학술논문

Evaluation of transplacental transfer of mRNA vaccine products and functional antibodies during pregnancy and infancy
Document Type
article
Source
Nature Communications. 13(1)
Subject
Prevention
Immunization
Biodefense
Lung
Clinical Research
Vaccine Related
Pediatric
Biotechnology
Contraception/Reproduction
3.4 Vaccines
Prevention of disease and conditions
and promotion of well-being
Reproductive health and childbirth
Infection
Good Health and Well Being
Antibodies
Neutralizing
Antibodies
Viral
COVID-19
COVID-19 Vaccines
Female
Humans
Immunoglobulin G
Infant
Newborn
Placenta
Pregnancy
Pregnancy Complications
Infectious
RNA
Messenger
SARS-CoV-2
Spike Glycoprotein
Coronavirus
Vaccines
Synthetic
mRNA Vaccines
Language
Abstract
Studies are needed to evaluate the safety and effectiveness of mRNA SARS-CoV-2 vaccination during pregnancy, and the levels of protection provided to their newborns through placental transfer of antibodies. Here, we evaluate the transplacental transfer of mRNA vaccine products and functional anti-SARS-CoV-2 antibodies during pregnancy and early infancy in a cohort of 20 individuals vaccinated during late pregnancy. We find no evidence of mRNA vaccine products in maternal blood, placenta tissue, or cord blood at delivery. However, we find time-dependent efficient transfer of IgG and neutralizing antibodies to the neonate that persists during early infancy. Additionally, using phage immunoprecipitation sequencing, we find a vaccine-specific signature of SARS-CoV-2 Spike protein epitope binding that is transplacentally transferred during pregnancy. Timing of vaccination during pregnancy is critical to ensure transplacental transfer of protective antibodies during early infancy.