这项研究利用多肽抗原证明了体内独立于 T 细胞的内源性 B 细胞记忆和回忆反应。这些抗体反应的激发需要在脂质体表面正确、密集地组装和施用多肽和佐剂。未来,TI 疫苗可能会在因疾病或药物导致 T 细胞免疫受损的病理情况下,或在需要快速抗体介导的免疫保护时发挥作用。
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引用次数: 0
Calcifediol boosts efficacy of ChAdOx1 nCoV-19 vaccine by upregulating genes promoting memory T cell responses. 骨化二醇通过上调促进记忆性 T 细胞反应的基因来提高 ChAdOx1 nCoV-19 疫苗的疗效。
IF 6.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-20 DOI: 10.1038/s41541-024-00909-w
Himanshu Singh Saroha, Swati Bhat, Liza Das, Pinaki Dutta, Michael F Holick, Naresh Sachdeva, Raman Kumar Marwaha

The ChAdOx1 nCoV-19 (COVISHIELD) vaccine has emerged as a pivotal tool in the global fight against the COVID-19 pandemic. In our previous study eligible subjects were supplemented with calcifediol, a direct precursor to the biologically active form of vitamin D, calcitriol with an objective to enhance the immunogenicity of the COVISHIELD vaccine. Herein we investigated the effects of calcifediol supplementation on gene expression profiles in individuals who received the COVISHIELD vaccine. Peripheral blood mononuclear cells were isolated from vaccinated individuals with and without calcifediol supplementation at baseline, 3rd and 6th month, and the gene expression profiles were analyzed using high-throughput sequencing. The results revealed distinct patterns of gene expression associated with calcifediol supplementation, suggesting potential molecular mechanisms underlying the beneficial effects of calcifediol in improving the efficacy of COVISHIELD vaccine via augmentation of T cell activation, proliferation and T cell memory responses. Additionally, there was upregulation of NOD like receptor, JAK/STAT and TGF beta signaling pathways. Calcifediol supplementation in vaccinated individuals also downregulated the pathways related to the Coronavirus disease. Taken together, our findings provide valuable insights into the interplay between vitamin D receptor (VDR) signaling and vaccine-induced immune responses and offer another approach in improving vaccination induced antiviral responses.

ChAdOx1 nCoV-19(COVISHIELD)疫苗已成为全球抗击 COVID-19 大流行的关键工具。在我们之前的研究中,我们为符合条件的受试者补充了降钙素二醇(一种具有生物活性的维生素 D 的直接前体--降钙三醇),目的是增强 COVISHIELD 疫苗的免疫原性。在此,我们研究了补充降钙二醇对接种 COVISHIELD 疫苗的个体基因表达谱的影响。在基线期、第 3 个月和第 6 个月,从补充和未补充降钙素的疫苗接种者中分离外周血单核细胞,并使用高通量测序技术分析其基因表达谱。结果发现了与补充降钙素相关的不同基因表达模式,提示了降钙素通过增强 T 细胞活化、增殖和 T 细胞记忆反应提高 COVISHIELD 疫苗疗效的潜在分子机制。此外,NOD 类受体、JAK/STAT 和 TGF beta 信号通路也出现了上调。在接种疫苗的个体中补充骨化二醇也会下调与冠状病毒疾病相关的通路。综上所述,我们的研究结果为维生素 D 受体(VDR)信号传导与疫苗诱导的免疫反应之间的相互作用提供了宝贵的见解,并为改善疫苗诱导的抗病毒反应提供了另一种方法。
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引用次数: 0
Analyzing atomic force microscopy images of virus-like particles by expectation-maximization. 通过期望最大化分析类病毒粒子的原子力显微镜图像。
IF 6.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-20 DOI: 10.1038/s41541-024-00871-7
Rachel A McCormick, Nicole M Ralbovsky, William Gilbraith, Joseph P Smith, Karl S Booksh

Analysis of virus-like particles (VLPs) is an essential task in optimizing their implementation as vaccine antigens for virus-initiated diseases. Interrogating VLP collections for elasticity by probing with a rigid atomic force microscopy (AFM) tip is a potential method for determining VLP morphological changes. During VLP morphological change, it is not expected that all VLPs would be in the same state. This leads to the open question of whether VLPs may change in a continuous or stepwise fashion. For continuous change, the statistical distribution of observed VLP properties would be expected as a single distribution, while stepwise change would lead to a multimodal distribution of properties. This study presents the application of a Gaussian mixture model (GMM), fit by the Expectation-Maximization (EM) algorithm, to identify different states of VLP morphological change observed by AFM imaging.

分析病毒样颗粒(VLPs)是优化其作为疫苗抗原用于治疗病毒引发疾病的一项重要任务。用刚性原子力显微镜(AFM)针尖探测 VLP 的弹性是确定 VLP 形态变化的一种潜在方法。在 VLP 形态变化过程中,并非所有 VLP 都会处于相同状态。这就引出了一个悬而未决的问题,即 VLP 是以连续还是逐步的方式发生变化。对于连续变化,所观察到的 VLP 特性的统计分布预计将是单一分布,而逐步变化将导致特性的多模式分布。本研究介绍了高斯混合模型(GMM)的应用,该模型通过期望最大化(EM)算法拟合,以识别 AFM 成像观察到的 VLP 形态变化的不同状态。
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引用次数: 0
Distinct dynamics of mRNA LNPs in mice and nonhuman primates revealed by in vivo imaging. 体内成像技术揭示了小鼠和非人灵长类体内 mRNA LNPs 的不同动态。
IF 6.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-20 DOI: 10.1038/s41541-024-00900-5
Katia Lemdani, Romain Marlin, Céline Mayet, Vladimir Perkov, Quentin Pascal, Manon Ripoll, Francis Relouzat, Nina Dhooge, Laetitia Bossevot, Nathalie Dereuddre-Bosquet, Gihad Dargazanli, Kevin Thibaut-Duprey, Jean Haensler, Catherine Chapon, Christine Prost, Roger Le Grand

The characterization of vaccine distribution to relevant tissues after in vivo administration is critical to understanding their mechanisms of action. Vaccines based on mRNA lipid nanoparticles (LNPs) are now being widely considered against infectious diseases and cancer. Here, we used in vivo imaging approaches to compare the trafficking of two LNP formulations encapsulating mRNA following intramuscular administration: DLin-MC3-DMA (MC3) and the recently developed DOG-IM4. The mRNA formulated in DOG-IM4 LNPs persisted at the injection site, whereas mRNA formulated in MC3 LNPs rapidly migrated to the draining lymph nodes. Furthermore, MC3 LNPs induced the fastest increase in blood neutrophil counts after injection and greater inflammation, as shown by IL-1RA, IL-15, CCL-1, and IL-6 concentrations in nonhuman primate sera. These observations highlight the influence of the nature of the LNP on mRNA vaccine distribution and early immune responses.

体内给药后疫苗在相关组织分布的特征对于了解其作用机制至关重要。目前,基于 mRNA 脂质纳米颗粒(LNPs)的疫苗正被广泛用于防治传染病和癌症。在这里,我们使用体内成像方法比较了两种包裹 mRNA 的 LNP 制剂在肌肉注射后的运输情况:DLin-MC3-DMA(MC3)和最近开发的 DOG-IM4。在 DOG-IM4 LNPs 中配制的 mRNA 在注射部位持续存在,而在 MC3 LNPs 中配制的 mRNA 则迅速迁移到引流淋巴结。此外,从非人灵长类血清中的 IL-1RA、IL-15、CCL-1 和 IL-6 浓度来看,MC3 LNPs 在注射后可诱导血液中性粒细胞数量的最快增长和更大的炎症。这些观察结果突显了 LNP 的性质对 mRNA 疫苗分布和早期免疫反应的影响。
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引用次数: 0
Mucosal bivalent live attenuated vaccine protects against human metapneumovirus and respiratory syncytial virus in mice. 粘膜双价减毒活疫苗可预防小鼠感染人类偏肺病毒和呼吸道合胞病毒。
IF 6.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-19 DOI: 10.1038/s41541-024-00899-9
Daniela Ogonczyk-Makowska, Pauline Brun, Clémence Vacher, Caroline Chupin, Clément Droillard, Julie Carbonneau, Emilie Laurent, Victoria Dulière, Aurélien Traversier, Olivier Terrier, Thomas Julien, Marie Galloux, Stéphane Paul, Jean-François Eléouët, Julien Fouret, Marie-Eve Hamelin, Andrés Pizzorno, Guy Boivin, Manuel Rosa-Calatrava, Julia Dubois

Live-Attenuated Vaccines (LAVs) stimulate robust mucosal and cellular responses and have the potential to protect against Respiratory Syncytial Virus (RSV) and Human Metapneumovirus (HMPV), the main etiologic agents of viral bronchiolitis and pneumonia in children. We inserted the RSV-F gene into an HMPV-based LAV (Metavac®) we previously validated for the protection of mice against HMPV challenge, and rescued a replicative recombinant virus (Metavac®-RSV), exposing both RSV- and HMPV-F proteins at the virion surface and expressing them in reconstructed human airway epithelium models. When administered to BALB/c mice by the intranasal route, bivalent Metavac®-RSV demonstrated its capacity to replicate with reduced lung inflammatory score and to protect against both RSV and lethal HMPV challenges in vaccinated mice while inducing strong IgG and broad RSV and HMPV neutralizing antibody responses. Altogether, our results showed the versatility of the Metavac® platform and suggested that Metavac®-RSV is a promising mucosal bivalent LAV candidate to prevent pneumovirus-induced diseases.

减毒活疫苗(LAVs)能刺激强有力的粘膜和细胞反应,并有可能预防儿童病毒性支气管炎和肺炎的主要病原体--呼吸道合胞病毒(RSV)和人类变态肺炎病毒(HMPV)。我们将 RSV-F 基因插入了一种基于 HMPV 的 LAV(Metavac®)中,这种 LAV 曾被证实能保护小鼠免受 HMPV 的挑战,我们还挽救了一种可复制的重组病毒(Metavac®-RSV),在病毒表面暴露了 RSV- 和 HMPV-F 蛋白,并在重建的人类气道上皮细胞模型中表达了这些蛋白。当通过鼻内途径给 BALB/c 小鼠注射时,二价 Metavac®-RSV 证明了其复制能力,同时降低了肺部炎症评分,并保护接种小鼠免受 RSV 和致命 HMPV 的挑战,同时诱导强 IgG 和广泛的 RSV 和 HMPV 中和抗体反应。总之,我们的研究结果表明了 Metavac® 平台的多功能性,并表明 Metavac®-RSV 是一种很有前景的粘膜双价 LAV 候选物,可用于预防肺炎病毒引起的疾病。
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引用次数: 0
Evaluation of mRNA-LNP and adjuvanted protein SARS-CoV-2 vaccines in a maternal antibody mouse model. 在母体抗体小鼠模型中评估 mRNA-LNP 和佐剂蛋白 SARS-CoV-2 疫苗。
IF 6.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-18 DOI: 10.1038/s41541-024-00901-4
Ross N England, Elizabeth M Drapeau, Mohamad-Gabriel Alameh, Reihaneh Hosseinzadeh, Drew Weissman, Scott E Hensley

Maternal antibodies (matAbs) protect against a myriad of pathogens early in life; however, these antibodies can also inhibit de novo immune responses against some vaccine platforms. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) matAbs are efficiently transferred during pregnancy and protect infants against subsequent SARS-CoV-2 infections. It is unknown if matAbs inhibit immune responses elicited by different types of SARS-CoV-2 vaccines. Here, we established a mouse model to determine if SARS-CoV-2 spike-specific matAbs inhibit immune responses elicited by recombinant protein and nucleoside-modified mRNA-lipid nanoparticle (mRNA-LNP) vaccines. We found that SARS-CoV-2 mRNA-LNP vaccines elicited robust de novo antibody responses in mouse pups in the presence of matAbs. Recombinant protein vaccines were also able to circumvent the inhibitory effects of matAbs when adjuvants were co-administered. While additional studies need to be completed in humans, our studies raise the possibility that mRNA-LNP-based and adjuvanted protein-based SARS-CoV-2 vaccines have the potential to be effective when delivered very early in life.

母体抗体(matAbs)能在生命早期保护婴儿免受无数病原体的感染;然而,这些抗体也会抑制婴儿对某些疫苗平台产生新的免疫反应。严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)母体抗体可在孕期有效转移,并保护婴儿免受随后的 SARS-CoV-2 感染。目前还不清楚 matAbs 是否会抑制不同类型的 SARS-CoV-2 疫苗引起的免疫反应。在此,我们建立了一个小鼠模型,以确定 SARS-CoV-2 棘突特异性 matAbs 是否能抑制重组蛋白疫苗和核苷修饰的 mRNA 脂质纳米颗粒(mRNA-LNP)疫苗引起的免疫反应。我们发现,在 matAbs 的存在下,SARS-CoV-2 mRNA-LNP 疫苗能在小鼠幼崽中引起强有力的新生抗体反应。当同时使用佐剂时,重组蛋白疫苗也能规避 matAbs 的抑制作用。虽然还需要在人体中完成更多的研究,但我们的研究提出了一种可能性,即基于 mRNA-LNP 和佐剂蛋白的 SARS-CoV-2 疫苗在生命早期接种时可能会有效。
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引用次数: 0
Immune escape of avian oncogenic Marek's disease herpesvirus and antagonistic host immune responses. 禽致癌马立克氏病疱疹病毒的免疫逃逸和宿主的拮抗免疫反应。
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-15 DOI: 10.1038/s41541-024-00905-0
Zhi-Jian Zhu, Man Teng, Yu Liu, Fu-Jia Chen, Yongxiu Yao, En-Zhong Li, Jun Luo

Marek's disease virus (MDV) is a highly pathogenic and oncogenic alpha herpesvirus that causes Marek's disease (MD), which is one of the most important immunosuppressive and rapid-onset neoplastic diseases in poultry. The onset of MD lymphomas and other clinical diseases can be efficiently prevented by vaccination; these vaccines are heralded as the first demonstration of a successful vaccination strategy against a cancer. However, the persistent evolution of epidemic MDV strains towards greater virulence has recently resulted in frequent outbreaks of MD in vaccinated chicken flocks worldwide. Herein, we provide an overall review focusing on the discovery and identification of the strategies by which MDV evades host immunity and attacks the immune system. We have also highlighted the decrease in the immune efficacy of current MD vaccines. The prospects, strategies and new techniques for the development of efficient MD vaccines, together with the possibilities of antiviral therapy in MD, are also discussed.

马立克氏病病毒(MDV)是一种高致病性和致癌的阿尔法疱疹病毒,可引起马立克氏病(MD),这是家禽中最重要的免疫抑制和快速发病的肿瘤性疾病之一。通过接种疫苗可以有效预防 MD 淋巴瘤和其他临床疾病的发生;这些疫苗被誉为首次成功的癌症疫苗接种策略。然而,流行性 MDV 株系不断向更强的毒力进化,导致最近世界各地接种疫苗的鸡群频繁爆发 MD。在此,我们对 MDV 规避宿主免疫和攻击免疫系统的策略的发现和鉴定进行了全面回顾。我们还强调了当前 MD 疫苗免疫效力的下降。我们还讨论了开发高效 MD 疫苗的前景、策略和新技术,以及 MD 抗病毒治疗的可能性。
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引用次数: 0
Development of an anti-tauopathy mucosal vaccine specifically targeting pathologic conformers. 开发专门针对病理构象的抗牛头癣粘膜疫苗。
IF 6.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-15 DOI: 10.1038/s41541-024-00904-1
Wenzhi Tan, Jayalakshmi Thiruppathi, Seol Hee Hong, Sao Puth, Sophea Pheng, Bo-Ram Mun, Won-Seok Choi, Kyung-Hwa Lee, Hyun-Sun Park, Duc Tien Nguyen, Min-Cheol Lee, Kwangjoon Jeong, Jin Hai Zheng, Young Kim, Shee Eun Lee, Joon Haeng Rhee

Alzheimer's disease (AD) and related tauopathies are associated with pathological tau protein aggregation, which plays an important role in neurofibrillary degeneration and dementia. Targeted immunotherapy to eliminate pathological tau aggregates is known to improve cognitive deficits in AD animal models. The tau repeat domain (TauRD) plays a pivotal role in tau-microtubule interactions and is critically involved in the aggregation of hyperphosphorylated tau proteins. Because TauRD forms the structural core of tau aggregates, the development of immunotherapies that selectively target TauRD-induced pathological aggregates holds great promise for the modulation of tauopathies. In this study, we generated recombinant TauRD polypeptide that form neurofibrillary tangle-like structures and evaluated TauRD-specific immune responses following intranasal immunization in combination with the mucosal adjuvant FlaB. In BALB/C mice, repeated immunizations at one-week intervals induced robust TauRD-specific antibody responses in a TLR5-dependent manner. Notably, the resulting antiserum recognized only the aggregated form of TauRD, while ignoring monomeric TauRD. The antiserum effectively inhibited TauRD filament formation and promoted the phagocytic degradation of TauRD aggregate fragments by microglia. The antiserum also specifically recognized pathological tau conformers in the human AD brain. Based on these results, we engineered a built-in flagellin-adjuvanted TauRD (FlaB-TauRD) vaccine and tested its efficacy in a P301S transgenic mouse model. Mucosal immunization with FlaB-TauRD improved quality of life, as indicated by the amelioration of memory deficits, and alleviated tauopathy progression. Notably, the survival of the vaccinated mice was dramatically extended. In conclusion, we developed a mucosal vaccine that exclusively targets pathological tau conformers and prevents disease progression.

阿尔茨海默病(AD)和相关的tau病与病理性tau蛋白聚集有关,而tau蛋白聚集在神经纤维变性和痴呆症中扮演着重要角色。众所周知,消除病理性 tau 蛋白聚集的靶向免疫疗法可改善 AD 动物模型的认知障碍。tau重复结构域(TauRD)在tau与微管的相互作用中起着关键作用,并在高磷酸化tau蛋白的聚集过程中起着至关重要的作用。由于 TauRD 构成了 tau 蛋白聚集体的结构核心,因此开发选择性靶向 TauRD 诱导的病理聚集体的免疫疗法在调节 tau 病症方面大有可为。在这项研究中,我们生成了能形成神经纤维缠结样结构的重组 TauRD 多肽,并评估了鼻内免疫结合粘膜佐剂 FlaB 后 TauRD 的特异性免疫反应。在 BALB/C 小鼠中,间隔一周的重复免疫以 TLR5 依赖性方式诱导了强大的 TauRD 特异性抗体反应。值得注意的是,由此产生的抗血清只识别 TauRD 的聚集形式,而忽略了单体 TauRD。这种抗血清能有效抑制 TauRD 长丝的形成,并促进小胶质细胞对 TauRD 聚集片段的吞噬降解。该抗血清还能特异性识别人类AD大脑中的病理tau构象。基于这些结果,我们设计了一种内置的鞭毛蛋白佐剂 TauRD(FlaB-TauRD)疫苗,并在 P301S 转基因小鼠模型中测试了其疗效。FlaB-TauRD的粘膜免疫改善了记忆缺陷,从而提高了生活质量,并缓解了tauopathy的进展。值得注意的是,接种疫苗的小鼠存活期显著延长。总之,我们开发出了一种专门针对病理 tau 构象并能预防疾病进展的粘膜疫苗。
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引用次数: 0
Association between antibody responses post-vaccination and severe COVID-19 outcomes in Scotland. 苏格兰疫苗接种后抗体反应与 COVID-19 严重后果之间的关系。
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-14 DOI: 10.1038/s41541-024-00898-w
Calum Macdonald, Norah Palmateer, Andrew McAuley, Laura Lindsay, Taimoor Hasan, Safraj Shahul Hameed, Elliot Hall, Karen Jeffrey, Zoë Grange, Petros Gousias, Sally Mavin, Lisa Jarvis, J Claire Cameron, Luke Daines, Holly Tibble, Colin R Simpson, Colin McCowan, Srinivasa Vittal Katikireddi, Igor Rudan, Adeniyi Francis Fagbamigbe, Lewis Ritchie, Ben Swallow, Paul Moss, Chris Robertson, Aziz Sheikh, Josie Murray

Several population-level studies have described individual clinical risk factors associated with suboptimal antibody responses following COVID-19 vaccination, but none have examined multimorbidity. Others have shown that suboptimal post-vaccination responses offer reduced protection to subsequent SARS-CoV-2 infection; however, the level of protection from COVID-19 hospitalisation/death remains unconfirmed. We use national Scottish datasets to investigate the association between multimorbidity and testing antibody-negative, examining the correlation between antibody levels and subsequent COVID-19 hospitalisation/death among double-vaccinated individuals. We found that individuals with multimorbidity ( ≥ five conditions) were more likely to test antibody-negative post-vaccination and 13.37 [6.05-29.53] times more likely to be hospitalised/die from COVID-19 than individuals without conditions. We also show a dose-dependent association between post-vaccination antibody levels and COVID-19 hospitalisation or death, with those with undetectable antibody levels at a significantly higher risk (HR 9.21 [95% CI 4.63-18.29]) of these serious outcomes compared to those with high antibody levels.

一些人群水平的研究描述了与接种 COVID-19 疫苗后抗体反应不达标有关的个别临床风险因素,但没有一项研究对多病症进行了研究。其他研究表明,接种后抗体反应不达标会降低对后续 SARS-CoV-2 感染的保护作用;但对 COVID-19 住院/死亡的保护水平仍未得到证实。我们利用苏格兰全国数据集调查了多病症与抗体阴性检测之间的关系,研究了抗体水平与接种过两次疫苗的人随后的 COVID-19 住院/死亡之间的相关性。我们发现,患有多种疾病(≥五种疾病)的人更有可能在接种疫苗后检测出抗体阴性,其因 COVID-19 住院/死亡的几率是无疾病者的 13.37 [6.05-29.53] 倍。我们还发现接种后抗体水平与 COVID-19 住院或死亡之间存在剂量依赖关系,与抗体水平高的人相比,抗体水平检测不到的人发生这些严重后果的风险明显更高(HR 9.21 [95% CI 4.63-18.29])。
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引用次数: 0
A randomized phase 1/2a trial of ExPEC10V vaccine in adults with a history of UTI. 针对有UTI病史的成人进行的ExPEC10V疫苗1/2a期随机试验。
IF 9.2 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-06-14 DOI: 10.1038/s41541-024-00885-1
Carlos A Fierro, Michal Sarnecki, Bart Spiessens, Oscar Go, Tracey A Day, Todd A Davies, Germie van den Dobbelsteen, Jan Poolman, Darren Abbanat, Wouter Haazen

The safety, reactogenicity, and immunogenicity of 3 doses of ExPEC10V (VAC52416), a vaccine candidate to prevent invasive Escherichia coli disease, were assessed in a phase 1/2a study (NCT03819049). In Cohort 1, ExPEC10V was well tolerated; the high dose was selected as optimal and further characterized in Cohort 2. Cohort 2 comprised a maximum 28-day screening, vaccination (Day 1), double-blind 181-day follow-up, and open-label long-term follow-up until Year 1. Healthy participants (≥60 years) with a history of urinary tract infection (UTI) within 5 years were randomized to receive ExPEC10V or placebo. The primary endpoint evaluated the safety and reactogenicity of ExPEC10V (solicited local and systemic AEs [until Day 15]; unsolicited AEs [until Day 30], SAEs [until Day 181], and immunogenicity [Day 30]) via multiplex electrochemiluminescent (ECL) and multiplex opsonophagocytic assay (MOPA). 416 participants (ExPEC10V, n = 278; placebo, n = 138) were included (mean age [SD], 68.8 [6.52] years; female, 79.6%; White, 96.1%). The incidence of solicited AEs was higher with ExPEC10V (local, 50.0% [n = 139]; systemic, 50.0% [n = 139]) than placebo (15.9% [n = 22]; 38.4% [n = 53]); rates of unsolicited AEs were comparable (ExPEC10V, 28.4% [n = 79]; placebo, 26.1% [n = 36]). No vaccine-related SAEs or deaths were reported. ExPEC10V elicited a robust antibody-mediated immunogenic response across all serotypes with ECL (Day 30 geometric mean fold increase, 2.33-8.18) and demonstrated functional opsonophagocytic killing activity across all measured serotypes (Day 30 geometric mean fold increase, 1.81-9.68). ExPEC10V exhibited an acceptable safety profile and a robust vaccine-induced functional immunogenic response in participants with a history of UTI. Clinical trial registration details: https://clinicaltrials.gov/study/NCT03819049 .

一项1/2a期研究(NCT03819049)评估了预防侵袭性大肠埃希菌病的候选疫苗ExPEC10V (VAC52416)3个剂量的安全性、反应原性和免疫原性。在队列 1 中,ExPEC10V 的耐受性良好;高剂量被选为最佳剂量,并在队列 2 中得到进一步证实。队列 2 包括最长 28 天的筛选、疫苗接种(第 1 天)、181 天的双盲随访以及直至第 1 年的开放标签长期随访。5年内有尿路感染(UTI)病史的健康参与者(≥60岁)被随机分配接受ExPEC10V或安慰剂。主要终点是通过多重电化学发光(ECL)和多重嗜吞噬细胞检测(MOPA)评估ExPEC10V的安全性和反应原性(主动要求的局部和全身AEs[至第15天];主动要求的AEs[至第30天]、SAEs[至第181天]和免疫原性[至第30天])。共纳入 416 名参与者(ExPEC10V,n = 278;安慰剂,n = 138)(平均年龄 [SD] 68.8 [6.52] 岁;女性,79.6%;白人,96.1%)。ExPEC10V的主动AEs发生率(局部,50.0% [n = 139];全身,50.0% [n = 139])高于安慰剂(15.9% [n = 22];38.4% [n = 53]);非主动AEs发生率相当(ExPEC10V,28.4% [n = 79];安慰剂,26.1% [n = 36])。没有与疫苗相关的 SAE 或死亡报告。ExPEC10V 在所有血清型中都能通过 ECL 引起强大的抗体介导的免疫原性反应(第 30 天几何平均倍增,2.33-8.18),并在所有测定的血清型中显示出功能性嗜吞噬细胞杀伤活性(第 30 天几何平均倍增,1.81-9.68)。ExPEC10V 在有UTI病史的参与者中表现出了可接受的安全性和强大的疫苗诱导功能性免疫原反应。临床试验注册详情:https://clinicaltrials.gov/study/NCT03819049 。
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