Impact of homologous and heterologous boosters in neutralizing antibodies titers against SARS-CoV-2 Omicron in solid-organ transplant recipients

IntroductionBooster doses of SARS-CoV-2 vaccines improve seroconversion rates in solid organ transplant recipients (SOTRs) but the impact of homologous and heterologous booster doses in neutralizing antibody (NAb) titers and their ability to interfere with the variant of concern Omicron are not well...

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Main Authors: Aracelly Gaete-Argel, Vicente Saavedra-Alarcón, Denis Sauré, Luis Alonso-Palomares, Mónica L. Acevedo, Marion Alarcón, Susan M. Bueno, Alexis M. Kalergis, Ricardo Soto-Rifo, Fernando Valiente-Echeverría, Claudia P. Cortes
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1135478/full
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author Aracelly Gaete-Argel
Aracelly Gaete-Argel
Vicente Saavedra-Alarcón
Denis Sauré
Luis Alonso-Palomares
Mónica L. Acevedo
Mónica L. Acevedo
Marion Alarcón
Susan M. Bueno
Susan M. Bueno
Alexis M. Kalergis
Alexis M. Kalergis
Alexis M. Kalergis
Ricardo Soto-Rifo
Ricardo Soto-Rifo
Fernando Valiente-Echeverría
Fernando Valiente-Echeverría
Claudia P. Cortes
Claudia P. Cortes
Claudia P. Cortes
author_facet Aracelly Gaete-Argel
Aracelly Gaete-Argel
Vicente Saavedra-Alarcón
Denis Sauré
Luis Alonso-Palomares
Mónica L. Acevedo
Mónica L. Acevedo
Marion Alarcón
Susan M. Bueno
Susan M. Bueno
Alexis M. Kalergis
Alexis M. Kalergis
Alexis M. Kalergis
Ricardo Soto-Rifo
Ricardo Soto-Rifo
Fernando Valiente-Echeverría
Fernando Valiente-Echeverría
Claudia P. Cortes
Claudia P. Cortes
Claudia P. Cortes
author_sort Aracelly Gaete-Argel
collection DOAJ
description IntroductionBooster doses of SARS-CoV-2 vaccines improve seroconversion rates in solid organ transplant recipients (SOTRs) but the impact of homologous and heterologous booster doses in neutralizing antibody (NAb) titers and their ability to interfere with the variant of concern Omicron are not well studied.MethodsWe designed a prospective, open-label, observational clinical cohort study. 45 participants received two doses of BNT162b2 or CoronaVac (21-day or 28-day intervals, respectively) followed by a first and second booster with BNT162b2 (5-month apart each) and we analyzed the neutralizing antibody titers against SARSCoV-2 D614G (B.1 lineage) and Omicron (BA.1 lineage).ResultsOur results show that SOTRs receiving an initial two-dose scheme of CoronaVac or BNT162b2 generate lower NAbs titers against the ancestral variant of SARS-CoV-2 when compared with healthy controls. Although these NAb titers were further decreased against the SARS-CoV-2 Omicron, a single BNT162b2 booster in both groups was sufficient to increase NAb titers against the variant of concern. More importantly, this effect was only observed in those participants responding to the first two shots but not in those not responding to the initial vaccination scheme.DiscussionThe data provided here demonstrate the importance of monitoring antibody responses in immunocompromised subjects when planning booster vaccination programs in this risk group.
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spelling doaj.art-72f56cbebb094dc19df8a6b1e11c40572023-03-14T13:22:01ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-03-011410.3389/fimmu.2023.11354781135478Impact of homologous and heterologous boosters in neutralizing antibodies titers against SARS-CoV-2 Omicron in solid-organ transplant recipientsAracelly Gaete-Argel0Aracelly Gaete-Argel1Vicente Saavedra-Alarcón2Denis Sauré3Luis Alonso-Palomares4Mónica L. Acevedo5Mónica L. Acevedo6Marion Alarcón7Susan M. Bueno8Susan M. Bueno9Alexis M. Kalergis10Alexis M. Kalergis11Alexis M. Kalergis12Ricardo Soto-Rifo13Ricardo Soto-Rifo14Fernando Valiente-Echeverría15Fernando Valiente-Echeverría16Claudia P. Cortes17Claudia P. Cortes18Claudia P. Cortes19Laboratorio de Virología Molecular y Celular, Programa de Virología, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, ChileMillennium Institute on Immunology and Immunotherapy, Santiago, ChileLaboratorio de Virología Molecular y Celular, Programa de Virología, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, ChileDepartamento de Ingenieria Industrial, Facultad de Ciencias Físicas y Matemáticas, University of Chile and Institutos Sistemas Complejos de Ingenieria, Santiago, ChileLaboratorio de Virología Molecular y Celular, Programa de Virología, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, ChileLaboratorio de Virología Molecular y Celular, Programa de Virología, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, ChileMillennium Institute on Immunology and Immunotherapy, Santiago, ChileClínica Santa María, Santiago, ChileMillennium Institute on Immunology and Immunotherapy, Santiago, ChileMillennium Institute on Immunology and Immunotherapy, Departamento de Genética Molecular y Microbiología, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, ChileMillennium Institute on Immunology and Immunotherapy, Santiago, ChileMillennium Institute on Immunology and Immunotherapy, Departamento de Genética Molecular y Microbiología, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, ChileDepartamento de Endocrinología, Facultad de Medicina, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileLaboratorio de Virología Molecular y Celular, Programa de Virología, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, ChileMillennium Institute on Immunology and Immunotherapy, Santiago, ChileLaboratorio de Virología Molecular y Celular, Programa de Virología, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, ChileMillennium Institute on Immunology and Immunotherapy, Santiago, ChileMillennium Institute on Immunology and Immunotherapy, Santiago, ChileClínica Santa María, Santiago, ChileDepartamento de Medicina Interna Centro, Facultad de Medicina, Universidad de Chile, Santiago, ChileIntroductionBooster doses of SARS-CoV-2 vaccines improve seroconversion rates in solid organ transplant recipients (SOTRs) but the impact of homologous and heterologous booster doses in neutralizing antibody (NAb) titers and their ability to interfere with the variant of concern Omicron are not well studied.MethodsWe designed a prospective, open-label, observational clinical cohort study. 45 participants received two doses of BNT162b2 or CoronaVac (21-day or 28-day intervals, respectively) followed by a first and second booster with BNT162b2 (5-month apart each) and we analyzed the neutralizing antibody titers against SARSCoV-2 D614G (B.1 lineage) and Omicron (BA.1 lineage).ResultsOur results show that SOTRs receiving an initial two-dose scheme of CoronaVac or BNT162b2 generate lower NAbs titers against the ancestral variant of SARS-CoV-2 when compared with healthy controls. Although these NAb titers were further decreased against the SARS-CoV-2 Omicron, a single BNT162b2 booster in both groups was sufficient to increase NAb titers against the variant of concern. More importantly, this effect was only observed in those participants responding to the first two shots but not in those not responding to the initial vaccination scheme.DiscussionThe data provided here demonstrate the importance of monitoring antibody responses in immunocompromised subjects when planning booster vaccination programs in this risk group.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1135478/fullCOVID-19humoral responseneutralizationorgan transplantationvaccine
spellingShingle Aracelly Gaete-Argel
Aracelly Gaete-Argel
Vicente Saavedra-Alarcón
Denis Sauré
Luis Alonso-Palomares
Mónica L. Acevedo
Mónica L. Acevedo
Marion Alarcón
Susan M. Bueno
Susan M. Bueno
Alexis M. Kalergis
Alexis M. Kalergis
Alexis M. Kalergis
Ricardo Soto-Rifo
Ricardo Soto-Rifo
Fernando Valiente-Echeverría
Fernando Valiente-Echeverría
Claudia P. Cortes
Claudia P. Cortes
Claudia P. Cortes
Impact of homologous and heterologous boosters in neutralizing antibodies titers against SARS-CoV-2 Omicron in solid-organ transplant recipients
Frontiers in Immunology
COVID-19
humoral response
neutralization
organ transplantation
vaccine
title Impact of homologous and heterologous boosters in neutralizing antibodies titers against SARS-CoV-2 Omicron in solid-organ transplant recipients
title_full Impact of homologous and heterologous boosters in neutralizing antibodies titers against SARS-CoV-2 Omicron in solid-organ transplant recipients
title_fullStr Impact of homologous and heterologous boosters in neutralizing antibodies titers against SARS-CoV-2 Omicron in solid-organ transplant recipients
title_full_unstemmed Impact of homologous and heterologous boosters in neutralizing antibodies titers against SARS-CoV-2 Omicron in solid-organ transplant recipients
title_short Impact of homologous and heterologous boosters in neutralizing antibodies titers against SARS-CoV-2 Omicron in solid-organ transplant recipients
title_sort impact of homologous and heterologous boosters in neutralizing antibodies titers against sars cov 2 omicron in solid organ transplant recipients
topic COVID-19
humoral response
neutralization
organ transplantation
vaccine
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1135478/full
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