Saliva and Plasma Neutralizing Activity Induced by the Administration of a Third bnt162b2 Vaccine Dose

The BNT162b2 vaccine induces neutralizing activity (NA) in serum, but no data are available on whether a third-dose activates specific-immunity within the oral mucosa, representing the primary route of viral-entry. To carefully address this issue, we investigated if such immunity is boosted by SARS-...

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Main Authors: Micaela Garziano, Olga Utyro, Sergio Strizzi, Claudia Vanetti, Irma Saulle, Chiara Conforti, Federica Cicilano, Francesco Ardizzone, Gioia Cappelletti, Mario Clerici, Fiona Limanaqi, Mara Biasin
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/22/14341
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author Micaela Garziano
Olga Utyro
Sergio Strizzi
Claudia Vanetti
Irma Saulle
Chiara Conforti
Federica Cicilano
Francesco Ardizzone
Gioia Cappelletti
Mario Clerici
Fiona Limanaqi
Mara Biasin
author_facet Micaela Garziano
Olga Utyro
Sergio Strizzi
Claudia Vanetti
Irma Saulle
Chiara Conforti
Federica Cicilano
Francesco Ardizzone
Gioia Cappelletti
Mario Clerici
Fiona Limanaqi
Mara Biasin
author_sort Micaela Garziano
collection DOAJ
description The BNT162b2 vaccine induces neutralizing activity (NA) in serum, but no data are available on whether a third-dose activates specific-immunity within the oral mucosa, representing the primary route of viral-entry. To carefully address this issue, we investigated if such immunity is boosted by SARS-CoV-2-infection; how long it is maintained over-time; and if it protects against the SARS-CoV-2 lineage B.1 (EU) and the emerging Delta and Omicron variants. NA was measured in plasma and saliva samples from: uninfected SARS-CoV-2-Vaccinated (SV), subjects infected prior to vaccination (SIV), and subjects who were infected after the second (SIV2) or the third (SIV3) vaccine dose. Samples were collected immediately before (T0), 15 days (T1), and 90 days (T2) post third-dose administration (SV and SIV), or 15 days post-infection (SIV2 and SIV3). In all the enrolled groups, NA in plasma and saliva: (i) was higher against EU compared to the other variants at all time-points (SV: T0 and T1, EU vs. both Delta and Omicron <i>p</i> < 0.001; T2 <i>p</i> < 0.01) (SIV: T0, EU vs. Delta <i>p</i> < 0.05; EU vs. Omi <i>p</i> < 0.01; T1 and T2 EU vs. Delta <i>p</i> < 0.01; EU vs. Omi <i>p</i> < 0.001); (ii) was boosted by the administration of the third dose; iii) declined over-time, albeit being detectable in almost all subjects at T2. The monitoring of NA over time will be important in clarifying if different NA levels may influence either acquisition or course of infection to properly plan the timing of a fourth vaccine dose administration.
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spelling doaj.art-d970e6f71df24ac9a9400a8ddf7d600d2023-11-24T08:42:36ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-11-0123221434110.3390/ijms232214341Saliva and Plasma Neutralizing Activity Induced by the Administration of a Third bnt162b2 Vaccine DoseMicaela Garziano0Olga Utyro1Sergio Strizzi2Claudia Vanetti3Irma Saulle4Chiara Conforti5Federica Cicilano6Francesco Ardizzone7Gioia Cappelletti8Mario Clerici9Fiona Limanaqi10Mara Biasin11Department of Biomedical and Clinical Sciences, University of Milan, Via G.B. Grassi, 20122 Milan, ItalyDepartment of Biomedical and Clinical Sciences, University of Milan, Via G.B. Grassi, 20122 Milan, ItalyDepartment of Biomedical and Clinical Sciences, University of Milan, Via G.B. Grassi, 20122 Milan, ItalyDepartment of Biomedical and Clinical Sciences, University of Milan, Via G.B. Grassi, 20122 Milan, ItalyDepartment of Biomedical and Clinical Sciences, University of Milan, Via G.B. Grassi, 20122 Milan, ItalyDepartment of Biomedical and Clinical Sciences, University of Milan, Via G.B. Grassi, 20122 Milan, ItalyDepartment of Biomedical and Clinical Sciences, University of Milan, Via G.B. Grassi, 20122 Milan, ItalyDepartment of Biomedical and Clinical Sciences, University of Milan, Via G.B. Grassi, 20122 Milan, ItalyDepartment of Biomedical and Clinical Sciences, University of Milan, Via G.B. Grassi, 20122 Milan, ItalyDepartment of Pathophysiology and Transplantation, University of Milan, Via Francesco Sforza, 20122 Milan, ItalyDepartment of Biomedical and Clinical Sciences, University of Milan, Via G.B. Grassi, 20122 Milan, ItalyDepartment of Biomedical and Clinical Sciences, University of Milan, Via G.B. Grassi, 20122 Milan, ItalyThe BNT162b2 vaccine induces neutralizing activity (NA) in serum, but no data are available on whether a third-dose activates specific-immunity within the oral mucosa, representing the primary route of viral-entry. To carefully address this issue, we investigated if such immunity is boosted by SARS-CoV-2-infection; how long it is maintained over-time; and if it protects against the SARS-CoV-2 lineage B.1 (EU) and the emerging Delta and Omicron variants. NA was measured in plasma and saliva samples from: uninfected SARS-CoV-2-Vaccinated (SV), subjects infected prior to vaccination (SIV), and subjects who were infected after the second (SIV2) or the third (SIV3) vaccine dose. Samples were collected immediately before (T0), 15 days (T1), and 90 days (T2) post third-dose administration (SV and SIV), or 15 days post-infection (SIV2 and SIV3). In all the enrolled groups, NA in plasma and saliva: (i) was higher against EU compared to the other variants at all time-points (SV: T0 and T1, EU vs. both Delta and Omicron <i>p</i> < 0.001; T2 <i>p</i> < 0.01) (SIV: T0, EU vs. Delta <i>p</i> < 0.05; EU vs. Omi <i>p</i> < 0.01; T1 and T2 EU vs. Delta <i>p</i> < 0.01; EU vs. Omi <i>p</i> < 0.001); (ii) was boosted by the administration of the third dose; iii) declined over-time, albeit being detectable in almost all subjects at T2. The monitoring of NA over time will be important in clarifying if different NA levels may influence either acquisition or course of infection to properly plan the timing of a fourth vaccine dose administration.https://www.mdpi.com/1422-0067/23/22/14341SARS-CoV-2salivaneutralizing activityvaccinevariantsbooster dose
spellingShingle Micaela Garziano
Olga Utyro
Sergio Strizzi
Claudia Vanetti
Irma Saulle
Chiara Conforti
Federica Cicilano
Francesco Ardizzone
Gioia Cappelletti
Mario Clerici
Fiona Limanaqi
Mara Biasin
Saliva and Plasma Neutralizing Activity Induced by the Administration of a Third bnt162b2 Vaccine Dose
International Journal of Molecular Sciences
SARS-CoV-2
saliva
neutralizing activity
vaccine
variants
booster dose
title Saliva and Plasma Neutralizing Activity Induced by the Administration of a Third bnt162b2 Vaccine Dose
title_full Saliva and Plasma Neutralizing Activity Induced by the Administration of a Third bnt162b2 Vaccine Dose
title_fullStr Saliva and Plasma Neutralizing Activity Induced by the Administration of a Third bnt162b2 Vaccine Dose
title_full_unstemmed Saliva and Plasma Neutralizing Activity Induced by the Administration of a Third bnt162b2 Vaccine Dose
title_short Saliva and Plasma Neutralizing Activity Induced by the Administration of a Third bnt162b2 Vaccine Dose
title_sort saliva and plasma neutralizing activity induced by the administration of a third bnt162b2 vaccine dose
topic SARS-CoV-2
saliva
neutralizing activity
vaccine
variants
booster dose
url https://www.mdpi.com/1422-0067/23/22/14341
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