BNT162b2 mRNA vaccine elicited antibody response in blood and milk of breastfeeding women

Author:

Rosenberg-Friedman Michal,Kigel Aya,Bahar Yael,Werbner Michal,Alter Joel,Yogev Yariv,Dror Yael,Lubetzky Ronit,Dessau MosheORCID,Gal-Tanamy Meital,Many Ariel,Wine YarivORCID

Abstract

AbstractThe importance of breastmilk in postnatal life lies in the strong association between breastfeeding and the reduction in the risk of infection and infection-related infant mortality. However, data regarding the induction and dynamics of breastmilk antibodies following administration of the Pfizer-BioNTech BNT162b2 COVID-19 mRNA vaccine is scarce, as pregnant and lactating women were not included in the initial vaccine clinical trials. Here, we investigate the dynamics of the vaccine-specific antibody response in breastmilk and serum in a prospective cohort of ten lactating women who received two doses of the mRNA vaccine. We show that the antibody response is rapid and highly synchronized between breastmilk and serum, reaching stabilization 14 days after the second dose. The response in breastmilk includes both IgG and IgA with neutralization capacity.

Funder

Israel Science Foundation

Ministry of Health, State of Israel

Publisher

Springer Science and Business Media LLC

Subject

General Physics and Astronomy,General Biochemistry, Genetics and Molecular Biology,General Chemistry

Reference19 articles.

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2. CDC’s COVID-19 Vaccine Rollout Recommendations https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations.html. Centers of Disease Control and Prevention (2021).

3. Vaccinating Pregnant and Lactating Patients Against COVID-19. ACOG practice advisory. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/12/vaccinating-pregnant-and-lactating-patients-against-covid-19. (ed ACOG) (2020).

4. Dagan, N. et al. BNT162b2 mRNA Covid-19 vaccine in a nationwide mass vaccination setting. N. Engl. J. Med. 384, 1412–1423 (2021).

5. Fox, A. et al. Robust and specific secretory IgA against SARS-CoV-2 detected in human milk. iScience 23, 101735 (2020).

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