Durability of ChAdOx1 nCoV-19 vaccination in people living with HIV

Duration of protection from SARS-CoV-2 infection in people living with HIV (PWH) following vaccination is unclear. In a substudy of the phase II/III the COV002 trial (NCT04400838), 54 HIV+ male participants on antiretroviral therapy (undetectable viral loads, CD4+ T cells > 350 cells/μL) rece...

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Main Authors: Ane Ogbe, Matthew Pace, Mustapha Bittaye, Timothy Tipoe, Sandra Adele, Jasmini Alagaratnam, Parvinder K. Aley, M. Azim Ansari, Anna Bara, Samantha Broadhead, Anthony Brown, Helen Brown, Federica Cappuccini, Paola Cinardo, Wanwisa Dejnirattisai, Katie J. Ewer, Henry Fok, Pedro M. Folegatti, Jamie Fowler, Leila Godfrey, Anna L. Goodman, Bethany Jackson, Daniel Jenkin, Mathew Jones, Stephanie Longet, Rebecca A. Makinson, Natalie G. Marchevsky, Moncy Mathew, Andrea Mazzella, Yama F. Mujadidi, Lucia Parolini, Claire Petersen, Emma Plested, Katrina M. Pollock, Thurkka Rajeswaran, Maheshi N. Ramasamy, Sarah Rhead, Hannah Robinson, Nicola Robinson, Helen Sanders, Sonia Serrano, Tom Tipton, Anele Waters, Panagiota Zacharopoulou, Eleanor Barnes, Susanna Dunachie, Philip Goulder, Paul Klenerman, Gavin R. Screaton, Alan Winston, Adrian V.S. Hill, Sarah C. Gilbert, Miles Carroll, Andrew J. Pollard, Sarah Fidler, Julie Fox, Teresa Lambe, John Frater
Format: Article
Language:English
Published: American Society for Clinical investigation 2022-04-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.157031
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author Ane Ogbe
Matthew Pace
Mustapha Bittaye
Timothy Tipoe
Sandra Adele
Jasmini Alagaratnam
Parvinder K. Aley
M. Azim Ansari
Anna Bara
Samantha Broadhead
Anthony Brown
Helen Brown
Federica Cappuccini
Paola Cinardo
Wanwisa Dejnirattisai
Katie J. Ewer
Henry Fok
Pedro M. Folegatti
Jamie Fowler
Leila Godfrey
Anna L. Goodman
Bethany Jackson
Daniel Jenkin
Mathew Jones
Stephanie Longet
Rebecca A. Makinson
Natalie G. Marchevsky
Moncy Mathew
Andrea Mazzella
Yama F. Mujadidi
Lucia Parolini
Claire Petersen
Emma Plested
Katrina M. Pollock
Thurkka Rajeswaran
Maheshi N. Ramasamy
Sarah Rhead
Hannah Robinson
Nicola Robinson
Helen Sanders
Sonia Serrano
Tom Tipton
Anele Waters
Panagiota Zacharopoulou
Eleanor Barnes
Susanna Dunachie
Philip Goulder
Paul Klenerman
Gavin R. Screaton
Alan Winston
Adrian V.S. Hill
Sarah C. Gilbert
Miles Carroll
Andrew J. Pollard
Sarah Fidler
Julie Fox
Teresa Lambe
John Frater
author_facet Ane Ogbe
Matthew Pace
Mustapha Bittaye
Timothy Tipoe
Sandra Adele
Jasmini Alagaratnam
Parvinder K. Aley
M. Azim Ansari
Anna Bara
Samantha Broadhead
Anthony Brown
Helen Brown
Federica Cappuccini
Paola Cinardo
Wanwisa Dejnirattisai
Katie J. Ewer
Henry Fok
Pedro M. Folegatti
Jamie Fowler
Leila Godfrey
Anna L. Goodman
Bethany Jackson
Daniel Jenkin
Mathew Jones
Stephanie Longet
Rebecca A. Makinson
Natalie G. Marchevsky
Moncy Mathew
Andrea Mazzella
Yama F. Mujadidi
Lucia Parolini
Claire Petersen
Emma Plested
Katrina M. Pollock
Thurkka Rajeswaran
Maheshi N. Ramasamy
Sarah Rhead
Hannah Robinson
Nicola Robinson
Helen Sanders
Sonia Serrano
Tom Tipton
Anele Waters
Panagiota Zacharopoulou
Eleanor Barnes
Susanna Dunachie
Philip Goulder
Paul Klenerman
Gavin R. Screaton
Alan Winston
Adrian V.S. Hill
Sarah C. Gilbert
Miles Carroll
Andrew J. Pollard
Sarah Fidler
Julie Fox
Teresa Lambe
John Frater
author_sort Ane Ogbe
collection DOAJ
description Duration of protection from SARS-CoV-2 infection in people living with HIV (PWH) following vaccination is unclear. In a substudy of the phase II/III the COV002 trial (NCT04400838), 54 HIV+ male participants on antiretroviral therapy (undetectable viral loads, CD4+ T cells > 350 cells/μL) received 2 doses of ChAdOx1 nCoV-19 (AZD1222) 4–6 weeks apart and were followed for 6 months. Responses to vaccination were determined by serology (IgG ELISA and Meso Scale Discovery [MSD]), neutralization, ACE-2 inhibition, IFN-γ ELISpot, activation-induced marker (AIM) assay and T cell proliferation. We show that, 6 months after vaccination, the majority of measurable immune responses were greater than prevaccination baseline but with evidence of a decline in both humoral and cell-mediated immunity. There was, however, no significant difference compared with a cohort of HIV-uninfected individuals vaccinated with the same regimen. Responses to the variants of concern were detectable, although they were lower than WT. Preexisting cross-reactive T cell responses to SARS-CoV-2 spike were associated with greater postvaccine immunity and correlated with prior exposure to beta coronaviruses. These data support the ongoing policy to vaccinate PWH against SARS-CoV-2, and they underpin the need for long-term monitoring of responses after vaccination.
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spelling doaj.art-446dfee8ec4944f5951afc9fd4bc00662022-12-22T00:22:45ZengAmerican Society for Clinical investigationJCI Insight2379-37082022-04-0177Durability of ChAdOx1 nCoV-19 vaccination in people living with HIVAne OgbeMatthew PaceMustapha BittayeTimothy TipoeSandra AdeleJasmini AlagaratnamParvinder K. AleyM. Azim AnsariAnna BaraSamantha BroadheadAnthony BrownHelen BrownFederica CappucciniPaola CinardoWanwisa DejnirattisaiKatie J. EwerHenry FokPedro M. FolegattiJamie FowlerLeila GodfreyAnna L. GoodmanBethany JacksonDaniel JenkinMathew JonesStephanie LongetRebecca A. MakinsonNatalie G. MarchevskyMoncy MathewAndrea MazzellaYama F. MujadidiLucia ParoliniClaire PetersenEmma PlestedKatrina M. PollockThurkka RajeswaranMaheshi N. RamasamySarah RheadHannah RobinsonNicola RobinsonHelen SandersSonia SerranoTom TiptonAnele WatersPanagiota ZacharopoulouEleanor BarnesSusanna DunachiePhilip GoulderPaul KlenermanGavin R. ScreatonAlan WinstonAdrian V.S. HillSarah C. GilbertMiles CarrollAndrew J. PollardSarah FidlerJulie FoxTeresa LambeJohn FraterDuration of protection from SARS-CoV-2 infection in people living with HIV (PWH) following vaccination is unclear. In a substudy of the phase II/III the COV002 trial (NCT04400838), 54 HIV+ male participants on antiretroviral therapy (undetectable viral loads, CD4+ T cells > 350 cells/μL) received 2 doses of ChAdOx1 nCoV-19 (AZD1222) 4–6 weeks apart and were followed for 6 months. Responses to vaccination were determined by serology (IgG ELISA and Meso Scale Discovery [MSD]), neutralization, ACE-2 inhibition, IFN-γ ELISpot, activation-induced marker (AIM) assay and T cell proliferation. We show that, 6 months after vaccination, the majority of measurable immune responses were greater than prevaccination baseline but with evidence of a decline in both humoral and cell-mediated immunity. There was, however, no significant difference compared with a cohort of HIV-uninfected individuals vaccinated with the same regimen. Responses to the variants of concern were detectable, although they were lower than WT. Preexisting cross-reactive T cell responses to SARS-CoV-2 spike were associated with greater postvaccine immunity and correlated with prior exposure to beta coronaviruses. These data support the ongoing policy to vaccinate PWH against SARS-CoV-2, and they underpin the need for long-term monitoring of responses after vaccination.https://doi.org/10.1172/jci.insight.157031AIDS/HIVCOVID-19
spellingShingle Ane Ogbe
Matthew Pace
Mustapha Bittaye
Timothy Tipoe
Sandra Adele
Jasmini Alagaratnam
Parvinder K. Aley
M. Azim Ansari
Anna Bara
Samantha Broadhead
Anthony Brown
Helen Brown
Federica Cappuccini
Paola Cinardo
Wanwisa Dejnirattisai
Katie J. Ewer
Henry Fok
Pedro M. Folegatti
Jamie Fowler
Leila Godfrey
Anna L. Goodman
Bethany Jackson
Daniel Jenkin
Mathew Jones
Stephanie Longet
Rebecca A. Makinson
Natalie G. Marchevsky
Moncy Mathew
Andrea Mazzella
Yama F. Mujadidi
Lucia Parolini
Claire Petersen
Emma Plested
Katrina M. Pollock
Thurkka Rajeswaran
Maheshi N. Ramasamy
Sarah Rhead
Hannah Robinson
Nicola Robinson
Helen Sanders
Sonia Serrano
Tom Tipton
Anele Waters
Panagiota Zacharopoulou
Eleanor Barnes
Susanna Dunachie
Philip Goulder
Paul Klenerman
Gavin R. Screaton
Alan Winston
Adrian V.S. Hill
Sarah C. Gilbert
Miles Carroll
Andrew J. Pollard
Sarah Fidler
Julie Fox
Teresa Lambe
John Frater
Durability of ChAdOx1 nCoV-19 vaccination in people living with HIV
JCI Insight
AIDS/HIV
COVID-19
title Durability of ChAdOx1 nCoV-19 vaccination in people living with HIV
title_full Durability of ChAdOx1 nCoV-19 vaccination in people living with HIV
title_fullStr Durability of ChAdOx1 nCoV-19 vaccination in people living with HIV
title_full_unstemmed Durability of ChAdOx1 nCoV-19 vaccination in people living with HIV
title_short Durability of ChAdOx1 nCoV-19 vaccination in people living with HIV
title_sort durability of chadox1 ncov 19 vaccination in people living with hiv
topic AIDS/HIV
COVID-19
url https://doi.org/10.1172/jci.insight.157031
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