Long-term observation of antibody titers against SARS-CoV-2 following vaccination

Objectives: We aimed to understand how SARS-CoV-2 antibody titer decrease following SARS-CoV-2 mRNA vaccination and to estimate the timing of booster vaccination. Study design: Six hundred sixty-two healthcare workers were administered with total of three doses of SARS-CoV-2 mRNA vaccine during the...

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Main Authors: Kazuo Sugiyama, Chouji Suzuki, Masanori Aoyama, Nobuhiko Toyota, Nozomi Nakagawa, Makio Shozu, Kanji Nakai, Keiji Iwano
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Public Health in Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666535222000738
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author Kazuo Sugiyama
Chouji Suzuki
Masanori Aoyama
Nobuhiko Toyota
Nozomi Nakagawa
Makio Shozu
Kanji Nakai
Keiji Iwano
author_facet Kazuo Sugiyama
Chouji Suzuki
Masanori Aoyama
Nobuhiko Toyota
Nozomi Nakagawa
Makio Shozu
Kanji Nakai
Keiji Iwano
author_sort Kazuo Sugiyama
collection DOAJ
description Objectives: We aimed to understand how SARS-CoV-2 antibody titer decrease following SARS-CoV-2 mRNA vaccination and to estimate the timing of booster vaccination. Study design: Six hundred sixty-two healthcare workers were administered with total of three doses of SARS-CoV-2 mRNA vaccine during the same short period. Of them, three volunteers were enrolled to measure anti-receptor binding domain (RBD) antibody titers (IgG) monthly following the second and the third doses. Methods: Serum anti-RBD antibody titers were measured monthly and the decay curve of the antibody was analyzed. We estimate the timing of the third and fourth vaccine based on the observed antibody titer decrease and the period of breakthrough infections in the vaccine recipients. Results: Anti-RBD antibody decreased exponentially following the 2nd dose. Between 108 and 117 days following the second dose, breakthrough infection of SARS-CoV-2 occurred in 11 out of the 662 vaccine recipients. Based on the decrease in anti-RBD antibody and the timing of the breakthrough infections, we estimate that the optimal timing of a third dose would be at earliest 108 days after the second dose, when anti-RBD antibody titers are less than 338 BAU/mL. The anti-RBD antibody titers were sustained relatively higher for 161 days following the third dose (416 days following the second dose). Conclusions: We estimate that the optimal timing of a third dose would be at earliest 108 days after the second dose, or anti-RBD antibody titers are less than 338 BAU/mL. We suggest that a fourth dose should be administered later than 161 days following the third dose.
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spelling doaj.art-d791d60e85b54f6aa7afce65bf7e23f62022-12-22T04:42:02ZengElsevierPublic Health in Practice2666-53522022-12-014100297Long-term observation of antibody titers against SARS-CoV-2 following vaccinationKazuo Sugiyama0Chouji Suzuki1Masanori Aoyama2Nobuhiko Toyota3Nozomi Nakagawa4Makio Shozu5Kanji Nakai6Keiji Iwano7Medical Checkup Center, Gyotoku General Hospital, Ichikawa, Japan; Department of Reproductive Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan; Corresponding author. Medical Checkup Center, Gyotoku General Hospital, Hongyotoku 5525-2, Ichikawa, 272-0103, Chiba prefecture, Japan.Medical Checkup Center, Gyotoku General Hospital, Ichikawa, JapanDivision of Internal Medicine, Gyotoku General Hospital, Ichikawa, JapanDivision of Surgery, Gyotoku General Hospital, Ichikawa, JapanDivision of Nursing, Gyotoku General Hospital, Ichikawa, JapanEvolution and Reproductive Biology, Medical Mycology Research Center, Chiba University, JapanDivision of Neurosurgery, Gyotoku General Hospital, Ichikawa, JapanDivision of Internal Medicine, Gyotoku General Hospital, Ichikawa, JapanObjectives: We aimed to understand how SARS-CoV-2 antibody titer decrease following SARS-CoV-2 mRNA vaccination and to estimate the timing of booster vaccination. Study design: Six hundred sixty-two healthcare workers were administered with total of three doses of SARS-CoV-2 mRNA vaccine during the same short period. Of them, three volunteers were enrolled to measure anti-receptor binding domain (RBD) antibody titers (IgG) monthly following the second and the third doses. Methods: Serum anti-RBD antibody titers were measured monthly and the decay curve of the antibody was analyzed. We estimate the timing of the third and fourth vaccine based on the observed antibody titer decrease and the period of breakthrough infections in the vaccine recipients. Results: Anti-RBD antibody decreased exponentially following the 2nd dose. Between 108 and 117 days following the second dose, breakthrough infection of SARS-CoV-2 occurred in 11 out of the 662 vaccine recipients. Based on the decrease in anti-RBD antibody and the timing of the breakthrough infections, we estimate that the optimal timing of a third dose would be at earliest 108 days after the second dose, when anti-RBD antibody titers are less than 338 BAU/mL. The anti-RBD antibody titers were sustained relatively higher for 161 days following the third dose (416 days following the second dose). Conclusions: We estimate that the optimal timing of a third dose would be at earliest 108 days after the second dose, or anti-RBD antibody titers are less than 338 BAU/mL. We suggest that a fourth dose should be administered later than 161 days following the third dose.http://www.sciencedirect.com/science/article/pii/S2666535222000738COVID-19SARS-CoV-2Receptor binding domainAntibodyVaccineBooster
spellingShingle Kazuo Sugiyama
Chouji Suzuki
Masanori Aoyama
Nobuhiko Toyota
Nozomi Nakagawa
Makio Shozu
Kanji Nakai
Keiji Iwano
Long-term observation of antibody titers against SARS-CoV-2 following vaccination
Public Health in Practice
COVID-19
SARS-CoV-2
Receptor binding domain
Antibody
Vaccine
Booster
title Long-term observation of antibody titers against SARS-CoV-2 following vaccination
title_full Long-term observation of antibody titers against SARS-CoV-2 following vaccination
title_fullStr Long-term observation of antibody titers against SARS-CoV-2 following vaccination
title_full_unstemmed Long-term observation of antibody titers against SARS-CoV-2 following vaccination
title_short Long-term observation of antibody titers against SARS-CoV-2 following vaccination
title_sort long term observation of antibody titers against sars cov 2 following vaccination
topic COVID-19
SARS-CoV-2
Receptor binding domain
Antibody
Vaccine
Booster
url http://www.sciencedirect.com/science/article/pii/S2666535222000738
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