SARS-CoV-2 Breakthrough Infections after Third Doses Boost IgG Specific Salivary and Blood Antibodies

SARS-CoV-2 breakthrough infections, associated with waning immunity, increase systemic antibody levels. In this study, we analyzed the impact of the infection timing on the magnitude of the systemic humoral response and whether breakthrough infections also boost antibody levels in the salivary compa...

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Main Authors: María Noel Badano, Matias J. Pereson, Florencia Sabbione, Irene Keitelman, Natalia Aloisi, Roberto Chuit, María M. E. de Bracco, Susana Fink, Patricia Baré
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/3/534
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author María Noel Badano
Matias J. Pereson
Florencia Sabbione
Irene Keitelman
Natalia Aloisi
Roberto Chuit
María M. E. de Bracco
Susana Fink
Patricia Baré
author_facet María Noel Badano
Matias J. Pereson
Florencia Sabbione
Irene Keitelman
Natalia Aloisi
Roberto Chuit
María M. E. de Bracco
Susana Fink
Patricia Baré
author_sort María Noel Badano
collection DOAJ
description SARS-CoV-2 breakthrough infections, associated with waning immunity, increase systemic antibody levels. In this study, we analyzed the impact of the infection timing on the magnitude of the systemic humoral response and whether breakthrough infections also boost antibody levels in the salivary compartment. We observed that the combination of infection plus vaccination, regardless of infection timing, produced a sharp increase in systemic antibodies, which were higher in subjects infected after third doses. Moreover, despite high systemic antibody levels, breakthrough infections after dose three occurred and boosted antibody levels in the salivary compartment. These results suggest that current vaccination strategies against COVID-19 should be improved. Results also showed that determination of salivary antibodies against SARS-CoV-2 could be a valuable tool in disease prevalence studies, for the follow-up of vaccinated individuals, and to assist vaccination strategies against COVID-19, especially in settings where blood sampling cannot be fulfilled.
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spelling doaj.art-b04acb344b894a29a6d5290da36756462023-11-17T14:17:24ZengMDPI AGVaccines2076-393X2023-02-0111353410.3390/vaccines11030534SARS-CoV-2 Breakthrough Infections after Third Doses Boost IgG Specific Salivary and Blood AntibodiesMaría Noel Badano0Matias J. Pereson1Florencia Sabbione2Irene Keitelman3Natalia Aloisi4Roberto Chuit5María M. E. de Bracco6Susana Fink7Patricia Baré8Instituto de Medicina Experimental (IMEX)-Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Academia Nacional de Medicina, Buenos Aires 1425, ArgentinaInstituto de Investigaciones en Bacteriología y Virología Molecular (IBaViM), Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires 1113, ArgentinaInstituto de Medicina Experimental (IMEX)-Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Academia Nacional de Medicina, Buenos Aires 1425, ArgentinaInstituto de Medicina Experimental (IMEX)-Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Academia Nacional de Medicina, Buenos Aires 1425, ArgentinaInstituto de Investigaciones Hematológicas (IIHEMA), Academia Nacional de Medicina, Buenos Aires 1425, ArgentinaInstituto de Investigaciones Epidemiológicas (IIE), Academia Nacional de Medicina, Buenos Aires 1425, ArgentinaInstituto de Medicina Experimental (IMEX)-Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Academia Nacional de Medicina, Buenos Aires 1425, ArgentinaInstituto de Medicina Experimental (IMEX)-Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Academia Nacional de Medicina, Buenos Aires 1425, ArgentinaInstituto de Medicina Experimental (IMEX)-Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Academia Nacional de Medicina, Buenos Aires 1425, ArgentinaSARS-CoV-2 breakthrough infections, associated with waning immunity, increase systemic antibody levels. In this study, we analyzed the impact of the infection timing on the magnitude of the systemic humoral response and whether breakthrough infections also boost antibody levels in the salivary compartment. We observed that the combination of infection plus vaccination, regardless of infection timing, produced a sharp increase in systemic antibodies, which were higher in subjects infected after third doses. Moreover, despite high systemic antibody levels, breakthrough infections after dose three occurred and boosted antibody levels in the salivary compartment. These results suggest that current vaccination strategies against COVID-19 should be improved. Results also showed that determination of salivary antibodies against SARS-CoV-2 could be a valuable tool in disease prevalence studies, for the follow-up of vaccinated individuals, and to assist vaccination strategies against COVID-19, especially in settings where blood sampling cannot be fulfilled.https://www.mdpi.com/2076-393X/11/3/534SARS-CoV-2 breakthrough infectionsvaccinesanti-spike antibody levelshumoral responseIgG specific salivary antibodies
spellingShingle María Noel Badano
Matias J. Pereson
Florencia Sabbione
Irene Keitelman
Natalia Aloisi
Roberto Chuit
María M. E. de Bracco
Susana Fink
Patricia Baré
SARS-CoV-2 Breakthrough Infections after Third Doses Boost IgG Specific Salivary and Blood Antibodies
Vaccines
SARS-CoV-2 breakthrough infections
vaccines
anti-spike antibody levels
humoral response
IgG specific salivary antibodies
title SARS-CoV-2 Breakthrough Infections after Third Doses Boost IgG Specific Salivary and Blood Antibodies
title_full SARS-CoV-2 Breakthrough Infections after Third Doses Boost IgG Specific Salivary and Blood Antibodies
title_fullStr SARS-CoV-2 Breakthrough Infections after Third Doses Boost IgG Specific Salivary and Blood Antibodies
title_full_unstemmed SARS-CoV-2 Breakthrough Infections after Third Doses Boost IgG Specific Salivary and Blood Antibodies
title_short SARS-CoV-2 Breakthrough Infections after Third Doses Boost IgG Specific Salivary and Blood Antibodies
title_sort sars cov 2 breakthrough infections after third doses boost igg specific salivary and blood antibodies
topic SARS-CoV-2 breakthrough infections
vaccines
anti-spike antibody levels
humoral response
IgG specific salivary antibodies
url https://www.mdpi.com/2076-393X/11/3/534
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