Cellular Immunity Is Critical for Assessing COVID-19 Vaccine Effectiveness in Immunocompromised Individuals

COVID-19 vaccine clinical development was conducted with unprecedented speed. Immunity measurements were concentrated on the antibody response which left significant gaps in our understanding how robust and long-lasting immune protection develops. Better understanding the cellular immune response wi...

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Main Authors: Eustache Paramithiotis, Scott Sugden, Eszter Papp, Marie Bonhomme, Todd Chermak, Stephanie Y. Crawford, Stefanie Z. Demetriades, Gerson Galdos, Bruce L. Lambert, John Mattison, Thomas McDade, Stephane Pillet, Robert Murphy
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.880784/full
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author Eustache Paramithiotis
Scott Sugden
Eszter Papp
Marie Bonhomme
Todd Chermak
Stephanie Y. Crawford
Stefanie Z. Demetriades
Gerson Galdos
Bruce L. Lambert
John Mattison
John Mattison
Thomas McDade
Stephane Pillet
Robert Murphy
author_facet Eustache Paramithiotis
Scott Sugden
Eszter Papp
Marie Bonhomme
Todd Chermak
Stephanie Y. Crawford
Stefanie Z. Demetriades
Gerson Galdos
Bruce L. Lambert
John Mattison
John Mattison
Thomas McDade
Stephane Pillet
Robert Murphy
author_sort Eustache Paramithiotis
collection DOAJ
description COVID-19 vaccine clinical development was conducted with unprecedented speed. Immunity measurements were concentrated on the antibody response which left significant gaps in our understanding how robust and long-lasting immune protection develops. Better understanding the cellular immune response will fill those gaps, especially in the elderly and immunocompromised populations which not only have the highest risk for severe infection, but also frequently have inadequate antibody responses. Although cellular immunity measurements are more logistically complex to conduct for clinical trials compared to antibody measurements, the feasibility and benefit of doing them in clinical trials has been demonstrated and so should be more widely adopted. Adding significant cellular response metrics will provide a deeper understanding of the overall immune response to COVID-19 vaccination, which will significantly inform vaccination strategies for the most vulnerable populations. Better monitoring of overall immunity will also substantially benefit other vaccine development efforts, and indeed any therapies that involve the immune system as part of the therapeutic strategy.
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spelling doaj.art-8cb3ccf9b1a44d5c9c719d379ae3a20b2022-12-22T02:37:42ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-05-011310.3389/fimmu.2022.880784880784Cellular Immunity Is Critical for Assessing COVID-19 Vaccine Effectiveness in Immunocompromised IndividualsEustache Paramithiotis0Scott Sugden1Eszter Papp2Marie Bonhomme3Todd Chermak4Stephanie Y. Crawford5Stefanie Z. Demetriades6Gerson Galdos7Bruce L. Lambert8John Mattison9John Mattison10Thomas McDade11Stephane Pillet12Robert Murphy13Research and Development, CellCarta, Montreal, QC, CanadaScientific Team, CellCarta, Montreal, QC, CanadaGlobal Research and Development, CellCarta, Montreal, QC, CanadaVaccine Sciences Division, Pharmaceutical Product Development (PPD) Inc., Wilmington, NC, United StatesRegulatory and Government Affairs, CellCarta, Montreal, QC, CanadaDepartment of Pharmacy Systems, Outcomes and Policy, University of Illinois Chicago, Chicago, IL, United StatesCenter for Communication and Health, Northwestern University, Evanston, IL, United StatesRobert J. Havey, MD Institute for Global Health, Northwestern University, Chicago, IL, United StatesCenter for Communication and Health, Northwestern University, Evanston, IL, United StatesHealth Information, Kaiser Permanente, Pasadena, CA, United States0Health Technology Advisory Board, Arsenal Capital, New York, NY, United States1Department of Anthropology, Northwestern University, Evanston, IL, United States2McGill University Health Center, Montreal, QC, CanadaRobert J. Havey, MD Institute for Global Health, Northwestern University, Chicago, IL, United StatesCOVID-19 vaccine clinical development was conducted with unprecedented speed. Immunity measurements were concentrated on the antibody response which left significant gaps in our understanding how robust and long-lasting immune protection develops. Better understanding the cellular immune response will fill those gaps, especially in the elderly and immunocompromised populations which not only have the highest risk for severe infection, but also frequently have inadequate antibody responses. Although cellular immunity measurements are more logistically complex to conduct for clinical trials compared to antibody measurements, the feasibility and benefit of doing them in clinical trials has been demonstrated and so should be more widely adopted. Adding significant cellular response metrics will provide a deeper understanding of the overall immune response to COVID-19 vaccination, which will significantly inform vaccination strategies for the most vulnerable populations. Better monitoring of overall immunity will also substantially benefit other vaccine development efforts, and indeed any therapies that involve the immune system as part of the therapeutic strategy.https://www.frontiersin.org/articles/10.3389/fimmu.2022.880784/fullcellular immunityimmunocompromisedvaccineCOVID-19efficacy
spellingShingle Eustache Paramithiotis
Scott Sugden
Eszter Papp
Marie Bonhomme
Todd Chermak
Stephanie Y. Crawford
Stefanie Z. Demetriades
Gerson Galdos
Bruce L. Lambert
John Mattison
John Mattison
Thomas McDade
Stephane Pillet
Robert Murphy
Cellular Immunity Is Critical for Assessing COVID-19 Vaccine Effectiveness in Immunocompromised Individuals
Frontiers in Immunology
cellular immunity
immunocompromised
vaccine
COVID-19
efficacy
title Cellular Immunity Is Critical for Assessing COVID-19 Vaccine Effectiveness in Immunocompromised Individuals
title_full Cellular Immunity Is Critical for Assessing COVID-19 Vaccine Effectiveness in Immunocompromised Individuals
title_fullStr Cellular Immunity Is Critical for Assessing COVID-19 Vaccine Effectiveness in Immunocompromised Individuals
title_full_unstemmed Cellular Immunity Is Critical for Assessing COVID-19 Vaccine Effectiveness in Immunocompromised Individuals
title_short Cellular Immunity Is Critical for Assessing COVID-19 Vaccine Effectiveness in Immunocompromised Individuals
title_sort cellular immunity is critical for assessing covid 19 vaccine effectiveness in immunocompromised individuals
topic cellular immunity
immunocompromised
vaccine
COVID-19
efficacy
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.880784/full
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