Cell-mediated and Neutralizing Antibody Responses to the SARS-CoV-2 Omicron BA.4/BA.5–adapted Bivalent Vaccine Booster in Kidney and Liver Transplant Recipients

Autor: Mario Fernández-Ruiz, MD, PhD, Patricia Almendro-Vázquez, BSc, Natalia Redondo, PhD, Tamara Ruiz-Merlo, BSN, Sandra Abella, CLT, Adán Somoza, CLT, Francisco López-Medrano, MD, PhD, Rafael San Juan, MD, PhD, Carmelo Loinaz, MD, PhD, Amado Andrés, MD, PhD, Estela Paz-Artal, MD, PhD, José María Aguado, MD, PhD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Transplantation Direct, Vol 9, Iss 10, p e1536 (2023)
Druh dokumentu: article
ISSN: 2373-8731
00000000
DOI: 10.1097/TXD.0000000000001536
Popis: Background. The immunogenicity elicited by the Omicron BA.4/BA.5–adapted bivalent booster vaccine after solid organ transplantation (SOT) has not been characterized. Methods. We assessed cell-mediated and neutralizing IgG antibody responses against the BA.4/BA.5 spike receptor-binding domain at baseline and 2 wk after the administration of an mRNA-based bivalent (ancestral strain and BA.4/BA.5 subvariants) vaccine among 30 SOT recipients who had received ≥3 monovalent vaccine doses. Previous coronavirus disease 2019 history was present in 46.7% of them. We also recruited a control group of 19 nontransplant healthy individuals. Cell-mediated immunity was measured by fluorescent ELISpot assay for interferon (IFN)-γ secretion, whereas the neutralizing IgG antibody response against the BA.4/BA.5 spike receptor-binding domain was quantified with a competitive ELISA. Results. The median number of BA.4/BA.5 spike–specific IFN-γ–producing spot-forming units (SFUs) increased from baseline to 2 wk postbooster (83.8 versus 133.0 SFUs/106 peripheral blood mononuclear cells; P = 0.0017). Seropositivity rate also increased (46.7%–83.3%; P = 0.001), as well as serum neutralizing activity (4.2%–78.3%; P
Databáze: Directory of Open Access Journals