학술논문

Specific and off-target immune responses following COVID-19 vaccination with ChAdOx1-S and BNT162b2 vaccines—an exploratory sub-study of the BRACE trialResearch in context
Document Type
article
Author
Nicole L. MessinaSusie GermanoRebecca McElroyRhian BonniciBranka Grubor-BaukDavid J. LynnEllie McDonaldSuellen NicholsonKirsten P. PerrettLaure F. PittetRajeev RudrarajuNatalie E. StevensKanta SubbaraoNigel CurtisAndrew DavidsonKaya GardinerAmanda GweeTenaya JamiesonNicole MessinaThilanka MorawakageSusan PerlenKirsten PerrettLaure PittetAmber SastryJia Wei TeoFrancesca OrsiniKatherine LeeCecilia MooreSuzanna VidmarRashida AliRoss DunnPeta EdlerGrace GellCasey GoodallRichard HallAnn KrastevNathan LaNick McPhateThao NguyenJack RenLuke StevensAhmed AlamrousiThanh DangJenny HuaMonica RazmovskaScott ReddiexXiaofang WangJeremy AndersonKristy AzzopardiVicki Bennett-WoodAnna CzajkoNadia MazarakisConor McCaffertyFrances OppedisanoBelinda OrtikaCasey PellLeena SpryRyan TohSunitha VelagapudiAmanda VlahosAshleigh Wee-HeePedro RamosKarina De La CruzDinusha GamageAnushka KarunanayakeIsabella MezzettiBenjamin OngRonita SinghEnoshini SooriyarachchiNatalie CainRianne BrizuelaHan HuangVeronica AbruzzoMorgan BealingPatricia BimboeseKirsty BowesEmma BurrellJoyce ChanJac CushnahanHannah ElboroughOlivia ElkingtonKieran FaheyMonique FernandezCatherine FlynnSarah FowlerMarie Gentile AndritBojana GladanacCatherine HammondNorine MaSam MacalisterEmmah MilojevicJesutofunmi MojeedJill NguyenLiz O’DonnellNadia OlivierIsabelle OoiStephanie ReynoldsLisa ShenBarb SherryJudith SpotswoodJamie WedderburnAngela YounesDonna LeggeJason BellJo CheahAnnie CobbledickKee LimSonja EliaLynne AddlemAnna BourkeClare BrophyNadine HenareNarelle JenkinsFrancesca MachingaifaSkye MillerKirsten MitchellSigrid PitkinKate WallPaola VillanuevaNigel CrawfordWendy NortonNiki TanThilakavathi ChengoduDiane DawsonVictoria GordonTony KormanJess O’BryanSophie AgiusSamantha BannisterJess BucholcAlison BurnsBeatriz CamesellaJohn CarlinMarianna CiaverellaMaxwell CurtisStephanie FirthChristina GuoMatthew HannanErin HillSri JoshiKatherine LieschkeMegan MathersSasha OdoiAshleigh RakChris RichardsLeah SteveCarolyn StewartEva SudburyHelen ThomsonEmma WattsFiona WilliamsAngela YoungPenny GlennAndrew KaynesAmandine Philippart De FloySandy BuchananThijs SondagIvy XieHarriet EdmundBridie ByrneTom KeebleBelle NgienFran NoonanMichelle Wearing-SmithAlison ClarkePemma DaviesOliver EastwoodAlric EllinghausRachid GhiehZahra HiltonEmma JenningsAthina KakkosIris LiangKatie NicolSally O’CallaghanHelen OsmanGowri RajaramSophia RatcliffeVictoria RaynerAshleigh SalmonAngela ScheppokatAimee StevensRebekah StreetNicholas ToogoodNicholas WoodTwinkle BahaduriTherese BaulmanJennifer ByrneCandace CarterMary CorbettAiken DaoMaria DesylvaAndrew DunnEvangeline GardinerRosemary JoyceRama KandasamyCraig MunnsLisa PelayoKetaki SharmaKatrina SterlingCaitlin UrenClinton ColacoMark DouglasKate HamiltonAdam BartlettBrendan McMullanPamela PalasanthiranPhoebe WilliamsJustin BeardsleyNikki BergantRenier LagundayKristen OvertonJeffrey PostYasmeen Al-HindawiSarah BarneyAnthony ByrneLee MeadMarshall PlitDavid LynnSaoirse BensonStephen BlakeRochelle BottenTee Yee ChernGeorgina EdenLiddy GriffithJane JamesMiriam LynnAngela MarkowDomenic SaccaNatalie StevensSteve WesselinghCatriona DoranSimone BarryAlice SawkaSue EvansLouise GoodchildChristine HeathMeredith KriegHelen MarshallMark McMillanMary WalkerPeter RichmondNelly AmenyogbeChristina AnthonyAnnabelle ArnoldBeth ArrowsmithRym Ben-OthmanSharon ClarkJemma DunnillNat EifflerKrist EweCarolyn FinucaneLorraine FlynnCamille GibsonLucy HartnellElysia HollamsHeidi HuttonLance JarvisJane JonesJan JonesKaren JonesJennifer KentTobias KollmannDebbie LalichWenna LeeRachel LimSonia McAlisterFiona McDonaldAndrea MeehanAsma MinhajLisa MontgomeryMelissa O’DonnellJaslyn OngJoanne OngKimberley ParkinGlady PerezCatherine PowerShadie RezazadehHolly RichmondSally RogersNikki SchultzMargaret ShavePatrycja SkutLisa StiglmayerAlexandra TrueloveUshma WadiaRachael WallaceJustin WaringMichelle EnglandErin LatkovicLaurens ManningSusan HerrmannMichaela LucasMarcus LacerdaPaulo Henrique AndradeFabiane Bianca BarbosaDayanne BarrosLarissa BrasilAna Greyce CapellaRamon CastroErlane CostaDilcimar de SouzaMaianne DiasJosé DiasKlenilson FerreiraPaula FigueiredoThamires FreitasAna Carolina FurtadoLarissa GamaVanessa GodinhoCintia GouyDaniele HinojosaBruno JardimTyane JardimJoel JuniorAugustto LimaBernardo MaiaAdriana MarinsKelry MazuregaTercilene MedeirosRosangela MeloMarinete MoraesElizandra NascimentoJuliana NevesMaria Gabriela OliveiraThais OliveiraIngrid OliveiraArthur OtsukaRayssa PaesHanderson PereiraGabrielle PereiraChristiane PradoEvelyn QueirozLaleyska RodriguesBebeto RodriguesVanderson SampaioAnna Gabriela SantosDaniel SantosTilza SantosEvelyn SantosAriandra SartimAna Beatriz SilvaJuliana SilvaEmanuelle SilvaMariana SimãoCaroline SoaresAntonny SousaAlexandre TrindadeFernando ValAdria VasconcelosHeline VasconcelosJulio CrodaCarolinne AbreuKatya Martinez AlmeidaCamila Bitencourt de AndradeJhenyfer Thalyta Campos AngeloGhislaine Gonçalvez de Araújo ArcanjoBianca Maria Silva Menezes ArrudaWellyngthon Espindola AyalaAdelita Agripina Refosco BarbosaFelipe Zampieri Vieira BatistaFabiani de Morais BatistaMiriam de Jesus CostaMariana Garcia CrodaLais Alves da CruzRoberta Carolina Pereira DiogoRodrigo Cezar Dutra EscobarIara Rodrigues FernandesLeticia Ramires FigueiredoLeandro Galdino Cavalcanti GonçalvesSarita LahdoJoyce dos Santos LencinaGuilherme Teodoro de LimaLarissa Santos MatosBruna Tayara Leopoldina MeirelesDebora Quadros MoreiraLilian Batista Silva MuranakaAdriely de OliveiraKarla Regina Warszawski de OliveiraMatheus Vieira de OliveiraRoberto Dias de OliveiraAndrea Antonia Souza de Almeida dos Reis PereiraMarco PugaCaroliny Veron RamosThaynara Haynara Souza da RosaKarla Lopes dos SantosClaudinalva Ribeiro dos SantosDyenyffer Stéffany Leopoldina dos SantosKarina Marques SantosPaulo César Pereira da SilvaPaulo Victor Rocha da SilvaDébora dos Santos SilvaPatricia Vieira da SilvaBruno Freitas da Rosa SoaresMariana Gazzoni SperottoMariana Mayumi TadokoroDaniel TsuhaHugo Miguel Ramos VieiraMargareth Maria Pretti DalcolmoCíntia Maria Lopes Alves da PaixãoGabriela Corrêa E CastroSimone Silva CollopyRenato da Costa SilvaSamyra Almeida da SilveiraAlda Maria Da-CruzAlessandra Maria da Silva Passos de CarvalhoRita de Cássia BatistaMaria Luciana Silva De FreitasAline Gerhardt de Oliveira FerreiraAna Paula Conceição de SouzaPaola Cerbino DoblasAyla Alcoforado da Silva dos SantosVanessa Cristine de Moraes dos SantosDayane Alves dos Santos GomesAnderson Lage FortunatoAdriano Gomes-SilvaMonique Pinto GonçalvesPaulo Leandro Garcia Meireless JuniorEstela Martins da Costa CarvalhoFernando do Couto MottaLigia Maria Olivo de MendonçaGirlene dos Santos PandineRosa Maria Plácido PereiraIvan Ramos MaiaJorge Luiz da RochaJoão Victor Paiva RomanoGlauce dos SantosErica Fernandes da SilvaMarilda Agudo Mendonça Teixeira de SiqueiraÁgatha Cristinne Prudêncio SoaresMarc BontenSandra Franch ArroyoHenny Ophorst-den BestenAnna BoonKarin M. BrakkeAxel JanssenMarijke A.H. KoopmansToos LemmensTitia LeurinkCristina Prat-AymerichEngelien Septer-BijleveldKimberly StadhoudersDarren TroemanMarije van der WaalMarjoleine van OpdorpNicolette van SluisBeatrijs WoltersJan KluytmansJannie RommeWouter van den BijllaardtLinda van MookM.M.L (Miranda) van RijenMargreet FiliusJet GisolfFrances GrevenDanique HuijbensRobert Jan HassingRoos PonLieke PreijersJoke van LeusenHarald VerheijWim BoersmaEvelien BransPaul KloegKitty Molenaar-GrootNhat Khanh NguyenNienke PaternotteAnke RolLida StooperHelga DijkstraEsther EggenhuizenLucas HuijsSimone MoorlagMihai NeteaEva PrangerEsther TaksJaap ten OeverRob ter HeineKitty BlauwendraatBob MeekIsil ErkayaHouda HarbechNienke RoescherRifka PeetersMenno te RieleCarmen ZhouEsther CalboCristina Badia MartiEmma Triviño PalomaresTomás Perez PorcunaAnabel BarriocanalAna Maria BarriocanalIrma CasasJose DominguezMaria EsteveAlicia LacomaIrene LatorreGemma MolinaBarbara MolinaAntoni RosellSandra VidalLydia BarreraNatalia BustosInes Portillo CalderónDavid Gutierrez CamposJose Manuel CarreteroAngel Dominguez CastellanoRenato CompagnoneEncarnacion Ramirez de ArellanoAlmudena de la SernaMaria Dolores del Toro LopezMarie-Alix Clement EspindolaAna Belen Martin GutierrezAlvaro Pascual HernandezVirginia Palomo JiménezElisa MorenoNicolas NavarreteTeresa Rodriguez PañoJesús Rodríguez-BañoEnriqueta TristánMaria Jose Rios VillegasAtsegiñe Canga GarcesErika Castro AmoRaquel Coya GuerreroJosune GoikoetxeaLeticia JorgeCristina PerezMaría Carmen Fariñas ÁlvarezManuel Gutierrez CuadraFrancisco Arnaiz de las Revillas AlmajanoPilar Bohedo GarciaTeresa Giménez PoderosClaudia González RicoBlanca SanchezOlga ValeroNoelia VegaJohn CampbellAnna BarnesHelen CatterickTim CranstonPhoebe DaweEmily FletcherLiam FouracreAlison GiffordJohn KirkwoodChristopher MartinAmy McAnewMarcus MitchellGeorgina NewmanAbby O’ConnellJakob OnyskLynne QuinnShelley RhodesSamuel StoneLorrie SymonsHarry TrippAdilia WarrisDarcy WatkinsBethany WhaleAlex HardingGemma LockhartKate Sidaway-LeeSam HiltonSarah MantonDaniel Webber-RookesRachel WinderJames MooreFreya BatemanMichael GibbonsBridget KnightJulie MossSarah StattonJosephine StudhamLydia HallWill MoyleTamsin Venton
Source
EBioMedicine, Vol 103, Iss , Pp 105100- (2024)
Subject
Vaccine
Off-target
Immunoregulation
Cytokine
SARS-CoV-2
Heterologous immunity
Medicine
Medicine (General)
R5-920
Language
English
ISSN
2352-3964
Abstract
Summary: Background: The COVID-19 pandemic led to the rapid development and deployment of several highly effective vaccines against SARS-CoV-2. Recent studies suggest that these vaccines may also have off-target effects on the immune system. We sought to determine and compare the off-target effects of the adenovirus vector ChAdOx1-S (Oxford-AstraZeneca) and modified mRNA BNT162b2 (Pfizer-BioNTech) vaccines on immune responses to unrelated pathogens. Methods: Prospective sub-study within the BRACE trial. Blood samples were collected from 284 healthcare workers before and 28 days after ChAdOx1-S or BNT162b2 vaccination. SARS-CoV-2-specific antibodies were measured using ELISA, and whole blood cytokine responses to specific (SARS-CoV-2) and unrelated pathogen stimulation were measured by multiplex bead array. Findings: Both vaccines induced robust SARS-CoV-2 specific antibody and cytokine responses. ChAdOx1-S vaccination increased cytokine responses to heat-killed (HK) Candida albicans and HK Staphylococcus aureus and decreased cytokine responses to HK Escherichia coli and BCG. BNT162b2 vaccination decreased cytokine response to HK E. coli and had variable effects on cytokine responses to BCG and resiquimod (R848). After the second vaccine dose, BNT162b2 recipients had greater specific and off-target cytokine responses than ChAdOx1-S recipients. Interpretation: ChAdOx1-S and BNT162b2 vaccines alter cytokine responses to unrelated pathogens, indicative of potential off-target effects. The specific and off-target effects of these vaccines differ in their magnitude and breadth. The clinical relevance of these findings is uncertain and needs further study. Funding: Bill & Melinda Gates Foundation, National Health and Medical Research Council, Swiss National Science Foundation and the Melbourne Children’s. BRACE trial funding is detailed in acknowledgements.