The durability of natural infection and vaccine-induced immunity against future infection by SARS-CoV-2

The durability of vaccine-mediated immunity to SARS-CoV-2, the durations to breakthrough infection, and the optimal timings of booster vaccination are crucial knowledge for pandemic response. Here, we applied comparative evolutionary analyses to estimate the durability of immunity and the likelihood of breakthrough infections over time following vaccination by BNT162b2 (Pfizer-BioNTech), mRNA-1273 (Moderna), ChAdOx1 (Oxford-AstraZeneca), and Ad26.COV2.S (Johnson & Johnson/Janssen). We evaluated anti-Spike (S) immunoglobulin G (IgG) antibody levels elicited by each vaccine relative to natural infection. We estimated typical trajectories of waning and corresponding infection probabilities, providing the distribution of times to breakthrough infection for each vaccine under endemic conditions. Peak antibody levels elicited by messenger RNA (mRNA) vaccines mRNA-1273 and BNT1262b2 exceeded that of natural infection and are expected to typically yield more durable protection against breakthrough infections (median 29.6 mo; 5 to 95% quantiles 10.9 mo to 7.9 y) than natural infection (median 21.5 mo; 5 to 95% quantiles 3.5 mo to 7.1 y). Relative to mRNA-1273 and BNT1262b2, viral vector vaccines ChAdOx1 and Ad26.COV2.S exhibit similar peak anti-S IgG antibody responses to that from natural infection and are projected to yield lower, shorter-term protection against breakthrough infection (median 22.4 mo and 5 to 95% quantiles 4.3 mo to 7.2 y; and median 20.5 mo and 5 to 95% quantiles 2.6 mo to 7.0 y; respectively). These results leverage the tools from evolutionary biology to provide a quantitative basis for otherwise unknown parameters that are fundamental to public health policy decision-making.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:119

Enthalten in:

Proceedings of the National Academy of Sciences of the United States of America - 119(2022), 31 vom: 02. Aug., Seite e2204336119

Sprache:

Englisch

Beteiligte Personen:

Townsend, Jeffrey P [VerfasserIn]
Hassler, Hayley B [VerfasserIn]
Sah, Pratha [VerfasserIn]
Galvani, Alison P [VerfasserIn]
Dornburg, Alex [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Viral
Antibody
COVID-19
COVID-19 Vaccines
Comparative Study
Immunity
Immunoglobulin G
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
SARS-CoV-2
Spike Glycoprotein, Coronavirus
Spike protein, SARS-CoV-2
Vaccine

Anmerkungen:

Date Completed 22.07.2022

Date Revised 20.09.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1073/pnas.2204336119

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM343784408