Emerging Microbes and Infections (Jan 2021)

SARS-CoV-2 mRNA vaccine BNT162b2 triggers a consistent cross-variant humoral and cellular response

  • D. Mileto,
  • C. Fenizia,
  • M. Cutrera,
  • G. Gagliardi,
  • A. Gigantiello,
  • A. De Silvestri,
  • A. Rizzo,
  • A. Mancon,
  • M. Bianchi,
  • F. De Poli,
  • M. Cuomo,
  • I. Burgo,
  • M. Longo,
  • S. G. Rimoldi,
  • C. Pagani,
  • S. Grosso,
  • V. Micheli,
  • G. Rizzardini,
  • R. Grande,
  • M. Biasin,
  • M. R. Gismondo,
  • A. Lombardi

DOI
https://doi.org/10.1080/22221751.2021.2004866
Journal volume & issue
Vol. 10, no. 1
pp. 2235 – 2243

Abstract

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As the SARS-CoV-2 pandemic continues to rage worldwide, the emergence of numerous variants of concern (VOC) represents a challenge for the vaccinal protective efficacy and the reliability of commercially available high-throughput immunoassays. Our study demonstrates the administration of two doses of the BNT162b2 vaccine that elicited a robust SARS-CoV-2-specific immune response which was assessed up to 3 months after full vaccination in a cohort of 37 health care workers (HCWs). SARS-CoV-2-specific antibody response, evaluated by four commercially available chemiluminescence immunoassays (CLIA), was qualitatively consistent with the results provided by the gold-standard in vitro neutralization assay (NTA). However, we could not observe a correlation between the quantity of the antibody detected by CLIA assays and their neutralizing activity tested by NTA. Almost all subjects developed a SARS-CoV-2-specific T-cell response. Moreover, vaccinated HCWs developed a similar protective neutralizing antibodies response against the EU (B.1), Alpha (B.1.1.7), Gamma (P.1), and Eta (B.1.525) SARS-CoV-2 variants, while Beta (B.1.351) and Delta (B.1.617.2) strains displayed a consistent partial immune evasion. These results underline the importance of a solid vaccine-elicited immune response and a robust antibody titre. We believe that these relevant results should be taken into consideration in the definition of future vaccinal strategies.

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