anti sars cov 2 spike protein test results interpretation
Supernatant collected from transfected cell was incubated with HEK293T-hACE-2 at 37 oC for 1h then washed twice with PBS. Prediction of long-term kinetics of vaccine-elicited neutralizing antibody and time-varying vaccine-specific efficacy against the SARS-CoV-2 Delta variant by clinical endpoint. SARS-CoV-2, SARS-CoV, and MERS-CoV viral load dynamics, duration of viral shedding, and infectiousness: a systematic review and meta-analysis. They were widely available in these countries for approximately a year before being accessible on other continents. Source data are provided as a Source Data file. The results should always be assessed in conjunction with patient's medical history, clinical presentation, and other findings. RNA copies were calculated as genomic equivalent/mg of tissue. The promising preclinical study results presented here demonstrate that ChulaCov19 is highly immunogenic with protective efficacy. Pharmaceutics 14, 1427 (2022). News-Medical. Broad and timely access to effective vaccines in LMICs, particularly the most under-served settings, has always been limited during past pandemics and this has extended to COVID-1920. During the experiments, mice were maintained at 2022C and a relative humidity of 4510% on a 12h light/dark cycle. p<0.05 and p<0.01 are indicated by * and **, respectively. (2023, April 27). Proc Natl Acad Sci U S A 93, 41024107 (1996). Bar-On, L. et al. Google Scholar. WHO. In the clinical setting, >8 weeks interval for AZD1222 was recommended to maximize the vaccine efficacy52. a-0ZG{Px(rA![|-Ml0(9ELO_>+Rf_I4!=fuPq^$\1$j/ Anti-SARS-CoV-2 antibody therapies have proven to be efficient in preventing hospitalization in unvaccinated high-risk patients, when administered early on after polymerase chain reaction (PCR) diagnosis or after contact with infected individuals [8]. The SARS-CoV-2 Omicron variant emerged in late 2021 and spread quickly. % Similar with the previous study, low level of viral RNA occasionally detected in survived mice was also reported by studies that used K18-hACE2 as a model28. Protein OCLN found to play crucial role in SARS-CoV-2 cell-to-cell transmission, Study reveals survival time of SARS-CoV-2 in wastewater: Implications for public health, The BCG vaccine does not decrease the risk of COVID-19 in healthcare workers. Today, hundreds of commercial antibody tests are on the market despite often lacking proper validation and with unsatisfactory sensitivity and/or specificity. A Single-Cycle Influenza A Virus-Based SARS-CoV-2 Vaccine Elicits Potent Immune Responses in a Mouse Model. The test can provide information about how your body reacted to infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). 3b). Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Is there an association between the consumption of ultra-processed food and adverse microbiota-gut-brain axis implications? News-Medical.Net provides this medical information service in accordance 4d). Schematic view of the SARS-CoV-2 particles, genome arrangement, and proteome organization. This initiative is ready to be part of the global effort to make mRNA vaccines more quickly and widely available when facing new variants or the next pandemic. Antibody escape of SARS-CoV-2 Omicron BA.4 and BA.5 from vaccine and BA.1 serum. 5b). Cevik, M. et al. In many countries, immunization regimens have frequently employed mixtures of different vaccine platforms (also known as a heterologous prime-boost). Kairat Tabynov, Nurkeldi Turebekov, Kaissar Tabynov, James Logue, Robert M. Johnson, Matthew B. Frieman, Yi-Jiun Lin, Meei-Yun Lin, Chia-En Lien, Susanne Rauch, Nicole Roth, Benjamin Petsch, Felicity C. Stark, Bassel Akache, Martin Handfield, Maarten Swart, Joan van der Lubbe, Roland Zahn, Jessica Andries, Wildriss Viranaicken, Philippe Despres, Nature Communications FITC-tagged 2nd Abs (green) were used for detection of RBD, S1, and S2 while AlexaFluor647-tagged 2nd Ab (red) was used following PCS staining. Prompetchara, E. et al. Med. The same dosage of approved vaccines were used with a dose of 5g ChulaCov19 (1/10 of the human dose used in Phase 2 Trial). 11 Antibody tests may help identify past SARS-CoV-2 infection if performed two to four. Prefusion RSV F Immunization Elicits Th2-Mediated Lung Pathology in Mice When Formulated With a Th2 (but Not a Th1/Th2-Balanced) Adjuvant Despite Complete Viral Protection. 4d). The team then performed a rescue experiment to ascertain if this neuronal phenotype is reversible. Regarding the vaccine construct characterization, protein expression studies revealed S proteins were expressed both in intracellular and extracellular compartments when detected either by specific antibodies or patient sera (Fig. Follow-up testing with a molecular diagnostic should be considered to rule out infection in these individuals. It also can show how your body reacted to COVID-19 vaccines. This study aimed to describe serum-IgG responses to SARS-CoV-2 in a cohort of patients with both severe and mild COVID-19, including extended studies of patients who remained seronegative more than 90 . The S protein facilitates virus attachment and entrance into the host cell. Her college project work based on The manifestations and causes of sickle cell anemia formed the stepping stone to a life-long fascination with human pathophysiology. PLOS ONE promises fair, rigorous peer review, Sci Rep 12, 8403 (2022). This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Cell 182, 12711283.e1216 (2020). Therefore, during the surge of Omicron globally, there is a need of a boosting dose even with a first-generation vaccine or ideally with a second-generation vaccine such as a bivalent immunogen containing or encoding of Omicrons spike protein49,50. Results were determined as a ratio of the signal of the samples to the average signal of calibrators. The causative agent of the COVID-19 pandemic starting in late December 2019 is a novel coronavirus, now named Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) because of its close relationship and high sequence identity to SARS-CoV ().SARS-CoV-2 is an enveloped, single-stranded, positive-sensed RNA virus that belongs to the genus Betacoronavirus in the family Coronaviridae (). Watanabe, Y. et al. In the present study, researchers quantified the neurological phenotypes induced in neurons by the SARS-CoV-2 S protein. Immunization with SARS coronavirus vaccines leads to pulmonary immunopathology on challenge with the SARS virus. Vaccination status was complete among 61 patients (88%). These results confirmed that ChulaCov19 is highly immunogenic either as a primary vaccination in a vaccine-nave setting, or as a booster vaccine in animals previously vaccinated with other vaccines. PubMed Proc Natl Acad Sci U S A 114, E7348E7357 (2017). IgG2a and IgG1 subclasses were also assessed to determine Th1 and Th2 responses, respectively. One of these was the low number of samples that were subjected to antibody quantification and the absence of an independent international standard (WHO in IU/ml). Viruses were propagated in Vero E6 cells to generate sufficient titers 100TCID50 for the micro-VNT50 assay. In female BALB/c mice, ChulaCov19 at 0.2, 1, 10, and 30 g elicits robust neutralizing antibody (NAb) and T cell responses in a dose-dependent relationship. Since COVID-19, the disease caused by severe acute respiratory virus 2 (SARS-CoV-2), began to spread in late December 2019, it has since become a global pandemic1. Challenge study was conducted in ABSL-3 facility at AFRIMS, Bangkok, Thailand. Cite this article. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. So there is not enough data available to comment on the uptake of this therapy yet and raises the question in cases of previous infection or vaccination, the need to assess the SARS-CoV-2 antibody level for therapy decision making [1820]. Nat Commun 13, 4710 (2022). In the immunogenicity dose-response and prime/boost studies (Experiment 1 and 2), NAb measurement was carried out as previously described56,68 based on live-virus micro-VNT50 against WT (Wuhan-Hu1), Alpha (B.1.1.7), Beta (B.1.351), Delta (B1.617.2) variants in VERO E6 cells with positive cut-off of 1:20. Gilles Antoniotti, Liu, L. et al. The mRNA vaccine technology transfer hub [updated 21 June 2022. Zheng, C. et al. Note: tissues from 3/5 animals in control group were collected at day 5. S protein on HEK293T-hACE-2 cell surface was stained with the same antibodies used in 2a. In this episode of omg OMx, Bruker's science-driven podcast, Kate Stumpo interviews Daniel Hornburg, the VP of Proteomics at Seer, as they discuss the innovative technologies in plasma proteomics. To obtain In this study, the S1 and S2 subunits of the spike protein were evaluated separately to determine if they elicited any neurological phenotypes as estimated by the micro-electrode arrays (MEAs). World Health Organization. The Euroimmun Anti-SARS-CoV-2 IgG and IgA tests are separate ELISAs that detect antibodies against the S1 subunit of the SARS-CoV-2 spike protein. Tissues were collected at week 5+6 days for assessment of viral RNA. "Neurological phenotypes induced by SARS-CoV-2 spike protein in neurons". The vaccine was measured for its immunogenicity in BALB/c mice both using ChulaCov19 alone or as heterologous prime/boost regimens alongside the approved vaccines (Fig. Sci Rep 11, 22777 (2021). Emerg Infect Dis 27, 31783180 (2021). The particles were re-characterized at 6- and 12-month after manufacture for stability assessment. K18-hACE2 mice were also housing at 2022C and a relative humidity of 4510% on a 12h light/dark cycle. We recommend outside providers arrange to have their patients' blood drawn at their usual clinical draw sites and sent to the lab, preferably after contacting Client Support Services at commserv@uw.edu to facilitate testing. DNA vaccine candidate encoding SARS-CoV-2 spike proteins elicited potent humoral and Th1 cell-mediated immune responses in mice. The study also noted that the RBD may be accountable for the suppression of neuronal signals. The median values observed for the antibody binding assays were 143 BAU/ml (IQR 39748) for Abbott, 55 BAU/ml (IQR 19217) for Beckman, 636 BAU/ml (IQR 982369) for Roche, and 161 BAU/ml (IQR 32574) for Siemens, which demonstrated the variations between the assays (overall P < 0.0001). . The study suggested that S1 is responsible for decreasing burst activities of neuronal populations when cells are exposed early in the course of development. Google Scholar. Meta-analysis shows phytosterol-fortified foods effectively lower LDL cholesterol levels. In contrast, undetectable fluorescent signals for S proteins were observed when HEK293T-hACE-2 were incubated with supernatant from untransfected cells (Fig. Qualitative and semi-quantitative detection of antibodies to SARS-CoV-2 spike protein receptor binding domain (RBD). Copyright and Disclaimer, Department of Laboratory Medicine & Pathology, COVID-19 Testing Frequently Asked Questions For Patients, Frequently Asked Questions About COVID-19 Testing for Providers & Clients. In supernatant, we could detect both intact S and cleaved S1 and S2 (Fig. p<0.05 and p<0.01 are indicated by * and **, respectively. However, harmonization of neutralizing antibody titers is necessary to determine a common threshold using which vaccine protection can be predicted. van Doremalen, N. et al. Higher doses induce better cross-NAb against Delta (B.1.617.2) and Omicron (BA.1 and BA.4/5) variants. The S-specific total IgG after 1 or 2 doses of ChulaCov19 was analyzed in mice sera from experiment 1. SARS-CoV-2 RNA-positive cells were examined and counted unblind by certified personnel. The absorbance was measured at a wavelength of 450nm using a Varioskan microplate reader (ThermoFisher Scientific, Vantaa, Finland). The results revealed that the NAb against WT (Wuhan-Hu1) and Delta (B.1.617.2) variants were still detectable in all mice (5/5) but 4/5 mice for Omicron BA.1 and BA.4/5. Data Availability: All relevant data are within the manuscript and its Supporting Information files. Thus, in this study, vaccine-induced disease enhancement is less likely as demonstrated by the Th1-oriented response (Fig. CAS Alexander-Miller, M. A., Leggatt, G. R., Sarin, A. 200 0 obj <>]/Filter/FlateDecode/BitsPerComponent 8/Length 2211/Height 275>>stream The OD450 of blanks were subtracted from OD450 of each sample before calculating antibody titer. Article Using western blot, the S protein could be detected in cell culture supernatant when using anti-RBD, -S1, -S2 and PCS as primary antibodies. SARS-CoV-2 RNA levels in serum and tissue samples were quantitated using quantitative RT-PCR. ROC curves for each antibody binding assay according to Genscript sVNT. The NT50 titers against WT and Delta variants increased 7- to 14-fold when using the heterologous approach with ChulaCov19 as compared to the homologous immunizations with CoronaVac or AZD1222 (Fig. Human codon-optimized sequences of the ectodomain of SARS-CoV-2 spike protein, amino acid position 1-1,210 (Wuhan Hu-1 complete genome, GenBank: MN908947.1, https://www.ncbi.nlm.nih.gov/nuccore/MN908947.1) was synthesized by GenScript, Piscataway, NJ, USA). Objectives: The aim was to determine the antibody response against SARS-CoV-2 spike protein and nucleoprotein using four automated immunoassays and three ELISAs for the detection of total Ig antibodies (Roche) or IgG (Abbott, Diasorin, Snibe, Euroimmun, Mikrogen) in COVID-19 patients. 201 0 obj <>stream Google Scholar. At week 18, the NAb against WT (Wuhan-Hu1) and Delta (B.1.617.2) decreased approximately 2-fold but not statistically significant when compare with week 5 titers. The capped mRNA was purified by cellulose columns purification59. Center of Excellence in Vaccine Research and Development (Chula VRC), Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand, Eakachai Prompetchara,Chutitorn Ketloy,Kittipan Tharakhet,Papatsara Kaewpang,Nongnaphat Yostrerat,Patrawadee Pitakpolrat,Supranee Buranapraditkun,Kanitha Patarakul,Teerasit Techawiwattanaboon,Tanapat Palaga&Kiat Ruxrungtham, Department of Laboratory Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand, Eakachai Prompetchara,Chutitorn Ketloy,Kittipan Tharakhet&Patrawadee Pitakpolrat, Integrated Frontier Biotechnology for Emerging Disease, Chulalongkorn University, Bangkok, 10330, Thailand, Eakachai Prompetchara,Chutitorn Ketloy,Kanitha Patarakul&Kiat Ruxrungtham, Division of Infectious Diseases, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, 19104, USA, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand, Thai Pediatric Gastroenterology, Hepatology and Immunology (TPGHAI) Research Unit, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand, Department of Microbiology, Faculty of Science, Mahidol University, Bangkok, 10400, Thailand, Suwimon Manopwisedjaroen&Arunee Thitithanyanont, Virology and Cell Technology Research Team, National Center for Genetic Engineering and Biotechnology (BIOTEC), National Science and Technology Development Agency (NSTDA), Pathumthani, 12120, Thailand, Department of Virology, Armed Forces Research Institute of Medical Sciences (AFRIMS), Bangkok, 10400, Thailand, Department of Veterinary Medicine, USAMD-AFRIMS, Bangkok, 10400, Thailand, BioNet-Asia, Co. Ltd, Bangkok, 10260, Thailand, Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand, Kanitha Patarakul&Teerasit Techawiwattanaboon, Department of Microbiology, Faculty of Science, Chulalongkorn University, Bangkok, 10330, Thailand, Genevant Sciences Corporation, Vancouver, BC, V5T 4T5, Canada, Department of Medicine, and School of Global Health, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand, You can also search for this author in The 5-fold serially diluted mice sera were added in duplicate. PubMed Central The S protein trimer (S-trimer), depicted in Fig. The vaccine inequity issue is a huge challenge to healthcare in LMICs. Peletta, A. et al. Characteristics like the number of bursts per electrode, their duration, frequency, and the number of spikes per burst according to the treatment condition were also quantified. {KnXEW;>2THg_J}iX,n7 UndO'%vh9(WG(Rf&oKnn>*&j6$79^*G$73sxv_7$wWfbgD7l7`{ FD5`yK]TS.t0 bM/.<1~ Na RUL6>lnn;P"_1m^ Peletta, A. et al. 4c. The presence of three SARS-CoV-2 genes (ORF1ab, nucleocapsid protein (N), and spike protein (S)) was identified using real-time PCR with the TaqPath RT-PCR COVID-19 kit (Thermo Fisher Scientific . Although several SARS-CoV-2 vaccines used an engineered S protein to abolish S1/S2 cleavage or to stabilize the prefusion stage35,36,37, vaccines encoding unmodified S protein are also worth exploring as its structure is the same as native viral protein. Mol Ther Nucleic Acids 15, 2635 (2019). J Immunol 166, 16901697 (2001). Kunkalikar, Bhavana. Her academic background is in Pharmaceutical sciences and she holds a Bachelor's degree in Pharmacy. Seventeen female K18-hACE2 mice (B6.Cg-Tg(K18-hACE2)2Prlmn/J), 7 weeks old (The Jackson Laboratory, Bar Harbor, ME, USA) were randomly divided into 3 groups. 7, eabi5246 (2021). For SARS-CoV-2, tests to neutralize live viruses are performed only in specialized laboratories and are not standardized, making it difficult to compare and justify the use of a well-characterized sVNT as a functional reference [24,25].Additionally, neutralizing antibodies were not investigated, which could have helped in determining whether the anti-RBD or the anti-spike assays had the strongest correlation with virus neutralization. CAS 1a). These results reflect the real S protein dynamic as shedding of S1 could be detected in viral infection33,34. Recommendations based on only one study is not prudent. Agreement between the antibody binding assays and the Genscript sVNT assay is shown in Table 2. Article Nonreactive (Negative, <50.0 AU/mL) results do not rule out SARS-CoV-2 infection, particularly in those who have recently been in contact with the virus. Quantitative SARS-CoV-2 anti-spike responses to Pfizer-BioNTech and Oxford-AstraZeneca vaccines by previous infection status SARS-CoV-2 vaccination leads to detectable anti-spike antibodies in nearly all adult HCWs. Google Scholar. endobj Overall, the rescue experiment provided compelling evidence that S1 was able to suppress burst activities when exposed to cells early in their developmental course. By submitting a comment you agree to abide by our Terms and Community Guidelines. Background To accurately interpret COVID-19 seroprevalence surveys, knowledge of serum-IgG responses to SARS-CoV-2 with a better understanding of patients who do not seroconvert, is imperative. Previous B cell depletion correlated with anti-SARS-CoV-2 IgG levels. Cao, Y. et al. Jackson, L. A. et al. The geometric mean titers (GMTs) of NAb against wild-type (WT, Wuhan-Hu1) virus are 1,280, 11,762, 54,047, and 62,084, respectively. Do ketogenic diets elevate low-density lipoprotein cholesterol levels? A Multi-Targeting, Nucleoside-Modified mRNA Influenza Virus Vaccine Provides Broad Protection in Mice. : grant funding acquisition. Folegatti, P. M. et al. PubMed Central The data as well as the p values suggested that the anti-S1 antibody reversed the impact of S1 on bursting activities. Statistical analysis was performed using GraphPad Prism 9.0 software (San Diego, CA, USA). Publishers note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The study findings demonstrated a causal relationship between the SARS-CoV-2 S1 protein and in-vitro burst trends in neuronal populations, which can be reversed by antibody treatment. RA-MF-28/64. Front Cell Infect Microbiol 11, 781429 (2021). The S1 subunit interacts with the angiotensin-converting enzyme 2 (ACE2) receptor present in the intestinal and lung cells. b hACE-2 binding assay (merged): culture supernatant collected from ChulaCov19 transfected cells incubated with HEK293T- hACE-2 cells. A threshold of 20% was used for positivity. doi:10.1371/journal.pone.0281257, Editor: Deniz Can Guven, Elazg Fethi Sekin City Hospital: Elazig Fethi Sekin Sehir Hastanesi, TURKEY, Received: November 17, 2022; Accepted: January 18, 2023; Published: April 28, 2023. As the Omicron subvariant BA.4/5 is currently spreading worldwide, we have also assessed cross-neutralization and found that the NAb GMT measured by psVNT50 against BA.4/5 in homologous ChulaCov19 vaccination or heterologous boosted with ChulaCov19 groups were significantly better than either of the CoronaVac or AZD1222 homologous vaccination (Fig. Kappa increased to 0.76 for the Abbott assay (0.04 units increase) and to 0.71 for the Roche assay (0.19-unit increase). If testing will be delayed more than 7 days store at -20C or colder. S-specific IgG measurement was performed employing indirect ELISA as described previously56,67. Two approved mRNA vaccines, ComirnatyTM by Pfizer/BioNTech and SpikevaxTM by Moderna, comprise 2 proline substitutions at residues 986 and 987 of the S-protein (known as S-2P) to stabilize the prefusion conformational structure. 1b). In all past pandemics, as well as the ongoing one with COVID-19, access to effective vaccines in a timely manner and has been severely limited in these countries. COVID-19 antibody testing is a blood test. Usually your antibody levels will go up after getting a vaccine or having an infection. on this website is designed to support, not to replace the relationship PubMed Alene, M. et al. E.P., C.K., D.W., and K.R. The images or other third party material in this article are included in the articles Creative Commons license, unless indicated otherwise in a credit line to the material. The information of SARS-CoV-2 isolates including, wild-type (Wuhan-Hu1), Alpha (B.1.1.7), Beta (B.1.351) and Delta (B.1.617.2) variants for micro-VNT50 assay performed at the Department of Microbiology, Faculty of Sciences, Mahidol University was described previously56,57. 6b, c, Table1). Indeed, antibody therapy for pre-exposure prophylaxis (PrEP), may be efficient in preventing hospitalization in immunocompromised patients, regardless of the variant involved. Signals of S protein stained by RBD-, S1-, S2-specific antibodies or PCS were detected on unpermeabilized HEK293T-hACE-2 cell after incubation with transfected supernatant. a mice were immunized with various doses of ChulaCov19 analyzed at 2 weeks after the second dose. Philippe Halfon, Potent neutralizing antibodies against multiple epitopes on SARS-CoV-2 spike. N Engl J Med 383, 19201931 (2020). Laboratoires Oriade NovialeBiogroup, Grenoble, France, Affiliation: Differences were considered significant at p<0.05 with exact p-values shown. ACS Cent Sci 7, 594602 (2021). mRNA capping was performed by the trinucleotide cap1 analog, CleanCap (TriLink Biotechnologies, San Diego, CA, USA). Splenocytes from mice immunized with various dosages of ChulaCov19 (Experiment 1) were analyzed as summed frequency of S-specific IFN- positive T cells (Fig. This result implied that the decrease in Nab titers against BA.4/5 may be improved with higher mRNA vaccine doses. CAS Differences were considered significant at p<0.05 with exact p-values shown. Buschmann, M. D. et al. Even though most COVID-19 patients are asymptomatic or only mildly symptomatic2,3,4, the virus is still eminently transmissible even during the early phases of the illness. Adv. Bellamkonda, N. et al. Methods Protoc. Am J Epidemiol 89, 422434 (1969). Lancet. If testing will be delayed more than 7 days store at -20C or colder. Lancet 396, 467478 (2020). a Experiment 1: mice were immunized twice intramuscularly (IM) with a 3-week interval with various dosages of ChulaCov19 at 0.2, 1, 10 and 30g. endstream The RT-qPCR data showed that both doses of vaccine prevented the expression of SARS-CoV-2 viremia at 5 or 6 days after viral inoculation. : analysis and interpretation of results, M.G.A., K.T., P.K., N.Y., P.P., S.B., S.M., T.H., R.I.E., W.W., T.T., K.L., and J.H. ChulaCov19 significantly enhanced the magnitude of both NAb and T cell responses compared to homologous 2-dose regimens of either CoronaVac or AZD1222. broad scope, and wide readership a perfect fit for your research every time. Science 368, 489493 (2020). The aim was to assess the threshold of 264 binding antibody units (BAU)/ml using four different SARS-CoV-2 antibody assays (Abbott, Beckman, Roche, and Siemens) and to establish a new optimal threshold of protection for each of the four . Int J Infect Dis 112, 227234 (2021). https://apps.who.int/iris/handle/10665/363344 (2022). Ff!T8$I$I$I Your Spike Protein Antibody results will be reported as a reference range: >/= 0.80 U/mL: This is a positive result for anti-SARS CoV-2S. Hence, the low micro-VNT50 titer in the homologous AZD1222 group might increase if the interval between each dose is longer than 4 weeks as used in this study. When RT-qPCR was used, although viral RNA was still detected in some tissues, both dosages demonstrated a 99-100% reduction of viral RNA in tested tissues when compared to the control group. Immunogenicity and structures of a rationally designed prefusion MERS-CoV spike antigen. Thank you for visiting nature.com. Bowen, J. E. et al. Comparative immunogenicity and reactogenicity of heterologous ChAdOx1-nCoV-19-priming and BNT162b2 or mRNA-1273-boosting with homologous COVID-19 vaccine regimens. The female/male ratio was 67/33, and the median age was 47 years (IQR 3463). The results demonstrated that IgG2a/IgG1 (or Th1/Th2) ratios were greater than 1 in all vaccinated mice (Fig. All data were fully anonymized before the analysis. Further information on research design is available in theNature Portfolio Reporting Summary linked to this article.