Anti‐SARS‐CoV‐2 spike immunoglobulin G and immunoglobulin M titers decline as interval from the second inactivated vaccine dose to the onset of illness is prolonged in breakthrough infection patients

Abstract Background Understanding of the early immune response in severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) breakthrough infections is limited. Methods Ninety‐eight patients with coronavirus disease 2019 (COVID‐19) breakthrough infections were divided into two groups, with interva...

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Main Authors: Chuan‐cai Xu, Zhi‐song He, Wei Lei, Jin‐zhou Zhu, Da‐guo Zhao, Jin‐dan Kong, Yao Wei, Ying Xu, Jian‐An Huang
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:The Clinical Respiratory Journal
Subjects:
Online Access:https://doi.org/10.1111/crj.13590
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author Chuan‐cai Xu
Zhi‐song He
Wei Lei
Jin‐zhou Zhu
Da‐guo Zhao
Jin‐dan Kong
Yao Wei
Ying Xu
Jian‐An Huang
author_facet Chuan‐cai Xu
Zhi‐song He
Wei Lei
Jin‐zhou Zhu
Da‐guo Zhao
Jin‐dan Kong
Yao Wei
Ying Xu
Jian‐An Huang
author_sort Chuan‐cai Xu
collection DOAJ
description Abstract Background Understanding of the early immune response in severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) breakthrough infections is limited. Methods Ninety‐eight patients with coronavirus disease 2019 (COVID‐19) breakthrough infections were divided into two groups, with intervals from receiving the second dose of inactivated vaccine to the onset of illness <60 or ≥60 days. Results The median lymphocyte count and the median anti‐SARS‐CoV‐2 spike immunoglobulin G (IgG) and immunoglobulin M (IgM) titers were higher in the <60‐day interval group compared with the corresponding medians in the ≥60‐day interval group (p = 0.005, p = 0.001, and p = 0.001, respectively). The median interleukin‐6 (IL‐6) level in the <60‐day interval group was significantly lower than the median IL‐6 level in the ≥60‐day interval group (p < 0.001). Conclusions Our results highlight the different anti‐SARS‐CoV‐2 spike IgG and IgM antibody titers among patients with different intervals from receiving the second dose of inactivated vaccine to the onset of illness.
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spelling doaj.art-691222a8326f448584eb98b4bdd3772a2023-04-19T03:06:49ZengWileyThe Clinical Respiratory Journal1752-69811752-699X2023-04-0117427027610.1111/crj.13590Anti‐SARS‐CoV‐2 spike immunoglobulin G and immunoglobulin M titers decline as interval from the second inactivated vaccine dose to the onset of illness is prolonged in breakthrough infection patientsChuan‐cai Xu0Zhi‐song He1Wei Lei2Jin‐zhou Zhu3Da‐guo Zhao4Jin‐dan Kong5Yao Wei6Ying Xu7Jian‐An Huang8Department of Pulmonary and Critical Care Medicine the First Affiliated Hospital of Soochow University Suzhou ChinaDepartment of Cardiology the First Affiliated Hospital of Soochow University Suzhou ChinaDepartment of Pulmonary and Critical Care Medicine the First Affiliated Hospital of Soochow University Suzhou ChinaDepartment of Gastroenterology the First Affiliated Hospital of Soochow University Suzhou ChinaDepartment of Critical Care Medicine the First Affiliated Hospital of Soochow University Suzhou ChinaDepartment of Critical Care Medicine the First Affiliated Hospital of Soochow University Suzhou ChinaDepartment of Critical Care Medicine the First Affiliated Hospital of Soochow University Suzhou ChinaDepartment of Infectious Diseases the First Affiliated Hospital of Soochow University Suzhou ChinaDepartment of Pulmonary and Critical Care Medicine the First Affiliated Hospital of Soochow University Suzhou ChinaAbstract Background Understanding of the early immune response in severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) breakthrough infections is limited. Methods Ninety‐eight patients with coronavirus disease 2019 (COVID‐19) breakthrough infections were divided into two groups, with intervals from receiving the second dose of inactivated vaccine to the onset of illness <60 or ≥60 days. Results The median lymphocyte count and the median anti‐SARS‐CoV‐2 spike immunoglobulin G (IgG) and immunoglobulin M (IgM) titers were higher in the <60‐day interval group compared with the corresponding medians in the ≥60‐day interval group (p = 0.005, p = 0.001, and p = 0.001, respectively). The median interleukin‐6 (IL‐6) level in the <60‐day interval group was significantly lower than the median IL‐6 level in the ≥60‐day interval group (p < 0.001). Conclusions Our results highlight the different anti‐SARS‐CoV‐2 spike IgG and IgM antibody titers among patients with different intervals from receiving the second dose of inactivated vaccine to the onset of illness.https://doi.org/10.1111/crj.13590anti‐SARS‐CoV‐2 spike IgG antibodyanti‐SARS‐CoV‐2 spike IgM antibodyIL‐6inactivated vaccinelymphocyteSARS‐CoV‐2
spellingShingle Chuan‐cai Xu
Zhi‐song He
Wei Lei
Jin‐zhou Zhu
Da‐guo Zhao
Jin‐dan Kong
Yao Wei
Ying Xu
Jian‐An Huang
Anti‐SARS‐CoV‐2 spike immunoglobulin G and immunoglobulin M titers decline as interval from the second inactivated vaccine dose to the onset of illness is prolonged in breakthrough infection patients
The Clinical Respiratory Journal
anti‐SARS‐CoV‐2 spike IgG antibody
anti‐SARS‐CoV‐2 spike IgM antibody
IL‐6
inactivated vaccine
lymphocyte
SARS‐CoV‐2
title Anti‐SARS‐CoV‐2 spike immunoglobulin G and immunoglobulin M titers decline as interval from the second inactivated vaccine dose to the onset of illness is prolonged in breakthrough infection patients
title_full Anti‐SARS‐CoV‐2 spike immunoglobulin G and immunoglobulin M titers decline as interval from the second inactivated vaccine dose to the onset of illness is prolonged in breakthrough infection patients
title_fullStr Anti‐SARS‐CoV‐2 spike immunoglobulin G and immunoglobulin M titers decline as interval from the second inactivated vaccine dose to the onset of illness is prolonged in breakthrough infection patients
title_full_unstemmed Anti‐SARS‐CoV‐2 spike immunoglobulin G and immunoglobulin M titers decline as interval from the second inactivated vaccine dose to the onset of illness is prolonged in breakthrough infection patients
title_short Anti‐SARS‐CoV‐2 spike immunoglobulin G and immunoglobulin M titers decline as interval from the second inactivated vaccine dose to the onset of illness is prolonged in breakthrough infection patients
title_sort anti sars cov 2 spike immunoglobulin g and immunoglobulin m titers decline as interval from the second inactivated vaccine dose to the onset of illness is prolonged in breakthrough infection patients
topic anti‐SARS‐CoV‐2 spike IgG antibody
anti‐SARS‐CoV‐2 spike IgM antibody
IL‐6
inactivated vaccine
lymphocyte
SARS‐CoV‐2
url https://doi.org/10.1111/crj.13590
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