Competent immune responses to SARS-CoV-2 variants in older adults following mRNA vaccination
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Abstract
Aging is associated with a reduced magnitude of primary immune responses to vaccination and constriction of immune receptor repertoire diversity. Clinical trials demonstrated high efficacy of mRNA based SARS-CoV-2 vaccines in older adults but concerns about virus variant escape have not been well addressed. We have conducted an in-depth analysis of humoral and cellular immunity against an early-pandemic viral isolate and compared that to the P.1. (Gamma) and B.1.617.2 (Delta) variants in <50 and >55 age cohorts of mRNA vaccine recipients. We have further measured neutralizing antibody titers for B.1.617.1 (Kappa) and B.1.595; a SARS-CoV-2 isolate bearing Spike mutation E484Q. As reported, robust immunity required the second dose of vaccine. Older vaccinees manifested robust cellular immunity against early-pandemic SARS-CoV-2 and more recent variants, which remained statistically comparable to the adult group. The older cohort had lower neutralizing capacity at the first time point following the second dose, but at later time points immunity was indistinguishable between them. While the duration of these immune responses remains to be determined over longer periods of time, these results provide reasons for optimism regarding vaccine protection of older adults against SARS-CoV-2 variants and inform thinking about boost vaccination with variant vaccines.
eTOC summary
Vaccine responses are often diminished with aging, but we found strong responses to SARS-CoV-2 in older adults following mRNA vaccination. T cell responses were not diminished when confronted by SARS-CoV-2 variants. Neutralizing Ab were reduced but not more than those in adults.
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SciScore for 10.1101/2021.07.22.453287: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics not detected. Sex as a biological variable Following day cells were stimulated in X-VIVO 15 media with 5% male human AB serum containing ~1 nmol of peptide pool corresponding of SARS-CoV-2 Prot S of US-WA (wild-type), Gamma (P.1./B1.1.28) and Delta (B.1.617.2) variants or positive control anti-CD3 mAb CD3-2 from or blank media as negative control. Randomization not detected. Blinding not detected. Power Analysis not detected. Cell Line Authentication Contamination: Stocks of SARS-CoV-2 were generated as a single passage from received stock vial (USA-WA1/2020 and P.1.) or primary culture (B.1.595) on mycoplasma negative Vero cells (ATCC #CCL-81) at a MOI of 0.005 for 48 h. Table 2: Resources
… SciScore for 10.1101/2021.07.22.453287: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics not detected. Sex as a biological variable Following day cells were stimulated in X-VIVO 15 media with 5% male human AB serum containing ~1 nmol of peptide pool corresponding of SARS-CoV-2 Prot S of US-WA (wild-type), Gamma (P.1./B1.1.28) and Delta (B.1.617.2) variants or positive control anti-CD3 mAb CD3-2 from or blank media as negative control. Randomization not detected. Blinding not detected. Power Analysis not detected. Cell Line Authentication Contamination: Stocks of SARS-CoV-2 were generated as a single passage from received stock vial (USA-WA1/2020 and P.1.) or primary culture (B.1.595) on mycoplasma negative Vero cells (ATCC #CCL-81) at a MOI of 0.005 for 48 h. Table 2: Resources
Experimental Models: Cell Lines Sentences Resources AZ-E484Q, a B.1.595 virus (GISAID: EPI_ISL_765942) was grown from a nasopharyngeal swab on Calu-3 cells for 48 hours. Calu-3suggested: NoneStocks of SARS-CoV-2 were generated as a single passage from received stock vial (USA-WA1/2020 and P.1.) or primary culture (B.1.595) on mycoplasma negative Vero cells (ATCC #CCL-81) at a MOI of 0.005 for 48 h. Verosuggested: ATCC Cat# CCL-81, RRID:CVCL_0059)Software and Algorithms Sentences Resources Blood for peripheral blood mononuclear cells (PBMCs) and plasma was collected in BD Vacutainer with sodium heparin. BD Vacutainersuggested: NoneArea under the curve (AUC) values were calculated using R version 4.0.3 (R Core Team, 2020) and the DescTools package (Signorelli, 2021). DescToolssuggested: NoneSamples were acquired using a Cytek Aurora cytometer (Cytek) and analyzed by FlowJo software (Tree Star). FlowJosuggested: (FlowJo, RRID:SCR_008520)Statistical analysis: SPSS and Graph Pad Prism were used for statistical analysis. SPSSsuggested: (SPSS, RRID:SCR_002865)Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:The only limitation of ELISpot, as compared to flow cytometry based enumeration, is that total T cell responses are measured without separate quantification of CD4 and CD8 responses. We also analyzed Ag-specific T cell responses to stimulation with Spike protein peptide pools from WA1 versus two variants of concern by ELISpot. Participant PBMC’s were stimulated with 16-mer overlapping peptide pools corresponding to the spike protein of WA1, P.1. (Gamma) and B.1.617.2 (Delta). In accordance with previously published results (Sahin et al., 2020), mRNA vaccines induced a robust T cell response to WA1, an early 2020 virus, which did not differ for Gamma and Delta variants, as evidenced by a 10-fold increase in ELISpots from post-vaccination samples stimulated by S peptide pools compared to unstimulated wells (Figure 4A). Next, we analyzed T cell responses of both groups at different time points. Given that some samples had high responses in the unstimulated wells we subtracted the number of ELISpots from the unstimulated well to calculate the number of Ag-specific ELISpots for each time point. Data from aged mice (Brien et al., 2009; Fulton et al., 2013; Jergović et al., 2019) showed that induction of Ag-specific T cell responses becomes delayed and decreased with age. In our data, there was a slightly lower response in the older cohort at day 7 post first dose with all three variants but it was not statistically significant (Figure 4B). However, after a second (booster) dose bot...
Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: Please consider improving the rainbow (“jet”) colormap(s) used on pages 17, 20 and 21. At least one figure is not accessible to readers with colorblindness and/or is not true to the data, i.e. not perceptually uniform.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
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Results from scite Reference Check: We found no unreliable references.
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