COVID-19 infection is associated with increased risk of pregnancy complications, making vaccination during pregnancy critical for mother-neonate dyads. Few data, often with an unrepresentative sample size, are available on SARS-CoV-2 vaccine-induced humoral and cell-mediated response. Here, we evaluated anti-S antibody and interferon-gamma (IFN-y) production elicited by SARS-CoV-2 immunization in maternal and neonatal plasma. Pregnant women (n=230) were prospectively enrolled and classified as unvaccinated (n=103) and vaccinated (n=127); after serological screening for previous infections, assays were performed on 126 dyads, 15 mothers and 17 newborns. Positive anti-S antibodies were found in most of the vaccinated subjects, regardless of timespan between immunization and delivery (range: 7–391 days). A total of 89 of 92 vaccinated women showed a broad response to COVID-19 immunization and highly effective placental transfer, as attested by anti-S positive rates (maternal= 96.7%, cord= 96.6%). Most of our subjects had indeterminate results in an IGRA assay, preventing a conclusive evaluation of IFN-y production. Indeed, pregnancy-related hormonal changes may influence T-cell response with an impact on IFN-y production. Positive pregnancy and perinatal outcomes reinforce the evidence that the anti-SARS-CoV-2 immunization is effective and well-tolerated in pregnant women and also protective for the fetus/neonate, even though it was not possible to define the related IFN-y production and role.
Immune Response and Transplacental Antibody Transfer in Pregnant Women after COVID-19 Vaccination / C. Lubrano, A. Mancon, G.M. Anelli, G. Gagliardi, R. Corneo, M. Bianchi, C. Coco, G. DAL MOLIN, M. Vignali, I. Schirripa, N. Di Simone, G. Pavone, A. Pellegrino, M.R. Gismondo, V.M. Savasi, I. Cetin. - In: JOURNAL OF PERSONALIZED MEDICINE. - ISSN 2075-4426. - 13:4(2023 Apr 20), pp. 689.1-689.13. [10.3390/jpm13040689]
Immune Response and Transplacental Antibody Transfer in Pregnant Women after COVID-19 Vaccination
C. LubranoCo-primo
Writing – Original Draft Preparation
;G.M. Anelli
Secondo
Formal Analysis
;G. GagliardiInvestigation
;R. CorneoInvestigation
;M. BianchiInvestigation
;C. CocoInvestigation
;G. DAL MOLINInvestigation
;M. VignaliResources
;M.R. GismondoFunding Acquisition
;V.M. SavasiConceptualization
;I. CetinUltimo
Writing – Review & Editing
2023
Abstract
COVID-19 infection is associated with increased risk of pregnancy complications, making vaccination during pregnancy critical for mother-neonate dyads. Few data, often with an unrepresentative sample size, are available on SARS-CoV-2 vaccine-induced humoral and cell-mediated response. Here, we evaluated anti-S antibody and interferon-gamma (IFN-y) production elicited by SARS-CoV-2 immunization in maternal and neonatal plasma. Pregnant women (n=230) were prospectively enrolled and classified as unvaccinated (n=103) and vaccinated (n=127); after serological screening for previous infections, assays were performed on 126 dyads, 15 mothers and 17 newborns. Positive anti-S antibodies were found in most of the vaccinated subjects, regardless of timespan between immunization and delivery (range: 7–391 days). A total of 89 of 92 vaccinated women showed a broad response to COVID-19 immunization and highly effective placental transfer, as attested by anti-S positive rates (maternal= 96.7%, cord= 96.6%). Most of our subjects had indeterminate results in an IGRA assay, preventing a conclusive evaluation of IFN-y production. Indeed, pregnancy-related hormonal changes may influence T-cell response with an impact on IFN-y production. Positive pregnancy and perinatal outcomes reinforce the evidence that the anti-SARS-CoV-2 immunization is effective and well-tolerated in pregnant women and also protective for the fetus/neonate, even though it was not possible to define the related IFN-y production and role.File | Dimensione | Formato | |
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