Preprint Article Version 2 Preserved in Portico This version is not peer-reviewed

A New Set-up of Vanishing Antibodies: A Biennial Follow-up of Five Different Clients’ Humoral Responses Against Sars-Cov-2 After Systemic Vaccination in an Oncology Hospital in Poland

Version 1 : Received: 5 October 2022 / Approved: 6 October 2022 / Online: 6 October 2022 (08:42:11 CEST)
Version 2 : Received: 29 November 2022 / Approved: 1 December 2022 / Online: 1 December 2022 (10:22:30 CET)

A peer-reviewed article of this Preprint also exists.

Kosiorek, P.; Stróż, S.; Hryniewicz, A.; Kazberuk, D.E.; Milewski, R.; Bartoszewicz, K.; Borkowska, M.J.; Stasiak‐Barmuta, A. A New Set‐up of Vanishing Antibodies: A Biennial Follow‐up of Five Different Clients’ Humoral Responses against SARS‐CoV‐2 after Systemic Vaccination in an Oncology Hospital in Poland. Health Science Reports 2023, 6, doi:10.1002/hsr2.1172. Kosiorek, P.; Stróż, S.; Hryniewicz, A.; Kazberuk, D.E.; Milewski, R.; Bartoszewicz, K.; Borkowska, M.J.; Stasiak‐Barmuta, A. A New Set‐up of Vanishing Antibodies: A Biennial Follow‐up of Five Different Clients’ Humoral Responses against SARS‐CoV‐2 after Systemic Vaccination in an Oncology Hospital in Poland. Health Science Reports 2023, 6, doi:10.1002/hsr2.1172.

Abstract

The humoral response of the COVID-19 vaccine varies from person to person. It largely depends on prior SARS-CoV-2 infection, obtaining an adequate immune response, and leaving a trace of changing antibody concentration over time. We retrospectively analyzed five clinical cases from selected patients and employees of the oncology hospital. All mild COVID-19 convalescents received the BNT162b2-Comirnaty mRNA vaccine three or four times. The levels of SARS-CoV-2 IgM- and IgG-specific antibodies, as well as S-RBD antibodies, were analyzed for two years. The concentration of antibodies was assessed in the laboratory using the chemiluminescent immunoassay CLIA, MAGLUMI. Results: (1) Active autoimmune disease stabilized the level of IgG-specific antibodies after systemic mRNA vaccination for at least six months. (2) Post-vaccination IgG and S-RBD levels decreased when vaccination was performed within three months of onset. (3) The booster dose administered only increased the S-RBD antibody levels. Declining IgG-specific antibodies were observed. (4) The S-RBD IgG levels were not correlated with the SARS-CoV-2 IgG levels in the vaccinated convalescents. (5) Subsequent reinfection with SARS-CoV-2 after vaccination three times released a more significant specific antibody response. Based on the collected data, we suggest that monitoring S-RBD antibodies is sensitive but not equivalent to a specific humoral response for SARS-CoV-2 IgG. We suggested that administering at least three doses of the mRNA vaccine should serve as the basis for immunization. The three-month interval may be the best alternative to an immunization schedule for non-immunocompromised people.

Keywords

COVID-19; BNT162b2; vaccination; S-RBD; SARS-CoV-2; seroconversion

Subject

Medicine and Pharmacology, Immunology and Allergy

Comments (1)

Comment 1
Received: 1 December 2022
Commenter: Piotr Kosiorek
Commenter's Conflict of Interests: Author
Comment: A new set-up of vanishing antibodies: A biennial follow-up of five different clients' humoral responses against SARS-CoV-2 after systemic vaccination in an oncology hospital in Poland

(Request from editors to extend to 5 cases in 2 years follow-up vaccination and COVID-19 disease)
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