The subdued post-boost spike-directed secondary IgG antibody response in Ugandan recipients of the Pfizer-BioNTech BNT162b2 vaccine has implications for local vaccination policies

Copyright © 2024 Ankunda, Katende, Oluka, Sembera, Baine, Odoch, Ejou, Kato, and The COVID-19 Immunoprofiling Team, Kaleebu and Serwanga..

Introduction: This study aimed to delineate longitudinal antibody responses to the Pfizer-BioNTech BNT162b2 COVID-19 vaccine within the Ugandan subset of the Sub-Saharan African (SSA) demographic, filling a significant gap in global datasets.

Methods: We enrolled 48 participants and collected 320 specimens over 12 months after the primary vaccination dose. A validated enzyme-linked immunosorbent assay (ELISA) was used to quantify SARS-CoV-2-specific IgG, IgM, and IgA antibody concentrations (ng/ml) and optical densities (ODs). Statistical analyses included box plots, diverging bar graphs, and the Wilcoxon test with Bonferroni correction.

Results: We noted a robust S-IgG response within 14 days of the primary vaccine dose, which was consistent with global data. There was no significant surge in S-IgG levels after the booster dose, contrasting trends in other global populations. The S-IgM response was transient and predominantly below established thresholds for this population, which reflects its typical early emergence and rapid decline. S-IgA levels rose after the initial dose then decreased after six months, aligning with the temporal patterns of mucosal immunity. Eleven breakthrough infections were noted, and all were asymptomatic, regardless of the participants' initial S-IgG serostatus, which suggests a protective effect from vaccination.

Discussion: The Pfizer-BioNTech BNT162b2 COVID-19 vaccine elicited strong S-IgG responses in the SSA demographic. The antibody dynamics distinctly differed from global data highlighting the significance of region-specific research and the necessity for customised vaccination strategies.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Frontiers in immunology - 15(2024) vom: 12., Seite 1325387

Sprache:

Englisch

Beteiligte Personen:

Ankunda, Violet [VerfasserIn]
Katende, Joseph Ssebwana [VerfasserIn]
Oluka, Gerald Kevin [VerfasserIn]
Sembera, Jackson [VerfasserIn]
Baine, Claire [VerfasserIn]
Odoch, Geoffrey [VerfasserIn]
Ejou, Peter [VerfasserIn]
Kato, Laban [VerfasserIn]
COVID-19 Immunoprofiling Team [VerfasserIn]
Kaleebu, Pontiano [VerfasserIn]
Serwanga, Jennifer [VerfasserIn]
Akoli, Christine Hermilia [Sonstige Person]
Namuyanja, Angela [Sonstige Person]
Opio, Solomon [Sonstige Person]
Kalyebi, Arthur Watelo [Sonstige Person]
Ssali, Ivan [Sonstige Person]
Gombe, Ben [Sonstige Person]
Mugaba, Susan [Sonstige Person]
Nantambi, Hellen [Sonstige Person]

Links:

Volltext

Themen:

Antibodies, Viral
BNT162 Vaccine
Booster dose
Breakthrough infections
COVID-19 Vaccines
IgG IgM and IgA antibodies
Immunoglobulin G
Immunoglobulin M
Journal Article
Longitudinal antibody responses
Pfizer BioNTech BNT162b2 COVID-19 vaccine
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Seropositivity classification
Sub-Saharan African populations
Ugandan population
Vaccines

Anmerkungen:

Date Completed 13.03.2024

Date Revised 05.04.2024

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.3389/fimmu.2024.1325387

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369590252