IgG Anti-Spike Antibodies and Surrogate Neutralizing Antibody Levels Decline Faster 3 to 10 Months After BNT162b2 Vaccination Than After SARS-CoV-2 Infection in Healthcare Workers

BackgroundIgG anti-spike (S) antibodies arise after SARS-CoV-2 infection as well as vaccination. Levels of IgG anti-S are linked to neutralizing antibody titers and protection against (re)infection.MethodsWe measured IgG anti-S and surrogate neutralizing antibody kinetics against Wild Type (WT) and...

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Main Authors: Bram Decru, Jan Van Elslande, Sophie Steels, Gijs Van Pottelbergh, Lode Godderis, Bram Van Holm, Xavier Bossuyt, Johan Van Weyenbergh, Piet Maes, Pieter Vermeersch
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.909910/full
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author Bram Decru
Jan Van Elslande
Sophie Steels
Gijs Van Pottelbergh
Gijs Van Pottelbergh
Lode Godderis
Lode Godderis
Lode Godderis
Lode Godderis
Bram Van Holm
Xavier Bossuyt
Johan Van Weyenbergh
Piet Maes
Pieter Vermeersch
Pieter Vermeersch
author_facet Bram Decru
Jan Van Elslande
Sophie Steels
Gijs Van Pottelbergh
Gijs Van Pottelbergh
Lode Godderis
Lode Godderis
Lode Godderis
Lode Godderis
Bram Van Holm
Xavier Bossuyt
Johan Van Weyenbergh
Piet Maes
Pieter Vermeersch
Pieter Vermeersch
author_sort Bram Decru
collection DOAJ
description BackgroundIgG anti-spike (S) antibodies arise after SARS-CoV-2 infection as well as vaccination. Levels of IgG anti-S are linked to neutralizing antibody titers and protection against (re)infection.MethodsWe measured IgG anti-S and surrogate neutralizing antibody kinetics against Wild Type (WT) and 4 Variants of Concern (VOC) in health care workers (HCW) 3 and 10 months after natural infection (“infection”, n=83) or vaccination (2 doses of BNT162b2) with (“hybrid immunity”, n=17) or without prior SARS-CoV-2 infection (“vaccination”, n=97).ResultsThe humoral immune response in the “vaccination” cohort was higher at 3 months, but lower at 10 months, compared to the “infection” cohort due to a faster decline. The “hybrid immunity” cohort had the highest antibody levels at 3 and 10 months with a slower decline compared to the “vaccination” cohort. Surrogate neutralizing antibody levels (expressed as %inhibition of ACE-2 binding) showed a linear relation with log10 of IgG anti-S against WT and four VOC. IgG anti-S corresponding to 90% inhibition ranged from 489 BAU/mL for WT to 1756 BAU/mL for Beta variant. Broad pseudoneutralization predicted live virus neutralization of Omicron BA.1 in 20 randomly selected high titer samples.ConclusionsHybrid immunity resulted in the strongest humoral immune response. Antibodies induced by natural infection decreased more slowly than after vaccination, resulting in higher antibody levels at 10 months compared to vaccinated HCW without prior infection. There was a linear relationship between surrogate neutralizing activity and log10 IgG anti-S for WT and 4 VOC, although some VOC showed reduced sensitivity to pseudoneutralization.
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spelling doaj.art-b8b695148afd4e81ba982eabb66252932022-12-22T03:46:18ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-06-011310.3389/fimmu.2022.909910909910IgG Anti-Spike Antibodies and Surrogate Neutralizing Antibody Levels Decline Faster 3 to 10 Months After BNT162b2 Vaccination Than After SARS-CoV-2 Infection in Healthcare WorkersBram Decru0Jan Van Elslande1Sophie Steels2Gijs Van Pottelbergh3Gijs Van Pottelbergh4Lode Godderis5Lode Godderis6Lode Godderis7Lode Godderis8Bram Van Holm9Xavier Bossuyt10Johan Van Weyenbergh11Piet Maes12Pieter Vermeersch13Pieter Vermeersch14University Hospitals Leuven, Clinical Department of Laboratory Medicine and National Reference Center for Respiratory Pathogens, Leuven, BelgiumUniversity Hospitals Leuven, Clinical Department of Laboratory Medicine and National Reference Center for Respiratory Pathogens, Leuven, BelgiumUniversity Hospitals Leuven, Clinical Department of Laboratory Medicine and National Reference Center for Respiratory Pathogens, Leuven, BelgiumAcademic Centre of General Practice, KU Leuven, Leuven, BelgiumDepartment of Public Health and Primary Care, KU Leuven, Leuven, BelgiumAcademic Centre of General Practice, KU Leuven, Leuven, BelgiumDepartment of Public Health and Primary Care, KU Leuven, Leuven, BelgiumEnvironment and Health, Department of Public Health and Primary Care, KU Leuven, Leuven, BelgiumGroup IDEWE, External Service for Prevention and Protection at Work, Heverlee, BelgiumLaboratory of Clinical and Epidemiological Virology, Department of Microbiology, Immunology and Transplantation, Rega Institute, KU Leuven, Leuven, BelgiumUniversity Hospitals Leuven, Clinical Department of Laboratory Medicine and National Reference Center for Respiratory Pathogens, Leuven, BelgiumLaboratory of Clinical and Epidemiological Virology, Department of Microbiology, Immunology and Transplantation, Rega Institute, KU Leuven, Leuven, BelgiumLaboratory of Clinical and Epidemiological Virology, Department of Microbiology, Immunology and Transplantation, Rega Institute, KU Leuven, Leuven, BelgiumUniversity Hospitals Leuven, Clinical Department of Laboratory Medicine and National Reference Center for Respiratory Pathogens, Leuven, BelgiumDepartment of Cardiovascular Sciences, KU Leuven, Leuven, BelgiumBackgroundIgG anti-spike (S) antibodies arise after SARS-CoV-2 infection as well as vaccination. Levels of IgG anti-S are linked to neutralizing antibody titers and protection against (re)infection.MethodsWe measured IgG anti-S and surrogate neutralizing antibody kinetics against Wild Type (WT) and 4 Variants of Concern (VOC) in health care workers (HCW) 3 and 10 months after natural infection (“infection”, n=83) or vaccination (2 doses of BNT162b2) with (“hybrid immunity”, n=17) or without prior SARS-CoV-2 infection (“vaccination”, n=97).ResultsThe humoral immune response in the “vaccination” cohort was higher at 3 months, but lower at 10 months, compared to the “infection” cohort due to a faster decline. The “hybrid immunity” cohort had the highest antibody levels at 3 and 10 months with a slower decline compared to the “vaccination” cohort. Surrogate neutralizing antibody levels (expressed as %inhibition of ACE-2 binding) showed a linear relation with log10 of IgG anti-S against WT and four VOC. IgG anti-S corresponding to 90% inhibition ranged from 489 BAU/mL for WT to 1756 BAU/mL for Beta variant. Broad pseudoneutralization predicted live virus neutralization of Omicron BA.1 in 20 randomly selected high titer samples.ConclusionsHybrid immunity resulted in the strongest humoral immune response. Antibodies induced by natural infection decreased more slowly than after vaccination, resulting in higher antibody levels at 10 months compared to vaccinated HCW without prior infection. There was a linear relationship between surrogate neutralizing activity and log10 IgG anti-S for WT and 4 VOC, although some VOC showed reduced sensitivity to pseudoneutralization.https://www.frontiersin.org/articles/10.3389/fimmu.2022.909910/fullSARS-CoV-2COVD-19 serological testingneutralizing antibodiesvaccinationspikeIgG
spellingShingle Bram Decru
Jan Van Elslande
Sophie Steels
Gijs Van Pottelbergh
Gijs Van Pottelbergh
Lode Godderis
Lode Godderis
Lode Godderis
Lode Godderis
Bram Van Holm
Xavier Bossuyt
Johan Van Weyenbergh
Piet Maes
Pieter Vermeersch
Pieter Vermeersch
IgG Anti-Spike Antibodies and Surrogate Neutralizing Antibody Levels Decline Faster 3 to 10 Months After BNT162b2 Vaccination Than After SARS-CoV-2 Infection in Healthcare Workers
Frontiers in Immunology
SARS-CoV-2
COVD-19 serological testing
neutralizing antibodies
vaccination
spike
IgG
title IgG Anti-Spike Antibodies and Surrogate Neutralizing Antibody Levels Decline Faster 3 to 10 Months After BNT162b2 Vaccination Than After SARS-CoV-2 Infection in Healthcare Workers
title_full IgG Anti-Spike Antibodies and Surrogate Neutralizing Antibody Levels Decline Faster 3 to 10 Months After BNT162b2 Vaccination Than After SARS-CoV-2 Infection in Healthcare Workers
title_fullStr IgG Anti-Spike Antibodies and Surrogate Neutralizing Antibody Levels Decline Faster 3 to 10 Months After BNT162b2 Vaccination Than After SARS-CoV-2 Infection in Healthcare Workers
title_full_unstemmed IgG Anti-Spike Antibodies and Surrogate Neutralizing Antibody Levels Decline Faster 3 to 10 Months After BNT162b2 Vaccination Than After SARS-CoV-2 Infection in Healthcare Workers
title_short IgG Anti-Spike Antibodies and Surrogate Neutralizing Antibody Levels Decline Faster 3 to 10 Months After BNT162b2 Vaccination Than After SARS-CoV-2 Infection in Healthcare Workers
title_sort igg anti spike antibodies and surrogate neutralizing antibody levels decline faster 3 to 10 months after bnt162b2 vaccination than after sars cov 2 infection in healthcare workers
topic SARS-CoV-2
COVD-19 serological testing
neutralizing antibodies
vaccination
spike
IgG
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.909910/full
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