Increase in SARS-CoV-2 RBD-Specific IgA and IgG Antibodies in Human Milk From Lactating Women Following the COVID-19 Booster Vaccination

BACKGROUND: The United States Centers for Disease Control and Prevention recommended a third dose or booster of the Pfizer-BioNTech Comirnaty (BNT162b2) COVID-19 mRNA vaccine in September 2021 for high-risk individuals. Pregnant and high-risk lactating women were encouraged to receive the booster to obtain potential prolonged protection for themselves and their infants.

RESEARCH AIM: To investigate the ability of the booster vaccine to increase IgA and IgG antibodies specific to the receptor-binding domain of the SARS-CoV-2 spike protein in human milk compared to levels pre-booster.

METHODS: This was a prospective one-group study with a pretest-posttest design. Six of 12 participants were recruited prospectively. Participants were instructed to collect ≥ 2 ounces of milk in the morning at 30 days and 1-day pre-booster, and 7, 14, 21, 30, 45, and 60 days post-booster. Levels of IgA and IgG antibodies specific to the receptor-binding domain of the SARS-CoV-2 spike protein were quantified in human milk via an ELISA assay.

RESULTS: We found a significant increase in anti-receptor-binding domain-specific IgA and IgG antibodies in human milk 1-2 weeks after the Pfizer-BioNTech booster and at the study endpoint (45- and 60-days post-booster).

CONCLUSIONS: This suggests that the booster vaccination enhances SARS-CoV-2 specific immunity in human milk, which may be protective for infants.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:39

Enthalten in:

Journal of human lactation : official journal of International Lactation Consultant Association - 39(2023), 1 vom: 28. Feb., Seite 51-58

Sprache:

Englisch

Beteiligte Personen:

Henle, Andrea M [VerfasserIn]

Links:

Volltext

Themen:

BNT162 Vaccine
Booster
Breastfeeding
COVID-19 Vaccines
Covid-19
IgA and IgG Antibodies in Human Milk
Immunoglobulin A
Immunoglobulin G
Immunology
Journal Article
Lactation
Passive immunity
SARS-CoV-2
Spike protein, SARS-CoV-2
United States
Vaccination

Anmerkungen:

Date Completed 14.02.2023

Date Revised 21.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/08903344221134631

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM349121672