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

Sara Terreri, Eva Piano Mortari, Maria Rosaria Vinci, Cristina Russo, Claudia Alteri, Christian Albano, Francesca Colavita, Giulia Gramigna, Chiara Agrati, Giulia Linardos, Luana Coltella, Luna Colagrossi, Gloria Deriu, Marta Ciofi Degli Atti, Caterina Rizzo, Marco Scarsella, Rita Brugaletta, Vincenzo Camisa, Annapaola Santoro, Giuseppe RoscilliEmiliano Pavoni, Alessia Muzi, Nicola Magnavita, Rossana Scutari, Alberto Villani, Andrea Villani, Massimiliano Raponi, Federica Locatelli, Carlo Federico Perno, Salvatore Zaffina, Rita Carsetti

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

Abstract

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.
Lingua originaleEnglish
pagine (da-a)400-408
Numero di pagine9
RivistaCELL HOST & MICROBE
DOI
Stato di pubblicazionePubblicato - 2022

Keywords

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

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