Frontiers in Immunology (Mar 2021)

Mini Review Immunological Consequences of Immunization With COVID-19 mRNA Vaccines: Preliminary Results

  • Andrea Lombardi,
  • Andrea Lombardi,
  • Giorgio Bozzi,
  • Riccardo Ungaro,
  • Simone Villa,
  • Valeria Castelli,
  • Davide Mangioni,
  • Antonio Muscatello,
  • Andrea Gori,
  • Andrea Gori,
  • Andrea Gori,
  • Alessandra Bandera,
  • Alessandra Bandera,
  • Alessandra Bandera

DOI
https://doi.org/10.3389/fimmu.2021.657711
Journal volume & issue
Vol. 12

Abstract

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Background: BNT162b2 and mRNA-1273 are the two recently approved mRNA-based vaccines against COVID-19 which has shown excellent safety and efficacy. Preliminary data about specific and neutralizing antibodies is available covering the first 100 days after vaccination.Methods: We reviewed all the publications regarding the immunologic consequences of BNT162b2 and mRNA-1273 vaccination. A summary of specific antibodies concentration and neutralizing antibodies titers elicited by each vaccine is provided.Results: BNT162b2 and mRNA-1273 displayed a reassuring safety and efficacy profile, with the latter above 94%. They can elicit specific antibodies titers and neutralizing antibodies concentrations that are far superior from those observed among COVID-19 human convalescent serum, across a wide span of age, for at least 100 days after vaccination. Moreover, the vaccine-induced T cellular response is oriented toward a TH1 response and no evidence of vaccine-enhanced disease have been reported.Discussion: BNT162b2 and mRNA-1273 can elicit specific antibodies titers and neutralizing antibodies concentrations above those observed among COVID-19 human convalescent serum in the first 100 days after vaccination. Data about vaccine efficacy in those with previous COVID-19 or immunocompromised is still limited.

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