Correlation Between Postvaccination Anti-Spike Antibody Titers and Protection Against Breakthrough Severe Acute Respiratory Syndrome Coronavirus 2 Infection: A Population-Based Longitudinal Study

Author:

Vivaldi Giulia12ORCID,Jolliffe David A12,Faustini Sian3,Shields Adrian M3,Holt Hayley124,Perdek Natalia1,Talaei Mohammad2ORCID,Tydeman Florence12,Chambers Emma S1,Cai Weigang1,Li Wenhao1,Gibbons Joseph M1,Pade Corinna1,McKnight Áine1,Shaheen Seif O2,Richter Alex G3,Martineau Adrian R124

Affiliation:

1. Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London , London , United Kingdom

2. Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London , London , United Kingdom

3. Institute of Immunology and Immunotherapy, College of Medical and Dental Sciences, University of Birmingham , Birmingham , United Kingdom

4. Asthma UK Centre for Applied Research, Queen Mary University of London , London , United Kingdom

Abstract

Abstract In this population-based cohort of 7538 adults, combined immunoglobulin (Ig) G, IgA, and IgM (IgG/A/M) anti-spike titers measured after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination were predictive of protection against breakthrough SARS-CoV-2 infection. Discrimination was significantly improved by adjustment for factors influencing risk of SARS-CoV-2 exposure, including household overcrowding, public transport use, and visits to indoor public places. Anti-spike IgG/A/M titers showed positive correlation with neutralizing antibody titers (rs = 0.80 [95% confidence interval, .72–.86]; P < .001) and S peptide–stimulated interferon-γ concentrations (rs = 0.31 [.13–.47]; P < .001).

Funder

Barts Charity

Rosetrees Trust and The Bloom Foundation

Rosetrees Trust

John Black Charitable Foundation

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

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