Lower vaccine-acquired immunity in the elderly population following two-dose BNT162b2 vaccination is alleviated by a third vaccine dose

Understanding the impact of age on vaccinations is essential for the design and delivery of vaccines against SARS-CoV-2. Here, we present findings from a comprehensive analysis of multiple compartments of the memory immune response in 312 individuals vaccinated with the BNT162b2 SARS-CoV-2 mRNA vacc...

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Main Authors: Renia, Laurent, Goh, Yun Shan, Rouers, Angeline, Bert, Nina Le, Chia, Wan Ni, Chavatte, Jean-Marc, Fong, Siew-Wai, Chang, Zi Wei, Zhuo, Nicole Ziyi, Tay. Matthew Zirui, Chan, Yi-Hao, Tan Chee Wah, Yeo, Nicholas Kim-Wah, Amrun, Siti Naqiah, Huang, Yuling, Wong, Joel Xu En, Hor, Pei Xiang, Loh, Chiew Yee, Wang, Bei, Ngoh, Eve Zi Xian, Salleh, Siti Nazihah Mohd Salleh, Carissimo, Guillaume, Dowla, Samanzer, Lim, Alicia Jieling, Zhang, Jinyan, Lim, Joey Ming Er, Wang, Cheng-I., Ding, Ying, Pada, Surinder, Sun, Lousia Jin, Somani, Jyoti, Lee, Eng Sing, Ong, Desmond Luan Seng, Leo, Yee-Sin, MacAry, Paul A., Lin, Raymond Tzer Pin, Wang, Lin-Fa, Ren, Ee Chee, Lye, David C., Bertoletti, Antonio, Young, Barnaby Edward, Ng, Lisa F. P., Ruesta, Torres Anthony, Neo, Vanessa, Chen, Wendy Yehui, Goh, Estelle Yi Wei, Ong, Alice Soh Meoy, Chua, Adeline Chiew Yen, Nguee, Samantha Yee Teng, Tan, Yong Jie, Tang, Weiyi
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Journal Article
Language:English
Published: 2023
Subjects:
Online Access:https://hdl.handle.net/10356/171167
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author Renia, Laurent
Goh, Yun Shan
Rouers, Angeline
Bert, Nina Le
Chia, Wan Ni
Chavatte, Jean-Marc
Fong, Siew-Wai
Chang, Zi Wei
Zhuo, Nicole Ziyi
Tay. Matthew Zirui
Chan, Yi-Hao
Tan Chee Wah
Yeo, Nicholas Kim-Wah
Amrun, Siti Naqiah
Huang, Yuling
Wong, Joel Xu En
Hor, Pei Xiang
Loh, Chiew Yee
Wang, Bei
Ngoh, Eve Zi Xian
Salleh, Siti Nazihah Mohd Salleh
Carissimo, Guillaume
Dowla, Samanzer
Lim, Alicia Jieling
Zhang, Jinyan
Lim, Joey Ming Er
Wang, Cheng-I.
Ding, Ying
Pada, Surinder
Sun, Lousia Jin
Somani, Jyoti
Lee, Eng Sing
Ong, Desmond Luan Seng
Leo, Yee-Sin
MacAry, Paul A.
Lin, Raymond Tzer Pin
Wang, Lin-Fa
Ren, Ee Chee
Lye, David C.
Bertoletti, Antonio
Young, Barnaby Edward
Ng, Lisa F. P.
Ruesta, Torres Anthony
Neo, Vanessa
Chen, Wendy Yehui
Goh, Estelle Yi Wei
Ong, Alice Soh Meoy
Chua, Adeline Chiew Yen
Nguee, Samantha Yee Teng
Tan, Yong Jie
Tang, Weiyi
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Renia, Laurent
Goh, Yun Shan
Rouers, Angeline
Bert, Nina Le
Chia, Wan Ni
Chavatte, Jean-Marc
Fong, Siew-Wai
Chang, Zi Wei
Zhuo, Nicole Ziyi
Tay. Matthew Zirui
Chan, Yi-Hao
Tan Chee Wah
Yeo, Nicholas Kim-Wah
Amrun, Siti Naqiah
Huang, Yuling
Wong, Joel Xu En
Hor, Pei Xiang
Loh, Chiew Yee
Wang, Bei
Ngoh, Eve Zi Xian
Salleh, Siti Nazihah Mohd Salleh
Carissimo, Guillaume
Dowla, Samanzer
Lim, Alicia Jieling
Zhang, Jinyan
Lim, Joey Ming Er
Wang, Cheng-I.
Ding, Ying
Pada, Surinder
Sun, Lousia Jin
Somani, Jyoti
Lee, Eng Sing
Ong, Desmond Luan Seng
Leo, Yee-Sin
MacAry, Paul A.
Lin, Raymond Tzer Pin
Wang, Lin-Fa
Ren, Ee Chee
Lye, David C.
Bertoletti, Antonio
Young, Barnaby Edward
Ng, Lisa F. P.
Ruesta, Torres Anthony
Neo, Vanessa
Chen, Wendy Yehui
Goh, Estelle Yi Wei
Ong, Alice Soh Meoy
Chua, Adeline Chiew Yen
Nguee, Samantha Yee Teng
Tan, Yong Jie
Tang, Weiyi
author_sort Renia, Laurent
collection NTU
description Understanding the impact of age on vaccinations is essential for the design and delivery of vaccines against SARS-CoV-2. Here, we present findings from a comprehensive analysis of multiple compartments of the memory immune response in 312 individuals vaccinated with the BNT162b2 SARS-CoV-2 mRNA vaccine. Two vaccine doses induce high antibody and T cell responses in most individuals. However, antibody recognition of the Spike protein of the Delta and Omicron variants is less efficient than that of the ancestral Wuhan strain. Age-stratified analyses identify a group of low antibody responders where individuals ≥60 years are overrepresented. Waning of the antibody and cellular responses is observed in 30% of the vaccinees after 6 months. However, age does not influence the waning of these responses. Taken together, while individuals ≥60 years old take longer to acquire vaccine-induced immunity, they develop more sustained acquired immunity at 6 months post-vaccination. A third dose strongly boosts the low antibody responses in the older individuals against the ancestral Wuhan strain, Delta and Omicron variants.
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spelling ntu-10356/1711672023-10-29T15:37:57Z Lower vaccine-acquired immunity in the elderly population following two-dose BNT162b2 vaccination is alleviated by a third vaccine dose Renia, Laurent Goh, Yun Shan Rouers, Angeline Bert, Nina Le Chia, Wan Ni Chavatte, Jean-Marc Fong, Siew-Wai Chang, Zi Wei Zhuo, Nicole Ziyi Tay. Matthew Zirui Chan, Yi-Hao Tan Chee Wah Yeo, Nicholas Kim-Wah Amrun, Siti Naqiah Huang, Yuling Wong, Joel Xu En Hor, Pei Xiang Loh, Chiew Yee Wang, Bei Ngoh, Eve Zi Xian Salleh, Siti Nazihah Mohd Salleh Carissimo, Guillaume Dowla, Samanzer Lim, Alicia Jieling Zhang, Jinyan Lim, Joey Ming Er Wang, Cheng-I. Ding, Ying Pada, Surinder Sun, Lousia Jin Somani, Jyoti Lee, Eng Sing Ong, Desmond Luan Seng Leo, Yee-Sin MacAry, Paul A. Lin, Raymond Tzer Pin Wang, Lin-Fa Ren, Ee Chee Lye, David C. Bertoletti, Antonio Young, Barnaby Edward Ng, Lisa F. P. Ruesta, Torres Anthony Neo, Vanessa Chen, Wendy Yehui Goh, Estelle Yi Wei Ong, Alice Soh Meoy Chua, Adeline Chiew Yen Nguee, Samantha Yee Teng Tan, Yong Jie Tang, Weiyi Lee Kong Chian School of Medicine (LKCMedicine) School of Biological Sciences Science::Biological sciences Recombinant Vaccine Prevention and Control Understanding the impact of age on vaccinations is essential for the design and delivery of vaccines against SARS-CoV-2. Here, we present findings from a comprehensive analysis of multiple compartments of the memory immune response in 312 individuals vaccinated with the BNT162b2 SARS-CoV-2 mRNA vaccine. Two vaccine doses induce high antibody and T cell responses in most individuals. However, antibody recognition of the Spike protein of the Delta and Omicron variants is less efficient than that of the ancestral Wuhan strain. Age-stratified analyses identify a group of low antibody responders where individuals ≥60 years are overrepresented. Waning of the antibody and cellular responses is observed in 30% of the vaccinees after 6 months. However, age does not influence the waning of these responses. Taken together, while individuals ≥60 years old take longer to acquire vaccine-induced immunity, they develop more sustained acquired immunity at 6 months post-vaccination. A third dose strongly boosts the low antibody responses in the older individuals against the ancestral Wuhan strain, Delta and Omicron variants. Agency for Science, Technology and Research (A*STAR) Singapore Infectious Diseases Initiative - National Medical Research Council Published version This work was supported by the Biomedical Research Council (BMRC), A*CRUSE (Vaccine monitoring project), the A*ccelerate GAP-funded project (ACCL/19-GAP064-R20H-H) from Agency of Science, Technology and Research (A*STAR), Singapore National Medical Research Council COVID-19 Research Fund (COVID19RF-001; COVID19RF-007; COVID19RF-0008; COVID19RF-011, COVID19RF-060) (LR, LFPN, DCL, BEY), US Food and Drug Administration (#75F40120C00085) (LR, LN), and A*STAR COVID-19 Research funding (H/20/04/g1/006) (LR, WCI, LFPN). 2023-10-23T06:35:00Z 2023-10-23T06:35:00Z 2022 Journal Article Renia, L., Goh, Y. S., Rouers, A., Bert, N. L., Chia, W. N., Chavatte, J., Fong, S., Chang, Z. W., Zhuo, N. Z., Tay. Matthew Zirui, Chan, Y., Tan Chee Wah, Yeo, N. K., Amrun, S. N., Huang, Y., Wong, J. X. E., Hor, P. X., Loh, C. Y., Wang, B., ...Tang, W. (2022). Lower vaccine-acquired immunity in the elderly population following two-dose BNT162b2 vaccination is alleviated by a third vaccine dose. Nature Communications, 13(1), 4615-. https://dx.doi.org/10.1038/s41467-022-32312-1 2041-1723 https://hdl.handle.net/10356/171167 10.1038/s41467-022-32312-1 35941158 2-s2.0-85135551151 1 13 4615 en COVID19RF-001 COVID19RF-007 COVID19RF-0008 COVID19RF-011 COVID19RF-060 H/20/04/g1/006 Nature Communications © The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. application/pdf
spellingShingle Science::Biological sciences
Recombinant Vaccine
Prevention and Control
Renia, Laurent
Goh, Yun Shan
Rouers, Angeline
Bert, Nina Le
Chia, Wan Ni
Chavatte, Jean-Marc
Fong, Siew-Wai
Chang, Zi Wei
Zhuo, Nicole Ziyi
Tay. Matthew Zirui
Chan, Yi-Hao
Tan Chee Wah
Yeo, Nicholas Kim-Wah
Amrun, Siti Naqiah
Huang, Yuling
Wong, Joel Xu En
Hor, Pei Xiang
Loh, Chiew Yee
Wang, Bei
Ngoh, Eve Zi Xian
Salleh, Siti Nazihah Mohd Salleh
Carissimo, Guillaume
Dowla, Samanzer
Lim, Alicia Jieling
Zhang, Jinyan
Lim, Joey Ming Er
Wang, Cheng-I.
Ding, Ying
Pada, Surinder
Sun, Lousia Jin
Somani, Jyoti
Lee, Eng Sing
Ong, Desmond Luan Seng
Leo, Yee-Sin
MacAry, Paul A.
Lin, Raymond Tzer Pin
Wang, Lin-Fa
Ren, Ee Chee
Lye, David C.
Bertoletti, Antonio
Young, Barnaby Edward
Ng, Lisa F. P.
Ruesta, Torres Anthony
Neo, Vanessa
Chen, Wendy Yehui
Goh, Estelle Yi Wei
Ong, Alice Soh Meoy
Chua, Adeline Chiew Yen
Nguee, Samantha Yee Teng
Tan, Yong Jie
Tang, Weiyi
Lower vaccine-acquired immunity in the elderly population following two-dose BNT162b2 vaccination is alleviated by a third vaccine dose
title Lower vaccine-acquired immunity in the elderly population following two-dose BNT162b2 vaccination is alleviated by a third vaccine dose
title_full Lower vaccine-acquired immunity in the elderly population following two-dose BNT162b2 vaccination is alleviated by a third vaccine dose
title_fullStr Lower vaccine-acquired immunity in the elderly population following two-dose BNT162b2 vaccination is alleviated by a third vaccine dose
title_full_unstemmed Lower vaccine-acquired immunity in the elderly population following two-dose BNT162b2 vaccination is alleviated by a third vaccine dose
title_short Lower vaccine-acquired immunity in the elderly population following two-dose BNT162b2 vaccination is alleviated by a third vaccine dose
title_sort lower vaccine acquired immunity in the elderly population following two dose bnt162b2 vaccination is alleviated by a third vaccine dose
topic Science::Biological sciences
Recombinant Vaccine
Prevention and Control
url https://hdl.handle.net/10356/171167
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