Predictors for reactogenicity and humoral immunity to SARS-CoV-2 following infection and mRNA vaccination: A regularized, mixed-effects modelling approach

IntroductionThe influence of pre-existing humoral immunity, inter-individual demographic factors, and vaccine-associated reactogenicity on immunogenicity following COVID vaccination remains poorly understood.MethodsTen-fold cross-validated least absolute shrinkage and selection operator (LASSO) and...

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Main Authors: Erin C. Williams, Alexander Kizhner, Valerie S. Stark, Aria Nawab, Daniel D. Muniz, Felipe Echeverri Tribin, Juan Manuel Carreño, Dominika Bielak, Gagandeep Singh, Michael E. Hoffer, Florian Krammer, Suresh Pallikkuth, Savita Pahwa
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.971277/full
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author Erin C. Williams
Alexander Kizhner
Valerie S. Stark
Aria Nawab
Daniel D. Muniz
Felipe Echeverri Tribin
Juan Manuel Carreño
Dominika Bielak
Gagandeep Singh
Michael E. Hoffer
Michael E. Hoffer
Florian Krammer
Florian Krammer
Suresh Pallikkuth
Savita Pahwa
author_facet Erin C. Williams
Alexander Kizhner
Valerie S. Stark
Aria Nawab
Daniel D. Muniz
Felipe Echeverri Tribin
Juan Manuel Carreño
Dominika Bielak
Gagandeep Singh
Michael E. Hoffer
Michael E. Hoffer
Florian Krammer
Florian Krammer
Suresh Pallikkuth
Savita Pahwa
author_sort Erin C. Williams
collection DOAJ
description IntroductionThe influence of pre-existing humoral immunity, inter-individual demographic factors, and vaccine-associated reactogenicity on immunogenicity following COVID vaccination remains poorly understood.MethodsTen-fold cross-validated least absolute shrinkage and selection operator (LASSO) and linear mixed effects models were used to evaluate symptoms experienced by COVID+ participants during natural infection and following SARS-CoV-2 mRNA vaccination along with demographics as predictors for antibody (AB) responses to recombinant spike protein in a longitudinal cohort study.ResultsIn previously infected individuals (n=33), AB were more durable and robust following primary vaccination when compared to natural infection alone. Higher AB were associated with experiencing dyspnea during natural infection, as was the total number of symptoms reported during the COVID-19 disease course. Both local and systemic symptoms following 1st and 2nd dose (n=49 and 48, respectively) of SARS-CoV-2 mRNA vaccines were predictive of higher AB after vaccination. Lastly, there was a significant temporal relationship between AB and days since infection or vaccination, suggesting that vaccination in COVID+ individuals is associated with a more robust immune response.DiscussionExperiencing systemic and local symptoms post-vaccine was suggestive of higher AB, which may confer greater protection.
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spelling doaj.art-5cd163ee70284d0dab8faaad6d8839182023-02-09T12:08:14ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-02-011410.3389/fimmu.2023.971277971277Predictors for reactogenicity and humoral immunity to SARS-CoV-2 following infection and mRNA vaccination: A regularized, mixed-effects modelling approachErin C. Williams0Alexander Kizhner1Valerie S. Stark2Aria Nawab3Daniel D. Muniz4Felipe Echeverri Tribin5Juan Manuel Carreño6Dominika Bielak7Gagandeep Singh8Michael E. Hoffer9Michael E. Hoffer10Florian Krammer11Florian Krammer12Suresh Pallikkuth13Savita Pahwa14Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Microbiology and Immunology, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Biomedical Engineering, University of Miami, Miami, FL, United StatesDepartment of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDepartment of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDepartment of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Neurological Surgery, University of Miami, Miller School of Medicine, Miami, FL, United StatesDepartment of Biomedical Engineering, University of Miami, Miami, FL, United StatesDepartment of Pathology, Molecular and Cell-based Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDepartment of Microbiology and Immunology, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Microbiology and Immunology, University of Miami Miller School of Medicine, Miami, FL, United StatesIntroductionThe influence of pre-existing humoral immunity, inter-individual demographic factors, and vaccine-associated reactogenicity on immunogenicity following COVID vaccination remains poorly understood.MethodsTen-fold cross-validated least absolute shrinkage and selection operator (LASSO) and linear mixed effects models were used to evaluate symptoms experienced by COVID+ participants during natural infection and following SARS-CoV-2 mRNA vaccination along with demographics as predictors for antibody (AB) responses to recombinant spike protein in a longitudinal cohort study.ResultsIn previously infected individuals (n=33), AB were more durable and robust following primary vaccination when compared to natural infection alone. Higher AB were associated with experiencing dyspnea during natural infection, as was the total number of symptoms reported during the COVID-19 disease course. Both local and systemic symptoms following 1st and 2nd dose (n=49 and 48, respectively) of SARS-CoV-2 mRNA vaccines were predictive of higher AB after vaccination. Lastly, there was a significant temporal relationship between AB and days since infection or vaccination, suggesting that vaccination in COVID+ individuals is associated with a more robust immune response.DiscussionExperiencing systemic and local symptoms post-vaccine was suggestive of higher AB, which may confer greater protection.https://www.frontiersin.org/articles/10.3389/fimmu.2023.971277/fullvaccine reactogenicityinfectionprotective antibodiesCOVID-19SARS-CoV-2
spellingShingle Erin C. Williams
Alexander Kizhner
Valerie S. Stark
Aria Nawab
Daniel D. Muniz
Felipe Echeverri Tribin
Juan Manuel Carreño
Dominika Bielak
Gagandeep Singh
Michael E. Hoffer
Michael E. Hoffer
Florian Krammer
Florian Krammer
Suresh Pallikkuth
Savita Pahwa
Predictors for reactogenicity and humoral immunity to SARS-CoV-2 following infection and mRNA vaccination: A regularized, mixed-effects modelling approach
Frontiers in Immunology
vaccine reactogenicity
infection
protective antibodies
COVID-19
SARS-CoV-2
title Predictors for reactogenicity and humoral immunity to SARS-CoV-2 following infection and mRNA vaccination: A regularized, mixed-effects modelling approach
title_full Predictors for reactogenicity and humoral immunity to SARS-CoV-2 following infection and mRNA vaccination: A regularized, mixed-effects modelling approach
title_fullStr Predictors for reactogenicity and humoral immunity to SARS-CoV-2 following infection and mRNA vaccination: A regularized, mixed-effects modelling approach
title_full_unstemmed Predictors for reactogenicity and humoral immunity to SARS-CoV-2 following infection and mRNA vaccination: A regularized, mixed-effects modelling approach
title_short Predictors for reactogenicity and humoral immunity to SARS-CoV-2 following infection and mRNA vaccination: A regularized, mixed-effects modelling approach
title_sort predictors for reactogenicity and humoral immunity to sars cov 2 following infection and mrna vaccination a regularized mixed effects modelling approach
topic vaccine reactogenicity
infection
protective antibodies
COVID-19
SARS-CoV-2
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.971277/full
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