Enhancement of Humoral and Cellular Immunity Against Severe Acute Respiratory Syndrome Coronavirus 2 by a Third Dose of BNT162b2 Vaccine in Japanese Healthcare Workers

Author:

Miyakawa Kei1ORCID,Kato Hideaki2ORCID,Ohtake Norihisa34ORCID,Jeremiah Sundararaj Stanleyraj1ORCID,Ryo Akihide1ORCID

Affiliation:

1. Department of Microbiology, Yokohama City University School of Medicine , Kanagawa , Japan

2. Infection Prevention and Control Department, Yokohama City University Hospital , Kanagawa , Japan

3. Advanced Medical Research Center, Yokohama City University , Kanagawa , Japan

4. Bioscience Division, Research and Development Department, Tosoh Corporation, Tokyo Research Center , Kanagawa , Japan

Abstract

Abstract The Omicron variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has raised concerns regarding vaccine effectiveness. We investigated humoral and cellular immune responses against SARS-CoV-2 in healthcare workers before and after a third (booster) dose of the BNT162b2 messenger RNA vaccine. It significantly enhanced both humoral and cellular immunity in previously uninfected individuals. However, cellular immunity was not enhanced in previously infected persons, suggesting that 3 antigenic stimuli by vaccination or natural infection reached a plateau of cellular immunity. Even with reinforced immunity to SARS-CoV-2, we confirmed several postbooster breakthrough cases caused by the Omicron variant.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

Reference15 articles.

1. SARS-CoV-2 Omicron has extensive but incomplete escape of Pfizer BNT162b2 elicited neutralization and requires ACE2 for infection;Cele;medRxiv [Preprint]. Posted online 17 December,2021

2. Reduced neutralization of SARS-CoV-2 Omicron variant by vaccine sera and monoclonal antibodies;Wilhelm;medRxiv [Preprint]. Posted online 13 December,2021

3. SARS-CoV-2 B.1.1.529 variant (Omicron) evades neutralization by sera from vaccinated and convalescent individuals;Rössler;medRxiv [Preprint]. Posted online 11 December,2021

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